First Name: *
Last Name: *
Street Address:
City: *
State or Province: *
Zip Code:
Country *
Phone Number: *
Country Code + City Code + Phone Number
E-Mail: *
*Please enter a valid E-mail address, or the
form will not be processed.
Arrival Date: *
Check-In:
Departure Date: *
Check-Out:
Special Discount Rates will be given if you are staying for more than one night.
Number of Guests: *
Adult
Children under
12
Number of Rooms: * Luxury Room................ $
45 / Nite (1 King size bed with TV
& refrigerator)
Refrigerator,
Microwave & Double TV in All 2-Room Suites Large Suite.................... $
60 / Nite (2 Double size beds with double TV, microwave, day bed and refrigerator)
Small Suite.................... $
55 / Nite (1 King size bed with microwave and refrigerator)
Jaccusi Suite.................. $ 75 / Nite (1 King size bed with private SPA, day bed,
microwave , refrigerator)
Kitchen Suite................. $ 65 /
Nite (2 Double size beds with living room and full kitchen)
SORRY,
NO PETS ALLOWED !!
Special Request:
IMPORTANT - PLEASE NOTE For your protection, we do not accept credit card information
online.
Therefore, once you receive our confirmation, please call our toll-free
number to submit your credit card information with signature to
fax at motel. If
we do not receive your credit card information 72 hours prior to
your
arrival date, your confirmation will be cancelled. TECHNICAL NOTE: If you have a software called Get Right installed in your computer, please
temporary disable it so the form can be processed.
