Please fill in the form below and again for every additional taxi:
Owner Full Name* Owner ID Number* Owner Mobile Number* Confirm Owner Phone Mobile* Owner Address*
Taxi Information Operating Province* —Please choose an option—GautengEastern CapeWestern CapeFree StateKwazulu-NatalLimpopoMpumalangaNorthern CapeNorth West Association Name* Driver Address Driver Mobile Number* Card Number (Optional) Registration Number* Upload an image of your Rewards Card (Optional)
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