Hvis du ønsker at slappe af én eller flere dage i Crouttes ved at campere med din 2cv eller model knyttet hertil, så udfyld og send dette spørgeskema for at vi kan bekræfte opholdsmuligherne i den valgte periode (mulig fraværelse i tilfælde af nationale og internationale 2cv møder)
Ansøger: Fornavn nøvendigt Navn nøvendigt Adresse nøvendigt Postnr./By nøvendigt Land Væig et land Denmark France United Kingdom Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia-Herzegovina Botswana Bouvet Island Brazil British Indian Ocean TerritoryBritish Virgin Islands Brunei Bulgaria Burkina Faso Burundi Byelorussian SSR (Bielorussia)Cameroon Canada Canton and Enderbury Islands Cape Verde Caroline Islands Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos Islands Columbia Comoros Congo Congo (Democratic Republic) Cook Islands Costa Rica Croatia Cuba Cyprus Czech Republic Czechoslovakia Democratic Kampuchea Democratic People's Republic of Korea Denmark Djibouti Dominica Dominican Republic Dronning Maud Land East Timor Ecuador Egypt El Salvador England Equatorial Guinea Eritrea Estonia Ethiopia Faeroe Islands Falkland Islands Fiji Finland France French Guiana French Polynesia French Southern TerritoriesGabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea-Bisseu Guinea Guyana Haiti Heard and McDonald Islands Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Ivory Coast Jamaica Japan Johnston Island Jordan Kazakhstan Kenya Kiribati Kuwait Kyrgyzstan (Kirgistan) Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libyan Arab Liechtenstein Lithuania Luxembourg Macau Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Midway Islands Moldavia Monaco Mongolia Montserrat Morocco Mozambique Myanmar Namibia Napal Nauru Netherlands Antilles Netherlands Neutral Zone New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pacific Islands Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Island Poland Portugal Puerto Rico Qatar Republic of Korea Reunion Romania Russia Rwanda Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia Spain Sri Lanka St. Helena St. Kitts Nevis Anguilla St. Pierre and Miquelon Sudan Suriname Svalbard and Jan Mayen IslandsSwaziland Sweden Switzerland Syrian Arab Republic Taiwan Tajikistan Tanzania Thailand Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukrainian SSR United Arab Emirates United Kingdom United States US Minor Outlying Islands US Miscellaneous Pacific Islands US Virgin Islands Uruguay Uzbekistan Vanuatu Vatican City State Venezuela Vietnam Wake Island Wallis and Futuma Islands Yemen Yemen (Democratic) Yugoslavia Zambia Zimbabwe nøvendigt E-mail om muligt Telefon nøvendigt Fax om muligt Dit campingophold: Ankomst Dag 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 - Måned januar februar marts april maj juni juli august september oktober november december - År 2004 2005 2006 nøvendigt Afgang Dag 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 - Måned januar februar marts april maj juni juli august september oktober november december - År 2004 2005 2006 kan ændres Antal personer 2 1 3 4 nøvendigt Dine biler: biler type 2cv Méhari Dyane Ami nøvendigt Model År 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 ? Specielle lavet på understel af 2cv: præciser Umap, Lomax, etc. Kommentarer og/eller spørgsmål:
Dit campingophold:
Dine biler:
Specielle lavet på understel af 2cv: præciser Umap, Lomax, etc.
Kommentarer og/eller spørgsmål: