Hotel reservation form for the, Maine Terrace Motel, Fort lauderdale, Florida

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RESERVATION REQUEST
All rates subject to change.

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Hotel Information

Hotel Name:	Maine Terrace Motel
Location:	527 North Birch Road, Fort Lauderdale, Florida 33304

Reservation Details

*First name:
*Last name:
*Street Address:
*City:
*State:	Zip
*Country:
* E-mail VERY IMPORTANT:*
*Phone Number:
Work Number:
Fax Number:
* Required Fields

Arrival & Departure Dates

Arrival Date:	/ /
Departure Date:	/ /

Room Preference

Number of Nights:
Number of Adults:
Number of Children:
Number of Rooms/Suites:
Bed or Room Type Preference:	if available
Smoking?:

Type of Credit Card

It is important to enter your Credit Card Information to get a Reservation number. You may cancel your reservation 3 days to 14 daysbefore your arrival date, depending on dates.

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Credit Card Number:

Expiration Date: