Registration Form

Registration Form

All Company and/or driver information will be verified before you can access & use our BunkoBook database.
Only licensed taxicab companies and/or licensed taxicab drivers are permitted to submit phone numbers.
The General Public is NOT permitted to submit or view any information in our BunkoBook database.
Once we verify your registration, you will receive a User Name & Password

Please fill out the following information:

Company Name
Company Address
Company City, State, & Zip
Company Web Site
Contact Name (person submitting this form) Contact Phone Number
Phone Number for Taxicab Company in which you drive for (include area code)

Your E-Mail Address

Do you have a PayPal account to accept a Direct Removal Payment?
No Yes

If Yes:

Email address to accept Direct Payments through PayPal.
Your Meter Drop
Your Meter Rate per Mile

How did you hear about this web site?
Another Company Recommended
Link from Website @ www.
Recommended by a Friend
Search Engine
Other

Please submit comments and/or any additional information:

This information will NOT be used for any other purpose than to process your request at WWW.NOTAXICAB.COM