SafeChauffeur Reservation
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Fill in the information below to request a reservation to rent a professional SafeRide America driver by the hour to drive you and your car for you. Please be as detailed as possible. 

If after submiting this reservation and you need to make changes to any detail please read and follow the instructions at the top of this form or call us for additional information.

We will charge your credit card in advance for the total fare plus gratuity. You may cancel your reservation within 24 hours of pickup time for a full refund.  Should you cancel your reservation less than 24 hours in advance of your reservation you will be refunded the fare and gratuity previously charged to your account minus a $15 cancellation fee. If you do not cancel your reservation and you are not present when our driver arrives this is considered a "NO SHOW" and you will not be entitled to a refund. 

Name & Contact Information

Pick-up Details

Your SafeChauffeur will call you directly at least one hour before the specified arrival time. Please instruct the driver where they can safely park their car while driving for you. Please enter all details below.
Will your SafeChauffeur be meeting you at a business or a residence?  

Enter Reservation Details Here

calendar

Pick-up Details

Type of transmission  

Itinerary

SafeChauffeur Driver Request

Driver Attire Preference

Please choose one  
 

SafeChauffeur Service Rates

Are you a SafeRide America VIP Member?  
The basic rate for SafeChauffeur Service is
$35 per hour plus tip to the driver with a 4 hour minimum.

SafeRide America VIP Member Rate
$25 per hour plus tip to the driver with a 4 hour minimum.

Choose the rate that applies to you (Rate chosen will be verified and adjusted if necessary)  
By providing your credit card information below you acknowledge you have read the below "SafeRide Customer Acknowledgement and Agreement" and agree to its terms. 


SafeRide Customer Acknowledgement and Agreement

 

(1)  The undersigned customer gives permission to SafeRide America staff/contractors/volunteers to drive and operate his/her vehicle(s).

 (2)  The undersigned customer agrees to be fully and solely responsible for securing his/her vehicle(s) upon delivery of vehicle to his/her residence, including securing the contents of said vehicle(s).


 
(3)  The undersigned customer understands, acknowledges and agrees that SafeRide America and its staff/contractors/volunteers are not responsible for any damage to his/her vehicle(s) or for any lost or missing items from his/her vehicle(s). 


 
(4)  The undersigned client confirms that he/she has insurance coverage compliant with the laws of the state in which service is provided on his/her vehicle and agrees to hold SafeRide America and its staff/contractors/volunteers harmless for any damage that may be caused to said vehicle(s). 

 

As noted by providing my credit card information below, I accept the above terms.  

Credit Card Information

Although you must use a credit card to hold this reservation you can pay with this credit card, a different credit card or in cash without having anything billed to your card. We accept personal or business checks from Members ONLY.

Is this form secure? Yes. We use the same secure technology that every other site uses to transmit sensitive data. We use industry standard SSL Certificates for all secure forms. You will see the locked padlock (usually on the bottom tool bar) indicating that the form is secure.
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