ONLINE ORDER FORM

If you would like to order United Taxi at LAX, Please go directly to the TERMINAL TAXI STAND and let the Airport Taxicab Supervisor know that you want United Taxi. There will always be a green and white cab waiting for you.

Reservations over the internet require a 2-hour notice. This will ensure that your order is processed on time. However, if you need a taxi now, please call one of our phone numbers.

Please fill out the form below to place your order. Fields in bold and with grey background are required.

Passenger Name:
Phone #:	e.g., 1234567890
Account #:
Company:
E-mail:
	Pick-up Address
Pick-up Time:	Hours 1 2 3 4 5 6 7 8 9 10 11 12 Minutes 00 05 10 15 20 25 30 35 40 45 50 55 am / pm am pm
Date:	/   /
Number & Street:
Unit #:	Buzz #:
City:
Zip:
Cross-Street:
Location Type:	Select Type House Apartment / Condo Business Hotel Hospital Medical Other Type   If you select "Other", please clarify in the text box at the end of the form.
Type of vehicle needed: Sedan    Van   Wheelchair Van
	Destination Address
Number & Street:
City:
Zip:
Cross-Street:
Location Type:	Select Type House Apartment / Condo Business Hotel Hospital Medical Other Type   If you select "Other", please clarify in the text box at the end of the form.
Airport:	Select Airport Los Angeles International Burbank International Ontario International John Wayne International Long Beach International Palmdale Regional Van Nuys	If you need a ride to an airport, please fill out these fields.
Airline:
Departure Time:	hh:mm am/pm
If you have any additional instructions or comments, please type them here: