Harley-Davidson Motor Officer Magazine
Harley-Davidson Motor Officer Magazine Opt-in
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1.
First Name
(Required.)
*
2.
Last Name
(Required.)
*
3.
Email address
(Required.)
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4.
Are you Active/Reserve/Retired?
(Required.)
Active
Reserve
Retired
5.
What is your position title?
*
6.
What is the name of your Department?
(Required.)
7.
What is your department phone number?
8.
What is the address of your department?
*
9.
Does your department have a motor unit?
(Required.)
Yes
No
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10.
What is the Make/Model/Year of your motorcycles?
(Required.)
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11.
Do you want to receive communications from the Harley-Davidson Motor Officer Team including the Motor Officer Magazine?
(Required.)
Yes
No
