INFORMATION FORM FOR ARGENTINA BIRD HUNTS/ LICENSE

Group Leader's Name:______________________________________

Date of arrival:________________ Departure:____________________

Airport:_____________ Flight#:__________ Time/Arrival:____________

What Species will you be hunting: Dove:____ Ducks:_____ Pigeons:____

HUNTERS INFO:

Name:___________________________________________________

Address:________________________________________________

City:__________________________ State:______ Zip:________

Country:_________________________

Contact: Home/cell:_______________________________

Office:_______________________________

Fax:_______________________________

E-mail:_______________________________

Passport#:____________________________ Expiration: __________________

Date of Birth: ____________________

Numbers in Party:______ Cost of Hunt: $___________ Renting Gun: Yes__ No___

Deposit Received: $________ Date Received: _____________ Check#:___________

What gauge will you be using?______________________________________________

Could we use you for future reference? Yes___ No____

Any Special Request:________________________________________________________