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.

Champ obligatoire Lodges of interest*
Champ obligatoire Places of interest*

Personal Information

Note: Your passport must be valid for six months following the last day of your trip. If your passport expires before then, please renew it right away.

Contact Information

Others

Please indicate your favorite drink

Up to 5 days U$ 40 all incl. drinks per person
Up to 10 Days U$ 80 all incl drinks per person

Trophy mounting Preference

Emergency Contact

Gun information

Gun information must be absolutely accurate

Make

Model

Serial Number

International Flights

Domestic Flights

Send