Claim Taxi Price


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Your Name and Surname (required)

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Date of the taxi service (required)

Name or ID of the Taxi

Start address (required)

Destination address (required)

I have and can give you taxi receipt: (required)
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Description of the taxi ride:

In ottemperanza al D.L. n. 196 del 30/06/2003 (Tutela della privacy) l’invio del presente modulo autorizza la Cooperativa radiotaxi Padova S.c.a r.l. al trattamento dei dati personali inseriti esclusivamente per consentire un riscontro alla presente richiesta.