Date Submitted Event Date Event / Organization name Required Event Location Required Enquiry 501c3 Organization Yes No Please attach flyer if one is available save_alt Choose a file, or drag it here Proceeds Benefit Donation Request (please choose 1) Gift Basket Monetary Gift Card Door Prize Other Organization Information Contact Person Required Email Required Phone Number Required Mailing Address City State Zip Code Can we contact you via email? Can we contact you via phone? Can we contact you via text? I accept that information and marketing preferences I submit through this webpage will be submitted to both Harley-Davidson, Inc and Stinger Harley-Davidson®. Harley-Davidson, Inc will treat this information in accordance with its Privacy Policy. Submit This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.
;
