Yellow Cabs Kamloops (Ltd.)

Fax # 1-250-374-5156

Pre-booking Fax Form

Date: (DD-MM-YY)_____________________

Your Name: ________________________________

Address: ___________________________________

              ___________________________________

             Postal Code ____________________Country_________

Home Phone # (____)________________________

Work Phone # (____)_________________________

Cell Phone #   (____)__________________________

Fax Phone #    (____)_________________________

E-Mail Address _____________@________________

Pick up Date: (DD-MM-YY)____________________

Pick up Time: ______________(Circle the Following) AM   PM

Pick up Location:____________________________________

Special Requests (e.g. Smoking/Non-Smoking, Wheel-chair accessible Van, Station Wagon, Male/Female Driver)

____________________________________________________

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Morbium

Copyright 2001 Yellow Cabs Kamloops Ltd.

Revised Febuary 8, 2001