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Melody Motel Reservation Form

ONLINE RESERVATION

Complete our online reservation form above to make an accommodation booking. Your request is NOT confirmed until we email or telephone you with confirmation details.

RESERVATION POLICY

In order to guarantee your reservation we require credit card details (Amex, Visa , Mastercard, or Discover) or a deposit of one night's tariff prior to arrival. No money is debited from your credit card except as otherwise outlined in our Cancellation Policy. When making the reservation it is helpful if you are able to advise us of your expected time of arrival.

Please provide the following contact information:

First Name
Last Name
Title
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
Home Phone
FAX
E-mail
URL

Enter the date of check in :

-- mm/dd/yy

Enter the date of check out :

-- mm/dd/yy

Choose your room type :

Single
Double
Queen
King
Honeymoon
Other(please list in comments box)

Choose your card type :


Credit Card Number :


EXP. Date :


Your comments :


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