Call us on: 088 00 17 121

ANWB Car Buddy

Sign up for ANWB Car Buddy

Salutation *
Initials *
Name *
Date of birth
Street name *
House number *
Postal Code *
Place of residence *
Phone number *
You can fill in the details of a possible contact person later
Email address *
I want to request transportation for: *

Outward journey

Date
Enter the date here
Time of the appointment
Enter the time of your appointment here (we will calculate what time we should pick you up)

Return journey

Date
Enter the date here
End time of the appointment
Enter the end time of your appointment here

Outward journey

Date
Enter the date here
Time of the appointment
Enter the time of your appointment here (we will calculate what time we should pick you up)

Return journey

Date
Enter the date here
End time of the appointment
Enter the end time of your appointment here
Where do you want to go? *
The hospital, the hairdresser, a specific shop? We would like to know your destination so we can make a good match with our volunteers.
Destination address *
Please note: please fill in the full address (street and house number), otherwise we cannot process your request.
Is someone traveling with you? *
Would you like guidance from a volunteer? *
I'm bringing: *
I'll bring something else (optional):
Additional questions or comments?
Who completes this application? *

You are requesting this service for someone else. To prevent problems, it is important that the client understands the request and can reschedule or cancel appointments if necessary. Is the elderly person no longer able to do this properly? Then we strongly request that you provide us with yourself or another person involved as a contact person.

Would you like to get in touch? *
Who is the best person to contact?
Contact person name *
Contact person phone number *
Contact person email address *

By submitting this form the customer agrees to the registration of personal data for the purpose of providing services.

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Navigation menu

Choose your language

Need help? We'll call you back

Enter your telephone number and we will call you back within one day.

Prefer to call yourself?

We are available on working days between 09.00 am and 3:00 p.m.
Call us on 088 00 17 121

Sign up for ANWB Car Buddy

Salutation *
Initials *
Name *
Date of birth
Street name *
House number *
Postal Code *
Place of residence *
Phone number *
You can fill in the details of a possible contact person later
Email address *
I want to request transportation for: *

Outward journey

Date
Enter the date here
Time of the appointment
Enter the time of your appointment here (we will calculate what time we should pick you up)

Return journey

Date
Enter the date here
End time of the appointment
Enter the end time of your appointment here

Outward journey

Date
Enter the date here
Time of the appointment
Enter the time of your appointment here (we will calculate what time we should pick you up)

Return journey

Date
Enter the date here
End time of the appointment
Enter the end time of your appointment here
Where do you want to go? *
The hospital, the hairdresser, a specific shop? We would like to know your destination so we can make a good match with our volunteers.
Destination address *
Please note: please fill in the full address (street and house number), otherwise we cannot process your request.
Is someone traveling with you? *
Would you like guidance from a volunteer? *
I'm bringing: *
I'll bring something else (optional):
Additional questions or comments?
Who completes this application? *

You are requesting this service for someone else. To prevent problems, it is important that the client understands the request and can reschedule or cancel appointments if necessary. Is the elderly person no longer able to do this properly? Then we strongly request that you provide us with yourself or another person involved as a contact person.

Would you like to get in touch? *
Who is the best person to contact?
Contact person name *
Contact person phone number *
Contact person email address *
By registering you agree to the General Terms and Conditions