CONTACT INFO First name Required Last name Required Phone Required Email Required Preferred Method of Contact Required Please select Email Phone BIKE INFO Year Required Make Required Model Required Mileage Required Under Warranty? Yes, still under warranty No REQUESTED SERVICE(S) Service(s) Needed Oil Change 1k 5k 10k 15k 20k 25k 30k 40k 50k Replace Front Tire Replace Rear Tire Other (please add to description field) Further Description / Requests Preferred Date Required Preferred Time By submitting this form you will be scheduling a service appointment at no obligation and will be contacted within 48 hours by a service technician. 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 Rubber City 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.
