Reservation Form -

Edit or update your contact information              Edit or update your billing information

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Subject:      

         Go to Section 3

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Fields printed in BLUE are REQUIRED

Past Customer -- Edited

We will re-confirm with you one (1) day before the reservation date by phone.

(Multiple choices may be selected by holding down the 'Ctrl' Key).

Home Phone Work Phone Cell Phone E-mail FAX        Go To Section 3

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(Billing Information is Required to Secure your Reservation Date. Only the Primary Cardholder responsible for this account may utilize this Account Online feature.  Review our Cancellation /Liability Agreements.  Review our Privacy Policy.   

I authorize My Chauffeur to charge my credit card. 

Below is my personal & credit card information.

** 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.

By checking the box above, I hereby authorize placing this credit card on file with My Chauffeur to be used on any future My Chauffeur reservations.  And 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 My Chauffeur will charge my card at the termination of each reservation contract, or at “rides end”.  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 via the terminate account page on our website.

é By selecting, "I AUTHORIZE AND AGREE" below, I hereby authorize My Chauffeur to initiate a one-time authorization on this credit card for the tours net dollar total or its equivalent to validate the card is in good standing, and to secure the tour. For my debit card, I authorize My Chauffeur to initiate a one-time authorization on this debit card for the tours net dollar total plus a $300.00 refundable deposit or its equivalent to validate the card is in good standing, and to secure the tour. This authorization will not 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, (iii) the termination of this authorization, notified from me to My Chauffeur, or (iv) the termination of the requested services ordered herein (on this contract) and a reasonable time thereafter to perform and finalize the transaction.

A Credit Card Imprint And Signature Of Your Credit Card Will Be Required on Your Reservation Date.  You May Use A Different Card From The One Above Or Cash For The Final Payment.

Go To Section 4

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(Prom Reservations)

(The credit card holder may be responsible for up to 100% of the people # indicated; please contact us for your specific liability.  For groups of 9 or more, a limo bus supplemental, to be initialed by all guests on the reservation date, will be required.)

# of people 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 or more not sure      approximate

** If you are ordering the SUV Denali, please review the Denali seating capacity. **

1-4 Passenger Town Car - 5 person max. capacity; $60.00-$70.00/ Hour (3/2 hours) * 1-4 Passenger Denali Limousine - 6 person max. capacity; $75.00 - $90.00/ Hour - see Vehicle Descriptions above 2-8 Passenger Stretch Limousine - 8 person max. capacity; $90.00-$99.00/ Hour 14 Passenger Limo Bus - 16 person max. capacity: $130.00-$150.00/ Hour Other Request (please specify under Additional Comments)

* all quoted rates do not include an automatic 20% chauffeur gratuity

Please charge me for the daily rate service.

(Options: please choose one):

1. The Passenger will pay with his/her credit card or cash.  A completed section 3 above is required; If using a credit card; a credit card holder signature is required, and the receipt given to the credit card holder.

2. Please use my credit card information in section 3 above.  Signifies Payee is not present at reservation pick-up time; no-signature account; 20% chauffeur gratuity applies.

3. Please use my Credit Card Account /Corporate Account information already on file with My Chauffeur.  No-signature account;  20% chauffeur gratuity applies.

1. e-mail receipt to: same as email address above (section 2) or "on-file" email address. 

2. U.S. postal mail receipt to:  same as billing   same as address above

(if yes, enter in additional prom pick-ups below)

Yes    No

Discount Coupon?  Code:

Gift Certificate Reservation # (if applicable):

How did you hear about us?

Is your reservation for a special event?  If so, it is for . . . 

Final Confirmation of your reservation date and vehicle will be sent to you by email or fax within 24 hours after we receive this reservation contract.   The vehicle will not be considered as “reserved” until this signed agreement is receive by us, and you receive the final confirmation from us. It is your responsibility to ensure that this communication is successful for each contract or renewed contact (if applicable), 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.

SERVICE ORDER AGREEMENT – GENERAL TERMS AND CONDITIONS:

1.     LEGAL CONTRACT: By signing this contract, you (the Customer) represent you have the authority to act on behalf of your group or organization.  If you do not have such authority, or if your group or organization does not pay the Company for its services in accordance with the terms of My Chauffeur Transportation Company’s (the Company’s) tariff, then you guarantee payment.  This document represents a legally binding contract and must be amended in writing.

2.     SIGNATURE: The total contract price stated herein is based upon the specific service requested by you.  You are therefore requested to carefully read the entire contract document before you sign it.  If you find any errors, or omissions, you should contact the Company immediately.  If the Company agrees that this document contains errors, or omissions, a new contract will be furnished to you.

3.     CANCELLATION AGREEMENT: A $100.00 deposit may be required. My Chauffeur reserves the right to cancel any tour (with full refund).   My Chauffeur reserves the right to change any tour schedule and price and to substitute or cancel stops or other features on any tour without notice with no refund.   For a customer cancellation, you must obtain a cancellation verification number from the company staff.  Cancellations without a verification number will not be accepted.  If the agreed service is cancelled by the customer, the company HAS THE OPTION TO IMPOSE the applicable cancellation charges as follows: {see refunds}

·       All tours can be cancelled by customer within 24 hours with no penalty. 

