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Coachlight Inn Fax Reservation Form
Fax: (575) 527-1047
Name:_________________________________________________________
Address:______________________________________________________
City:__________________________ State:_____ Zip:______________
Number of Beds: ___Single ___Double
___Check here for Smoking
Number of Nights:_______________
Arrival Date:_______________
Method of Payment:
___MasterCard ___Visa ___AmEx
___Discover ___Carte Blanca ___Cash
Questions or Comments:
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
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