Wisconsin Ducati Owners (WDO) Membership Form 2021

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www.WisconsinDesmoOwners.com

** ALL FIELDS MUST BE COMPLETED **

By signing the Wisconsin Ducati Owners (WDO) Membership Form I hereby agree to release WDO and its officers, members and sponsors from any liability associated with any mental, physical, operational, disability, or fatality damages incurred during the course of any WDO event and/or ride. I agree to and understand that participating in WDO is of my own free will and choice and is on a voluntary basis in which I incur full responsibility for any mental, physical, operational, disability or fatality damages that may occur during the course of any routine or non-routine WDO activities. I further agree on behalf of any family members and/or guardians to release WDO officers, members and sponsors from all liabilities associated with my participation in WDO. I have read and understand the WDO Group Etiquette Rules which are clearly stated on the WDO web site. I agree to wear proper riding protection (helmet, jacket, gloves, long pants, and proper foot wear). By signing this membership form I state that I am at least 18 years of age and operate a registered and street legal vehicle here in, but not limited to, the State of Wisconsin. I also attest that my vehicle meets all safety and emission requirements for operation as stated by the Wisconsin Department of Transportation of the State of Wisconsin. I further attest that I currently possess for my vehicle the proper insurance and liability coverage as outlined by the Wisconsin Department of Transportation and the State of Wisconsin.

My personal information will be available to WDO and the company Ducati Motor Holding SpA ("Ducati"). I have read and understood the privacy notice (https://www.ducati.com/us/en/home/privacy) and I hereby consent to the processing of my personal data by Ducati Motor Holding S.p.A.:
- for marketing activities via email (newsletters), telephone, text and multimedia messages, chats, banners on our websites and apps, instant messaging, social networks, and conventional mail
- for profiling activities, aimed at personalizing offers and initiatives based on my interests and preferences

*** MEMBERSHIP DUES ***

New Member: $25
Renewal:
- $10 Early bird renewal (ON OR BEFORE April 30, 2021)
- $20 Standard renewal (After May 1, 2021)

Mailing address:
Christine Ledezma / WDO Treasurer
2568 S Howell Ave
Milwaukee, WI 53207

Email *

First Name *

Last Name *

Phone number *

Street Address *

City, State, Zip code *

Date of Birth *

YYYY

Shirt Size

Please choose one

XXL

XXXL

Mens

Ladies

Year, Make and Model of Motorcycle *

Today's date *

YYYY

Method of payment *

Upon completion of this form, make appropriate payment from one of the methods shown below. Membership is complete when both form and funds have been received by the treasurer. New Member $25 /// Early Bird Renewal $10 (before 04.30.2021) /// Standard Renewal $20 (after 04.30.2021) Ways to pay include the following:

Cash

Check made out to 'Wisconsin Ducati Owners' or 'WDO'

PayPal - send as 'Friends and Family' to: Treasurer@WisconsinDesmoOwners.com ***NOTE*** Must change your setting to friends

Signature *

By checking this box I am providing my signature indicating that I have read and agree to the terms listed and that all the information I provided on this form is true and accurate to the best of my knowledge.

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Send me a copy of my responses.

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