Mile Inn Motel Check in Form.

 NOTICE TO GUESTS.

 I the undersigned, hereby Authorize to bill to my credit card which appears above. I am taking responsibility for the room and will be held liable for any damages that may occur while occupied by me and my guests. This properly is privately owned, and management reserves the right to refuse service to ANYONE. We WILL NOT  be responsible for accidents or injury to guests or for loss of money, jewellery or valuables of any kind.  There are NO refunds on early departures. By signing below You accept financial responsibility for replacement cost of damaged/missing towels, linens,lost room keys and other motel property. Guests are also responsible for additional cleaning charges if they apply. For example-there will be a $250.00 charge plus applicable taxes to each non smoking room where smoking occurs. Any damages to the Mile Inn Motel property as a result of your stay will be charged to your credit card account in the event damage to the Mile Inn Motel property has been found to your room after you have checked out and/or have left the premises .I agree that completion of this rental agreement does not relieve me of my obligation for other charges for which I am responsible for. I further under stand that the law considers any visitor (s) during the hours of 11:00 P.M. thru 7:00 A.M. as overnight guests and if such is the case, the management has the right to evict myself and my party without a refund. I have also read and fully understand and agree to the aforementioned   NOTICE TO GUESTS.

Name_________________________________________________________________________

Signature ____________________________________________ Date _____________________

Please print and fill out the form above and below and FAX a clear photocopy of the front and back of the credit card that is to be billed to. Fax to 519-534-5574.

* Required fields
Name *
E-mail Address *
Arrival Date *
Name Of Guest(s) *
Number of Nights To Stay *
Name Of Card Holder *
Mailing Address of Card Holder *
Telephone Number And Fax Number *
Credit Card Number, Mastercard/Visa *
Expiration Date *
Charges *	Room(s) and Hst Only All Charges and Hst
Do Not E mail this form, Must be Faxed.

I have read and agree to the Privacy Policy *

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