MGNOC Contact Enrollment Form

Please complete the form below and click "Submit This Form"

I want to be in the Contact List
I DO NOT want to be in the Contact List

Please supply first and last name. We'll only put your first name in the contacts book but we need your last name so we can identify you in the database.

Your First Name

Your Last Name (NOT SHOWN IN DIRECTORY)

City

State (USA and Canada only)
choose "outside US/CAN" for another country

Country if non-US and non-Canada

Primary phone number

Second phone number,
IF YOU HAVE ONE

Your Email Address

I am a dealer/independent shop/mechanic: YES
NO

Types of help I can offer:
Check as many boxes as appropriate.

air compressor
before noon
anytime
have coffee
camping available
dealer in area
dealer 50 miles away
have accomodations
have shoulder to cry on
know the area
like company
have limited spare parts
have maps
experienced moto guzzi mechanic
have motorcycle oil
have many spare parts
afternoon
will pick you and bike up
have pick-up truck
have storage space
sights to see
have tools
have trailer
things to do
will travel 50 miles to get you
have van
have work area only
will do what I can
weekdays
weekends
have workshop
whatever it takes