Book a Ride

Please submit the below form and a member of our team will contact you to confirm your booking.
Alternatively; please email us at: bookings@relionus.co.nz

Name:
Email:
Phone:
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Pick up Address:
Pick up Date:
Pick up Time:
Drop off Address:
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Covid Vaccination Status: SelectNot VaccinatedFirst dose takenBoth doses taken
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Services Required: Please select options that applyStretcher/Gurney/AmbuletteWheelchair TransportWheelchair HireRamp Hire
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Retun trip required?YesNo
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Additional Notes/Request: