Please enable JavaScript in your browser to complete this form.Trip Info - Step 1 of 3Date / Time you need the service *DateTimePick Up Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeDrop Off Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeNextPassenger Name *FirstLastHow many passengers? *Phone *We prefer cell phone numberEmail *NextOne Way (Wheelchair Accessible Vehicle)Price: $ 25.00Cost for one rider, Wheelchair bound or regular seatName on card *FirstLastBilling Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeOptional Add Ons Add Up To 3 More Passengers $10.00Add a Return Trip $20.00 (4 Riders Included)Bring along upto 3 additional riders (4 riders in total)Total$ 0.00Credit Card NumberExp Date *CCV Code *NYC Wheelchair Transportation Customer Agreement *Check here to indicate that you have read and agree to the terms and Policies of the NYC Wheelchair Transportation Customer AgreementThank you for choosing NYNJ Taxi, All rates are estimated based on standard transfer times. The rate is exclusive of gratuity. Additional fees may apply. Rates are subject to change without notice. By booking our services, you are agreeing to accept all regulation laws, and the minimum wages for LV and TLC drivers (Note: This will not increase your quote.) and to our Terms and Conditions https://nycwheelchairtransportation.com/policies/. Please follow the links and read our policies. No Alcohol is allowed in NYNJ Taxi vehicles. Overtime: If you hired a driver by the hour and the trip takes longer than the time contracted, you will be charged hourly as needed with 10 min grace time. Car Damages: Customer is responsible for any damaged to vehicle from cigarettes (No Smoking is allow in our vehicles)WebsiteSubmit