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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The Coachlight Inn
Voice: (575) 526-3301
Fax: (575) 527-1047
Exit 139 from Interstate 10 at Motel Blvd.
301 S. Motel Blvd.
Las Cruces, New Mexico 88007