Guest Information

Name:

Phone:

(please include area code)

E-mail Address:

Preferred method of communication? Phone E-mail

Room Information

Arrival Date: Please select the monthJanFebMarAprMayJunJulAugSepOctNovDecPlease select the day12345678910111213141516171819202122232425262728293031Please select the year200820092010

Length of Stay: Please select the length of stay 1 day2 days3 days4 days5 days6 days7 days8 or more days

Number of Guests: Please select the number of guests 1234567891011

Type of Room: 1 Queen2 Queens2 Queens and a Single2 Queens and a Double Number of Rooms 123456

Non-Smoking Smoking

Cots (1 per room) yes no

Special Needs/Requests 

Please be sure to double check your information before submitting your request below. Once you have clicked the button below your request will be sent to the Rambler motel and you can look forward to receiving a reply to you request via your prefered method of communication as listed above. If you have any questions, please contact us at 1-800-273-0464