Signup for the 4 Hour Wellness Class Step 2 - Complete all the information below and click on the "Submit Request" button at the end of the form. Date: Class Requested: First Name: Last Name: Social Security Number - - Date of Birth: mm/dd/yyyy Address: NOTE Please enter the address of your current residence. This is the address your check will be mailed to. City: State: NY NJ CT PA Zip: Cell Number: DL Number: TLC Number: NOTE Please select your company base from the list. Company Base: 204 Car & Limo, INC 811 Transit Corp 844 Limo Car A List Luxury Services LLC ABA Luxury Car, Inc Ace Car & Limousine Acht-NY, LLC (Uber) Achtzehn (Uber) Admire LLP Advanced Luxury Limo Agape Luxury AIS Limousine Servic Alfred Holdings, Inc. All Access Transportation Group Inc All City Corporate T Allen Management Com Allstate Private Car AMK Luxury Car and Limo Inc. Anytime Forsyth Tran Apex Car & Limo Serv Aristacar & Limousin ASAP Luxue, Inc. Ascent Limousine, In Ashley Black Car Service LLC Asiana Limousine, In Automotive Service S Avalon Corporate Car Aventus Limp Inc. Bajwa LTS Inc. Baronas Luxury, Inc. Battery Holdings of Bejewel US Inc. d/b/a LuxCar Limo Bell LX Inc Bell Radio, Inc. Bellerose Car & Limo Inc. Bens Luxury Berlinez Inc Best Excellence, Inc Big Apple Car, Inc. BKE Blue Line Blueline Limo British Luxury Transportation C&A Black Car Corp Cabot Limo NY Corp Car Line Transportat Carey Limousine NY, Carey Limousine Stam Celebrity Luxury Inc. Central Park Limousine CET Group, Inc. Cha Cha Transportation Corp. Charge & Ride, Inc. Charlie Black Car Inc. Charlie Black Car Inc. Chief Limo Inc. Cho Associates Ltd d Citicar Transportati Citywide Corporate CJ Limousine, LLC CMS Limousine Inc. Commonwealth Worldwide Chauffeured Communicar, Inc. Concord Limousine, I Continental Ride, In Corporate Car Ltd. Cozy Ride Crestwood Car & Limo CRI Limousine Crosslands CTG Logistics D. Wiltshire Stretch D. Wiltshire Stretch Limousines, In DAG Network Transpor Danach-NY Desire Car & Limo Service Corp. Dial Car, Inc. Diane Car Service Inc. Discover Limousine Dorado Express Inc. Dreist NY LLC (Uber) Dreizehn-NY, LLC Drinnen-NY LLC (Uber DV Luxury Transportation Corp. E Cars & Limo Service Inc E5 Transportation So Eager Limo Service Eagle American Limou Eastern Luxury, Inc. Eins -NY, LLC (Uber) Einundzwanzig-NY, LLC Elf-NY, LLC (Uber) Elite Limousine Plus Empire International, Ltd Emprise LLC Endor Car & Driver, LLC Ernest Schwarz, Inc. ESQ Limousine LLC Europe Limousine Ser Eveready Limo Corp. Every Where Limo Service Inc Excelsior Car & Limo Executive of Malvern Executive/Last Radio Express Car & Limousine Services I Face Limo, Inc. FC Limousine Federal Transit, Inc. FENIX Finesse Limousine, I First Class of New Y First Corporate Seda Five Star Luxury Flatiron Transit (VIA) Fleet Management d/b Fleet Radio Dispatch Flyte Line Transport Fone-A-Car, Inc Fouta Luxury Car, In Funf-NY, LLC,(Uber) Funfzehn-NY, LLC (Uber) GAL Galaxy Gemini Global Transportation, LLC ( Gibson & Ginsey Ente Glide Luxury Transportation Inc. Gold Seal Car & Limo Golden Touch Transpo Grafe Street Service Grandville Classic, Gravitas Primo, LLC Ground Travel Services II, LTD / d/ Groundlink Group Americar GRUN LLC Gulf Luxury Inc. Harlem Cars Inc. Hino-Maru Enterprise Hinter Hondu Mex 5 Luxury Hybrid Limo Express, ICSNY Iffy Towncar Service Intaboro Iwagami Limousine, I JFK Luxury Limousine Inc. Joy Luxury, Inc. Kalia & Sons Limousi KLR Group, Inc. Kyoei Limousine Labadee Luxury Limou LaGuardia Luxury Car Service Inc. Last Radio Group Last Radio/Executive