Taxi Medallion Owner Driver Association
Please provide us with some information so we can get in contact with you to tell you about future events.
First Name *
Please write your given name.
Your answer
Last Name *
Please write your family name.
Your answer
What is your Medallion Number? *
ie. 1G78
Your answer
Are you a Owner/Driver? *
What is your phone number? *
If possible please provide a number that can receive text messages. ie (123) 456-7890
Your answer
What is your email address? *
Please provide a valid email address, if none write N/A. ie. johndoe@domain.com
Your answer
How many Medallions do you own? *
Do you want to be contacted for future communications? *
*Text messaging charges may apply, if applicable.
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