Application for a subscription card

Please select the desired subscription card below and fill in the individual fields accordingly.

Please select the desired subscription card below and fill in the individual fields accordingly.

    Annual student ticket/student ticket

    Dear parents and guardians, dear students,


    In order to be able to issue you with a school season ticket, we still need information from you. Please fill in the fields below and upload a recent passport photo in the format provided. Your eligibility to apply will be checked automatically. The application must be sent at least 6 weeks before the start of the summer holidays. have been received.

    Personal data of legal guardian(s)

    Name:

    First name:

    Street, house number:

    Postcode and place of residence:

    Local part:

    Telephone number:

    E-mail:

    Personal details of the student

    Date of birth:

    Name of the pupil:

    First name of the pupil:

    Street, house number:

    Local part:

    Postcode and place of residence;

    Class:

    Information from the school

    School year:

    Name:

    Please state the passport photo size according to DIN as the specified format (3.5 x 4.5 cm).
    Allowed file format: JPG or PNG
    Pattern:
    Sample

    Consent to the processing and disclosure of personal data


    I hereby consent to the personal data in this application being stored and processed by the district of Lüchow-Dannenberg and passed on to the relevant transport company, to their subcontractors and to the responsible printing company for the full processing of the application.


    In addition, we would like to point out that there is no obligation to wear a seat belt in local public transport (ÖPNV) according to § 21 StVO, as it is a regular service according to § 42 PBefG. All vehicles in the district of Lüchow-Dannenberg have seat belts as standard. Due to safety in the vehicle, we ask you, dear parents, to instruct your children that seat belts are available and should be worn during transport.

    Explanation

    I certify that the information I have provided is correct and complete. I am aware that benefits received without justification can be reclaimed. I undertake to inform the district of Lüchow-Dannenberg immediately of any change in the above information.





      Season tickets for adults

      Contractual partner for the Annual Pass


      Lüchow Schmarsau Railway GmbH
      Königsberger Straße 10, 29439 Lüchow
      Tel.: 05841 / 977 335 Fax: 05841 / 977 341

      Personal data orderer

      Date of birth (orderer):

      Name (orderer):

      First name (orderer):

      Street, house number (ordering party):

      Postcode and place of residence (orderer):

      Local district (orderer):

      Telephone number (Orderer):

      E-mail (Orderer):

      Personal data of ticket user

      Date of birth (holder):

      Name (holder):

      First name (holder):

      Street, house number (owner):

      Postcode and place of residence (holder):

      Start of the annual pass

      Valid from

      Valid until

      Scope

      I order the Annual Pass for the following connection (please indicate the exact stop, if possible):

      from

      to

      I acknowledge the tariff regulations of the LSE GmbH. I hereby consent to the personal data in this application being stored and processed by LSE GmbH and passed on to the relevant printing company (printing of chip cards) for the full processing of the application.

      The prices are sent with the contract documents

      SEPA

      I authorise LSE GmbH to collect payments from my account by direct debit. At the same time, I instruct my credit institution to honour the direct debits drawn on my account by LSE GmbH. This direct debit mandate includes the increase or decrease of the monthly instalments in case of tariff changes. If the specified account does not have the required cover, the account-holding credit institution is not obliged to honour the direct debit. Any costs and/or fees incurred as a result of this will be borne by me and will be collected again by LSE GmbH together with the amount of the return debit note after prior notification.

      Account holder:

      IBAN:

      Note to the customer:


      If the fare is changed, the monthly amounts will be adjusted from the time of the change. In the case of a one-off payment, a subsequent charge will be made.
      The general tariff conditions apply. The subscription can be cancelled by the holder at any time with one month's notice to the end of the calendar month. If the subscription ends before the end of the annual period, the difference between the price of the monthly travel pass and the price of the monthly student travel pass will be charged for the period that has elapsed. In the event of any change or termination, the subscription cards must be returned to the Company immediately. As long as this has not been done, the customer must continue to pay the previous monthly fee. A school certificate or proof of education must be presented to the LSE.


      In addition, we would like to point out that there is no obligation to wear a seat belt in local public transport (ÖPNV) according to § 21 StVO, as it is a regular service according to § 42 PBefG. All vehicles in the district of Lüchow-Dannenberg have seat belts as standard. Due to safety in the vehicle, we ask you, dear parents, to instruct your children that seat belts are available and should be worn during transport.

      Explanation:


      I certify that the information I have provided is correct and complete. I am aware that benefits received without justification can be reclaimed. I undertake to inform LSE GmbH immediately of any changes to the above information. I hereby confirm that I have taken note of the information on the use of seat belts. After processing by LSE GmbH, the ticket will be sent to you by post.

      Please state the passport photo size according to DIN as the specified format (3.5 x 4.5 cm).
      Allowed file format: JPG or PNG
      Pattern:
      Sample





        Subscription card for pupils/self-payers

        Contractual partner for the Annual Pass


        Lüchow Schmarsau Railway GmbH
        Königsberger Straße 10, 29439 Lüchow
        Tel.: 05841 / 977 335 Fax: 05841 / 977 341

        Personal data orderer

        Date of birth (orderer):

        Name (orderer):

        First name (orderer):

        Street, house number (ordering party):

        Postcode and place of residence (orderer):

        Local district (orderer):

        Telephone number (Orderer):

        E-mail (Orderer):

        Personal data of ticket user

        Date of birth (holder):

        Name (holder):

        First name (holder):

        Street, house number (owner):

        Postcode and place of residence (holder):

        Start of the annual pass

        Valid from

        Valid until

        Scope

        I order the Annual Pass for the following connection (please indicate the exact stop, if possible):

        from

        to

        I acknowledge the tariff regulations of the LSE GmbH. I hereby consent to the personal data in this application being stored and processed by LSE GmbH and passed on to the relevant printing company (printing of chip cards) for the full processing of the application.

        The prices are sent with the contract documents

        SEPA

        I authorise LSE GmbH to collect payments from my account by direct debit. At the same time, I instruct my credit institution to honour the direct debits drawn on my account by LSE GmbH. This direct debit mandate includes the increase or decrease of the monthly instalments in case of tariff changes. If the specified account does not have the required cover, the account-holding credit institution is not obliged to honour the direct debit. Any costs and/or fees incurred as a result of this will be borne by me and will be collected again by LSE GmbH together with the amount of the return debit note after prior notification.

        Account holder:

        IBAN:

        Note to the customer:


        If the fare is changed, the monthly amounts will be adjusted from the time of the change. In the case of a one-off payment, a subsequent charge will be made.
        The general tariff conditions apply. The subscription can be cancelled by the holder at any time with one month's notice to the end of the calendar month. If the subscription ends before the end of the annual period, the difference between the price of the monthly travel pass and the price of the monthly student travel pass will be charged for the period that has elapsed. In the event of any change or termination, the subscription cards must be returned to the Company immediately. As long as this has not been done, the customer must continue to pay the previous monthly fee. A school certificate or proof of education must be presented to the LSE.


        In addition, we would like to point out that there is no obligation to wear a seat belt in local public transport (ÖPNV) according to § 21 StVO, as it is a regular service according to § 42 PBefG. All vehicles in the district of Lüchow-Dannenberg have seat belts as standard. Due to safety in the vehicle, we ask you, dear parents, to instruct your children that seat belts are available and should be worn during transport.

        Explanation:


        I certify that the information I have provided is correct and complete. I am aware that benefits received without justification can be reclaimed. I undertake to inform LSE GmbH immediately of any changes to the above information. I hereby confirm that I have taken note of the information on the use of seat belts. After processing by LSE GmbH, the ticket will be sent to you by post.

        Please state the passport photo size according to DIN as the specified format (3.5 x 4.5 cm).
        Allowed file format: JPG or PNG
        Pattern:
        Sample





          365 Euro Ticket

          Please fill in the individual fields.

          Contractual partner


          Lüchow Schmarsau Railway GmbH
          Königsberger Straße 10, 29439 Lüchow
          Tel.: 05841 / 977 335 Fax: 05841 / 977 341

          Personal data orderer

          Date of birth (orderer):

          Name (orderer):

          First name (orderer):

          Street, house number (ordering party):

          Postcode and place of residence (orderer):

          Local district (orderer):

          Telephone number (Orderer):

          E-mail (Orderer):

          Personal data of ticket user

          Date of birth (holder):

          Name (holder):

          First name (holder):

          Street, house number (owner):

          Postcode and place of residence (holder):

          Start of the 365-Euro-Ticket

          Valid from:

          Valid until:

          Scope

          The Youth and Trainee Ticket is valid in the entire area of validity of road-based public transport in the district of Lüchow-Dannenberg and on line 8040 between Salzwedel and Lüchow, regardless of the route. The number of journeys in the district per pass is not limited. The pass is issued to the pass holder as a personalised card and is not transferable.

