Hotel Name HERE

Motel Street address

Motel City, Prov.
Motel Country, Postcode
Motel Phone Number Fax Number

Hotel Receipt
BILL TO OTHER INFORMATIO
# Phone Number
Name Toll Free Number
Address Fax Number
City, Prov E-Mail Address
Postcode Web Site
Country
Room # Name Check in Check out

Notes:
HERE

OTHER INFORMATION

# of Nites Price / nite Line Total

0
0
0
0
0
0
0
0
0
0
0
0
SUBTOTAL -
Taxes -
Other -
TOTAL -
PAID -
TOTAL DUE -