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Cab Order Form

  

Please fill out the form and click on the Order Car Online button below.

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Today's Date:
Passenger Name:

 
Email:

Confirm Email Address:

Account:

Do you have an account?
Yes  No

Phone:

Vehicle Type: Sedan  Taxi  Wheelchair Transportation  
Pick-up Address:

City:

Major Cross Street:

Location:

House  Apartment  Business

Pick-up Time:

AM  PM
Pick-up Date:

Destination Address:

Going to the Airport:

Yes  No

AM  PM
Number of Passengers:

Type of Payment: Cash  Credit Card  Account 
Special Requirement: Medical  Senior Citizen  Child  Other 
Child Car seat: Yes  No 
Special Instructions:

  
AA INLAND EMPIRE CAB MAKES NO EXPRESS GUARANTEES FOR RIDES
AND ASSUMES NO RESPONSIBILITY FOR ANY ARTICLES LEFT IN THE CAB AT ANY TIME.
 

AA Inland Empire Cab
 3000 Date Street
Riverside, CA  92507
 1-888-333-TAXI
 (951) 369-3581   fax (951) 369-1163

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1-888-333-TAXI
 1-951-222-2291

  
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