Kaiser Permanente Transportation Services

Kaiser Permanente Transportation

Atlanta Georgia

Reservation Made By *

Your phone number *

Your E-MAIL address *

Retype your E-MAIL address *

Date and Time of Pick-up

Month *

Day *

Year *

Hour *

Min. *

AM/PM *

Passenger Name *

Passengers Cellular *

Vehicle Requested *

Number of Passengers *

Airline Flight Information

Location of Pick-up *

Location of Drop-off *

NAME ON CARD *

Credit Card Type *

Credit Card Number *

Expiration Date (mm/yy) *

Credit Card Billing ZIP CODE

*

CVV/CVV2 number on card * 🛈

Return Transportation needed ?? *

Return information (Optional)

Month

Day

Year

Hour

Min.

AM/PM

Location of Pick-up or Airline Flight Info here.

Additional information or instructions ( optional )

ALL FEES MANDATORY BY POLICY PLEASE READ.

(1) $15 ADDITIONAL PER. IN ROUTE STOPS (TRANSFERS ONLY)

OTHER FEES MAY APPLY DEPENDING ON DISTANCE.

(2) DELAY FEE FROM ATLANTA AIRPORT.

$25 ADDITIONAL EA. 1/2 HOUR DELAY TIME AT ATLANTA AIRPORT.

(DELAY TIME STARTS ONE-HOUR AFTER PLANE LANDS AT AIRPORT)

(3) DELAY FEE TO ATLANTA AIRPORT ( OR ANY DESTINATION )

$25.00 ADDITIONAL PER. 15 MINS. DELAY FOR ALL TRANSFERS.

(DELAY TIME STARTS 15 MINS. PASS PICK-UP TIME)

(4) CANCELLATIONS 4 HOURS PRIOR TO PICK-UP TIME.

(5) ALL NO-SHOWS AND LATE CANCELATIONS WILL BE CHARGED FULL RATE OF RESERVATION.

(6) A.M. service charge will apply to all reservations schedule between

12 midnight and 6:00 a.m.

By clicking Submit you agree to the terms of our policy.