Hotel/motel Guest Registration Form

GUEST REGISTRATION

Hotel or Motel: _______________________________________________________

Address: ____________________________________________________________

Telephone: ________________________________________________________

Fax: _____________________________________________________________

E-mail: ___________________________________________________________

Guest Information:

Name of Guest (Please Print): _________________________________________

Signature of Guest: _________________________________________________

Home Address: ____________________________________________________

Automobile: Type: _____________ Color: ______________ State: __________

License Number: ___________________________________________________

Method of Payment: ( ) Cash

( ) Check

( ) Direct billing

( ) Credit Card:

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Parent category: Life