Guest Pre Trip Questionnaire for Argentina

Please complete this questionnaire and send at least 20 days before your departure

LODGE
El Cortijo Cuatro Soles El Pucará
TYPE OF CLIENT GENDER
Shooting Non Shooting Male Female
Arrival date	Departure date
Name (as it appears in your passport)	Nickname
Passport Nº	Country
Date isued	Expiration 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	Email
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
Phone	Relationship
Phone day	Phone evening
GUN INFORMATION
Nº1
Make Serial Nº Model Gauge
Nº2
Make Serial Nº Model Gauge
Nº3
Make Serial Nº Model Gauge
Nº4
Make Serial Nº Model Gauge
AIR FLIGHTS
International Flights, Argentina
Arrival
Date Company Flight Nº Time
Departure
Date Company Flight Nº Time
Domestic Flights
Arrival
Date Company Flight Nº Time
Departure
Date Company Flight Nº Time
Send