          I acknowledge the tariff regulations of the LSE GmbH. I hereby consent to the personal data in this application being stored and processed by LSE GmbH and passed on to the relevant printing company (printing of chip cards) for the full processing of the application.

          The 365-Euro-Ticket is valid in the entire area of validity of the road-based public transport system in the district of Lüchow-Dannenberg, regardless of the distance travelled. The number of journeys in the district per ticket is not limited. The pass is issued to the pass holder as a personalised card and is not transferable.

          I acknowledge the tariff regulations of the LSE GmbH. I hereby consent to the personal data in this application being stored and processed by LSE GmbH and passed on to the relevant printing company (printing of chip cards) for the full processing of the application.

          Payment

          The price is 365 euros per year. Payment can be made in one sum by bank transfer or by direct debit in 12 monthly instalments.

          SEPA

          I authorise LSE GmbH to collect payments from my account by direct debit. At the same time, I instruct my credit institution to honour the direct debits drawn on my account by LSE GmbH. This direct debit mandate includes the increase or decrease of the monthly instalments in case of tariff changes. If the specified account does not have the required cover, the account-holding credit institution is not obliged to honour the direct debit. Any costs and/or fees incurred as a result of this will be borne by me and will be collected again by LSE GmbH together with the amount of the return debit note after prior notification.

          Account holder:

          IBAN:

          Note to the customer:

          The subscription period is one year. Early termination is not possible. Cancellation at the end of the term is not necessary.

          The general fare conditions apply

          In addition, we would like to point out that there is no obligation to wear a seat belt in local public transport (ÖPNV) according to § 21 StVO, as it is a regular service according to § 42 PBefG. All vehicles in the district of Lüchow-Dannenberg have seat belts as standard. Due to safety in the vehicle, we ask you, dear parents, to instruct your children that seat belts are available and should be worn during transport.

          Explanation:

          I certify that the information I have provided is correct and complete. I am aware that benefits received without justification can be reclaimed. I undertake to inform LSE GmbH immediately of any changes to the above information. I hereby confirm that I have taken note of the information on the use of seat belts. After processing by LSE GmbH, the ticket will be sent to you by post.

          Please state the passport photo size according to DIN as the specified format (3.5 x 4.5 cm).
          Allowed file format: JPG or PNG
          Pattern:
          Sample





            Youth and trainee ticket for all residents outside Lüchow-Dannenberg

            The regional student & trainee ticket

            Please fill in the individual fields.

            Contractual partner


            Lüchow Schmarsau Railway GmbH
            Königsberger Straße 10, 29439 Lüchow
            Tel.: 05841 / 977 335 Fax: 05841 / 977 341

            Personal data orderer

            Date of birth (orderer):

            Name (orderer):

            First name (orderer):

            Street, house number (ordering party):

            Postcode and place of residence (orderer):

            Local district (orderer):

            Telephone number (Orderer):

            E-mail (Orderer):

            Personal data of ticket user

            Date of birth (holder):

            Name (holder):

            First name (holder):

            Street, house number (owner):

            Postcode and place of residence (holder):

            School/ training institution:

            Proof/certificate:

            Start of the Youth and Trainee Ticket

            Valid from

            Valid until

            Scope

            The Youth and Trainee Ticket is valid in the entire area of validity of road-based public transport in the district of Lüchow-Dannenberg and on line 8040 between Salzwedel and Lüchow, regardless of the route. The number of journeys in the district per pass is not limited. The pass is issued to the pass holder as a personalised card and is not transferable.

            I acknowledge the tariff regulations of the LSE GmbH. I hereby consent to the personal data in this application being stored and processed by LSE GmbH and passed on to the relevant printing company (printing of chip cards) for the full processing of the application.

            The Youth and Trainee Ticket is valid in the entire area of validity of the road-based public transport system in the district of Lüchow-Dannenberg, irrespective of the distance travelled. The number of journeys in the district per ticket is not limited. The subscription is issued as a personalised card to the subscription holder and is not transferable.

            I acknowledge the tariff regulations of the LSE GmbH. I hereby consent to the personal data in this application being stored and processed by LSE GmbH and passed on to the relevant printing company (printing of chip cards) for the full processing of the application.

            Payment

            The price is 30 euros per month. Payment can be made in one amount or by direct debit in 12 monthly amounts.

