Madison H.O.G.® Chapter – Membership
Due to legal reasons and insurance carriers’ requirements, a standard Chapter Membership and Release Form must be used.
If you have any questions please contact the Madison Director at email@example.com
Directions for specific fields:
- Chapter Name: Madison H.O.G.® Chapter #3793
- Member Name: One Member Per Form! Please make necessary copies.
- Address/City/State/Zip: Required
- Email Address/Phone Number/Birthdate: Optional
- National H.O.G.® Number & Expiration Date: Application WILL NOT be accepted without these. NO EXCEPTIONS! Each applicant must have their own National H.O.G.® Number and CANNOT use a spouse’s or parent’s National H.O.G.® Number.
- Member Signature: Required
- Local Dues: $20.00 per household. One eNewsletter sent per household.
MAKE CHECKS PAYABLE TO:
Madison H.O.G® Chapter #3793
6200 Millpond Rd
Madison, WI 53718