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'Recession Wine Tour'

* Indicates required field

Name *

First

Last

Email *

Phone Number *

1st names of attendee's (if 4 or less) *

TOTAL # OF PERSONS IN YOUR GROUP (OR APPROX. - 21 PERSONS MAX.) *

DEPARTURE DATE(S) & PICKUP TIME:

ADD OR CONFIRM TRIP DATE(S) *

ALTERNATE DATE(S) *

PICKUP TIME *

DEPARTURE LOCATION(S)

confirm or add your pickup /drop-off location(s) AND DEPARTURE TIME(S) for each trip date. FOR ITINERARY, SEE BELOW. *

IF KNOWN, ADD OR CONFIRM YOUR ITINERARY AND APPOINTMENT TIMES FOR EACH WINERY. (IF UNKNOWN, TYPE IN UNKNOWN) *

vaccination (covid) status of participants. to the best of my knowledge... *

ALL are vaccinated NOT all are vaccinated Unknown

other Comments *

PROMO OR COUPON CODE: *

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To furnish your credit card data securely to My Chauffeur and reserve your trip, please fill-in the SSL form below.
Privacy Policy - Cancellation Policy

DEPOSIT IS REQUIRED. YOUR CREDIT CARD WILL BE CHARGED FOR THE DEPOSIT AMOUNT STATED EARLIER WITH YOUR QUOTE, AND YOUR DEPOSIT RECEIPT WILL BE EMAILED.
*Deposit Refund Policy:
Deposit fees are non-refundable after 24 hours from your tour confirmation email. 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-9pmPacific Time.
If you choose below pre-payment NET charges in full, we will charge for the entire expected or minimum charge requirements. However, additional charges may be due for overtime and/or other charges.

CHARGE MY CREDIT CARD FOR: *

DEPOSIT ONLY "I will call you to furnish my credit card data" (Please give us a call ASAP. Do not send as text message. Continue by submitting this form.)

credit card #: *

expire date: *

cvv#: *

billing Address *

Line 1

Line 2

City

State

Zip Code

Country

Comments *

keep data on file for future use? *

Keep CC Data On-File

Agreeing to the Terms & Conditions is required.

TERMS & CONDITIONS/ CANCELLATION POLICIES

I AUTHORIZE MY CHAUFFEUR TO CHARGE MY CREDIT CARD AND AGREE TO THE TERMS & CONDITIONS (ABOVE) *

I AUTHORIZE AND AGREE

All adult tour participants will also need to agree to the TERMS/RELEASE AGREEMENT on the trip date, seen HERE.
Submitting this form is a request for a reservation.

By my signature (eSignature) below, I certify that I HAVE READ, UNDERSTAND, AGREE TO & ACCEPT THE:
TERMS & CONDITIONS/ CANCELLATION POLICIES,
and from time to time, receiving email marketing materials, which you may opt-out of anytime.

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.

PRINT Name *

First

Last

SIGN, CHARGE DEPOSIT AND RESERVE

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503-969-4370 WineTourOregon.com

Submit Credit Card Data to My Chauffeur