Booking Form Škoda Tour 2019	Crew ID:		
ID assigned by last Skoda Tour in CZ, if any	
A. Contact 
Last Name		First Name		
Street, Nr/Name		Town, Postcode		
Country		Škoda club/group		
E-mail		Phone no.		

B. Participants	(Use another form if more than 5 persons)
Pos.	Last Name	First Name	Date of Birth	Passport no.	Female
Male	T-shirt size	Language	
						S	M	L	XL	XXL	3XL	CZ	EN	DE	
1															
2															
3															
4															
5															

C. Car(s), you will drive for ST 2019	(Use another form if more than 2 cars)
Pos.	Model	Colour	Body type
(estate, hatchback)	Engine
(volume, kW)	Registration no.	Year of production	
1							
2							

D. Accommodation, Boarding, Trips – Price for the entire week from 22nd of June to 29th of June 2019
Item	Child up to 5 years	Child 6 – 14 yr.	Adult	Total	
	No of
persons	Price per
person/week	No of
persons	Price per
person/week	No of
persons	Price per
person/week	CZK	
Participation fee		Free		700 CZK		1 750 CZK		

Hotel – Accommodation includes Breakfast	Room	Dinner -
Child 6-10 yr.	Dinner - Adult	Total	
	No of
rooms	Price per
room/week	No of
persons	Price per
person/week	No of
persons	Price per
person/week	CZK	
  Single room ***		9 450 CZK				2 750 CZK		
  Double room ***		11 900 CZK		1 835 CZK		2 750 CZK		
  Double room with additional bed ***		14 700 CZK		1 835 CZK		2 750 CZK		
  double room suite ***		15 400 CZK		1 835 CZK		2 750 CZK		
								
  Single room ****		13 300 CZK				2 750 CZK		
  Double room ****		15 400 CZK		1 835 CZK		2 750 CZK		
  Double room Lux ****		16 800 CZK		1 835 CZK		2 750 CZK		
  Double room with additional bed ****		20 300 CZK		1 835 CZK		2 750 CZK		
  double room suite ****		24 850 CZK		1 835 CZK		2 750 CZK		
  double room suite with additional bed ****		29 400 CZK		1 835 CZK		2 750 CZK		
								
  reduction for breakfast for child 3-12 yr.		- 350 CZK						
  Dog or another pet – *** only		2 800 CZK						

Your own caravan/motor home	Place for caravan	Dinner - 
Child 6-10 yr.	Dinner - Adult	Total	
	No of
places	Price per
place/week	No of
persons	Price per
person/week	No of
persons	Price per
person/week	CZK	
  Your own caravan/motor home, incl. electric power		1 400 CZK		700 CZK		1 050 CZK		
  Breakfast				700 CZK		1 050 CZK		
  Dinner				1 835 CZK		2 750 CZK		
  Dog or another pet		700 CZK						

Organised trips	Child up to 5 years	Child 6 – 14 yr.	Adult	Total	
	No of
persons	Price per
person	No of
persons	Price per
person	No of
persons	Price per
person	CZK	
  100	Plzeň – Škoda and Transport Company		Free		220 CZK		320 CZK		
  200	Plzeň – Brew-house of Prazdroj			480 CZK		650 CZK		
  300	Plasy – Monastery and Centre for Building Heritage		Free		440 CZK		680 CZK		
  400	Castle Kozel and Bohemia Sekt		Free		680 CZK		930 CZK		

Total amount for week from 22nd of June to 29th of June 2019 	Grand Total :	 CZK	

E. Special request
Friends (accommodation nearby, trips together)		
Board		
Whatever	

F. Free of Charge Activities
	Nr. cars				Nr. pers.		
		Škoda Tour Rallye				Photo Contest	
		Best Decorated and Maintained Car Contest
on the Square of the Republic in Pilsen				Playing for the "Škoda Tour" team in a football match against the local team	
		National triangular car flag (for the antenna)					
		Technical Inspection - Škoda Auto Service Division				Presentation Drives with New Škoda Models	

G. Other Choices – paid (price and conditions to be discussed individually):
	Car service in an Authorised Service Workshop 	Description :	

	
	Other e.g. Repair or part/accessory fitment	Detail if known :	

	
	Whatever	

		

Deadline to send completed booking form 	3.3.2019
Date of sending an invoice	31.3.2019
Deadline for payment 	21.4.2019