My Chauffeur Limousine & Tour Co.

Portland, Oregon

503-969-4370  |  877-692-4283

Reservation Form

All Hourly, Point to Point Charter, Wedding, Funeral & Daily Service

Rates

(Secure Form-SSL Encryption. The information is protected using the industry standard SSL)

You may submit this reservation request by filling out the secure form below and clicking on the "Submit" button at the bottom.  Please follow the instructions below.

Internet reservations must be made AT LEAST 24 HOURS IN ADVANCE!  If your reservation is within the next 24 hours, please do not use this form.  Call a # above to speak with a reservation agent.

Instructions

È

 Past/Current Customers Only:

  • If you have made a reservation with us at any time in the past, either over the phone or on-line, fill in section 1, section 3, & section 4 only, then hit the "Submit" button at the bottom.  To edit any contact or billing information, see section 2.

 New Customers:

  • If you have never made a reservation with us before, skip section 1, and fill in section 2, section 3 & section 4, and hit "Submit" at the bottom.

1

Current (past) Customers only:

Subject:

Today's Date:

Full Name:

E-mail:

Phone:

    

new customers

current (past) customers

 

2

New Customers:

Gold letters = response required

Subject:

Today's Date

Full Name 

Organization

Address

City

State/Province

Zip/Postal Code

Country

U.S.A.    

Phone # 1

   Work  | Home  | Cell   /  confirm*

Phone # 2

   Work  | Home  | Cell   /  confirm*

Phone # 3

   Work  | Home  | Cell   /  confirm*

FAX

E-mail

  * My Chauffeur will use this phone # for your confirmation call. Please choose just one.

All Customers; Go to Section 3

 

 

 

3

 

Billing:

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

Billing information is required to secure your wine tour reservation.  Only the Primary Cardholder responsible for this account may utilize this Account Online feature.  You may use a any credit card or cash (4% discount) for the final payment. If you choose to use a different credit card; the reservation will be secured with the card listed below.  Review our Cancellation/Liability Agreements below. Review our Privacy Policy.

I authorize My Chauffeur to charge my credit card.     This page is secured using 128 bit SSL Certificate.

Below is my personal & credit card information.

CARD ON FILE.  Use my credit card account on file with My Chauffeur**  If checked, you are stating that you have set up a credit card account with My Chauffeur.  And you are authorizing the use of this credit card account on file with My Chauffeur.  Do not fill in below.  Go To Section 4 or Edit past info (see below)

INFO. EDITED (past customer).  Check box if you would like to edit your CC Account Info., fill in below.
Credit Card #:

Contact us at 503-969-4370 or toll-free 877-692-4283) to give us this info.  Or you may leave your phone # here (phone # same as above) and we will contact you.  After we contact you and receive this info, we will then confirm your reservation.  Please continue with sections below.

You may choose to save your CC info on-file and/or fill in the CC billing info below, if desired.  You may view
Save Credit Card # on file:

save this credit card & billing info. on-file **  If box is checked, after we receive your CC info, for convenience, we will save it on-file to be used for future reservations.
Enter your Credit Card Billing Info:    Billing address is the same as info above, section 2.
Name on Card:

Street or P.O. Box:

City:

State:

Zip Code:
Country U.S.A.    
I will be paying final bill by: Credit Card Debit Card Cash Undecided
 
* ** *** see Billing Terms & Conditions

All Customers; Go to Section 4

 

 

4

Reservation Type:

Rates

Passenger Name:

same as above; sec. 1 or sec. 2

  

Reservation Date:

   Service Order Agreement - Cancellation/Change Date Policy

Pick-Up Address & Time:

 

P/U Location  -  For PDX (airport), see below.

P/U Time:

D/O Time:

 

 P/U Address same as address above (section 2) or 'on-file' home address.

Street Address:

City:

   

Zip Code:

  

 

PDX (Airport) P/U Location (if applicable):

Airline:

Flight #:

From which city:

Landing Time:

  AM  |  PM

Checked Baggage?

 YES   |  NO   |  UNKNOWN

 

Final Drop-Off Address: 

 

PDX:

check box for PDX drop-off address
  D/O Address same as address above (section 2) or 'on-file' home address.

Street Address:

City:

Zip Code:

Number of Passengers:

The credit card holder may be responsible for up to 100% of the person # indicated and/or the vehicle minimum person requirement; 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 tour date, will be required.

  approximate #  

Itinerary (stops en-route or off-route): (optional, if applicable)

(you may notify of this later if desired)

STOPS EN-ROUTE: Town Car $5-$15 per stop (point to point only); base charge is based on the furthest stop.  STOPS OFF-ROUTE: Reverts to the vehicle hourly rate. 

  Do not include the P/U or D/O locations in the itinerary

1st stop:

2nd stop:

3rd stop:

4th stop:

5th stop:

additional stops go in comments box below

Vehicle Requested (optional):

Vehicle Info & Terms

Vehicle Rates

Multiple vehicles may be selected by holding down the 'Ctrl' Key.

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

Please book me for the daily rate service.
 

5

 

 

Final Payment Instructions:

Choose receipt option below: (more than 1 option may not be selected)

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 passenger.

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

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

Choose receipt option below: (more than 1 option may not be selected)

Give to passenger

same as email address above

Email to:

same as billing  |  same as address above or on-file address

Mail U.S. postal to:

Any comments/special instructions or additional pickups:

Other: (optional)

Discount Coupon Code:

Gift Certificate Reservation # (if applicable):

How did you hear about us?    Other:

 

Thank you for your order.

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.

BY AUTHORIZING AND AGREEING BELOW, I CERTIFY I HAVE READ AND UNDERSTAND THIS CONTRACT, I AM AUTHORIZING THIS TRANSACTION, AND AGREEING TO THE TERMS & CONDITIONS.  ADDITIONALLY, I AFFIRM THAT I AM 21 YEARS OF AGE OR OLDER.  I AM AUTHORIZING TO BE CHARGED FOR THE ITEMS ORDERED WITHIN THIS CONTRACT, AS DESCRIBED IN THE LIABILITY AGREEMENT.

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. 

This transaction is not final until you 'sign' and click the 'SUBMIT FORM' button below.

 

 TYPE SIGNATURE: 

*

* Type name, agree to the Terms & Conditions and click the 'SUBMIT FORM' button to submit.

Terms and Conditions
 View Terms and Conditions

I agree to the Terms and Conditions.

I DO NOT agree to the Terms and Conditions.

Security Notice: This form features secure SSL technology.

  

Click only once and
wait for the confirmation.

                                                 

 

TEL: 503-969-4370

Toll-Free: 1-877-692-4283

My Chauffeur
Copyright © 2003-09 [My Chauffeur Transportation Co.]. All rights reserved.
Revised: May 10, 2010

24/7 Service - My Chauffeur Office Hours

503-969-4370  |  877-692-4283

(intnl: +1 503 969 4370)

Back to Home

Monday - Friday

7am - 8pm (Pacific Time)

Saturday

8am - 6pm (Pacific Time)

 Sunday

closed

This site may contain links to third party Web sites.  My Chauffeur neither endorses nor guarantees any offerings of third party providers and is not liable for the failure of their products and services.  My Chauffeur does not control or make any representation or warranty of any kind about the content, use of or inability to use the third party Web sites.  Such third parties may have different privacy policies and/or security standards governing their sites.

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Copyright: © 2005-09 TourPortland.com  /  [My Chauffeur™, My Chauffeur Wine Tours™ & 'Now tread we a measure with My Chauffeur!'™]. All rights reserved.