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Questions & Suggestions


Group leaders (contact person for group bookings), please complete the 
Flight Info Form
 for the group.

Please note that in the case of single bookings, visitors need to complete the
  Flight Info Form if applicable.  

PERSONAL INFO

Surname: 

Name: 

Age:       Occupation: 

Postal Address:       

Tel:(W)       Tel:(H)       

Mobile:    Fax: 

PASSPORT INFORMATION

E-mail:       Language: 

Passport No:       Issued At: 

Issue Date:        Expiry Date: 

Birth Date:        Place of Birth: 

Occupation: 

IN CASE OF EMERGENCIES

Please Contact: 

Tel: (H)      Tel: (W)     Mobile: 

Address: 

HEALTH INFORMATION

General Condition: 

Do you have any physical condition?

Heart Problems, Diabetes, Asthma, Emphysema or Respiratory Problems?:
(Please explain)

Allergies (specially foods) 

Medication (if taking any) 

Blood Group:       Weight:       Height: 

Smoker?  Yes     No

INFORMATION CONCERNING THE HUNT

Species Interested In:

Previous Hunting Experience: 

Preference of Food 

Preference of Beer Malt 

Preference of Wine 

Preference of Liquor / Spirits / Mix 

Hunting Method - Revolver / Bow / Rifle       Calibre 

Accompanied by:  

Other information you think might be important:

Please Note: Should you experience any problems to submit this form, please print and fax it to the 
following number: +27 15 575 1582

 

Home About us Hunting

Photo Gallery

Bookings References

Services & Facilities

Guest book

How to get there

Questions & Suggestions

Contact Us

Links


P.O. Box 164, Alldays, 0909, South Africa, Int., Tel: +27 - 82- 307 6902  Fax: +27 -86-502 9439  
Int., Cell., +27 82 978 0025
http://www.hunters-rock.co.za  E-mail, elmarie@hunters-rock.co.za 

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