RESERVATION FORM

*A confirmation number is required at check in*

Reserve for night(s) stay
Our room rates range from a reasonable $35.00 to $99.00 per night.

Check in: Check out:


Number of Rooms 

Adults: 

Children: 

Room Preferences 

Please provide the following contact information:

Name
Organization
 Address
City

State

Zip Code

Work Phone 

Home Phone 

FAX  

Please reply with a confirmation number to my: Work Phone Home Phone Fax 

BILLING

Credit Card
Cardholder Name
Card Number Expiration Date

Additional Comments or Questions:

 

Wold's Motel
Telephone: 989-772-3429 • Fax: (989) 773-6293
901 E. Bennett Ave. • Mount Pleasant, MI 48858