Blue Line Taxis - General Taxi Booking Request Form

Blue Line Taxis
Block A Unit 1, Holmer Trading Estate,
College Road,
Hereford,
HR1 1JS
(01432) 34 34 35

	General Taxi Booking Request
	If you wish to book a taxi directly on-line please complete the information below and click the "Submit" button.

Please note wherever you see an * next to a field then that field must be completed


Your Pick Up Details
Date required *	/ / Please enter in format "ddmmyy"
Pick up time *	Please enter in format "hhmm" using 24 hour clock
Pick up address (excl. post code) *
Pick up address postcode
Destination Address (excl. post code) *
Destination address postcode

Your Contact Details
Name *
Telephone Number *	Please enter numbers only
Mobile Number	Please enter numbers only
Email Address
Payment Type *	Please select from the drop down list
Number of Passengers *	Please select from the drop down list
Comments

Thank you for your time in completing this form... Please check that your details are correct and click the submit button to e-mail your taxi booking request

Tel 01432 34 34 35 or 0500 574 574 free

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