GO GO 401 多倫多長者接送服務 Toronto Senior Transportation Booking Form

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GO GO 401 多倫多長者接送服務 Toronto Senior Transportation Booking Form

請填寫以下表格並提交給我們。我們將盡快回覆您並提供報價和詳細資訊。
Please fillout the following form and submit to us. We will get back to you shortly with quotation and details.

Email *

姓名 Your Name *

電話 Phone number *

聯絡方式 Preferred communication *

電話 Phone

短訊 SMS

Other:

長者年齡 Age
*

上車地點 Pickup Address(es) *

落車地點 Destination Address(es)
*

服務日期 Date Request *

YYYY

上車時間 Time Request *

Time

乘車人數 Number of passengers *

Other:

是否使用輪椅或其他輔助？ Do you have wheelchair or walker? *

YES

Required

是否行407收費公路？Prefer 407ETR *

YES

Required

其他須知 Note

Disclaimer: By submitting this form, you agree to allow GO GO 401 to contact you directly. Your privacy is important to us; rest assured that we will not share your information with any third-party companies.
免責聲明：通過提交此表格，您同意允許 GO GO 401 直接聯繫您。您的隱私對我們來說非常重要；請放心，我們不會將您的資料分享給任何第三方公司。
*

I have read and acknowledge the above disclaimer. 我已閱讀並理解上述免責聲明

Required

A copy of your responses will be emailed to the address you provided.

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