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Cottonwood Inn Motel Reservations
Titel
Mr.
Mrs.
Ms.
First & Last Name
Address
City State Zip
Country
E-Mail
Fax
Telephone
Room Request
smoking
non smoking
Date of arrival & departure
arr.
Jan 2006
Feb 2006
Mar 2006
Apr 2006
May 2006
Jun 2006
Jul 2006
Aug 2006
Sep 2006
Oct 2006
Nov 2006
Dec 2006
Jan 2007
Feb 2007
Mar 2007
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
dep.
Jan 2006
Feb 2006
Mar 2006
Apr 2006
May 2006
Jun 2006
Jul 2006
Aug 2006
Sep 2006
Oct 2006
Nov 2006
Dec 2006
Jan 2007
Feb 2007
Mar 2007
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Number of adults and children in room
adults
2
2
3
4
5
6
7
children under 15
1
2
3
4
5
0
Payment by
Visa
Mastercard
American Express
Diners Club
Card number
expires
month / year
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