Motel 88

Name*
Phone Number*
Email*
Fax Number
City
State
Zip Code
CHECK-IN*	/ / (DD/MM/YYYY)
CHECK-OUT*	/ / (DD/MM/YYYY)
GUESTS*	Adults Children Room Type
	Smoking Room non-Smoking Room
Credit Card Number
Expiration	/ (MM/YYYY)
Comments
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