Submit Your Hog

Owner's Name:
Address:
Daytime Phone:
-
Evening Phone:
-
Owner's Email:

Please enter the pickup location if different from address above.

Pickup Address:

TELL US ABOUT THE BIKE

Year:
Make:
Model:
Mileage:
VIN:

Grade your motorcycle from 1 to 5 with 5 being excellent/like new condition. We find that most motorcycles fall within the 3 to 4 range, but there are exceptions.

Grade:
Front tire tread depth:
Rear tire tread depth:
Black Walls:
Wide Whitewalls:
Narrow Whitewalls:
Tire Brand Front:
Tire Brand Rear:
Do you have spare keys?
If equipped with security, do you have 1 or 2 remotes?
Please list any noteworthy accessories such as pipes, grips, wheel upgrades, paint sets, seats, and etc:

TELL US ABOUT THE PAYMENT HISTORY

Is there a loan:
If Yes, with who?
Last loan payment:
Loan Account Number:

TELL US ABOUT THE BIKE HISTORY

Is the bike currently inspected?
Last Service Date & Mileage at Service:
Do you have service records?
Was the service performed by a Harley Davidson dealer, independent or self?
Has the bike ever been dropped or down? If yes, please explain:
Are you the original owner?
If not, how many previous owners?
Do you have the owner's manuals?
If applicable, is the bike still under factory warranty?
Is so, what is the date of expiration?
Does the bike have a Harley ESP (Extended Service Plan)?
If yes, do you plan to cancel it for a refund or keep it active with the bike?
Additional Comments:
Upload Images (up to 10 - jpg, jpeg, png, gif)