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Information


This form should be filled out at least 30 days prior to the trip, if not we cannot be held responsible for any logistics problems that may occur during the trip.
Required Fields (*)

GENERAL INFORMATION
Client*    
Gender    
Arrival date* Departure date*
       
PERSONAL INFORMATION
Name* Last Name*
Birth* Nationality*
Nickname Ocupation
Passport N°* Expiration Date*
Date Issued* Country
       
CONTACT INFORMATION
Phone E-Mail*
Address City
ZIP code* Country*
Work:      
Phone Fax
Other:      
Medical condition / dietary restriction
Allergies (food, insects, etc)
Drinks       
Coments
Emergency contact:    
Name* Relationship
Phone* (day) Phone (night)
       
GUNS INFORMATION
1:      
Make Model:
Gauge Serial number:
2:      
Make Model:
Gauge Serial number:
3:      
Make Model:
Gauge Serial number:
4:      
Make Model:
Gauge Serial number:
       
INTERNATIONAL FLIGTHS
Arrival:      
Date Time
Flight n° Airport
Company    
Departure:      
Date Time
Flight n° Airport
Company    
       
LOCAL FLIGTHS (Argentina)
Arrival:      
Date Time
Flight n° Airport
Company    
Departure:      
Date Time
Flight n° Airport
Company    
       


 

 


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