Virginia Railway Express
Print
out and fill in this form to request Group Tickets. Then mail it along with your
payment to the address on the bottom. If you prefer, we have a Word
version and pdf version of this form.
Group Information
Name
of Coordinator |
| Name
of Group | |
Address | |||
City,
State | Zip
Code | ||
Daytime
Telephone | Number
In Group | ||
Travel Information
Origination
Station | Destination
Station | ||
Requested
Northbound Train | Requested
Southbound Train | ||
Date
of Travel | |||
Payment Information
(circle one) Check Enclosed | American
Express | MasterCard | Visa
|
Card
Number | Expiration
Date | ||
Total
Payment | |||
Mail to:
Virginia
Railway Express
1500 King Street
Suite 202
Alexandria, VA 22314