California State H.O.G. Rally

September 11-15, 2012

First Name

Last Name

Address

Address 2

City

State

Zip Code

Phone

Num. of Rooms

Single Bed
Two Double Beds

Arrival Date:

Number of Days:

Additional Info:

(H.O.G. Chapter, Rooms needed for ride to what city or return trip from what city, etc.)

Hotel Bell Housing • 125 Old Grove Road, Suite 9-405 Oceanside, CA 92057 • 888-868-4541