Lottie Mae Inn Reservation Form   

 

 

First Name: 

Last Name: 

Address: 

City: 

State: 

Zip: 

Contact phone: 

Email: 

Arrival Date: 

Click Here to Pick up the date

Departure Date: 

Click Here to Pick up the date

Check-In Time: 

Number of Adults: 

Children: 

Number of Rooms: 

Room Requested: 

     
 
       
    
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