Welcome to PaylessLodging.Com!

**Membership Request Form**
*Indicates Required Information
Please Indicate:	Yes, I would like to join now.* Please send me information
Property Name:	*
Street Address:	*
City & State:	*
Owner/GM Name(s):	*
Phone Number:	*
E-mail Address:	*
Property Type:
Property Size:	*
Age of Property:	*
Amenities:	Please select all that apply:
	Complimentary Breakfast and/or Evening Cocktail Reception
	Swimming Pool / Jacuzzi
	Restaurant
	Free Local Calls
	Dry Cleaning Service
	Guest Laundry Facilities
	Cable - Standard and/or free Movie Channels
	Kitchenette
	In-room coffee maker/iron & board
	Other (please specify)

Please list any memberships with associations, chambers, or other industry related affiliations.

Do you have a AAA or Mobile Rating?	Yes No*
Do you have a web site?	Yes No*
Do you have a toll free number for reservations?	Yes No*
Do you have in-room Internet access at your property?	Yes No*

How many employees do you have?
What is your Average Occupancy Rate?
What is your Average Daily Rate?
How did you hear about us ?

List any major attractions within 50 miles of your property: