My Chauffeur Transportation & Tour Co.

Gift Certificate Application - Online

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Submit this gift certificate application by filling out the secure form below and clicking on the "submit" button at the bottom.   A representative will contact with you within 48 hours to confirm your request. 

Fax 503-261-0816    /    Toll-Free (877) 692-4283    /    Local 503-969-4370

 

Subject:  

Today's Date: 

Applicant's Information:

applicant's name:

applicant's address:

applicant's phone #:

applicants email:

Applicant authorizes My Chauffeur to sell me a:

-- Choose only 1 option below --

  1. gift certificate for $ (certificate value must be greater than $99.00, and is valid for any My Chauffeur service). 

Or...

  1. Below, describe service desired. (ex. 4 hours of limousine service for 9 people; or, full cost of a Columbia River Gorge Tour for 5 people).  For Pricing questions, please call My Chauffeur at 503-969-4370.

For Tours Only. Include lunches for everyone with the gift certificate.  If checked, you are authorizing Catered Picnic lunches to be ordered at $15 per person cost on top of the tour order above.  Lunches may not be offered on all tours.

 For Tours Only.  Pickup location charges apply outside of the Portland City Limits.  Check box to authorize a pick-up location payment of 20% of the tour cost.  I understand that this payment is additional to the tour costs ordered above and will cover all pick-up locations in the Portland/ Vancouver Metro., and is non-refundable.  If I do not authorize this charge, I understand the GC holder will be responsible for the pick-up location charge of usually 10-30% if the pick-up is outside the Portland City Limits. 

This secure page uses a 120 bit SSL encryption for your protection.

Review our Privacy Policy.   

(If you prefer to send a check by mail, please indicate above under Special Instructions below.  We will send the GC upon receipt of the check.  Our mailing address is 705 NE 91ST Ave., Portland, OR. 97220.)

This secure page uses a 120 bit SSL encryption for your protection.

Review our Privacy Policy.   

Billing Information:  (Billing Information is Required to Secure your Gift Certificate. Only the Primary Cardholder responsible for this account may utilize this Account Online feature.  Review our Liability Agreements.

I authorize My Chauffeur to charge my credit card.

Below is my personal & credit card information.

This page is secured using 128 bit SSL Certificate.

 

I have a credit card account on file with My Chauffeur

If checked, you are authorizing the use of your credit card account on file with My Chauffeur.  Do not fill in below.  Past Customer -- Edited CC Info.    Go To Section 4

Credit or Debit Card:
Credit Card Number (no spaces):
Expiration Date:      save this credit card & billing info. on-file*

Billing Info.

Same as above, Applicant info.  If checked, do not fill in below.

Name on Card:

Billing Address:
Phone #:
Alt. Phone #:
Please email purchase receipt to:

** A Credit Card Imprint and Signature of your Credit Card will be Required on your Reservation Date for the Amount Ordered Beyond the Value of your Gift Certificate.  You May Use A Different Card From The One Above Or Cash For The Payment. **

* Unless requested, we do not hold your credit card information on-file for future reservations. For an on-file request, you will receive a confirmation and you may then use your cc account for future reservations.

é By selecting, "I AUTHORIZE AND AGREE" below, I hereby authorize My Chauffeur to initiate a charge on this credit card for the net dollar total ordered above or its equivalent, to validate the card is in good standing, and to secure your gift certificate. This authorized charge will be charged against my credit or debit card or credited to my My Chauffeur account.  By placing this card on file I understand that my card information will be on file with My Chauffeur and I may initiate payments to My Chauffeur using this card. I understand that if I should become past due on my My Chauffeur fees or my account suspended, My Chauffeur may charge my fees owed to this card.  This authorization to perform charges to my card will remain in full force and effect until one of the following events: (i) the termination of my account with My Chauffeur, (ii) the expiration of my card, or (iii) the termination of this authorization, notified from me to My Chauffeur.

Recipient's Mailing Information: (info. below is not shown on the GC)

same as Applicant

same as Billing info.

Name:

Address:

Phone Number:

Complete Title of Name as it should show on the gift certificate (this will go on the "To:" line on the GC). 

Same as Recipients name  Leave Blank

How did you hear about us?

