GUEST PRE TRIP QUESTIONNAIRE FOR ARGENTINA
Please fill this form and send back to us.
* Lodge: La Dormida Pica Zuro Hasparren Jacana
* Type of client Shooting Non-Shooting
* Arrival date:
* Departure date
* Name:
(As it appears on the passport)
Nickname:
* Passport N°:  
Date Issued : Country:
Exp. Date:    
Note: Your passport must be valid for six months following the last day of your South American trip.
If your passport expires before then, please renew it right away.
Birth Place : Birth Date:
Occupation :
Contact Information:
Home:
Phone:   Fax:
Address: City:
Country: Zip Code:
Business:
Phone:   Fax:
Do you have a medical condition / dietary restrictions? Do you have any allergies (food, drink, insects)?
Please indicate your favorite drink
Red Wine White Wine Beer Soft Drinks
Emergency Contact
Name:   Relationship:
Phone Day : Phone Evening:
Gun information must be absolutely accurate
  MAKE SERIAL NUMBER MODEL GAUGE
NO.1
NO.2
NO.3
NO.4
International Flights, Argentina
  Arrival
    Departure
  Date: Date:
Company: Company:
Flight Nº: Flight Nº:
Time: Time:
Domestic Flights
  Arrival
    Departure
  Date: Date:
Company: Company:
Flight Nº: Flight Nº:
Time: Time:
       
   
    
THIS FORM SHOULD BE FILLED OUT AT LEAST 30 DAYS PRIOR TO THE TRIP, IF NOT WE WILL NOT
BE RESPONSABLE FOR LOGISTIS PROBLEMS THAT COULD HAPPEN DURING THE TRIP.