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![Page 1: PACKERLAND HOG CHAPTERMember Nat'l H.O.G. Number: Zip: Expiration Date of National H.O.G.@ Membership: I have read the Annual Charter for H.O.G.@ Chapters and hereby agree to abide](https://reader034.vdocument.in/reader034/viewer/2022052000/6011b561e49ac169d93cd1f3/html5/thumbnails/1.jpg)
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PACKERLAND HOG CHAPTERLocal Chapter Information
New q Renewal q
$10.00 Membership FeePlease complete form below for Local Chapter use:
Name:
DOB: Wedding Anniversary: ( )
E-Mail Address:
Mail to: Vandervest Harley-Davidson of Green Bay, ATTN: Kay Kozlowski, Membership. 1966 Velp Ave., Green Bay, WI 54303. 920-498-8822.
CHAPTER USE ONLY: Application Denied ____ . Application Approved ____.