Trains, Plains, and Moving Pictures Booking Form

Please complete and fax or email this form to us.

*Check in Date: ______________________ Check out Date: ___________________

*Subject to availability

Guest's Name(s): ________________________________________________________

Street Address: _________________________________________________________

City: _______________ State/Prov.: ____________ Zip/Postal Code: _______________

Phone: ___________________________ Bus/Cell: __________________________________

Email: ___________________________________________

Please charge my payments to:  (Circle one)   Visa  or  MasterCard

Account Number: _____________________________________ Expiry Date: _____/____

Signature: ________________________________________ Date: __________________

Additional Notes/Requests: _____________________________________________________

__________________________________________________________________________

Send completed booking form to:

Heartland International Travel & Tours

Suite 202-3111 Portage Avenue

Winnipeg, MB  R3K 0W4

Fax: (204) 989-9636  Phone: (204) 989-9630  Toll Free: 1-866-890-3377

Email: info@heartlandtravel.ca

Upon receiving this completed form, we will contact you with confirmation and payment information