Reservation Form
Date of Reservation _______/_______/_______Customer Name_____________________________________________________________________
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
708/758-2781 or e-mail to roger@americanrail.com. We
also accept phone reservations at 708/758-6680.
Thank You!