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Reservation Request

Lamara Motel 

Please fill out the form below, and we will begin to search for the lodging which best suits your needs.

  • Fill out form as completely as possible.
  • If you choose not to submit your credit card number you will be contacted via phone.
  • You will be contacted by phone for confirmation of this reservation request.

First name (required)    
Last name (required)    
Street Address   
City, State, ZIP 
E-mail (required)    
Phone Number (required)    
Fax Number   
Arrival Date  
Departure Date 
Total Number of Nights
Number of Adults  
Number of Children        Ages  
Number of Beds         
Bed Type Desired  King     Queen     Double
Number of Units  
AAA/AARP Member   Yes No 
This form is Not Secure
We will contact you if you do not wish to send
your credit card info

Type of Credit Card to Guarantee Room:

AMEX       MC           VISA

             Credit Card Number

Exp. Date

Additional Comments:

Thank you. You will hear from us shortly.