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Chapter Name & Number: __________________________ | Ride Date: _________________ Total km’s recorded:________________ Authorized Dealer Endorsement Dealership Name & Number:________________________ Authorized Representative name:____________________ | Signature:_________________ *Please Note that each rider should log in his individual kilometers to hog.com as usual; as the data gets consolidated by country www.hog.com **This is a MENA Regional competition for fun, we will be announcing winners, Chapter ‘s committee is asked to consolidate odometers and return them by email to [email protected] Harley Owners Group, Middle East & North Africa H.O.G.® MENA 2013 Regional Registration form (For fun event) HOG ID Rider Name Start Odometer End Odometer Signature *Terms & Conditions Apply

H.O.G. MENA world ride Registration Form june 2013

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This is a H.O.G.® MENA Regional competition "for fun", we will be announcing winners, Chapter ‘s committee is asked to consolidate odometers and return them by email to [email protected]

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Chapter Name & Number: __________________________  |  Ride Date: _________________

Total km’s recorded:________________

Authorized Dealer Endorsement Dealership Name & Number:________________________Authorized Representative name:____________________ |  Signature:_________________

*Please Note that each rider should log in his individual kilometers to hog.com as usual; as the data gets consolidated by country www.hog.com**This is a MENA Regional competition for fun, we will be announcing  winners,  Chapter ‘s committee is asked to consolidate odometers and return them by email to [email protected]

Harley Owners Group, Middle East & North Africa

H.O.G.® MENA2013 Regional Registration form (For fun event)

HOG ID Rider Name Start Odometer End Odometer Signature

*Terms & Conditions Apply