Please complete the Booking Form below if you wish to make use of Midrand Shuttle Services.

NOTE: This is NOT a quotation form, but an official Booking.

Booking Form

Please complete this form so that we can quote you

  Please complete the fields below for PASSENGER(S):
  Name & Surname:
  Total Passengers:
  Contact Number:
  Pick-up Date:
  Pick-up Time:
  Pick-up Address:
  Drop-off Address:
  Please select if we should meet Pax inside:
  Yes ( Surecharge to meet inside)
  How will you pay:
  Do you need an Invoice?
  Yes, please
  No, thanks
  Please leave us any comments and/or suggestions: