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Form for DRIVER looking for passangers

Information concerning the journey
I go from:*
Via:
To:*
Typ of the car:
Colour of the car:
Number of the car:
Place of meeting:
Seats in the car:
Date: :
Back: :
Note:
>
Surname:*
First name:
Street and no:
Town:
Zip code:
Telephone:*
Fax:
E-Mail:*
Note: