When you need a taxi urgently, please call us: (+49) 951 - 20 80 468.
Please note, that sending this form is not a booking confirmation. You will get response via e-mail regulary within 1 working day.
telephone / cell phone number
wheel chair drive
medical indication drive (PD, hospital, etc.)
sightseeing drive (guided city tour, etc.)
heavy load assistance
description, special request (optional)
date of execution
time of execution
pick up adress: street, number, place
destination adress: street, number, place
occasion / payers
health insurance / accident insurance / pension insurance
ec- / credit card (please specify in the field "remarks")
PayPal (only airport transfer)
invoice (only companies with invoice adress in Germany)
health insurance - you need to have a written permission
remarks (invoice adress, child car seats, credit card, particularities)
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