Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State
Post Code
Please upload a copy of your Driver License
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Registration Type
Private Name
Business Name
Business Name
Phone Number
Please enter a valid phone number.
Registration Usage
TAXI
Standy By Taxi (STBX)
Hire Car (HICR)
Taxi Network
Please Select
GM Cabs
13 Cabs
Silver Service
Premier Cabs
Legion Cabs
Manly Cabs
Other
Please Specify Taxi Network
Vehicle Shape
Sedan
Wagon
Van
Registration Type
New Vehicle (Blue Slip Required)
Existing Vehicle (Pink Slip Required)
Registration Number
Opt In (Quarterly CTP Reading Required)
Yes
No
Please Upload a copy of your Registration/Inspection Certificate
Browse Files
Drag and drop files here
Choose a file
Cancel
of
VIN Number
Vehicle Year
Vehicle Make
Vehicle Model
Submit
Should be Empty: