Driver-By-The-Hour Reservation Request Form

To make a reservation complete and submit this secure form. The "SAVE & RETURN" feature is optional.

PLEASE NOTE: RESERVATIONS NEED TO BE MADE AT LEAST 24 HOURS IN ADVANCE.

For rides with less than a 24-hour notice, please call 404-888-0887 and we will try our best to accomodate your request.

CURRENTLY OPPERATING IN THE METRO ATLANTA AND SURROUNDING AREAS

Save & Return

Use an account to return to saved work.

Name & Contact Information

First Name *

Last Name *

Email Address *

Phone *

Pickup Details

Your driver will call you up to 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 driver be meeting you at a business or a residence? *

Business

Residence

Please enter the name of the business, sub-division or apartment complex if applicable?

Street Address *

Address Line 2

City *

State *

Zip Code *

Number of people in your party *

Reservation Details

Date Service Needed? * +

Enter the time that the driver should arrive *

Enter the estimated end time *

Vehicle Details

What kind of car will we be driving? Enter the year, make and model please. Example: 2020 Ford Explorer *

Type of transmission *

Automatic

Manual (Stick shift)

Itinerary

Please enter as much detail as possible about your itinerary: times, business names, and addresses, special instructions etc. This will help ensure superior customer service.

Driver Request

If you prefer to have a particular driver, enter their name here.

Do you prefer a male driver, female driver, or no preference? Please choose from the drop down. *

Driver Attire

Please choose one *

SafeRide attire (white dress shirt, black vest, tie, black slacks)

Formal, coat & tie

Semi-Formal, coat without tie (male driver); white blouse, tie (female driver)

Business casual

No preference

Other (Please describe) Other (Please describe)

Rates

Select the level of service *

$35 per hour plus gratuity (4 hour minimum)

$200 per day plus gratuity (up to 8 hours)

$160 per day plus gratuity (2 consecutive day minimum)

Terms

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.

Payment

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.

Name on Card

Credit Card Type

Credit Card Number

Expiration Date (mm/yy)

CSC Code 🛈

Billing Zip Code

PLEASE NOTE: RESERVATIONS NEED TO BE MADE AT LEAST 24 HOURS IN ADVANCE.

For rides with less than a 24-hour notice, please call 404-888-0887 and we will try our best to accomodate your request.