Name and surname:
Number of people:
E-mail:
Choose the date and place of start/ finishing your tour, car and hotel class:
Date of start:
Day
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
26.
27.
28.
29.
30.
31.
Month
January
February
March
April
May
June
July
August
September
October
November
December
Year
2004
2005
2006
2007
2008
2009
Date of finishing:
Day
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
26.
27.
28.
29.
30.
31.
Month
January
February
March
April
May
June
July
August
September
October
November
December
Year
2004
2005
2006
2007
2008
2009
The place of delivery and return the car:
Prague - Ruzyně airport
Prague - City
Other:
Car group:
Mini
Economy
Standard
Business
Automatic
Minibus
Premium
Hotel class:
2 **
3 ***
4 ****
5 *****
The cities you want to visit and the number of days (nights) of stay:
Prague:
0
1
2
3
4
5
6
7
7...
Karlovy Vary:
0
1
2
3
4
5
6
7
7...
Czech Krumlov:
0
1
2
3
4
5
6
7
7...
Marianske Lazne:
0
1
2
3
4
5
6
7
7...
Viena:
0
1
2
3
4
5
6
7
7...
Munich:
0
1
2
3
4
5
6
7
7...
Dresden:
0
1
2
3
4
5
6
7
7...
Budapest :
0
1
2
3
4
5
6
7
7...
Krakow:
0
1
2
3
4
5
6
7
7...
Other places and cities:
Your additional wishes:
