Thank you for booking with C&C Outffiters, we are really looking to meet you and show you a great time.
Please complete this questionnaire per persond at least 20 days before your departure. It will help us provide you a better service.
We need your your complete name and passport number in order to buy your hunting licence before you arrive. Additional information will be needed to coordinate airport pickup and other details to make sure we can provide you with a great service during your hunting trip. Please indicate if you have any additional details you would like us to konw. Thank you for choosing C&C Outfitters!

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(*).
Lodge(*):
Casa Rosada LodgePucara LodgeCuatro Soles Lodge
Client Type(*):


Gender:


 
Arrival
Date(*):


Departure
Date(*):


Personal information
Name(*):

 

(as it appears on your passport) 		Last Name(*):

  

(as it appears on your passport)
Passport Number(*):

 
 NickName:

 
Date Isued:


Country(*):


Birth Place:

Expiration Date(*):


Occupation:


Birth 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.

Contact Information
Phone:

E-mail(*):


Address:


City:

Country:

Zip Code:


Business
Phone:


Fax:

 
Others
Do you have a medical condition / dietary restrictions?:

Do you have any allergies (food, drink, insects)?:

Do you have any other request or comments?:


Please indicate your favorite drink:

Red WineWhite WineBeerSoft Drinks
Emergency Contact
Name(*):

Relationship:

Phone Day(*):


Phone Evening:

Gun information must be absolutely accurate
Nº1
Make


Model


Gauge


Serial Number


Length Of Barrel


Nº2
Make

Model

Gauge

Serial Number

Length Of Barrel

Nº3
Make


Model


Gauge


Serial Number


Length Of Barrel


Nº4
Make


Model


Gauge


Serial Number


Length Of Barrel


International Flights
Arrival
Date


Time

Flight Nº

Company

Arrival Airport

Departure
Date


Time

Flight Nº

Company

Departure Airport

Within Argentina
Arrival
Date


Time

Flight Nº

Company

Arrival Airport

Departure
Date


Time

Flight Nº

Company

Departure Airport