REQUEST RIDE TEST MODE

Complete all required fields and review your calculated ride total. When you select Next, your information will be validated and securely prepared for the Stripe payment step. Your booking is not complete until payment is successfully processed.

Ride Payment Information

Who Is Paying for This Ride? *

When another person is paying, their contact information and permission to receive a payment link or invoice are required.

Payee Information

First Name *

Last Name *

Email Address *

Phone Number *

Home Address *

City *

State *

ZIP Code *

Permission to Receive a Payment Link or Invoice? *

Customer Information

First Name *

Last Name *

Phone Number *

Email Address *

Pickup Information

Pickup Address *

Pickup City *

Pickup State *

Pickup ZIP Code *

Pickup Date *

Pickup Time *

Drop Off Information

Is the Drop Off Address the Same as Pickup?

Drop Off Address *

Drop Off City *

Drop Off State *

Drop Off ZIP Code *

Extra Stop

One extra stop may be added for $5.00.

Extra Stop Address *

Extra Stop City *

Extra Stop State *

Extra Stop ZIP Code *

Trip Details

Total Miles *

Select or enter the total trip mileage. Each mile costs $1.25.

Number of Passengers *

The first two passengers are included. Each passenger after two costs $1.00.

Number of Luggage Items

Each luggage item costs $1.00.

Trip Type *

Return Date *

Return Time *

Notes, Instructions, and Arrival Contact

How Should We Contact You When We Arrive? *

Customer Notes

Driver Instructions

Cancellation Policy Agreement and Signature

Ride Cancellation and No Refund Policy: After transportation service has been paid for, payments are nonrefundable unless United Taxi Services cannot provide the service. If the customer cancels, misses the pickup time, gives incorrect pickup or drop off information, does not answer dispatch or the driver, or is not ready when the driver arrives, the paid ride amount may be forfeited. When United Taxi Services cannot provide the service, the paid value may be applied as a credit toward a future ride of equal distance, subject to confirmation by dispatch.

Who Is Signing This Policy? *

Signer First Name *

Signer Last Name *

Signature Date *

I have read and agree to the ride cancellation and no refund policy. *

Live Billing Summary

Mileage Charge 0 miles × $1.25 per mile

$0.00

Passenger Charge First two passengers included.

$0.00

Luggage Charge 0 luggage items × $1.00

$0.00

Extra Stop Charge No extra stop selected.

$0.00

One Way Subtotal Mileage, passengers, luggage, and extra stop.

$0.00

Trip Type Adjustment One Way selected.

$0.00

Estimated Total $0.00

This estimate is based on the mileage and options selected by the customer. United Taxi Services may confirm the route, mileage, availability, and final price before service begins.

Thank You for Choosing United Taxi Services

Your ride information has been prepared for payment. Continue through the Stripe checkout process to complete your booking. Your booking is not confirmed until payment is successfully processed.

Estimated Total: $0.00

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