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Taxi Conventionné
CPAM
+33 (0)6 16 84 62 11
damien.ferrero@abcdtaxi.com
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Patient transport service
Conventionné
Quotation
Form page
Contact
Quotation form
If you wish to have a quote, kindly fill in this form and we shall answer you without delay.
Accepted means of payment :
Cash, cheques, secure credit cards, bank transfers (for companies)
Surname
(*)
Please type your full name.
Phone Number
(*)
Entrée non valide
Number of people
(*)
Select number of people
1
2
3
4
5
6
Please tell us how big is your company.
Kindly tell us if you need a baby seat or a booster seat.
Entrée non valide
First name
(*)
Thank you for typing your name
E-mail address
(*)
Invalid email address.
Do you need a child car seat?
Yes
No
Your outward journey :
Place/Hotel/departure address :
Entrée non valide
Place/Hotel/arrival address :
Entrée non valide
Date and hour of departure
Entrée non valide
Your return journey :
Place/Hotel/return address :
Entrée non valide
Date and hour of return :
Entrée non valide
Date and hour of departure
Entrée non valide
Please tick if you are travelling with
Skis
Snowboards
Bulky luggage
How many skis ?
Select number of skis
1
2
3
4
5
6
7
Please tell us how big is your company.
How many snowboards?
Select number of snowboards
1
2
3
4
5
6
7
Please tell us how big is your company.
How many bulky items ?
Select number of bulky items
1
2
3
4
5
6
7
Please tell us how big is your company.
Other questions concerning your quote :
Entrée non valide
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