Style of cuisine in the main restaurant

(tick a maximum of two as appropriate)

Parking ESSENTIAL INFORMATION
Is on-site parking available? 쏔 YES 쏔 NO FOR THE AA RESTAURANT GUIDE AND ONLINE ENTRY
쏔 Modern 쏔 Italian 쏔 International Lisa Becousse
Number of spaces?............................................................................ AA Hotel Services
쏔 Traditional 쏔 Mediterranean 쏔 Japanese 14th Floor
If no on-site parking where is the nearest parking
쏔 British 쏔 European 쏔 Thai (e.g. On street, Car park, NCP)............................................................ Please write the postal address of your establishment clearly below Fanum House
Basing View
쏔 French 쏔 Indian 쏔 Pacific Rim Basingstoke
RG21 4EA
쏔 German 쏔 Chinese 쏔 American Weddings
Other ................................................................................................ Do you have a civil wedding licence? 쏔 YES 쏔 NO
If Yes, what is the maximum number that can attend the ceremony?
Unless we hear to the contrary we will assume that you own all
Children ........................................................................................................
rights to any material supplied, including images and
Are children of all ages accepted? 쏔 YES 쏔 NO photographs, and that these rights are licensed to AA Publishing
for all uses which we may make in all media.
If NO, what is the minimum age they are accepted? ............................ Credit/Charge Cards
Are children’s portions available? 쏔 YES 쏔 NO Do you accept Credit/Debit Cards 쏔 YES 쏔 NO
Is there a children’s menu? 쏔 YES 쏔 NO
If Yes, which ones? (Please tick) FOR OFFICE USE ONLY
Mastercard 쏔 YES 쏔 NO Establishment ref............................................................................................................................................................................................................Type ....................

Connect 쏔 YES 쏔 NO Establishment name ....................................................................................................................................................................................................................................

Vegetarian
American Express 쏔 YES 쏔 NO Location within gazetteer............................................................................................................................................................................................................................
Do you offer 3 or more vegetarian main dishes every day?
Delta 쏔 YES 쏔 NO County name ................................................................................................................................................................................................................................................
쏔 YES 쏔 NO
Visa 쏔 YES 쏔 NO Country ........................................................................................................................................................................................................................................................
Or do you provide a separate vegetarian menu? 쏔 YES 쏔 NO
Maestro (Switch) 쏔 YES 쏔 NO
Notes on completing this form
Diners 쏔 YES 쏔 NO The information printed on this questionnaire is extracted from your establishment’s current records at the Automobile Association. Please ensure you make
Dress Code amendments, insertions or deletions as required in ink and give clear indications of changes. This will enable us to keep accurate records of your establishment.

Are there specific dress restrictions? 쏔 YES 쏔 NO DATA PROTECTION: The AA group of companies (including the Automobile Association Developments Ltd) will use your information to provide the product(s) and service(s)
Accessibility requested and for customer services, marketing (including customer profiling), and fraud/loss prevention purposes. We may share your information with our agents and service
If Yes please describe These questions are for our database only not for inclusion in the providers for these purposes. We'd like to keep you informed by mail or telephone or email about other products and services provided by us or our business partners. By submit-
(e.g. smart dress, smart casual, jacket & tie, no jeans, no T-shirts) Restaurant Guide ting your information you consent to us keeping you informed in this way.

If you DO NOT consent, please tick this box 쏔

........................................................................................................ Is your restaurant accessible to wheelchair users? 쏔 YES 쏔 NO
(please note the entrance should be a minimum of 80cm wide,
IMPORTANT
Capacity and the passages a minimum of 120cm wide) This form generates your gazetteer entry in the Restaurant Guide, your internet entry and provides
information for various ‘on-line’ systems.
How many covers in the restaurant? .................................................. What is the minimum number of steps a wheelchair user has
Would you be interested in enhancing your guide entry at an additional cost? 쏔 YES
Do you have a private dining room? 쏔 YES 쏔 NO to negotiate? ....................................................................................
Trade Descriptions Acts — Proprietors are reminded of these acts (where applicable), particularly with regard to descriptions
If YES, how many seats in the private dining room? ............................ Toilets that can accommodate a wheelchair user? 쏔 YES 쏔 NO of their establishments and the facilities available.
Disability Discrimination Act 1995 – Proprietors are reminded that they are obliged to have done everything necessary
to meet the requirements of all relevant provisions of this Act.
General Details and Accommodation
Does the restaurant have air conditioning? 쏔YES 쏔 NO The information I return on this questionnaire is, to the best of my knowledge, correct.

Does the establishment have AA rated accommodation? 쏔 YES 쏔 NO Signed …………………………………………….… Date ………………………………………….

Print name (BLOCK CAPITALS) ......................................................................................................................................................................................................................

IMPORTANT: Remember to enclose your menu, wine list and brochure
Tick as appropriate

쏔 Owner 쏔 Manager 쏔 Head Chef 쏔 Other ..............................................................................................................................................

Please note: The information on this form will enable us to compile an entry for the 2008 edition of the Restaurant Guide, however inspections are
carried out on an ongoing basis throughout the year and the receipt of this form is NOT a guarantee that your restaurant will appear in the guide
Please return to: Lisa Becousse, AA Lifestyle Guides, Fanum House 14th Floor, Basing View, Basingstoke, RG21 4EA
Estab info:
Contact Information Nearest Railway Station or Underground Station : ................................ Main Restaurant Prices Wine
(please estimate for 2008) Remember to submit a copy of your wine list for entry into our
Telephone exchange code .................................................................. ........................................................................................................ Prices must include VAT where applicable annual wine awards.
Telephone number ............................................................................ A La Carte Minimum Maximum From wine list:
Alternate number .............................................................................. Chef & Owner Details Starter .................. ................ How many 75cl bottles under £20 (e30 in Republic of Ireland)
Fax number ...................................................................................... Name of chef/s.................................................................................. Main Course .................. ................ ........................................................................................................
E-mail .............................................................................................. ........................................................................................................ Dessert .................. ................ How many 75cl bottles are over £20 (e30 in Republic of Ireland)
Web address .................................................................................... ........................................................................................................ Cheese .................. ................ ........................................................................................................
Web address not shown in the guide unless you have purchased a How long has the chef worked at the establishment? .......................... How many wines available by the glass (excluding sparkling & dessert
weblink from the AA. For further details contact Sally Faulkner on Name of owner/s .............................................................................. Set Price Lunch No. of Courses Minimum Maximum wines) ..............................................................................................
01256 492654 sally.faulkner@theaa.com How many years has the establishment been in this ownership? .......... Cost per head 2 .................. ................ How many wines do you list 쏔 up to 50
Address Details ........................................................................................................ Cost per head 3 .................. ................ 쏔 50-100
Restaurant name published in guide ............................................ Set Price Dinner No. of Courses Minimum Maximum 쏔 over 100
........................................................................................................ Other Eating Options Cost per head 2 .................. ................ How many countries do you feature? ..................................................
Address of establishment (as it will appear in the guide) ...................... Many hotels offer a choice of restaurant/café/bistro. If there are other Cost per head 3 .................. ................ What percentage Old World v New World
........................................................................................................ eating options on the premises that do not have an AA rosette awards, Cost per head 4 .................. ................ Old World.................................. New World ................................
........................................................................................................ please list their names below. ............................................................ Do you serve Hildon Water in your restaurant? 쏔 YES 쏔 NO How many suppliers do you use 쏔 less than 5 쏔 more than 5
........................................................................................................ ........................................................................................................ Notes (e.g. tasting menu, Sunday dinner) ............................................ In what way would you consider your wine list worthy of an award?
Postcode .......................................................................................... ........................................................................................................ ........................................................................................................ ........................................................................................................

Please provide us with an e-mail address to which we can send an
electronic version of this questionnaire in future. This e-mail address
need not be the same as the one which appears in the guide for
your establishment, as we recognise that your reservations or
enquiries e-mail may not be suitable for receiving a questionnaire. If
you do not have a suitable e-mail address we will continue to send
a paper copy of the questionnaire. ..............................................................
..............................................................................................................................
Liability Certificate
Please quote the expiry date of your Employer's Liability Certificate
........................................................................................................
Directions
Please check directions if shown below, or provide details from the
nearest main road/landmark as appropriate (eg. ‘M20 junct 9, A28.
Hotel 0.5m on left just beyond St Mary’s Church’) Maximum 20 Words.
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Local Produce
Do you buy more than 50% of your food ingredients within a
50-mile radius? 쏔YES 쏔 NO
Do you mention your suppliers by name on your menu? 쏔YES 쏔 NO
Do you mention your suppliers name on your web site? 쏔 YES 쏔 NO
Please name some of your suppliers ..................................................
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Decribe how you use the local produce ..............................................
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........................................................................................................ Opening Times
........................................................................................................ Is the restaurant open all year? 쏔 YES 쏔 NO
If NO, what are the CLOSURES? ........................................................
Service Charge (i.e. Christmas, New Year, Bank Holidays, winter) ................................
Service optional – charge not automatically added to bill ........................................................................................................
쏔 YES 쏔 NO Which day/s is the restaurant closed ALL DAY? ..................................
Service included – no further charge added or expected ........................................................................................................
쏔 YES 쏔 NO Which day/s is the restaurant closed for LUNCH only? ........................
Service charge automatically added to bill 쏔 YES 쏔 NO ........................................................................................................
If Yes please state percentage levied .................................................. Which day/s is the restaurant closed for DINNER only? ........................
Service charge automatically added to bill but optional 쏔 YES 쏔 NO ........................................................................................................
If Yes please state percentage levied .................................................. Opening Hours
Service charge for larger groups only? 쏔 YES 쏔 NO Open from Closed at
If Yes state minimum number in group when service charge applies LUNCH: ............................ ............................
and percentage Min: .................................................. % ................ DINNER: ............................ ............................

Estab info: Estab info: