Wells-Moody Motel, Reservation Request Form

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Wells - Moody Motel

Reservation Request Form

Thank you for choosing to stay at our motel. Please use this form to request your reservation. Fill in all appropriate information. A return Email address and telephone number are required to verify and confirm information. Any specific information regarding the type of accommodations you desire should be explained in the comments section of this form. A credit card is required to secure a reservation. If you do not feel secure about sending your number over the Internet please call us at 207-646-5601 between 8am and 9pm (EST).

Full Name: (required)
Company Name: (If Applicable)

Address: (required)
Apartment #:

City: (required)
State:

Country:
Postal or Zip code: (required)

Phone number: (required)

Email address: (required)

Date of Arrival:
Date of Departure:

Credit Card #:
Expiration Date on Card:

Payment Options - (pick one)

Celebrating a special occasion?

Number of adults?

Number of Children?

Special request, lodging preference, questions, or comments for the Innkeeper.

Thank you for using our on-line reservations and information request system. We will contact you within the next 24 hours with the information you requested or a reservation confirmation number.

Wells - Moody Motel
119 Post Road (US Rt 1)

P.O. Box 371

Moody, Maine 04054

207-646-5601

Home Page | Activities Page | Reservation Request | Rates | Directions | Innkeepers Email

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Full Name: (required)	Company Name: (If Applicable)
Address: (required)	Apartment #:
City: (required)	State:
Country:	Postal or Zip code: (required)
Phone number: (required)	Email address: (required)
Date of Arrival:	Date of Departure:
Credit Card #:	Expiration Date on Card:
Payment Options - (pick one)	Celebrating a special occasion?
Number of adults?	Number of Children?
Special request, lodging preference, questions, or comments for the Innkeeper.