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QTY Thursday 05-17-2018$30 ea = Registration - Noon to 5 pm$35 ea = ● Costume Contest$10 ea = ● Seminars

● Vendors, Indoor Games, Ticket Sales email: sleach8129@centurytel.net

Friday 05-18-201850/25/25 Tickets (6 for $5) (14 for $10) (30 for $20) Registration - 8 am to 5 pmGrand Prize Tickets (6 for $5) (14 for $10) (30 for $20) ● Bingo

● Couple of Year Selection● Hospitality Suite, Seminars

TOTAL AMOUNT ENCLOSED ● Lighted Bike Parade● Poker Run

Kids under 12 are free, does not include pre-registration prize tickets ● Distrct Challenge & Talent ShowPre-Registration deadline is May 1, 2018; on site registration is increased by $5 each ● Vendors, Indoor Games, Ticket SalesVendor Day Passes are sold on site for $10 ea, for trade show only, does not include other rally activities.

Saturday 05-19-2018Registration - 8 am to noon

NAME NAME ● Bingo● Chapter Challenge

CHAPTER: CHAPTER: ● Closing Ceremonies ● Hospitality Suite

Male Female 1-up 2-Up Wing Trike Sidecar Rider Age: ● Poker Run● Seminars, Bike Show

MAILING ADDRESS: Miles to Rally ● Vendors, Indoor Games, Ticket Sales

CITY: STATE: ZIP: ALABAMA DISTRICT RALLY

Email (please print): Phone:E-MAIL REQUESTED – YOU WILL BE NOTIFIED OF YOUR REGISTRATION NUMBER BY E-MAIL.

Signature: Date:

Signature: Date:

I/We agree to hold harmless GWRRA co-sponsoring organizations and any property owners for any loss or injury to self or property in which I/we may become involved by reason of participation in this convention. I/we have read this waiver and acknowledge with signature(s) below:

Shirts available on site to purchase.

GWRRA#

Circle all that apply

GWRRA#

Co-Rider Age:

$

$

Alabama GWRRAChecks Payable To:

No Refunds after May 1, 2018

MAIL TO:SARA LEACHPO BOX 797

TRUSSVILLE, AL 35173

Pre-Registration Tickets

13-15 Year Olds

Convention / Rally Pre-Registration Form

$

GWRRA MembersNon-Members

Tentative Schedule

$$$

EARLYBIRDWINNERDEADLINE

April1,2018