SECURE ORDER FORM
To process your reservation we will need ALL of the following information...
Customer Name*
:
 
Enter only your first name, same as the
first name that appears on your credit card.
Billing Address*
:
 
The address that you enter MUST be the same as
the one that appears on your credit card statements.
City* :
Country* :
State/Province* :
    Indicate state or province only if you live in the U.S. or Canada.
Zip/Postal Code* :
Phone Number* :
    Please include the area code of your telephone number
E-mail Address* :

Additional Information
     
Check In* :
Check Out* :
No. of Guests* :  Adult     Children
Room Type* :
Pets* :
Special Comments* :
How did you find us? :
Other :
 
Secure logo Credit Card Information and Authorization  

Visa

Name on Card
Credit Card Issuing Bank or Issuer Name*
Card Number*
Card ID No *
(Which appears at the back of your card )  
Expiration Date*
"Press Submit Button Only Once"
 
CANCELLATION POLICY
Reservation must cancel 48 hours prior to arrival.
If not, one night will be charged on credit card if guest does not check in.

265, Union Avenue, Memphis, Tennessee [TN] 38103 US Phone: 901-527-4305 Fax: 901 528 9378

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