JaxHOG Ride 365 Form

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JaxHOG Ride 365 Form

Please use this form to submit your monthly Ride 365 program miles.

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* Indicates required question

Email *

Your email

Member First Name *

Your answer

Member Last Name *

Your answer

Full National H.O.G.® Membership Number *

Please enter full membership number in the following format--US#########

Your answer

Enter motorcycle's full VIN Number *

Please enter your full 17 character Vehicle Identification Number (VIN)

Your answer

Enter Current Mileage *

Please enter your current odometer reading from your motorcycle's odometer.

Your answer

A copy of your responses will be emailed to the address you provided.

Submit

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