Hotoberfest SafeRide Service Reservation Request

Fill in the information below to request a reservation for a team of SafeRide America drivers to drive you and your car home for you. Please give us as much detail as possible.

If after submiting this reservation you would like to make changes to any detail please call us at 404-888-0887.

Name & Contact Information

First Name

Last Name

Email Address

Phone

Pick-up Details

Number of people in your party

Enter FIRM Reservation Details Here

If the pick-up time is not listed below, that means we are booked for that time.

Firm Pick-up Time

Pick-up Details

What kind of car will we be driving? Enter the make and model.

What color is the car?

Type of transmission

Automatic

Manual (Stick shift)

Special Instructions

Drop-off Details

Street Address

Address Line 2

City

State

Zip Code

SafeRide Service Rates

The Fee for SafeRide Service from this event is a $10 pick-up fee plus $2.50 per mile, plus tip to the drivers

Credit Card Information

Name on Card

Credit Card Type

Credit Card Number

Expiration Date (mm/yy)

CSC Code

Billing Zip Code

Indicates Response Required

Black	White	Gray/Silver
Light Blue	Dark Blue	Red/Burgundy
Green	Yellow/Gold	Orange
Brown/Beige	Purple	Other