162 Middle Street
Pawtucket, RI • 02860
BOOKING NUMBER: 631060
DEPARTURE DATE: August 4, 2015
TOUR: British Landscapes featuring Highclere Castle
GROUP NAME: AAA Central Penn
Available Options
Personalize your tour by adding an optional activity below. Our recommended options have been carefully chosen to help enhance your
individual experience. Complete the provided Prepaid Options Form to reserve your options.
Availability is limited and reservations are on a first come, first serve basis. Payment must be received no later than 15 days prior to
departure. Prices are subject to change.
Children under the age of 18 MUST be accompanied by an adult.
London
A Night on the Town in London!
(Saturday, August 8)
$175
USD
Join us for an evening in the heart of London. Savor the flavors of the region during dinner at Simpon’s-in-the-Strand,
one of London’s most historic landmark restaurants. The restaurant is best known for its mouthwatering Roast rib of
Scottish beef, which it has been serving to its patrons for over 170 years. Feel like you are part of history while dining
where such names as Vincent Van Gogh, Charles Dickens, Sherlock Holmes, and George Bernard Shaw have dined.
Cap off the evening in style taking in one of London’s spectacular theater performances. Duration: Approximately 5
hours. Please note a minimum of 2 passengers is required. Transportation is included.
PASSENGERS NAME: (Please submit a separate form for each passenger)
Salutation:____ First:___________________ Middle:_________________ Last:______________________ Suffix:____ Nickname:_____________
(Mr., Mrs., Rev.)
( Please print EXACTLY as it appears on Passport)

Option
A Night on the Town in London!
Please make checks payable to
AAA Central Penn - and send
to:
AAA Central Penn
Attn: AAA Discoveries
2301 Paxton Church Rd
Harrisburg, PA 17110-9688
(Jr., Sr.)
Price Per Person
(USD)
175.00
RES#: 631060
TRAVEL DATE: 8/04/2015 TERRITORY: E9
British Landscapes featuring Highclere Castle
2015
For Reservations Contact: Your local AAA Central Penn office or email GROUPEDOCS@AAACP.COM
Deposit of $250 per person due upon reservation. Reservations are made on a first come, first served basis. Reservations made after the seat reduction date of
10/29/2014 are based upon availability. Final payment due by 5/21/2015. Please note: deposits are fully refundable up until 11/5/2014; after that date charges apply.
YOUR INFORMATION:
Clearly print your full name (first/middle/last) as it appears on your passport. A COPY OF YOUR VALID PASSPORT MUST ACCOMPANY THIS FORM..
IMPORTANT: In order to avoid any unnecessary change fees, it is imperative that all guest names are entered correctly from the start. The information below must be
the legal name and be 100% identical to the ID being used to travel <passport> including middle names or suffixes <Jr, Sr.>.
First:
Middle:
Last:
Nickname:
Gender: ( ) Male
( ) Female
Address:
Phone: (
Suffix:
Date of Birth: (month/day/year)
City:
)
Cell: (
Passport Number:
State:
)
Email Address:
Expiration Date: (month/day/year)
Date of Issuance: (month/day/year)
City, State, Country of Issuance:
Citizenship:
Emergency Contact:
ROOMING WITH:
Zip Code:
Phone: (
)
 Check if address is the same as Passenger #1
First:
Middle:
Last:
Suffix:
AIR GATEWAY: Departure airport for this tour:
Air Seat Request: ( ) Aisle ( ) Window ( ) Next To Traveling Companion
AAA Member Choice Vacations® cannot guarantee your seat preference. If you have not purchased air through AAA Member Choice Vacations® and wish to purchase
transfers, you must transfer at our pre-scheduled times.
AIR UPGRADE: I am interested in purchasing an air upgrade to: Premium Economy  Business Class  First Class 
Service is limited and not available on all flights or carriers. Other restrictions may apply.
Are you willing to separate from the group air schedule to accommodate your upgrade request? ( ) Yes ( ) No
TRAVEL PROTECTION: ( ) Yes, I wish to purchase travel protection $260 ( ) No, I decline
If you choose not to purchase AAA Member Choice Vacations Waiver® Insurance Plan, you will incur penalties for changes and cancellations. Travel Protection Payment is due with
first deposit. The Waiver Fee does not cover any single supplement charges which arise from an individual’s traveling companion electing to cancel for any reason prior to
departure. The single supplement will be deducted from the refund of the person who cancels. (There is coverage under Part B which includes a single supplement benefit of
$1,000 for certain covered reasons. See Part B for details.)
PLEASE MAKE CHECKS PAYABLE TO: AAA Central Penn ( ) Check ( ) Credit Card
Waiver/Insurance Amount: $___________________ Deposit Amount: $___________________ Total amount enclosed: $___________________
Cardholder Name (if paying by Credit Card):
Cardholder Billing Address:  Check if address is the same as above
Cardholder Phone:
Credit Card Number:
Amount: $
________________
Expiration Date:
____
SIGNATURE REQUIRED for acceptance of the below conditions and agreement to credit card use:
M
M
Y
Y
Date:
I agree to pay according to the card issuer agreement. I understand and accept the cancellation policy, terms and conditions. See
http://aaa.memberchoicevacations.com/reservations.cfm for full terms and conditions of your purchase.
Important Conditions: Your price is subject to increase prior to the time you make full payment. Your price is not subject to increase after you make full payment, except for
charges resulting from increases in government-imposed taxes or fees.
Bedding Preference:

Together

Separate
Do you travel with a CPAP machine?

Yes

No
Special physical conditions or dietary requirements? (Airport assistance, meals, etc.)
 No  Yes. If yes, please explain ________
_______________________________________________________________________________________________________________________
Please press firmly with pen, print clearly, answer all questions and attach a photocopy of your PASSPORT.