Best Western Braddock Inn
1268 National Highway
LaVale, Maryland 21502-7607
Phone (301) 729-3300 - Must ask for Angel Harman for reduced rate
Rally from Sunday June 9, 2024 to June 14, 2024
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NAME____________________________________________________ AGWA # AMA #
DRIVER / PASSENGER #1 __________________________________ ____________ ____________
DRIVER / PASSENGER #2 __________________________________ ____________ ____________
MAILING ADDRESS ________________________________________________________________________
CITY ____________________________________________________ STATE _____________________
ZIP CODE ______________________________________ TELEPHONE # _________________________
E-mail Address: If you are willing to receive your Rally Registration Confirmation via e-mail, please provide your e-mail
address here ________ _____________________________________________(print legibly)
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Each Rally Registration fee includes: 1 Banquet Dinner and 1 Rally Pin. It also gives you the right to participate in the Bike Show, Light Show and Poker Run, plus all tours, and all other activities.
RALLY REGISTRATION FEES
On or before May 1, 2024 After May 1, 2024
AGWA Members ______ @ $ 45.00 = ________ AGWA Members ______ @ $ 60.00 = ________
Non-Members ______ @ $ 55.00 = ________ Non-Members ______ @ $ 70.00 = ________
Children (under 12) ______ @ $ 40.00 = ________ Children (under 12 ______ @ $ 55.00 = ________
Total Amount Submitted = $_______________ Total Amount Submitted = $_______________
RALLY SHIRTS
Special Note: Shirts will NOT be available at the Rally. All Shirts MUST BE pre-ordered by May 1, 2024
T-shirts No Pocket (Mark sizes & quantities) Golf shirts (Polo) No pocket (Mark sizes & quantities)
______ @ $ 15.00 = ______ Small ______ @ $ 21.00 = ______ Small
______ @ $ 15.00 = ______ Medium ______ @ $ 21.00 = ______ Medium
______ @ $ 15.00 = ______ Large ______ @ $ 21.00 = ______ Large
______ @ $ 15.00 = ______ XL ______ @ $ 21.00 = ______ XL
______ @ $ 17.00 = ______ XXL ______ @ $ 23.00 = ______ XXL
______ @ $ 18.00 = ______ XXXL ______@ $ 24.00 = ______ XXXL
______ @ $ 19.00 = ______ XXXXL ______@ $ 25.00 = ______XXXXL
Total Amount Submitted = $ ___________________
Send Registration Form and Fees to: For more information, contact: For Hotel Reservations call:
Wanda Densmore Kirk Boyer Best Western Braddock Inn
914 Melugins Grove Rd 445 Orchard Rd 301-729-3300 Ask for Angel Harman
Compton, IL 61318 Fleetwood, PA 19522 Mention AGWA – Kirk Boyer
Phone 815-497-2497 Phone 610-858-9579 Room Rate $98.60 Including Tax
Email: This email address is being protected from spambots. You need JavaScript enabled to view it. Email: This email address is being protected from spambots. You need JavaScript enabled to view it. ($85 plus 16% Sales Tax $98.60 night)
No rally refunds after May 15, 2024 Room rate held until May 17, 2024
Enclose Check or Money Order payable to, AGWA