162 Middle Street
Pawtucket, RI • 02860
Phone: 1-800-581-8942 Fax: 1-401-727-9014
If paying by credit card, please complete this form and return to Collette. We can only charge your
credit card for the amount noted if the signature, address and phone number are listed below. Thank
you!
CREDIT CARD AUTHORIZATION FORM
BOOKING NUMBER: 782320
DEPARTURE DATE: July 27, 2017
TOUR: Rome & the Amalfi Coast
GROUP NAME: World Council of Credit Unions
Name of Passenger:
Salutation:______ First Name:__________________ Middle Initial:____ Last Name:_________________ Suffix:____
(Mr., Mrs., Rev.)
(Please print as it appears on Passport)
(Jr., Sr.)
Cardholder Name: _________________________________________________________________
(Please print as it appears on your Credit Card)
Cardholder Address: _______________________________________________________________
(as it appears on your credit card statement)
_________________________________________________________________________________
Cardholder Phone: _________________________________________________________________
Credit Card Type:
___American Express
___Discover
___MasterCard
___Visa
Credit Card Number: _______________________________________________________________
Expiration Date: ___________________________ Amount to be charged: $ ___________________
Cardholder’s Signature: ____________________________________ Date: ___________________
I agree to pay according to the card issuer agreement. I understand and accept Collette cancellation
policy, terms and conditions.
Participating credit card companies are now requiring a billing address and phone number for
FRAUD PREVENTION. All information MUST be provided. Thank you for your cooperation!
If using your credit card for payment, please return this Authorization Form by mail to:
Collette
Attn: Accounts Receivable
162 Middle Street
Pawtucket, RI 02860
Or by Fax to: 401-727-9014
 Above credit card information has been called in to Collette.
162 Middle Street
Pawtucket, RI • 02860
Phone: 1-800-581-8942 Fax: 1-401-727-9014
BOOKING NUMBER: 782320
DEPARTURE DATE: July 27, 2017
TOUR: Rome & the Amalfi Coast
GROUP NAME: World Council of Credit Unions
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.
Amalfi Coast
Salerno By Night
$70
USD
Picturesque Salerno sits where the hills of the Sorrento peninsula plunge into the sea. Take a scenic drive to Salerno for dinner at
one of its new, chic restaurants. Stroll through Salerno’s charming, narrow streets, arriving in one of the city’s historic buildings
in the center of the old town. The Taverna Santa Maria de Domno was once a 10th century church, Santa Maria de Dominabus.
Enjoy an exquisite 4-course meal complete with local fine wines in a romantic, unforgettable atmosphere. Buon appetito!
Gratuities are included. Duration: Approximately 3 hours. Please note a minimum of 10 passengers is required. Transportation
is included.
Rome
The Vatican Museums and St. Peter's Basilica
$80
USD
The Vatican Museums are not only home to one of the world’s greatest collections of art, but also to the world-famous Sistine
Chapel. Priceless artifacts from ancient Egypt, Etruscan Italy and cultures around the world are preserved in the Vatican’s
palaces, galleries, halls and rooms. Follow a local expert guide on a three hour, in-depth visit through this vast collection.
Highlights include the Gallery of Maps, the Gallery of Tapestries and of course, a visit to the Sistine Chapel. The chapel’s
famous ceiling frescoes took Michelangelo four years to complete. His brilliant Last Judgment, which rests on the altar wall, was
a topic of controversy for centuries. Other walls feature paintings by Pietro Perugino, Sandro Botticelli, Cosimo Rosselli and
Domenico Ghirlandaio. Your final stop will be at St. Peter’s Basilica, one of the most important churches in Christendom, and
until recently, the largest in the world. It is highly recommended to book this optional tour in advance of your tour departure.
This option is not available on Sundays. Duration: Approximately 4 hours. Please note a minimum of 15 passengers is required.
Transportation is included.
Rome by Night
$95
USD
“Dine with the Tenors” at a very popular Roman restaurant, where you’ll indulge in a hearty, traditional, four-course menu
complete with wine. As you enjoy the delicious tastes of Italy, talented performers serenade you with favorite arias from bestloved operas. This lively, fun-filled evening will be an unforgettable part of your visit to Rome and an engaging immersion into
Italian culture. After dinner, embark on the enchanting Rome by Night tour, seeing the famous landmarks of the “Eternal City”
illuminated against the night sky. See the Colosseum, Roman Forum, Victor Emmanuel Monument and many other highlights.
Remember your evening of Italian romance and charm with a souvenir opera CD – one per couple and one for singles.
Duration: Approximately 4 hours. Please note a minimum of 10 passengers is required. Transportation is included.
