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Inn Name:*

Date of Visit:*

Room Name/#:

First Name:*

Last Name:*

Address:*

City:*

State:*

Zip:*

Phone:*

Email:*

Rate the following categories:*	Excellent	Good	Disappointing	Poor	Won't return
Bedrooms/comfort/decor
Public rooms/aesthetics/furnishings
Food/restaurant quality
Service quality
Welcome/friendliness
Personality/character of the Inn

Additional Comments:

As a discriminating traveler, I would recommend the following
inns (please include name, address, and tell us why):

Names of other Select Registry Inns you have visited:

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A copy of your remarks will be forwarded to both the
Select Registry Central Office and to the Inn you are writing about.