Travel Agency Inquires Welcome

Request for Reservation

To contact us for more information or reservation requests please fill out the form below
along with the specific dates for arrival and departure.

NOTE: ALL FIELDS ARE REQUIRED FOR FORM SUBMISSION.

Request for Reservation

Name
Address
City
State   Zip  
E-mail
Telephone
FAX

 

Arrival Date Departure Date
Number of Rooms Number of Persons
Accommodations Desired
  Please include any additional comments or information below:   
  
Please contact me as soon as possible regarding this matter.

  • Chippewa Motel Offers our Guests Bus/Train Pick up.

  • All personal checks must be sent 4 weeks before arrival date.

  • Cancellations Policy - 48 Hours before arrival date.

  • No pets please.