Submission form

Registration i closed - it was for 2005

Please, * fields must be filled

Name*
Surname*
Chosen dates*	2005, May 3 4 5 6 7 8 9
Address*
Town*
PostCode*
Country*
Phone*
E-mail
Date of Birth*	D. M. Y
Native language
Spoken languages
Accompanied*	Yes No
if so	name surname
Vehcile / year	Truck/   Car/ Motorbike/   Other/
Period uniform*	Yes   No
if so	state unity Division, Brigade
Accomodation in period U.S. camp	tent   car   caravan
Association	(if affiliated)
- contact, phone
- email
- address
Comments
Submit   Reset

Information Office of the Plzeň Municipal Authority - tel:+420 378 032 550, +420 378 032 551, vankovat@mmp.plzen-city.cz