Ride-Sharing Payment Method Change Request Form
Submit this form to update the payment method associated with your ride-sharing account for future rides.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Ride-Sharing Account ID or Username
*
Current Payment Method Type
*
Please Select
Credit Card
Debit Card
Digital Wallet (e.g., Apple Pay, Google Pay)
PayPal
Other
The Last 4 Digits of Your Credit Card (if applicable)
Reason for Changing Payment Method
*
Please Select
Card expired
Lost or stolen card
Switching to a different payment method
Billing issues
Other
New Payment Method Type
*
Please Select
Credit Card
Debit Card
Digital Wallet (e.g., Apple Pay, Google Pay)
PayPal
Other
Name on New Payment Method
*
Additional Comments or Instructions
Submit Request
Should be Empty: