Surname: (*)

Name: (*)

Street: (*)

ZIP Code: (*)

City: (*)

Country: (*)

Phone: (*)

E-mail: (*)

Following person will accompany me (max. 1 person) Surname and name:

I represent club:

Type / series of the model: (*)

Name / designation of the model:

Gauge: (*)

Scale: (*)

Wheel arrangement:

Manufacturer / Author:

Weight (kg): (*)

Length (cm): (*)

Width (cm)

Height (cm):

Service car - Weight (kg):

Service car - Lenght (cm):

Service car - Width (cm):

Service car - Height (cm):

Total lenght including wagons (cm): (*)

Brake: Brake: Handbrake Air brake Recuperation brake Electrical brake

Fuel / energy source: Fuel / energy source: Coal Battery Petrol / Diesel Gas

Pulling load (number of adults):

Operational pressure:

Diameter of the cylinders (mm):

Year built:

Construction time:

Origins of the model: Origins of the model: Own construction Purchased Construction set Reconstruction Off-the-shelf product

Next model: Next model: Model 2

Type / series of the model: (*)

Name / designation of the model:

Gauge: (*)

Scale: (*)

Wheel arrangement:

Manufacturer / Author:

Weight (kg): (*)

Length (cm): (*)

Width (cm):

Height (cm):

Service car - Weight (kg):

Service car - Lenght (cm):

Service car - Width (cm):

Service car - Height (cm):

Total lenght including wagons (cm): (*)

Brake: Brake: Handbrake Air brake Recuperation brake Electrical brake

Fuel / energy source: Fuel / energy source: Coal Battery Petrol / Diesel Gas

Pulling load (number of adults):

Operational pressure:

Diameter of the cylinders (mm):

Year built:

Construction time:

Origins of the model: Origins of the model: Own construction Purchased Construction set Reconstruction Off-the-shelf product

Next model: Next model: Model 3

Type / series of the model: (*)

Name / designation of the model:

Gauge: (*)

Scale: (*)

Wheel arrangement:

Manufacturer / Author:

Weight (kg): (*)

Length (cm): (*)

Width (cm):

Height (cm):

Service car - Weight (kg):

Service car - Lenght (cm):

Service car - Width (cm):

Service car - Height (cm):

Total lenght including wagons (cm): (*)

Brake: Brake: Handbrake Air brake Recuperation brake Electrical brake

Fuel / energy source: Fuel / energy source: Coal Battery Petrol / Diesel Gas

Pulling load (number of adults):

Operational pressure:

Diameter of the cylinders (mm):

Year built:

Construction time:

Origins of the model: Origins of the model: Own construction Purchased Construction set Reconstruction Off-the-shelf product

The expected arrival (date, time):

The expected departure (date, time):

I want to have lunch on Friday (175 CZK / 7 EUR): I want to have lunch on Friday (175 CZK / 7 EUR): Yes No

I want to have dinner on Friday (300 CZK / 12 EUR): I want to have dinner on Friday (300 CZK / 12 EUR): Yes No

I want to have lunch on Saturday: I want to have lunch on Saturday: Yes No

I want to have dinner on Saturday: I want to have dinner on Saturday: Yes No

I want to have lunch on Sunday: I want to have lunch on Sunday: Yes No

Further notes: