Online order form

the route of a journey

departure date

bus feeding time

bus feeding place

time of coming back

quantity of days
1 2 3 4 5 6 7 8 9 10 more

quantity of hours
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23

number of passengers
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 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49

including adults
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 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49

including children
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 32 33 34 35 36 37 38 39

additional fees
Customer pays
Executor pays

for
ferry
road charges and taxes
bus parking
driver's night staying

comments (optional preferrences)
microphone
air conditioner
coffee maker
TV / DVD
WC

customer (The juridical person- the name; private person - name, surname)

registration number or personal ID number

registered address

post address

responsible person for the journey (full name, mob. e-mail address)

comments and wishes (of Customer)

payment type
by cash (in the cash office of AS Nordeka)
by bank transfer