HOG NSW Membership
All Memberships are welcome.
Please contact the Membership Officer should you have any questions. firstname.lastname@example.org
If you would like to become a membership fill out the Membership form, and follow the direct deposit instructions below this form.
Or you may download, print and complete the Membership Form and the Membership Legal Release Form and return them, with your payment (cheque only), to the address at the bottom of the form.
~BELOW IS A RELEASE, READ BEFORE SENDING THIS FORM~
* When entering direct deposits please include your name and AU number to ensure your payment is correctly assigned to your NSW Membership.
Direct Deposit Details:
NAME: NSW Harley Owners Group,
BSB Number: 032-373,
Account Number: 691170
BY SUBMITTING THE FORM ABOVE YOU HAVE READ THE RELEASE AND UNDERSTOOD IT:
NSW HOG RELEASE:
I hereby state that I currently hold the appropriate Riders Licence and agree to advise the Harley Owners Group NSW Chapter #9052 if my licence is suspended or revoked for any reason.
I hereby agree to abide by the Annual Charter for Harley Owners Group Chapters and the Constitution of the Harley Owners Group NSW Chapter #9052 Incorporated as a member of this dealer sponsored chapter.
I recognise that while this Chapter is chartered with Harley Owners Group, it remains a separate, independent entity solely responsible for its actions. I agree that the Sponsoring Dealer, Harley Owners Group, Harley-Davidson Incorporated, its affiliates and subsidiaries, Harley-Davidson Motor Company, the New South Wales Chapter and their respective directors, offices, employees and agents (hereinafter called the “Released Parties”) shall not be liable or responsible for damages to property or any injury to persons including myself (including paralysis or death) during any Harley Owners Group or NSW Chapter #9052 activities, even where the damage or injury is caused by negligence (except with wilful neglect).
I understand and agree that all Harley Owners Group members and their guests participate voluntarily and at their own risk in all Harley Owners Group activities and I assume all risks of injury and damage arising out of the conduct of such activities.
I release and hold the “Released Parties” harmless from any injury or loss to my person or property which may result from my participation in Harley Owners Group activities and event(s).
I understand that this means that I agree not to sue the “Released Parties” for any injury or resulting damage to myself or my property arising from, or in connection with, the performance of their chapter duties in sponsoring, planning or conducting said event(s).
I further agree to waive all benefits flowing from any statute which would negate or limit the scope of this Release, Indemnification and Assumption of Risk Agreement. By signing this Release, 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”.
I have read the release above and understood it.