1

Introduction

2

Profile

3

Motorcycle & Payment

4

Submit

Congratulations!

Thank you for fill up the form.

Your Participant ID number is


Note: A copy of your filed-up Online Application Form was sent to your registered e-mail address
Please check your inbox and spam/junk folder for email.

Important Reminders :

Official Online Registration Form of the PH Ride with Purpose

Waterfront Road, Subic

June 24 -25, 2023

IMPORTANT:
1. COMPLETELY FILL UP THE FORM BEFORE PAYMENT (REFERENCE NUMBER IS REQUIRED)
2. YOU MUST PAY WITHIN 2 DAYS AFTER REGISTRATION TO PROCEED WITH YOUR APPLICATION.
3. FAILURE TO PAY WITHIN 2 DAYS RENDER YOUR REGISTRATION INVALID.

_______________________________________
BANK ACCOUNT DETAILS
Bank of the Philippine Island
ACCOUNT NAME: HOG Manila Chapter Philippine Inc.
ACCOUNT NUMBER: 0821-5908-12
_______________________________________

FEES:
Registration : P 1000.00

Leave it blank, if individual participant
Participant Information

Contact person in case of emergency

Should not be riding with you.
Motorcycle Information
# Full Name Motorcyle Email  
Payment Information
Once payment has been made, allow us 3-5 business days to verify your payments before posting. Thank you!

MALINAW NA PICTURE NG IYONG PROOF OF PAYMENT. MALINAW NA NAKALAGAY ANG IYONG PANGALAN AT DATE OF PAYMENT. ITO AY I-VERIFY PA SA AMING BANKO. (MALABONG KUHA AT WALANG PANGALAN - MAGIGING SANHI NG PAGKAPENDING NG IYONG REGISTRATION)

Registration Form Summary

Please review your registration information before submit.
Participant Information
Complete Name : Sanchez
Birth Date : March 16, 1984 Age : 38
Gender : Married Blood Type : O+
Medical Condition :
Nationality : Filipino
Address 1: #80 Gen. Malvar Ext. St. Bagong Barrio
Address 2: Brgy 143, Caloocan City, Metro Manila
T-Shirt Size : XL
Email :
Mobile # :
Contact in case of Emergency
Contact Name :  
Contact # : Relation :
Motorcycle Information
Category :   Motorcycle
Have you completed the course?    Yes   Year Completed :    2022
Motorcycle Brand :  
Motorcycle Displacement :  
Club Name :  
Rider with Pillion :  
Car Driver & Navigator :  
Full Name :  
T-Shirt Size :  
Payment Information
Payment Date : Payment Gateway :
Reference Number :  
Other :  
Proof of Payment :  
Group Member
# Full Name Motorcyle Email
Terms & Condition
PH Ride with Purpose WAIVER

WAIVER

          Harley Davidson of Manila, H.O.G., H.O.G. Manila Chapter and Harley-Davidson Motor Company, its subsidiaries and distributors, proprietors and their officers, members and employees are not be liable for any injury that I may suffer or sustain or to any loss or damage to my bike or to any of my property which occurred during my participation in the PH Ride with Purpose

I fully understand that by voluntarily participating in the activity or event, I waive, abandon and quitclaim any and all actions that I had or I might have against Harley Davidson of Manila, H.O.G., H.O.G. Manila Chapter or any of its officers, employees, members and/or proprietors before any judicial, quasi-judicial and/or administrative bodies.

Modal Title
PH Ride with Purpose