Authorization Form

* Required Fields

This is an authorization form.

To make reservations please call 800-426-4564!

* First Name
* Last Name
* Address
  Address 2
* City
* State
* Zip
* Phone
* Email
     
* Credit Card Security Code (3 digits)
* Deposit Amount
* Check In Date
* Check Out Date
     
* I give the Harbor Light Motor Inn permission to charge my credit card for the deposit
* I understand that misrepresentation of any information will void my reservation.
Home | Rates | Rooms | Specials | Weekend Fun | Events | Motel Policy | Contact Us

 

Copyright © 2005 The Harbor Light Motor Inn.