American Rail Excursions, Inc.
• C/O Gateway Rail Services P.O. Box 9 • Madison, IL 62060-0009• Phone 618/451-0100• Fax 618/451-8934 • www.americanrail.com •

Reservation Form

Date of Reservation _______/_______/_______

Address____________________________________________________________________________

City____________________________________State______________Zip_______________________

Phone (Day)_________________ Fax___________________ Phone (Eve)_____________________

E-mail address ____________________________________________________________________

Trip Details

Trip Name___________________________Trip # ________________ Dates________________

Boarding at____________________________ Detraining at_______________________________

Room Accommodations___________________________________________________________

Special Requests _________________________________________________________________

______________________________________________________________________________

Cost

Price per double occupancy ticket $____________ x ______tickets = $_____________

Price per single occupancy ticket $____________ x ______tickets = $_____________

Room Surcharge (if applicable) = $_____________

Total = $_____________

Deposit (50% of total) due at time of booking = $_____________

Full open balance due 30 days prior to departure = $_____________

Payment Information

Deposit Amount: $_________________      Date Paid _____/_____/_____

Method of Payment:   ___Cash   ___Check #________________

Please complete this form and fax to American Rail Excursions, Inc. at 618/451-8934 or e-mail to roger@americanrail.com.  We also accept phone reservations at 618/451-0100.
Thank You!