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

               ************************************************************************************************************************************************

                 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)

                 ******************************************************************************************************************************************

                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