Ship to:

Recipient's mailing address

Purchaser's mailing address

Applicant's mailing address 

I understand that the Gift Certificate will be mailed to the address checked above and I am familiar that our Gift Certificates have no expiration date and are non refundable.

Shipping (please select an option)

US Postal Service First Class Mail. (Complimentary; please allow up to 6-7 business days from our receipt of payment for delivery)

US Postal Express Mail Next Business Day Hand Delivery in the Portland/ Vancouver/ Salem Metro. Area.  Delivered within 24 hrs, not guaranteed.  Nationally, 2-3 days. $8.00  Please allow up to 4-5 business days from our receipt of payment for delivery.

US Postal Express Mail Next Business Day Hand Delivery in the Portland/ Vancouver/ Salem Metro. Area.  Delivered within 24 hrs guaranteed.  Nationally, 1-2 days. $20.00  Please allow up to 3-4 business days from our receipt of payment for delivery.

Overnight shipping via Fed-X. $25.00.  Please allow up to 2-3 business days from our receipt of payment for delivery.

 

SPECIAL INSTRUCTIONS:

Final Confirmation of your gift certificate order will be sent to you by email or fax within 24 hours after we receive this gift certificate order contract.   The order will not be considered as “confirmed” until you receive the final confirmation from us.  The gift certificate and materials will be sent to you shortly after this confirmation (within 72 hours).  It is your responsibility to ensure that this communication is successful and to contact us if you do not receive the confirmation.  Please contact us if you do not receive confirmation.  My Chauffeur holds no liability and will issue no refunds due to lost communications.

LIABILITY AGREEMENT:  THE GIFT CERTIFICATE PURCHASER CREDIT CARD HOLDER IS RESPONSIBLE FOR ALL CHARGES ORDERED IN THIS AGREEMENT: INCLUDING, BUT NOT LIMITED TO, TOUR COSTS, LUNCHES, TASTING FEES, LODGING ACCOMMODATIONS, GAS CHARGES, CHAUFFEURS GRATUITY AND OTHER ORDERED COSTS NOT SPECIFICALLY MENTIONED HEREIN: AND INCLUDING CHARGES AGREED UPON IN WRITING AFTER THIS CONTRACT IS SENT, AND UP TO AND DURING THE TIME OF THE CONTRACTED TOUR.  IF NOT SPECIFICALLY ORDERED BY THE GIFT CERTIFICATE PURCHASER, ALL ADDITIONAL SERVICE COSTS ARE THE RESPONSIBILITY OF THE GIFT CERTIFICATE RECIPIENT. 

