Confirmation will be by phone or fax.  If you have not heard from us within 48 hours of submitting this form please call our office at 1-800-777-3650 or email us at

Mailing Address:
City, State, Zip:
Home Phone #:
Work Phone #: 
Fax #: 
Arrival Date:
Departure Date:


2 Twins  # of rooms
1 Queen # of rooms
2 Queens  # of rooms
Jacuzzi Room    

Special Requirements

We will contact you for your credit card information to reserve your room. The card will not be charged if you cancel the reservation 24 hours prior to the reservation date.  If you would prefer not to use a credit card we will hold the room until 4:00 pm in the summer and 6:00 pm in the winter.   We accept Mastercard, Visa, American Express and Diners.




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The Uptown Motel, Kenai, Alaska
907-283-3660  ·  800-777-3650
© 2003