Membership Application Form

Date of Application:

First name:

Last name:

Email address (as it appears on PayPal account):

Address 1:

Address 2:

City:

State:

Zip code:

Phone:

Type of membership * applied for:

Age bracket at the time this application is submitted * *:

Drivers License - State | Number

"T" shirt size:

Motorcycle currently owned  - #1;   Mfr. | Model | Year

  

Motorcycle currently owned  - #2;   Mfr. | Model | Year

 

Motorcycle currently owned  - #3;   Mfr. | Model | Year

  

* Select a Charter Membership level (either Annual or Lifetime) until total membership reaches 1,000.  

* * Select one for any Lifetime Membership program. It is understood and agreed that by submitting this application, Ultra Hog Heaven may perform age verification for any Lifetime  Membership program.

You are submitting an application for Ultra Hog membership. You agree to abide by the rules and regulations as set forth by Ultra Hog Heaven, now or at any time in the future.  Your application must be received by Ultra Hog Heaven to be considered for membership.  You can mail your application and appropriate membership fee to: Ultra Hog Heaven, P.O. 1349, Argyle, Texas 75226.  You affirm that you have read the accompanying terms, agree to the conditions set forth therein and your submittal of this online form is evidence of your acceptance of these terms and conditions.  After completing this form, please print a copy for your records prior to submission.

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MEMBERSHIP SELECTIONS

Check current membership count upon applying to determine whether, or not, you will become a Charter Member. You will be able to become  a Charter Member, which includes additional benefits, up until 1,000 memberships are achieved.  Charter Membership may be maintained only by paying annual dues on, or before,   anniversary date in order to retain Charter Member status, or becoming a Lifetime Charter Member.  A Lifetime Member will not be concerned about paying annual dues in the future after entire lifetime plan has been paid. Please add only ONE selection below to the shopping cart!

 

 

 

 

Annual dues for the 1st 1,000 accepted members

 Lifetime Charter Member Down Payment ***

Annual dues after the 1st 1,000 accepted members

    Lifetime Member   Down Payment ****

 The gray shaded membership levels are not available until Charter Memberships and Lifetime Charter   Memberships reaches 1,000.

*** See Ultra Hog Lifetime Charter Member payment plan

**** See Ultra Hog Lifetime Member payment plan

Any balance will be billed according to the payment plans to the address(es) provided on the application form. A 10% discount will be applied to the entire lifetime membership fee through 2009. However, the discount will be credited to the payments subsequent to the down payment. There is no discount on annual dues.