Autonomous Taxi Subscription Form
Subscribe to our autonomous taxi service and enjoy convenient and hassle-free transportation.
Full Name
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Pickup Location
*
Dropoff Location
Subscription Plan
*
Please Select
Monthly
Quarterly
Yearly
Vehicle Type
*
Please Select
Standart(economy)
Premium
Suv
Preferred Payment Method
*
Credit Card
Debit Card
PayPal
Number of Passengers
*
1
2
3
4+
Promotional Code (if applicable)
Additional Comments
Submit
Should be Empty: