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PERSONAL INFORMATION
   
*Name:
*Email:
*Address:
*City, State, Zip:
,  
*Phone Number:
HOTEL INFORMATION:
   
Property Code:
*Hotel Address:
*City, State, Zip:
,  
*Phone:
*Date of Stay:
  ,  
*Room #:
*Rate:
Did you have a Clean Stay?
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If No, Did you notify Management?
yes       no
Comments:
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Approved By:
Reason for Complaint:
Date Complaint was received:
Drivers License No.:
Copy of Receipt:
Manager Signature:
   




 
 

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