LOCATIONS (Required)

Please enter your Pickup Address and Destination Address in the appropriate fields below. If you are unable to enter the information please give us a call at (704)701-7392.

SCHEDULE (Required)

Please choose your trip type, and the times and dates for pickup. If you would like to arrive at a specific time you can select that here as well.


 

 

PASSENGER INFORMATION (Required)

The information provided is for the passenger of the trip you are booking.

 

 

 

ADDITIONAL PASSENGER INFO (Required)

Please provide us the birth date, weight and gender for the passenger. This will allow us to accommodate the passengers specific needs.

 

YOUR INFORMATION (Required)

We will contact you at this phone number for payment information and final confirmation. You will also receive an email at this address with your trip details.

 

VEHICLE OPTIONS (Required)

Sedan For passengers that can walk. Our trained driver-provider can assist from door to door, getting in and out of vehicle, storing walkers, and assisting with seat belt. Wheelchair Accessible Van For passengers that are in a wheelchair. Our trained driver will wheel passenger from door to door, secure wheelchair in vehicle and ensure passenger is comfortable.

 

NOTES

If there are any special requirements, pickup instructions and/or information we need please let us know here.

 

**PLEASE NOTE** The 'Submit' button will not appear until all required fields have been populated.