wheelchairmaxi.com
please book early to avoid disappointment / subjected to availability
WhatsApp number
*
Name
*
Email
skip email
Back
Next
Pickup address*
Pickup address (R)*
For existing clients
Use my home address
Pickup Address / Indicate where to pickup
*
Dropoff Address / Indicate where to dropoff
*
Dropoff Address*
Dropoff Address (R)*
Back
Next
Distance Calculator
Ride Distance
*
first 10km
11-15km
16-20km
20-25km
25-30km
> 30km
Vehicle Type
*
Any Type
Small
Big
Number of Wheelchair bound passengers
*
Please Select
One wheelchair
Two wheelchairs
Three wheelchairs
Four wheelchairs
Zero
Number of Extra Passengers
*
Please Select
1
2
3
4
0
Luggage
*
Please Select
No Luggage
With Luggage
Back
Next
Selection
*
I need a pickup now ( 5 to 45 mins waiting )
Advance booking
Require
*
One Way
Round Trip
When
*
Today
Tomorrow
Day After Tomorrow
Some Other Dates
Pickup Time
*
-
Year
-
Month
Day
Date Picker Icon
00
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
:
Hour
00
05
10
15
20
25
30
35
40
45
50
55
Minutes
Calculation
Return in
30 mins
1 hour
1.5 hours
2 hours
2.5 hours
3 hours
3.5 hours
4 hours
4.5 hours
5 hours
clear
Return Time
-
Year
-
Month
Day
Date Picker Icon
00
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
:
Hour
00
05
10
15
20
25
30
35
40
45
50
55
Minutes
Time confirmed
No
Yes
(Ming Li) Going
Office
Gleneagles
Camden
Farrer Park Hospital
MT E Novena
MT Alvernia
Aldephi
Bedok
J Gateway
West Coast Plaza
Additional Notes / Remarks / Flight Number
Payment Mode
Cash
Paynow
Credit Card
Account
UEN
Pay
prev
next
( X )
SGD
Terms and Conditions
Enable
Vehicle type
Ride
Booking status
Confirmed
Cancelled
Company Name
Kabam
Wecare
Home Instead
Church
Bill To
Discount / Extras
Total ($)
Total ($) cc
Promo Code
Submit
Tracking number
Tracking number
Cost Breakdown
Trip A
Ride Cost
Surge (holiday)
Surge (odd hours)
Surge (weekend)
Type of Wheelchair Vehicle A
Number of Wheelchairbound Passengers A
Luggage fee
Trip B
Ride Cost (B)
Surge (holiday) B
Surge (odd hours) B
Surge (weekend) B
Type of Wheelchair Vehicle B
Number of Wheelchairbound Passengers B
Luggage fee B
admin use
current time filled
-
Month
-
Day
Year
Date
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
05
10
15
20
25
30
35
40
45
50
55
Minutes
AM
PM
AM/PM Option
current time empty
-
Month
-
Day
Year
Date
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
Minutes
AM
PM
AM/PM Option
Dummy Date Time
-
Month
-
Day
Year
Date
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
first ride timing
second ride timing
Should be Empty: