Thank you for contacting us.  We will respond to your inquiry as soon as we receive your information.   Please don’t hesitate in asking any an all questions – we are here to help! 

Completion of the form below will better help us answer your questions and ensure the correct contact information.  If you have any immediate questions – please feel free to call the toll free number for a Black River Representative.

Thank you.

 

Contact Form

Name

E-mail

Subject

Message


 

Hunter Details

Passport Details

   

First/middle name
(as shown on passport)

A value is required.

Last name
(as shown on passport)

A value is required.

Passport number

A value is required.

Date issued (dd/mm/yyyy)

A value is required.Invalid format.

Passport expiry date (dd/mm/yyyy)

A value is required.Invalid format.

Citizenship

A value is required.
Birth date (dd/mm/yyyy) A value is required.Invalid format. Birth place A value is required.
       

Contact Details

   
Preferred name/nick name    
Address A value is required. Address (cont.)
City A value is required. State/Province A value is required.
Zip Code A value is required. Country A value is required.
Telephone A value is required. E-mail Invalid format.A value is required.
Cell phone Fax
       

Contact details in case of emergency

   
Contact name Relationship
Day Telephone Evening Telephone
       

Other information:

   
Do you speak Spanish?


Medical/physical conditions you would like us to know of:
Diet restrictions or special food requests:
 

Gun information (must be 100% accurate)

  make model gauge serial number
1
2
3
4
 

Additional comments you would like to add

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Marca de aceptación
Our Offices
U.S. OFFICE

5130 Highland Road
Suite D
Baton Rouge, LA 70808

Toll Free: 1866 477 0917
infoblackriver@gmail.com

URUGUAY OFFICE

Leyenda Patria 2980 Ap 04
C.P. 11100
Montevideo, Uruguay

Nacho Cell: +598 98 144 762
Pablo Cell: +598 98 722 969
nacho@blackriver-outfitters.com
pablo@blackriver-outfitters.com

SPAIN OFFICE

Dpto. Caza
Viajes El Corte Inglés, S.A.

Ph.- 913 822 280
Fax.- 913 820 272
caza@viajeseci.es