- B Good Transportation

Passenger Name *

First

Last

Please provide the name of the primary passenger.

Customer Email Address *

Please provide the email address for the customer to whom will receive invoice and receipts.

Passenger Phone Number *

Please provide a contact phone number for the primary passenger.

BGood Transportation provides both one way and round trip non-emergency transport services to seniors and disabled individuals.

Please provide the information below for your transportation reservation to submit your invoice for payment. If you have any questions, please contact us at +1 (314) 942-1018.

Pick Up Date / Time *

Date

Time

Please provide the date and time of the primary pickup for all one way, and round trip transportation services.

Primary Pick-Up Address *

Address Line 1

Address Line 2

City

State

Zip Code

Please provide the full address for the primary pick-up location. This will be the location the services start on the day/time of the transport.

Estimated Miles

Selected Value: 0

Please provide the estimated total miles for the transport reservation. For One Way service – include mileage one way. For Round Trip service – include mileage for the full round trip. **Additional charges to base rate include $3.50 per mile. Actual mileage will be calculated in the duration of the transport. Additional invoice will be administered for mileage in excess of estimate.**

Destination Address *

Address Line 1

Address Line 2

City

State

Zip Code

Please provide the full address for the destination drop-off location. This will be the location customer is requesting transport to for one way and round trip transport services.

PLEASE NOTE: If you have any questions about completing this invoice submission, please call us! +1 (314) 942-1018

Please list whom is ordering the transport to be invoiced. *

If the transportation is ordered for personal use, just the passenger name is needed. If the transportation is ordered on behalf of a passenger by an entity, please provide the name, contact phone, and address of the entity whom should be invoiced.

Please select the transportation service type / day that matches the reservation.

Be mindful of the one-way versus round-trip selections, and whether the trip is on a weekday or a weekend. Thank you.

Transportation Services Scheduled – Weekday Rates: Monday – Friday

Weekday Non Emergency Ambulatory Transportation ONE-WAY + add’l mileage – $35.00
Weekday Non Emergency Ambulatory Transportation ROUND-TRIP + add’l mileage – $70.00
Weekday Non Emergency with Wheelchair ONE-WAY + add’l mileage – $50.00
Weekday Non Emergency with Wheelchair ROUND-TRIP + add’l mileage – $100.00

Transportation Services Scheduled – Weekend Rates: Saturday – Sunday

Weekend Non Emergency Ambulatory Transportation ONE-WAY + add’l mileage – $65.00
Weekend Non Emergency Ambulatory Transportation ROUND-TRIP + add’l mileage – $80.00
Weekend Non Emergency with Wheelchair ONE-WAY + add’l mileage – $100.00
Weekend Non Emergency with Wheelchair ROUND-TRIP + add’l mileage – $150.00

Estimated Mileage Cost – $3.50/mile *

Price: $3.50

Mileage fees are $3.50/mile in addition to the base rates for transportation above. Please provide the estimated total miles for the transport reservation. For One-Way service – include mileage one way. For Round-Trip service – include mileage for the full round trip. **Actual mileage will be calculated in the duration of the transport. Additional invoice will be administered for mileage in excess of estimate paid.**

Additional Fee – Extra Passenger

Price: $50.00

Please enter the number of additional passengers expected. Additional Fees apply for extra passengers accompanying the primary passenger. The flat rate for additional passengers is $50/per passenger.

Other Additional Charges

Should your transportation arrive and the passenger is not ready, the driver will wait a complimentary 5 minutes, each additonal minute after that is $1/minute until the passenger is boarded. These charges will be invoiced after the transportation services have concluded.

Invoice Total *

Item Quantity Total

There are no products selected.

Transportation Services Scheduled – Weekday Rates: Monday – Friday – Weekday Non Emergency Ambulatory Transportation ONE-WAY + add’l mileage 1 $35.00

Transportation Services Scheduled – Weekday Rates: Monday – Friday – Weekday Non Emergency Ambulatory Transportation ROUND-TRIP + add’l mileage 1 $70.00

Transportation Services Scheduled – Weekday Rates: Monday – Friday – Weekday Non Emergency with Wheelchair ONE-WAY + add’l mileage 1 $50.00

Transportation Services Scheduled – Weekday Rates: Monday – Friday – Weekday Non Emergency with Wheelchair ROUND-TRIP + add’l mileage 1 $100.00

Transportation Services Scheduled – Weekend Rates: Saturday – Sunday – Weekend Non Emergency Ambulatory Transportation ONE-WAY + add’l mileage 1 $65.00

Transportation Services Scheduled – Weekend Rates: Saturday – Sunday – Weekend Non Emergency Ambulatory Transportation ROUND-TRIP + add’l mileage 1 $80.00

Transportation Services Scheduled – Weekend Rates: Saturday – Sunday – Weekend Non Emergency with Wheelchair ONE-WAY + add’l mileage 1 $100.00

Transportation Services Scheduled – Weekend Rates: Saturday – Sunday – Weekend Non Emergency with Wheelchair ROUND-TRIP + add’l mileage 1 $150.00

Estimated Mileage Cost – $3.50/mile 0 $0.00

Additional Fee – Extra Passenger 0 $0.00

Total $0.00

Please double check the invoice total based on the services reserved and the transportation rates. If you need to make changes, please scroll up and adjust your selections prior to checkout.

When your invoice summary matches the expected costs of your reservation, please complete the payment below.

Credit Card Payment *

Pay My Invoice

BGood Transportation provides both one way and round trip non-emergency transport services to seniors and disabled individuals.

Please select the transportation service type / day that matches the reservation.

Other Additional Charges

When your invoice summary matches the expected costs of your reservation, please complete the payment below.