PART 1 OF 2

PLEASE PROVIDE THE FOLLOWING INFORMATION

Class Summary

Important Info

Your reservation in the chosen class is an agreement between {dealerName} and you. Harley-Davidson® dealers are independent businesses and are not agents of Harley-Davidson Motor Company. Harley-Davidson Motor Company does not have responsibility for agreements made with the dealership. Many states offer a streamlined process for acquiring your Motorcycle License Endorsement as a benefit of passing this class. Each state has different laws and policies regarding the benefits. Please confirm with your selected Harley-Davidson® dealership or with your state Department of Motor Vehicles for motorcycle licensing requirements.

*Denotes required field

CONTACT & PERSONAL INFORMATION

Please enter a complete 10 digit phone number

May Harley-Davidson® and its dealerships use your course information to contact you about events, promotions, and other matters that could be of interest to you?

Contact preferences*

YOUR GENDER*

DRIVER'S LICENSE

Please note, this information will only be used for your course reservation

RIDING EXPERIENCE

DO YOU HAVE A LEARNERS PERMIT?*

DO YOU HAVE A MOTORCYCLE ENDORSEMENT?*

ARE YOU A MOTORCYCLE OWNER?*

PART 2 OF 2

PLEASE PROVIDE THE FOLLOWING INFORMATION

Class Summary

Important Info

Your reservation in the chosen class is an agreement between {dealerName} and you. Harley-Davidson® dealers are independent businesses and are not agents of Harley-Davidson Motor Company. Harley-Davidson Motor Company does not have responsibility for agreements made with the dealership. Many states offer a streamlined process for acquiring your Motorcycle License Endorsement as a benefit of passing this class. Each state has different laws and policies regarding the benefits. Please confirm with your selected Harley-Davidson® dealership or with your state Department of Motor Vehicles for motorcycle licensing requirements.

*Denotes required field

RIDING BACKGROUND

WHAT IS YOUR REASON FOR TAKING THIS COURSE

Describe your motorcycle experience?*

HOW MANY MILES DO YOU TYPICALLY RIDE IN A YEAR?

Have you taken a beginner motorcycle safety course before?*

Purchase Intent

What make of motorcycle do you ride?

Do you have a motorcycle registration or rental agreement?

When do you plan on buying a motorcycle?*

Do you have proof of insurance?*

How interested are you in buying a harley-davidson motorcycle?*

YOUR COMMENTS

PART 3 OF

Payment Information

After completing the payment form you will be enrolled in the Riding Academy course you've selected. If you have any questions please contact the dealer where you'll be taking your class.

*Denotes required field

Credit card information

Debit cards will not be accepted

Billing information
Use Rider Information