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Submit Credit Card Data to My Chauffeur

'Recession Wine Tour'
To furnish your credit card data securely to My Chauffeur and reserve your trip, please fill-in the SSL form below.
Alternately, you may call 503-969-4370 to speak with us. Do not send as text message or an unsecured email.
Privacy Policy - Cancellation Policy

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* Indicates required field

Name *

First

Last

Email *

Phone Number *

1st names of attendees (if 4 or less) *

REFERRED BY: *

occasion (if any) *

Reservation Type: *

Vehicle & Driver ONLY 'Recession Wine Tour' (Winery appts made by tour group are required) Driver ONLY* (NO VEHICLE) 'Recession Wine Tour' (Winery appts made by tour group are required) - Please inquire about a tour where we make the appts.

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

ADD OR CONFIRM TRIP DATE(S) *

ALTERNATE DATE(S) *

PICK UP TIME *

DROP-OFF TIME (OR APPROX.) *

confirm or add your pickup /drop-off location(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) *

when available, we can give wine country and winery INTRO'S, on request *

Yes, 'SIRI' voice; (quickest and easiest) - An educational tour. Real person voice by your guide (less convenient & takes longer.) No thank you

'DRIVER ONLY' OPTION

FULL INSURANCE (COMPREHENSIVE + COLLISION DAMAGE) COVERAGE IS REQUIRED.

FOR 'DRIVER ONLY' OPTION ONLY, I CERTIFY THAT I HAVE CURRENT FULL-COVERAGE (COMPREHENSIVE + PHYSICAL DAMAGE) WITH MY PERSONAL VEHICLE, OR FOR RENTAL VEHICLE(S), THAT I HAVE PURCHASED THE INSURANCE WITH PHYSICAL DAMAGE OPTION. SEE TERMS & CONDITIONS BELOW (15f). CHECKING THE BOX BELOW IS REQUIRED. *

I CERTIFY AS TRUE

*(For DRIVER ONLY) ADD YOUR vehicle type, and passenger capacity (INCLUDING DRIVER). *

FOR DEPOSIT OR PRE-PAYMENT IN FULL? *

DEPOSIT PRE-PAYMENT IN FULL BY CHOICE* PRE-PAYMENT IN FULL IS REQUIRED OTHER (COMMENTS BOX)

*PRE-PAYMENT IN FULL: IF YOU HAVE CHOSEN PRE-PAYMENT IN FULL BY CHOICE, YOU HAVE THE OPTION OF ADDING AN AUTO-GRATUITY FOR YOUR DRIVER/GUIDE FOR CONVENIENCE. PLEASE INDICATE BELOW. *

ADD 15% ADD 20% (STANDARD) ADD 25% ADD CUSTOM AMOUNT (COMMENTS BOX) I PREFER TO LEAVE GRATUITY OPEN AND TAKE CARE OF THAT MYSELF GRATUITY HAS ALREADY BEEN INCLUDED

PROMO OR COUPON CODE: (NOT VALID WITH 'DRIVER ONLY') *

credit card #: *

expire date: *

cvv#: *

3 or 4 digit code on the front or back of your card

billing zip code: *

Comments *

keep data on file for future use? *

Keep CC Data On-File

For Frequest Users: Signifies a My Chauffeur credit card account to be used for future reservations.

Note: For no-signature payments or reservations 'on account', a 20% driver gratuity may apply.

Agreeing to the Terms & Conditions is required.

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.

All adult tour participants will also need to agree to the TERMS/RELEASE AGREEMENT on the trip date, seen HERE.

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.

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

I AUTHORIZE AND AGREE

Submit Credit Card Data