Client Information Sheet Client Info SheetPlease enable JavaScript in your browser to complete this form.Name *FirstLastAddress *Street Address: Address Line 2: City: State/Province/Region: ZIP/Postal Code: Country:Email *Phone *FaxPassport NumberPassport Expiration DatePassport Issuing AuthorityDOBMonth/Day/YearOccupationAllergiesMedicationsBlood TypeNext of Kin *FirstLastNext of Kin Phone# *Observer(s) Name(s)Observer(s) Blood Type(s)Dietary ConstraintsDietary PreferencesAlcoholic and Soft Drink PreferencesShirt SizeMember ofSCIDSCPHASAOTHERNONEHave you been to Africa before?YesNoAre you bringing in your own firearm?YesNo*If Yes, then please mail the following details to admin@bushveldsafaris.com (Make, Model, Caliber, Serial Number, Ammo qty)Will you be using your own clearing agentClearing Agent Name *FirstLastClearing Agent AddressStreet Address: Address Line 2: City: State/Province/Region: ZIP/Postal Code: Country:Clearing Agent Email AddressClearing Agent Phone NumberShipping Address - Name *FirstLastPhysical Shipping AddressStreet Address: Address Line 2: City: State/Province/Region: ZIP/Postal Code: Country:Shipping Address - EmailShipping Address - Phone NumberList of Priority AnimalsAdditional Info - Which CountryDate of huntMonth/Day/YearType of HuntDurationAirline InfoAirline and Flight #Other Comments or QuestionsPlease send the following Information to admin@bushveldsafaris.comPLEASE INCLUDE: copy of your passport & proof of ownership, completed SAPS 520 temporary import application available on the "Preparations Page", signed and mail with the above mentioned info. On the SAPS 520 you must only complete: Section E (2.1-25.4), Section F (2-13), Section G ( 1-9.2), Section I (1-5), Section J (1-4)Submit
