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Your name     

Reserving for a total of how many people?
Reserving for a total of how many rooms?

Name #2:  
Name #3:  
Name #4:   

Your Address
                    
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Your Phone Number
Your E-mail Address

Pickup
Leechburg    New Kensington      Harmar    Monroeville   Other  
Room Type
Non Smoking         Smoking    

Bed Choice
King        Two Doubles   Either   

Tour Protection Insurance is available for $16 per person
No thank you        Yes I want it

Special Requests