A GIFT CERTIFICATE RECIPIENT CREDIT CARD IMPRINT AND SIGNATURE OF THE RESERVATION GIFT CERTIFICATE RECIPIENT CREDIT CARD IS REQUIRED AT THE PICK-UP DATE AND TIME.  THE GIFT CERTIFICATE RECIPIENT CREDIT CARD HOLDER IS RESPONSIBLE FOR ANY AND ALL EXTRA-ACCRUED TIME ON THE TOUR DATE. If a reservation goes 30 or more minutes over the scheduled drop-off time, the next rate level or hourly rate applies.  The driver will attempt to end the reservation at the scheduled time; but ultimately the gift certificate recipient credit card holder is responsible for any and all extra-accrued time.  THE CHAUFFEUR DOES NOT HAVE THE AUTHORITY TO EXTEND YOUR TOUR TIME WITHOUT CHARGES.  EXTRA CHARGES ARE BASED ON THE PICK-UP AND DROP OFF TIMES SOLELY.  It is your reservation party’s responsibility exclusively to end the reservation at the desired time, not the Chauffeur’s).  THE GIFT CERTIFICATE RECIPIENT CREDIT CARD HOLDER ACCEPTS FULL RESPONSIBILITY FOR CUSTOMER CAUSED VEHICLE DAMAGE OR SPECIAL CLEANING, AND AUTHORIZES COMPANY TO CHARGE FOR THE EXPENSES REGARDLESS AND IN ADDITION TO ANY PRIOR UNDERSTANDING AND AGREEMENTS.  THE GIFT CERTIFICATE RECIPIENT CREDIT CARD HOLDER AGREES THAT ANY OF HIS / HER GUESTS ACTIVITIES OR BEHAVIOR DEEMED BY THE CHAUFFEUR TO BE ILLEGAL OR PERILOUS WILL RESULT IN IMMEDIATE TERMINATION OF THE JOB WITH NO REFUND.  THE COMPANY’S DECISION IS FINAL.  MY CHAUFFEUR IS NOT RESPONSIBLE FOR LOST OR STOLEN PERSONAL ITEMS LEFT ON THE VEHICLE EITHER DURING OR AFTER THE RENTAL PERIOD.  DUE TO THE NATURE OF THE 14 PASSENGER LIMO BUS, AND THAT IT IS A BUS, DESIGNED TO ALLOW STANDING, ALL PASSENGERS ARE AWARE AND DECLARE THAT THEY ARE TO REMAIN SEATED AT ANY TIME THE VEHICLE IS IN MOTION.  FURTHERMORE, DUE TO THE NATURE OF THE 14 PASSENGER BUS, AND THAT IT IS A BUS, THAT ALLOWS STANDING, AND THAT ALCOHOLIC BEVERAGES ARE ALLOWED ON BOARD, THAT EACH PASSENGER “RIDES AT THEIR OWN RISK”.  MY CHAUFFEUR WILL NOT BE RESPONSIBLE FOR ANY PASSENGER THAT INJURES HIS OR HERSELF IN ANY WAY WHILE ABOARD THE VEHICLE OR DURING THE RENTAL PERIOD.  MY CHAUFFEUR WILL NOT BE RESPONSIBLE FOR INJURIES SUSTAINED TO ANY PASSENGER, INFLICTED BY ANOTHER PASSENGER EITHER ACCIDENTALLY OR PURPOSEFULLY.

THE GIFT CERTIFICATE PURCHASER RELEASES AND FOREVER DISCHARGES MY CHAUFFEUR COMPANY, AFFILIATES AND ADMINISTRATORS AND ASSIGNS FROM ALL MANNER OF ACTIONS, CAUSES OF ACTIONS, DEBTS, ACCOUNTS, BONDS, CONTRACTS, CLAIMS AND DEMANDS FOR OR BY REASON OF ANY DAMAGE, LOSS OR INJURY TO PERSON AND PROPERTY WHICH HAS BEEN OR MAY BE SUSTAINED AS A CONSEQUENCE OF THE FOLLOWING:

  • THE CLAIM OR DISPUTE AROSE AS A RESULT OF DAMAGES OR INJURIES CAUSED AS A RESULT OF ALCOHOL CONSUMPTION IN MY CHAUFFEUR TRANSPORTATION COMPANY AND AFFILIATES VEHICLES.

  • THE CLAIM OR DISPUTE AROSE AS A RESULT OF INJURIES OR ILLNESS CAUSED AS A RESULT OF THE USE OF PICNIC BASKET SUPPLIES AND/ OR HOT BEVERAGE SERVICE SUPPLIED BY MY CHAUFFEUR. TRANSPORTATION COMPANY AND AFFILIATES.

IN THE EVENT THAT ANY PART OF THIS CONTRACT/ RENTAL AGREEMENT IS DECLARED UNENFORCEABLE, THE REMAINING PROVISIONS SHALL REMAIN IN FULL FORCE AND EFFECT.

BY AUTHORIZING AND AGREEING BELOW, I CERTIFY I HAVE READ AND UNDERSTAND THIS CONTRACT, I AM AUTHORIZING THIS TRANSACTION, AND AGREEING TO THESE POLICIES.  ADDITIONALLY, I AFFIRM THAT I AM 18 YEARS OF AGE OR OLDER.  ALSO, I AM AUTHORIZING TO BE CHARGED FOR THE ITEMS ORDERED WITHIN THIS CONTRACT, AS DESCRIBED IN THE LIABILITY AGREEMENT.

Submitting this form is a request for a gift certificate.

If we have any questions about your order, we will contact you using your contact information provided above.  Otherwise, your request will be processed immediately.  A representative will contact with you within 48 hours to verify your order.  Final confirmation is issued at that time.  Please contact us if you do not receive this confirmation within 48 hours (excluding Sunday).

Thank you for your order.

 

      

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