EZ Shuttle; Service Request Form for 2025
  • 1.  Call, text or email Richard to confirm he is available.  Only after confirming his availability, THEN fill out the form.     Call or text:   ‪(828) 414-4969     OR Email: hcezshuttle@gmail.com 
  • 2. FILL IN THE FORM: After submitting,  let Richard know by text or email you submitted it.   He will confirm his receipt of the form.
  • 3. AGE LIMITATIONS: Persons under the age of 18 MUST be accompanied by an adult over the age of 18. 
  • 4. RATES: Rates may be higher than normal for early a.m. or late p.m.
  • 5. UNEXPECTED FEES: Additional fees may incur for tolls, longer than expected waits, and unusually severe rush hour.  Please estimate the time of pickup carefully.
  • View this document with all payment options.
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Email *
 What is the 1st date you want a ride? (return trips to be addressed below) *
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Primary contact's (1)name, (2)phone number, (3) number of riders  *
Pick up location and time:  Address location and desired time of pick up? *
Drop off location and/or address.   (Abbreviate Charlotte Abbreviate Airport locations as:
Charlotte: CLT, 
Asheville Airport: AVL, 
Piedmont Triad in Greensboro: PTI,
 *
Booking a return trip?  Provide date, pick up location, pick up time, and flight info if available. 
Emergency Contacts names and phone #.(If flying, include contacts for both ends of the trip. for emergencies. *
Estimated fee provided by Richard?  Please post the estimated fee given to you by Richard.  ALSO, if you would like RT to send you a request for payment on Venmo, Paypal, or Zelle, add something to the quoted fee like "Send me a request via ..."
Payment of fees:
No deposits required.  Pre-payments allowed but not required.  Payments can be made in the following forms.
Which do you prefer?  
A payment cheat sheet with qr codes is online.
Clear selection
Health issues, car sickness, fears and phobias the driver should know about? Say none if none.
Do you agree to pay any REASONABLE additional fees for unanticipated driving or wait times that may occur.  Rates can be as much but no more than $50/hour for travel and $25/hour for extra waiting. *
Special requests?  An extra fee may apply. 
Any questions?
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