I understand and agree that if any information provided by me is false, untruthful or misleading, my application may be rejected. In addition, if I am admitted as a guest of Reelfoot Lakeview Motel LLC at anytime thereafter, I will be subject to immediate termination of stay.   
 
I understand that this room application is NOT a lease agreement or a contract of stay or an approval. Approval notice will be send by email or phone.

I authorize Reelfoot Lakeview Motel LLC to contact my current employer, previous residence, government agencies or any references. I agree to hold any and all of sources harmless and free of any liability for releasing such information.

By clicking "submit". I certify that I have read, fully understand and accept all terms of the foregoing statement. Please signify your acceptance by entering your name and other information requested in the fields above and click "submit".