Membership form (single)

There are two components to applying for membership, the form itself and your payment. You fill in the form below, then pay your subscription direct into the chapter bank account, details below. When we assess your application, we will match up both components so please make sure that you’ve completed both.

    A VALID H.O.G.® MEMBERSHIP IS REQUIRED FOR ALL MEMBERS OF THE GEORDIE CHAPTER. All applications are reviewed and completion of this form does not guarantee acceptance into Geordie Chapter.

    Membership fees for 2024/25

    First time membership applications can be submitted for approval by the Committee from 5th February 2024. Prices are for first year only, £55 rider and £55 NON RIDER Associate. Price includes large Chapter rocker and H.O.G.® eagle patch. Alternatively, you can choose Chapter T-shirt and small rocker and eagle patch. All new members must have a current H.O.G.® membership.

    Renewals are £20.00 for a rider membership and £10.00 for associate NON RIDER membership (Two H.O.G.® members living at the same address. Only one Associate member per fully paid member). The membership year runs from 1st March 2024 to 28 February 2025. You can apply for renewal membership for 2024 from 1st January 2024.

    Please collect your Geordie Chapter membership card from our Membership Officer or at a Chapter meeting. We do not mail them out.

    You MUST fill in all the following boxes to allow your application to be processed. If you want to leave a box blank, use N/A. We may check with you to make sure this entry is valid.

    Single member information

    Are you a new applicant? (Never been a member of Geordie HOG before)

    (Required)

    First name

    (required)

    Surname

    (required)

    Address (line 1)

    (required)

    Address (line 2)

    (required)

    Address (line 3)

    Postcode

    (required)

    Mobile number

    Email address

    (required)

    H.O.G. number

    (required)

    H.O.G. expiry (DD/MM/YY)

    (required)

    Vin number of your Bike

    Current Bike mileage for the HOG mileage challenge

    Are you, or have you ever been, a member of another H.O.G. Chapter or Motorcycle Club

    Are you still currently a member of another Chapter or Club


    Declaration:

    You MUST check all four following boxes ...

    I have read the Annual Charter for H.O.G. Chapters and hereby agree to abide by it as a member of this H.O.G. supported Chapter

    I have read the By-Laws for the Geordie Chapter and hereby agree to abide by them as a member of this H.O.G. supported Chapter

    I confirm that I have read and understood the Geordie Chapter Privacy Policy

    I recognise that while this Chapter is chartered with H.O.G., it remains a separate, independent entity solely responsible for its own actions


    This is a release, you MUST read this before submitting this form:

    I agree that the Sponsoring Dealer, Harley Owners Group (H.O.G.), H.O.G. Chapter Officers, Harley-Davidson, Inc., Harley-Davidson Motor Company, Harley-Davidson Europe, Ltd, and any of its corporate affiliates, and their respective officers, directors, employees and agents (hereinafter, the RELEASED PARTIES) shall not be liable or responsible for damage to my property occurring during any H.O.G. or H.O.G. Chapter activities and resulting from acts or omissions occurring during the performance of the duties of the RELEASED PARTIES, even where the damage is caused by negligence (except wilful intent). I understand and agree that all H.O.G. members and their guests participate voluntarily and at their own risk in all H.O.G. activities and I assume all risks arising out of the conduct of such activities. I release and hold the RELEASED PARTIES harmless from any loss to my property which may result from my participation in H.O.G. activities and event(s).

    I UNDERSTAND THAT THIS MEANS THAT I AGREE NOT TO SUE THE RELEASED PARTIES FOR ANY DAMAGE TO MY PROPERTY ARISING FROM, OR IN CONNECTION WITH, THE PERFORMANCE OF THEIR CHAPTER DUTIES IN SPONSORING, PLANNING OR CONDUCTING SAID EVENT(S), EXCEPT IN THE CASE OF WILFUL INTENT BY THE RELEASED PARTIES.

    Nothing in this disclaimer is intended to release any party mentioned herein for any liability for injury or death caused through that party’s negligence. I understand that the RELEASED PARTIES may take photographs of participants at the EVENT(S) for use in H.O.G. related materials. I hereby confirm that I have no objection that my photograph is taken and used in this context and for this purpose. By signing this Release and Authorisation to Photograph, I certify that I have read this Release and fully understand it and that I am not relying on any statements or representations made by the RELEASED PARTIES. By signing this Release, I agree to receive emails and texts from the RELEASED PARTIES.

    Privacy statement: Geordie Chapter operates under the H.O.G. Chapter Charter and we take your privacy seriously. If you provide information to us, we will use it to provide you a membership service, as described in the H.O.G. Chapter Charter, and our Privacy Policy. We will not transfer your personal information to any other party. You can find the H.O.G. Chapter Charter and our Privacy Policy on our website, geordiehog.com. Geordie Chapter will keep your personal information safe and secure. If you have any questions, please email us: privacy@geordiehog.com.


    Now, type your full name in the box below. This is your signature agreeing to the above statements.

    Full name

    Today's date (DD/MM/YY)

    For Bank transfer please use these bank details using your name as a reference
    The Geordie Chapter H.O.G. No 9721, Lloyds Bank plc, Acc No 47947268, Sort Code 30-93-71.

    Finally, press send.

     

    Once you’ve submitted the form, you’ll need to pay. You can pay into the chapter bank account, using your name as the reference.

    We’ll check the membership details on your form and your payment. We’ll let you know when your application has been approved, using the email address provided above.