Home
About Us
Programs
Jorge Trucco
Lodges
International
Hosted trips
Contact

Home
About Us
Programs
Jorge Trucco
Lodges
International
Hosted trips
Contact

Contact

Patagonia Outfitters

PRE TRIP QUESTIONNAIRE

Personal Info

Group Name

First Name *

Middle Name *

Last Name *

City *

Street Address *

State / Province *

Country *

Postal / Zip Code *

Birth Date *

Phone

Email *

Emergency contact

First Name *

Middle Name *

Last Name *

Phone

International Flight Info

Arrival Date *

Time to Argentina *

Hours

Minutes

Arrival Airport *

Airline *

Flight Number *

Departure Date *

Time to Argentina *

Hours

Minutes

Departure Airport *

Airline *

Flight Number *

Flight Info from Buenos Aires

Departure Date *

Departure Airport *

Departure Time *

Hours

Minutes

Arrive Time *

Hours

Minutes

Arrival Airport *

Airline *

Flight Number *

Flight Info to Buenos Aires

Departure Date *

Departure Airport *

Departure Time *

Hours

Minutes

Arrive Time *

Hours

Minutes

Arrival Airport *

Airline *

Flight Number *

Personal Info

Passport Number *

Issuer country *

Passport Expiration Date *

Others

Wine Upgrade *

YesNo

Professional Film / Photography *

YesNo

Will Rent Any Of The Lodge’s Equipment *

YesNo

Will Rent Rods At The Lodge *

YesNo

Boot Size

Waders Size *

SMLXLXXLXXXL

Office

BUENOS AIRES ᛫ PATAGONIA ᛫ ARGENTINA

Phone

+ 1 832 717 9060

Email

[email protected]

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Email *

Home
About Us
Programs
Jorge Trucco
Lodges
International
Hosted trips
Contact

Contact

PRE TRIP QUESTIONNAIRE

Personal Info

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