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ACCOUNT CUSTOMER BOOKING REQUEST

For any price inquiry or provisional booking, please complete the following form:

Please provide a minimum of 2 HOURS NOTICE of booking.

Date: Day    Month    Year

Time:

hr   min

Account Name

Order Number*

* if applicable

Passenger(s) Name

Pick-up Address

PLEASE INCLUDE POSTCODE

                      Via

Destination

  Number of passengers

  Vehicle preferred

Passenger's Mobile

Contact name
Contact Telephone
Contact Email

Additional Information required

 

 Please complete a separate form for your OUTGOING & RETURN bookings

 

Please note that submission of this form does not constitute a firm booking

until you receive our verbal or written confirmation


Copyright © 2007 Gemini Taxis  |  Last modified: 13-May-2008