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Quality Inn Dutch Inn Collinsville
2360 Virginia Ave
Collinsville, VA
99999


  1. Tell us what happened! Please include the date and details of the encounter.

  2. A name or nickname to appear with your story. If you don't provide one, I'll mark you 'Anonymous':

  3. Your email address (I won't share this with anyone, but it's required in case I need to contact you):

  4. That's it! Click 'Submit' to add your bug report to the registry.