Pre Trip Questionnaire

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 Type (*)		Gender
Arrival Date(*)		Departure Date(*)

Personal Information

First Name(*)		Last Name(*)
Birth Place(*)		Birth Date(*)
Nickname		Occupation
Passport Number(*)		Expiration Date(*)
Date Isued		Country(*)

Contact Information

Phone

E-mail(*)

Address

City

Country

Zip Code

Business

Phone

Fax

Others

Medical condition / dietary restrictions

Allergies (food, drinks, insects, etc)

Other request / comments

Drinks

Red Wine
White Wine
Beer
Soft Drinks

Emergency Contact

Name(*)

Relationship

Phone Day(*)

Phone Evening

Gun Information (must be absolutely accurate)

Note that you must include the gun serial number for each gun you register, otherwise it wont be registered.

N°1
Make		Model
Gauge		Serial Number
N°2
Make		Model
Gauge		Serial Number
N°3
Make		Model
Gauge		Serial Number
N°4
Make		Model
Gauge		Serial Number

International Flights

Arrival
Date		Time
Flight N°		Company
Airport
Departure
Date		Time
Flight N°		Company
Airport

Domestic Flights - Within Argentina

Arrival
Date		Time
Flight N°		Company
Airport
Departures
Date		Time
Flight N°		Company
Airport

Pre Trip Questionnaire

Business

Others

Emergency Contact

N°1

N°2

N°3

N°4

Arrival

Departure

Arrival

Departures

CALL OUR SHOOTING EXPERTS

ENQUIRE ONLINE

Southern Lodges Specials

Family & Friends: