Roadside Motel Online Reservations

3005 Woodstock Road Fredericton, New Brunswick, Canada

1 866 226 1897

"Spend a Night not a fortune" "Just like home"

(* required elements, All red typed fonts are required)

Please will in complete form
* First Name

* Your Last Name

* Addres & City

*Area Code & Phone number

Fax Number
* Your Email Address

* Arrival date 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 January, 2003 Febuary, 2003 March, 2003 April, 2003 May, 2003 June, 2003 July, 2003 August, 2003 September, 2003 October, 2003 November, 2003 December, 2003

* Departure Date 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 January, 2003 Febuary, 2003 March, 2003 April, 2003 May, 2003 June, 2003 July, 2003 August, 2003 September, 2003 October, 2003 November, 2003 December, 2003

*Arrival Time

* Rooms 1 2 3 4

* Adults per room 1 2 3 4 5

* Childeren per room 0 1 2 3 4 5

* Smoking No Preference Smoking Non Smoking

Will there be pets at your stay Yes No

What type of rate would you like to see Best Available Rate Senior Group Rate Government / Military

* Credit Card Number Visa Mastercard * Expire date

How would you like us to contact you Phone Fax Email

For your own records please print your self a copy before making the reservation

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