Credit Card Account

Account Set-Up

My Chauffeur Transportation LLC
Corporate or Private Account
On-line Submittal form

You may set up a private or corporate account Rate Plan at any time. The My Chauffeur Account saves you time each time you arrange transportation, adds convenience and limits the exchange of sensitive information. Our on-line submittal system is secure. We will contact you within 48 hours to confirm.
You may review our Privacy Policy & Terms & Conditions.
Local 503-969-4370
This Account may be cancelled at any time by either party.
(Secure Form-SSL Encryption. The information is protected using the industry standard SSL )

Submit:

* Indicates required field

CONTACT Name *

First

Last

Email *

TYPE *

PERSONAL CORPORATE*

*COMPANY NAME *

PERSON(S) AUTHORIZED TO ORDER THE "TRIPS";

#1 WHO CAN ORDER trips *

#2 WHO CAN ORDER TRIPS *

*Additional persons who may order go in Special Instructions box below.

PERSON(S) NAME AND PHONE # AUTHORIZED TO USE THIS ACCOUNT AS PASSENGERS **:

Name *

First

Last

Phone Number *

Name *

First

Last

Phone Number *

Name *

First

Last

Phone Number *

Name *

First

Last

Phone Number *

*Additional passengers go in Special Instructions box below.

do not limit: *

Do not limit company passengers who can use this account

OFFICE OR RESIDENCE Address *

Line 1

Line 2

City

State

Zip Code

Country

SPECIAL INSTRUCTIONS: *

IMPORTANT: Submitting credit card data for Post Trip PAYMENT IN FULL is required.
Submit info by completing secure section below or by calling 503-969-4370. Your receipt will be issued by email (from above). If you would like a receipt mailed to a different email address, list address in box below. The Refund/Cancellation Agreement is below. See Terms & Conditions link.

alternate Email *

*Cancellations/ Refund Policy:
Total fees due will be charged, and are non-refundable, if you cancel less than 3 hours before the scheduled pickup time*. Cancellations 3 or more hours before your scheduled pickup time are not charged, or fully refunded. Cancellations less than 12 hours before your scheduled pickup time are requested to be done by phone call or text message; email may not be accepted.
*Refunds will be issued only in the event of overpayment, duplicate payments or if a payment was made when no fee was due. A refund may be requested by calling 503-969-4370 daily 7am-9pm Pacific Time.
COVID-19 DISCLAIMER: While "enhanced health and safety measures" will be the utmost importance — passengers still assume all the risk.

"An inherent risk of exposure to COVID-19 disease and/or the COVID-19 vaccine (through "shedding") exists in any public place where people are present. COVID-19 disease and/or COVID-19 vaccine are extremely contagious, that can lead to severe illness or death. By using My Chauffeur services, WE, and YOU, voluntarily assume all risks related to exposure to COVID-19. https://www.tourportland.com/coronavirus.html
MASKS ARE REQUESTED TO BE PROPERLY WORN INSIDE THE VEHICLE AT ALL TIMES. This is not mandatory. Your driver will be wearing a mask.
VEHICLE WINDOWS WILL BE KEPT OPEN FOR VENTILATION. This rule is non-negotiable. A comfortable temperature will be maintained, but please dress appropriately.
NO HAND SHAKES. BOWES ARE OKAY.

For Accounts, you have the option of adding an automatic driver gratuity: *

Add 20% Leave open, to let the passenger decide

This page uses a 256-bit (2048-bit key) SSL encryption.
You may choose to call with your credit card info instead, to 503-969-4370. In this case, continue to the SUBMIT button below.

CREDIT CARD HOLDER NAME *

First

Last

credit card # *

expire date *

cvv # *

billing zip code *

Submitting this form is a request for a Account set-up.

ONLY THE CREDIT CARD HOLDER LISTED ABOVE MAY SIGN BELOW. A SIGNATURE BY ANY OTHER PERSON IS IN VIOLATION OF AND WILL VOID THE TERMS OF THIS AGREEMENT.
Do Not Sign (E-Sign) Until You Have Read The Above & Below* Statements.

*ELECTRONIC SIGNATURE - By selecting SIGN, CHARGE DEPOSIT AND RESERVE, I agree that the TYPED NAME & CHECKED BOX will be the electronic representation of my signature and initials for all purposes when I (or my agent) use them on documents, including legally binding contracts - just the same as a pen-and-paper signature or initial. I am agreeing to conduct business electronically with My Chauffeur. I understand that transactions and/or signatures in records may not be denied legal effect solely because they are conducted, executed, or prepared in electronic form and that if a law requires a record or signature to be in writing, an electronic record or signature satisfies that requirement.
Please Note: One or more of the principals or their designee (Authorized Agent) must electronically sign this form by typing their name and checking the Sign box.
If you prefer paper, you may opt out of using electronic contracts. Paper contracts are available. If you give your consent to use electronic documents, you can later change your mind. In other words, even if you agree to use electronic agreements, you can change your position later and request a paper agreement instead.
If you withdraw consent to use electronic contracts, no fees or penalties apply if we must use paper agreements for this transaction. Your consent applies only to this particular transaction at hand, and not to a larger category of transactions between us and you.

* By SUBMITTING below, 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 commencement of each contracted ride, 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.
Once your account has been confirmed, you may order rides by phone call or text message to 503-969-4370, or on-line HERE.

By my signature (eSignature) below, I certify that: I HAVE READ, UNDERSTAND, AGREE TO & ACCEPT THESE Terms & Conditions/ Cancellation Policy.

AGREEING TO THE TERMS & CONDITIONS (ABOVE) IS REQUIRED. *

I WISH TO SET UP AN ACCOUNT, AND I AGREE TO THE TERMS & CONDITIONS / CANCELLATION / RELEASE AGREEMENT

Submit