Legend Luxury Limo Inc. LFS Limo Corp Li Yang Limousine Inc. LIC Limo Service Inc. Love Love Limousine NYC L Low Touch Luxury Inc Luigi Memo/View Car and Limo LuxCar Limo d/b/a Bejewel US Inc. Luxury Worldwide Tra Lyfe Auto Group, Inc. Lyft/Tri-City, LLC Marathon Car & Limou Mariachi Car Service Inc. Maru & Kitano, Inc Mavrik Trans., Inc. Milky Way Limo Corp Mirae Calls Inc Mirage Limousine Ser Mizuma International ML Trips MLL Limousine Servic Murrays Limousine My Sedan N.Y. One Corporate C N.Y.M. Express, Inc. Nationwide Limo Corp Inc. NBT Transportation Neun-NY, LLC (Uber) Neunzehn-NY,LLC New Apple Trans Inc. New Bell Luxury Corp New Black Luxury Cars New Bushwick Luxury, Inc. New Technology Transportation Inc. New York Hybrid Car Newport Corporate Ca Nexia Transportation, Inc. NY Car & Limo Services NY Greencar NYC 2 Way Internatio NYC Midtown Limo Corp OCS LIMO Odyssey Transportati OLS Limousine Servic Olympus Car Transpor On Line Limousine LL OP Car Service Inc Optimum Car & Limo Orion Luxury Corp Oscar Limousine Inc. Ozo Cars Page A Ride, Inc. Park West Executive Partners Dynamic Sec Peter Executive Limousine Corp. B02 Planet Limousine LLC Platinum Car Corpora Plush Services Corp. Poblanita Express, Inc. Polo Limousine Corp. Praise Car and Limo Prime Time Transport Professional Chauffe Publix Transportation Group Inc. Puebla Luxury Corp Puerto Rico Express Black Luxury In Quality Executive Li Quest International Limousine, Inc. Quiet Services, Inc. RE's Westfair Regency Limousine In Ricky Limousine Serv Rockaway II VIP Serv Roosevelt Car & Limo Inc. Royal Dispatch Servi Sabo One LLC Sabo Two LLC Safe Rides Car & Limo Services, Inc SAI Executive Limo Corp. Saros Schmecken Seaman Express Corp Sechs-NY, LLC (Uber) Sechzehn-NY, LLC (Uber) Sedanz Inc SempRide LLC Showtime 2 LTD Shuttleme LLC Sieben-NY, LLC (Uber) Siebzehn-NY,LLC Skyline Credit Ride, Skyway Executive Service, Inc Standard Limo Stargate Limousine, Starlimo of N.Y. Cor Stride Limo Stride Limo Worldwide LLC SUK Incorporated d/b Summit Corporate Car Take Me 2 Inc Tel-A-Car of NY LLC TownCar Internationa Trend Transportation Tri-State Luxury Lim Tristar Services(US), Inc. Truestar Limo Corp TWR Car & Limo, Inc. Unter LLC Uraal Tech Inc. USA Limo, Inc. UTOG 2-Way Radio, In Valera Global, Inc. Velocity Transportat Vier-NY, LLC (Uber) Vierzehn-NY, LLC VIP Connection (Carl Vital Transportation VR Worldwide Inc. Vulcan Cars LLC, dba Juno W.K. Express Limo Service Weiter Westchester Acquisit Westchester Axum Corp. d/b/a Centra Woodhaven Limousine, X Y Z Two Way Radio Zehn-NY, LLC (Uber) Zwanzig-NY,LLC Zwei-NY, LLC (Uber) Zwolf-NY Road New York Enterprises, Inc. EASY CAR (EZCAR.COM) KESHES, INC Grand Transportation Services Inc. DAT Transportation Inc Ultra Black Car Transportation Corp PCS Limousine, Inc TNC-Raiser-NY, LLC. TNC Lyft, Inc. Zync Inc. (Uber) ExecTransport, Inc dba east coast Email Address: As an IDG and Black Car Fund member, you can be automatically enrolled in Drivers Benefits so that you can start using the benefits available to you as a New York Black Car driver. IDG and The Black Car Fund have worked hard to provide you with benefits including telemedicine (free access to a doctor 24/7), prescription discount cards, affordable legal service, and others. Would you like to be enrolled in Drivers Benefits for free? Yes, enroll me in Drivers Benefits so I can start using my free benefits. No, I do not want to use my free benefits right now. Your request may take a few seconds to process - Do Not press the "Submit Request" Button twice!