Tollway Inn South Beloit.com
  
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Reservations Form:
ROOM RATES
1 Double Bed Room Smoking and Non Smoking
 -  
2 Double Bed Room Smoking and Non Smoking
 -  
   
1 King Bed Room Smoking and Non Smoking
 -  
 
SECURE ORDER FORM
To process your reservation we will need ALL of the following information...
Customer Name*
:
 
Enter only your first name, same as the
first name that appears on your credit card.
Billing Address*
:
 
The address that you enter MUST be the same as
the one that appears on your credit card statements.
City* :
Country* :
State/Province* :
    Indicate state or province only if you live in the U.S. or Canada.
Zip/Postal Code* :
Phone Number* :
    Please include the area code of your telephone number
E-mail Address* :
Additional Information
     
Check In* :
Check Out* :
No. of Guests* :  Adult     Children
Room Type* :
Pets* :
Special Comments* :
How did you find us? :
Other :
 
Secure logo Credit Card Information and Authorization  

Visa
Master Card

American Express
Discover
Name on Card
Credit Card Issuing Bank or Issuer Name*
Card Number*
Card ID No *
(Which appears at the back of your card )  
Expiration Date*
"Press Submit Button Only Once"
 
CANCELLATION POLICY
Reservation must cancel 48 hours prior to arrival.
If not, one night will be charged on credit card if guest does not check in.
 
1710 Gardner St- South Beloit, IL 61080 Phone -(815) 389 -2281
Fax : (815) 389 0808 Email - tollwayinn@yahoo.com
Copyright 2006. Tollway Inn South Beloit. All rights reserved.
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