Application for 2016

Encounter London Self-Guided Package

Please print clearly

NAME:

ADDRESS:

PHONE:FAX:

EMAIL:

All events and accommodation are subject to availability. Please indicate your first, second and third choices from the events below. This does not confirm your booking; you will be contacted by the Pax Lodge Team with more details.

World Association of Girl Guides and Girl Scouts

Association mondiale des Guides et des Eclaireuses

Asociación mundial de las Guías Scouts

Pax Lodge, Olave Centre, 12c Lyndhurst Road, LondonNW3 5PQ, England, UK

Tel: +44 (0) 20 7435 2202 Fax: +44 (0) 20 7431 3825

Email:

Registered Charity No. 306125

VAT No. GB 2394068 49

NUMBER OF PARTICIPANTS

TOTAL NUMBER IN PARTY Girls (under 18) Female Adult

Boys (under 18) Male Adult

*Please note that guests under the age of 18 must be accompanied by an adult.

*Minimum number of participants for the Encounter London Self-Guided packages is 15.

NIGHTS OF ACCOMMODATION

Arrival Date / Departure Date / Additional Nights / Total Nights
1st Choice
2nd Choice

Please select your choice(These are 2015 prices, subject to change without notice):

Basic £200.00 — 2 nights of accommodation and entrance to one London attraction.

Explorer £270.00 — 3 nights of accommodation and entrance to two London attractions.

Deluxe £340.00 — 4 nights of accommodation and entrance to three London attractions.

DEPOSIT PAYMENT 10% per personCHEQUE £ ______(payable to Pax Lodge)

BANK TRANSFERDate sent __ __/______

CREDIT CARD (please input details below)

WE ACCEPT: MasterCard, Visa, American Express, Delta or Maestro.

CREDIT CARD DETAILS: Name of card holder: ______Amount: £______

Credit card number: ______Expiry date: __ __ /__ __

Security number: ______Signature of cardholder: ______

Please note: The Security number refers to the 3 digit number on the back of the card on the signature line. If the address listed above is not the address of the cardholder we will also require that information.

EVENT ACTIVITESWe would like to book:

Tickets for Attractions:(please tick your choice – 1 for Basic, 2 for Explorer and 3 for Deluxe Package)

Original Bus TourTour the sights ofLondonon an open top bus with commentary. Includes walking tour and river cruise.

TowerofLondonDespite its grim reputation as a place of torture and death, within these walls you will also discover histories of a royal palace, the crown jewels, an armory and a powerful fortress.

London Eye Experience The gradual rotation in one of the 32 high-tech glass capsules takes in the breathtaking views of London’s most famous landmarks like Big Ben, BuckinghamPalace and St Paul’s Cathedral

KensingtonPalaceHome to fashionable Royals, birthplace to Queen Victoriaand place of residence of Princess Diana, you can visit the state apartments and Royal Dress Collection.

HamptonCourtPalaceDiscover the magnificence of the great Tudor King Henry VIII’s favorite royal residence, elaborate gardens and a maze.

Travel Passes

Date required __ __/______(Basic, Explorer and Deluxe)

Date required __ __/______(Explorer and Deluxe)

Date required __ __/______(Deluxe Package Only)

Pax Lodge Cream Tea

Preferred Date __ __/______Time:

Pax Lodge Tour – Pax Lodge Tours are offered at 9:30 or 11:00. A tour will take approximately 45 minutes.

Preferred Date__ __/______Time: click to select9:3010:0010:3011:0011:3012:0014:0014:3015:0015:3016:00

Evening Programme– Evening Programmes run from 19:30 to 21:00. It will be scheduled by Pax Lodge during your stay subject to availability.

1st choice Preferred Date__ __/______

2nd choice Preferred Date__ __/______

BOOKING POLICY

I confirm that I have read and agree to the Pax Lodge Booking Policy on behalf of my group.

Signed ______Date __ __/______/__ __ Print Name ______

2015 Discover London Self Guided Package

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World Association of Girl Guides and Girl Scouts

Association mondiale des Guides et des Eclaireuses

Asociación mundial de las Guías Scouts

Pax Lodge, Olave Centre, 12c Lyndhurst Road, LondonNW3 5PQ, England, UK

Tel: +44 (0) 20 7435 2202 Fax: +44 (0) 20 7431 3825

Email:

Registered Charity No. 306125

VAT No. GB 2394068 49