Amalfi Coast
Exploring Paradise, Isle of Capri
$125 USD
Spend the day exploring a Mediterranean paradise on the sparkling Bay of Naples. Embark from the port of Salerno and delight
in a cruise to the wonderful Isle of Capri. Sail past the hill towns along the Amalfi Coast, passing colorful homes, lush gardens
and architectural marvels. Upon arrival, a local guide facilitates an interesting tour of this beautiful island via minibus. Spend
time admiring the town of Anacapri. From this vantage point (the ancient Greek prefix ana means above or up) savor grand
views of the island and the Bay of Naples. Then, enjoy free time to experience the charming town of Capri. Browse its elegant
designer shops or sip a coffee in the Piazza and simply watch the world go by. A special ride along the funicular takes you back
toward the Marina Grande to board your boat for the return to Salerno. This option is weather permitting and boats may depart
from Naples during certain times of year. Duration: Approximately 9 hours. Please note a minimum of 20 passengers is
required. Transportation is included.
TRAVEL DATE: 7/27/2017 TERRITORY: M5
RES#: 782320
Rome & the Amalfi Coast
For Reservations Contact: 800-581-8942
Collette, 162 Middle Street, Pawtucket, RI 02860
A deposit of $500 per person is due upon reservation. If you purchase our Travel Protection Plan, the deposit is only $250 per person plus the cost of the Insurance.
Reservations are made on a first come, first served basis. Reservations made after the deposit due date of January 05, 2017 are based upon availability. Final
payment due by May 28, 2017. Deposits are refundable up until January 12, 2017.
YOUR INFORMATION:
Clearly print your full name (first/middle/last) as it appears on your government issued travel documentation.
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/driver’s license> including middle names or suffixes <Jr, Sr>.
First:
Middle:
Last:
Nickname:
Gender: ( ) Male
( ) Female
Address:
Phone: (
Suffix:
Date of Birth: month
day
City:
)
Cell: (
Passport Number:
State:
)
Zip Code:
Email Address:
Expiration Date: (month/day/year)
Date of Issuance: (month/day/year)
City, State, Country of Issuance:
Citizenship:
Should you become ill or injured, whom should we contact (not traveling with you):
ROOMING WITH:
year
Phone: (
)
 Check if address is the same as Passenger #1
First:
Middle:
Last:
Suffix:
Collette cannot guarantee your seat preference. If you have not purchased air through Collette and wish to purchase transfers, you must transfer at our pre-scheduled times.
Please be advised, when travelling as part of a group, many airlines do not provide seat assignments. Preferred seating may be available for an additional charge.
“Federal law forbids carriage of hazardous materials such as aerosols, fireworks, lithium batteries & flammable liquids aboard the aircraft in your checked or carry-on
baggage. A violation can result in 5 years’ imprisonment and penalties of $250,000 or more. Details on prohibited items may be found on TSA’s “prohibited items” web page:
http://www.tsa.gov/traveler-information/prohibited-items.”
TRAVEL PROTECTION: ( ) Yes, I wish to purchase travel protection $250 ( ) No, I decline
If you choose not to purchase Collette's 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.)
ON TOUR ACTIVITIES: Please choose one of the following on tour hotels
Please Choose One: (subject to availability)
( ) Raito Hotel – Standard (included)
( ) Raito Hotel – Deluxe Sea View (additional charge of $370.00 double, $740.00 single required)
( ) Raito Hotel – Superior Sea View (additional charge of $200.00 double, $400.00 single required)
PLEASE MAKE CHECKS PAYABLE TO: Collette ( ) 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:
____
M
M
Y
Y
SIGNATURE REQUIRED for acceptance of the below conditions and agreement to credit card use:
Date:
I agree to pay according to the card issuer agreement. I understand and accept the cancellation policy, terms and conditions. See http://www.gocollette.com/aboutcollette/terms-and-conditions 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.
162 Middle Street
Pawtucket RI 02860
Phone: 1-800-581-8942, Fax: 1-401-727-9014
TOUR: Rome & the Amalfi Coast
GROUP NAME: World Council of Credit Unions
DEPARTURE DATE: Jul 27, 2017
BOOKING NUMBER: 782320
AVAILABLE PREPAID 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 served 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.
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)

(Jr., Sr.)
Option
Salerno By Night
Price Per Person
(USD)
70.00
Gratuities are included.
The Vatican Museums and St. Peter's Basilica
80.00
It is highly recommended to book this optional tour in advance of your tour departure. This option
is not available on Sundays.
Rome by Night
Exploring Paradise, Isle of Capri
95.00
125.00
This option is weather permitting and boats may depart from Naples during certain times of year.
Please make checks payable to Collette and send to:
Collette
Attn: Accounts Receivable
162 Middle Street
Pawtucket, RI 02860
Fax: 401-727-9014