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Taxi-Online-Order
Orderer:
Email:
"One-way" or Outward Journey and Return fare (please select):
Outward Journey + Return Fare
Only Outward Journey
Only Return Fare
(By order a One-Way please fill only Outward Journey or Return Fare.)
Outward Jouney
Datue:
Pick Up Time:
:
AM/PM
From City:
Street:
No.:
Name:
Persons:
Tel.:
To City:
Street:
No.:
Return Fare
Date:
Pick Up Time:
:
AM/PM
From City:
Street:
No.:
Name:
Persons:
To City:
Street:
No.:
Payment:
EC, Credit Card
(more than € 20,--)
(what kind please write by "notes")
Notes:
Invoice ( only Firms! )
(
for example:
Golfbags,
Babyseat,
if yes,
Cash
what kind of?)
Billing Address:
Firm
:
Name
:
Street
:
Postcode, City/Country
:
