UNITED TAXI SERVICES
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Authorized payment Card Holder
*
Indicates required field
Customer Name
*
First
Last
Customer Email Address
*
Bank Name
*
Bank Phone Number
*
CARD HOLDER Full NAME
*
Type Of SERVICES
*
Transportation
Food Delivery
Pharmacy Delivery
Roadside Assistance
Curbside Delivery
Trip Type
*
One way Normal Trip
Round Trip
One way with extra stop
Round Trip with Extra Stop
How Many Passengers
*
1
2
3
4
5
Pickup Address
*
Line 1
Line 2
City
State
Zip Code
Country
Drop Off Address
*
Line 1
Line 2
City
State
Zip Code
Country
Upload ID/Drivers License Helps Verify Real Rides
*
Max file size: 20MB
Protection against fraud transactions
I Agree to let united Taxi Services charge my bank for the services I am requesting I also agree to the price that I was quoted below I also acknowledge that I will pay for services by invoice
*
Yes
No
Cancellation Policy I understand that all sales are final and that there are no refunds for cancelled orders on invoices or online payments or online appointments
*
Yes
No
Customer Name
*
First
Last
Date of service
*
Card Holder Name
*
First
Last
If you are not the card holder please have the card sign the agreement as well to avoid any fraud
Date of services
*
Transaction Amount quoted by United Taxi Services
*
Tip Amount if any please enter a dollar amount
*
Submit
HOME
DOWNLOAD OUR APP
BOOK A RIDE
CREATE CUSTOMER ACCOUNT
>
SETUP CORPORATE ACCOUNT
>
MANAGE BOOKING PORTAL
FINANCING RIDES
AFTER PAY SERVICE HELP PAGE
>
Support Videos
SERVICE LOCATIONS AREAS
LIVE CHAT
BECOME A DRIVER
AIRPORT BOOK RIDE
services we provide
about the company
DISPUTE CENTER
DONATION
HELP GUIDE