            SEPA

            I authorise LSE GmbH to collect payments from my account by direct debit. At the same time, I instruct my credit institution to honour the direct debits drawn on my account by LSE GmbH. This direct debit mandate includes the increase or decrease of the monthly instalments in case of tariff changes. If the specified account does not have the required cover, the account-holding credit institution is not obliged to honour the direct debit. Any costs and/or fees incurred as a result of this will be borne by me and will be collected again by LSE GmbH together with the amount of the return debit note after prior notification.

            Account holder:

            IBAN:

            Note to the customer:

            The subscription period is one year. Early termination is not possible. Cancellation of the term is not necessary. A school certificate or proof of education must be presented to the LSE.

            The general fare conditions apply.

            In addition, we would like to point out that there is no obligation to wear a seat belt in local public transport (ÖPNV) according to § 21 StVO, as it is a regular service according to § 42 PBefG. All vehicles in the district of Lüchow-Dannenberg have seat belts as standard. Due to safety in the vehicle, we ask you, dear parents, to instruct your children that seat belts are available and should be worn during transport.

            Explanation:

            I certify that the information I have provided is correct and complete. I am aware that benefits received without justification can be reclaimed. I undertake to inform LSE GmbH immediately of any changes to the above information. I hereby confirm that I have taken note of the information on the use of seat belts. After processing by LSE GmbH, the ticket will be sent to you by post.

            Please state the passport photo size according to DIN as the specified format (3.5 x 4.5 cm).
            Allowed file format: JPG or PNG
            Pattern:
            Sample





              Youth and trainee ticket for all residents of Lüchow-Dannenberg

              The regional student & trainee ticket

              Please fill in the individual fields.

              Contractual partner


              Lüchow Schmarsau Railway GmbH
              Königsberger Straße 10, 29439 Lüchow
              Tel.: 05841 / 977 335 Fax: 05841 / 977 341

              Personal data orderer

              Date of birth (orderer):

              Name (orderer):

              First name (orderer):

              Street, house number (ordering party):

              Postcode and place of residence (orderer):

              Local district (orderer):

              Telephone number (Orderer):

              E-mail (Orderer):

              Personal data of ticket user

              Date of birth (holder):

              Name (holder):

              First name (holder):

              Street, house number (owner):

              Postcode and place of residence (holder):

              School/ training institution:

              Proof/certificate:

              Start of the Youth and Trainee Ticket

              Valid from

              Valid until

              Scope

              The Youth and Trainee Ticket is valid in the entire area of validity of road-based public transport in the district of Lüchow-Dannenberg and on line 8040 between Salzwedel and Lüchow, regardless of the route. The number of journeys in the district per pass is not limited. The pass is issued to the pass holder as a personalised card and is not transferable.

              I acknowledge the tariff regulations of the LSE GmbH. I hereby consent to the personal data in this application being stored and processed by LSE GmbH and passed on to the relevant printing company (printing of chip cards) for the full processing of the application.

              The Youth and Trainee Ticket is valid in the entire area of validity of the road-based public transport system in the district of Lüchow-Dannenberg, irrespective of the distance travelled. The number of journeys in the district per ticket is not limited. The subscription is issued as a personalised card to the subscription holder and is not transferable.

              I acknowledge the tariff regulations of the LSE GmbH. I hereby consent to the personal data in this application being stored and processed by LSE GmbH and passed on to the relevant printing company (printing of chip cards) for the full processing of the application.

              Note to the customer:

              The subscription period is one year. Early termination is not possible. Cancellation of the term is not necessary. A school certificate or proof of education must be presented to the LSE.

              The general fare conditions apply.

              In addition, we would like to point out that there is no obligation to wear a seat belt in local public transport (ÖPNV) according to § 21 StVO, as it is a regular service according to § 42 PBefG. All vehicles in the district of Lüchow-Dannenberg have seat belts as standard. Due to safety in the vehicle, we ask you, dear parents, to instruct your children that seat belts are available and should be worn during transport.

              Explanation:

              I certify that the information I have provided is correct and complete. I am aware that benefits received without justification can be reclaimed. I undertake to inform LSE GmbH immediately of any changes to the above information. I hereby confirm that I have taken note of the information on the use of seat belts. After processing by LSE GmbH, the ticket will be sent to you by post.





                Start of the 365-Euro-Ticket

                Valid from:

                Valid until:

                Passport photo:

                Proof/certificate: