Schedule a Ride

Please fill out the form below to schedule a ride with Nankin Transit or give us a call at 734-729-2710.

Please give at least 2 days advance notice when requesting a ride online.

*This form will not guarantee a ride, you will be contacted to confirm ride availability.*

Name(Required)
First Last

Age
Gender
Address(Required)
Street Address City State ZIP Code

Phone(Required)
Email(Required)

Contact Name
First Last

Contact Phone
Mobility Status
Date of Trip

Address of Destination
Street Address City State ZIP Code

Time of Appointment

Hours

:

Minutes

AM/PM

Time to Return Home

Hours

:

Minutes

AM/PM

Type of Trip
Number of Passengers
Vision Problems

Yes

No
Hearing Problems

Yes

No
Diabetic

Yes

No
Comments or Special Instructions

Schedule a Ride

Nankin Transit

Contact

(734) 729-2710

OUr LOcation