First name Required Last name Required Phone Required Email Required Vehicle Please select FLHR 2019 Road King® FLHT 2019 Electra Glide® Standard FLHT 2019 Electra Glide® Standard FLHX 2019 Street Glide® FLHX 2019 Street Glide® FLHX 2019 Street Glide® FLHX 2019 Street Glide® FLHX 2019 Street Glide® FLHTK 2019 Ultra Limited FLHTK 2019 Ultra Limited FLTRU 2019 Road Glide® Ultra FLTRU 2019 Road Glide® Ultra FLTRX 2019 Road Glide® FLHXS 2019 Street Glide® Special FLHXS 2019 Street Glide® Special FLHXS 2019 Street Glide® Special FLTRXS 2019 Road Glide® Special FLTRXS 2019 Road Glide® Special FLTRXS 2019 Road Glide® Special XL 1200X 2019 Forty-Eight® XL1200X 2019 Forty-Eight® FLHTCUTG 2019 Tri Glide® Ultra FLHTCUTG 2019 Tri Glide® Ultra FLHTCUTG 2019 Tri Glide® Ultra FXDRS 2019 FXDR™ 114 FXBRS 2019 Breakout® 114 XL 883N 2019 Iron 883™ FLHX 2019 Street Glide® FXDRS 2019 FXDR™ 114 FLSL 2019 Softail Slim® FLTRU 2019 Road Glide® Ultra FLHX 2019 Street Glide® FLHX 2019 Street Glide® FLHX 2019 Street Glide® FLHX 2019 Street Glide® FLHTK 2019 Ultra Limited FLHXS 2019 Street Glide® Special FLHR 2018 Road King® FLHTCU 2018 Electra Glide® Ultra Classic® FLHTKSE 2015 CVO™ Ultra Limited FLSTC 2017 Heritage Softail® Classic FLS 2014 Softail Slim XL1200CX 2016 ROADSTER FLHTCU 2018 Electra Glide® Ultra Classic® FLHTCU 2018 Electra Glide® Ultra Classic® FLSTC 2017 Heritage Softail® Classic FLHTKL 2018 Ultra Limited Low FLHR 2017 Road King® FLSTC 2010 Heritage Softail® Classic FLHR 2011 Road King® FLHTK 2019 Ultra Limited FLTRU 2019 Road Glide® Ultra FLTRU 2019 Road Glide® Ultra FLHR 2016 Road King® FLHR 2015 Road King® Classic FLSTC 2011 Heritage Softail® Classic XL 883N 2017 Iron 883™ XL 883N 2017 Iron 883™ XL 883N 2017 Iron 883™ XL 883N 2017 Iron 883™ XL 883L 2013 SuperLow® FXSBSE 2014 CVO™ Breakout® FLTRU 2016 Road Glide® Ultra FLS 2017 Softail Slim® FLHTK 2017 Ultra Limited FLHX 2013 Street Glide® FLHX 2013 Street Glide® 2011 FLHRC103 Road King Classic FLHTC-I 2000 Electra Glide Classic 2012 FLHTCU103 Ultra Classic 2012 FLHTCU103 Ultra Classic 2017 Trike FLHTCUTG Tri Glide Ultra 2012 FLHX103 Street Glide 2015 FLSTC103 Heritage Softail Classic 2015 FXDB103 Dyna Street Bob 2012 FLHX103 Street Glide 2015 FLTRXS Road Glide Special 2015 FLHTCUTG Trike FLHTCUTG 2015 Trike Tri Glide Ultra FLTRUSE 2016 CVO Road Glide Ultra FLSTC103 2016 Heritage Softail Classic FXDB103 2015 Street Bob FLHTK 2013 Ultra Limited FLHTCUTG Trike 2016 Tri Glide Ultra FLHTCUTG 2016 Trike Tri Glide Ultra FLTRXS 2018 Road Glide Special FLHXS 2016 Street Glide® Special FXDC 2008 Dyna Super Glide Custom FLHTCU 2018 Electra Glide® Ultra Classic® FXLR 2018 Low Rider 2009 FLSTC Heritage Softail® Classic 2006 FLSTN Softail Deluxe FLHR 2019 Road King® FLHX 2019 Street Glide® FLHCS 2019 Heritage Classic 114 XL 883N 2019 Iron 883™ FXDC 2012 Super Glide® Custom 2008 HD XL1200C FLHTCU 2013 Ultra Classic® Electra Glide® 2002 FXDL DYNA LOW RIDER 2016 FLD103 Switchback FLHTCUTG 2019 Tri Glide® Ultra FLHX 2019 Street Glide® FLHXS 2019 Street Glide® Special FLHXS 2019 Street Glide® Special FLTRXS 2019 Road Glide® Special FLHXS 2019 Street Glide® Special FLHTCUTG 2019 Tri Glide® Ultra Trike FLHTCU 2016 Electra Glide® Ultra Classic™ FLHTCU 2018 Electra Glide® Ultra Classic® FLHXSE 2017 CVO™ Street Glide® 2012 FLHR103 Road King Preferred date Required Preferred time Required Any comments (optional) 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 Hale's 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.