·       If customer cancellation occurs less than 9 days prior to said “charter”, up to a $250.00 charge may be charged to your reservation agreement. 

·       If reservation is cancelled less than 4 days prior to said “charter”, up to 100% of the trip charge, plus lunch costs, may be charged to your reservation agreement. 

·       If cancellation occurs within 2 hours prior to charter, up to 100% of the net total may be charged to your reservation agreement. 

Any cancellation of the said reservation must be confirmed in writing and received by My Chauffeur no later than the time line described above; or the customer’s credit card may be charged. Total # of people changes may require a re-confirmation of your tour date. 

4.     REFUNDS: Full or partial refunds during the "cancellation period" may apply at Company's discretion.   My Chauffeur will not charge you any cancellation fees, unless, beyond a reasonable doubt, we believe the vehicle and tour date would have been otherwise booked by another party had there been no reservation made by you.  If we rejected other tour requests, and feel the tour date would have been booked by a different party, then we are authorized to charge your credit card according to the terms stated in the cancellation agreement.   If we believe the tour date and vehicle would not have been booked, then My Chauffeur will not implement any charges to your credit card, and will not implement the cancellation policy, as stated in the agreement.  Furthermore, if My Chauffeur is able to re-book the vehicle and tour date after we receive your cancellation notice, then likewise, My Chauffeur will not implement any charges to your credit card, and will not implement the cancellation policy, as stated in the agreement.  In other words, you will not be charged a cancellation fee, unless we reject another reservation and are not able to re-book the tour date and vehicle. The final decision in this matter though, rests solely with My Chauffeur.  This policy does not apply to the 2-hours prior to charter cancellation.

5.     LIABILITY AGREEMENT: The Company does not agree to arrive at or depart from any point at a specified time, but will endeavor to maintain the schedule agreed upon.  Editing this document may void this document.  The credit card holder is responsible for all charges ordered in this agreement: including, but not limited to, trip costs, additional tour time, hourly time, lunches, tasting fees, winery facility tour fees, lodging accommodations, chauffeurs gratuity, pick-up location charges and other ordered costs not specifically mentioned herein; and including additional services requested en-route after this contract is sent, and up to and during the time of the contracted tour.  The credit card holder is responsible for any and all extra-accrued time on the tour date (see notes above).  The final contract price will be computed after the trip based on the ACTUAL miles or hours operated and the ACTUAL type of vehicle and the ACTUAL number of persons.  A credit card imprint and signature of the reservation credit card is required at reservation time.  Refusal to a give credit card imprint at reservation time will result in a $25.00 charge to the customer’s rental agreement.  The 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 credit card holder agrees that any of his/her or his/her guests activities or behavior deemed by the chauffeur to be illegal or perilous or if the safety of the group or chauffeur comes into question, 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.  Vehicle change requests by customer may require a $50.00 surcharge plus vehicle pricing change applies.  Tour guide duties and payment of the tasting fees (see pricing above) is a courtesy offered by My Chauffeur.  My Chauffeur is under no legal obligation to neither be a tour guide nor pay the tasting fees at any winery.  Discounts will not be given for vehicle accessory failure.  The customer may elect to end the reservation because of any vehicle accessory failure; in which case a refund will be issued to the customer’s rental agreement in the amount of the unused portion of the reservation.  Offered discounts are not guaranteed, and may be voided by My Chauffeur management at any time. 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, or inflicted by another passenger either accidentally or purposefully.

SPECIFIC LIABILITY (INJURY):  the purchaser and guests 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 lunches & supplies, wine bottle openers, broken glassware, and hot/cold beverage service supplied by My Chauffeur Transportation Company and affiliates and all other injuries or illness during the rental period not specifically covered herein.

For the above noted consideration the undersigned further agrees not to make claim or take proceedings against any other person or corporation which might claim contribution or indemnity under the provisions of any statute or otherwise.

APPLICABLE LAW:  This contract is issued in accordance with state and Federal laws and regulations.  This contract shall be deemed to have been made in the State of Oregon, and performed at least in part therein, and the enforcement and interpretation of this contract shall be subject to its laws and the applicable laws of the United States of America.  In the event that any part of this contract is declared unenforceable, the remaining provisions shall remain in full force and effect.

Damages to the following will be paid for immediately by charging the following amounts to the customer’s rental agreement:

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.  I AM AUTHORIZING TO BE CHARGED FOR THE ITEMS ORDERED WITHIN THIS CONTRACT, AS DESCRIBED IN THE LIABILITY AGREEMENT, AND AM AGREEING TO MY CHAUFFEUR'S TERMS & CONDITIONS.

Your request will be processed immediately.  A representative will contact with you within 24 hours to confirm the availability of your reservation request.  Final confirmation is issued at that time.  Please contact us if you do not receive this confirmation within 24 hours (excluding Sunday).

Submitting this form is a request for a reservation.  To