*First name

*First surname

*Second surname

*NIF/Passport NIF Passport

*Document No. (00000000x)

*Date of birth

*Sex Masculine Feminine

*Country of birth Select country España Albania Andorra Argentina Austria BRASIL Bielorrusia Belgica Bolivia Bosnia-Herzegovina Bulgaria Chile China Colombia Croacia Chequia DUBAI Dinamarca Ecuador Eslovenia Estados Unidos Europa Finlandia Francia Deutschland Gran Bretaña Grecia Hungria Irlanda Italia Letonia Lituania Luxemburgo Macedonia Mexico Moldavia Marruecos Holanda Noruega Otros Paraguay Peru Polonia Portugal Republica Dominicana Rumania Rusia Serbia Sin Pais Eslovaquia Suecia Suiza Turquia Ucrania Venezuela

*Address

*Number

*Rest of the address

*Zip Code

*Country Select country España Albania Andorra Argentina Austria BRASIL Bielorrusia Belgica Bolivia Bosnia-Herzegovina Bulgaria Chile China Colombia Croacia Chequia DUBAI Dinamarca Ecuador Eslovenia Estados Unidos Europa Finlandia Francia Deutschland Gran Bretaña Grecia Hungria Irlanda Italia Letonia Lituania Luxemburgo Macedonia Mexico Moldavia Marruecos Holanda Noruega Otros Paraguay Peru Polonia Portugal Republica Dominicana Rumania Rusia Serbia Sin Pais Eslovaquia Suecia Suiza Turquia Ucrania Venezuela

*City

*Telephone

*E-mail

*Repeat e-mail

*Would you like your card to be a coin purse? Yes No

More information

Mark if the holder of the card is under the age of 18

*First name

*First surname

*Second surname

*NIF/Passport NIF Passport

*Document No.

*Telephone

Do you have your own vehicle? Yes No, but I have one available I do not own or have one available

Do you have Internet access at home/work? Yes No

Number of people in the home

Do you have children? No Yes

How many people usually travel by bus? (not including yourself) Adults: Children: None

What is the reason for your journey by bus? Work Visit to family/friends Study Holidays/leisure Other reasons

Labour situation Self-employed Employee Labores del hogar Jubilado/Pensionista Estudiante Desempleado

Internet access Magazine/press Earphones Sandwiches/drinks Music (mp3) Videogames (PSP)

Others