On-line Registration Form


Please fill up the form below to book a taxi cab / Limousine from Ur Cab & Limousine Service.
Enter Your Email:*
Enter Your Name:*
Contact Number*: Enter the phone number at which we can reach you, to confirm the booking and at the time of pickup.
Enter Contact No:*
Pick up date time*
Pick Up Address*: In this column, please provide the complete address from where the pickup is required. Please include the flight details in case you need pickup from an airport.
Pick Up Address:*
Destination Address:*
Type of Vehicle:*
Additional Instructions / Information:
How did you hear about us?*