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Bay State Taxi Secure Online Reservation
Customer E-Mail
Important: Enter a valid e-mail address. Your acknowledgment will be sent to this address.
*E-Mail:
Customer Information
*First Name:
Middle Initial:
*Last Name:
*Phone:
Pickup Information
*Date of Pickup
*Time of Pickup
Do you need a Van?
...............................................Van Requests Incur a $5.00 surcharge
*Address Line 1:
Address Line 2:
*City:
*State:
*Zip Code:
Cell Phone NumberKeep phone on at pickup time
*DestinationBe As Specific As Possible
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