Reservation Form - Airport Transfer

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

You may give us a call or submit this reservation request by filling out the secure form below and clicking on the "I Authorize & Agree" 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

Past/Current Customers:

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 "I Authorize and Agree" button at the bottom of the page. To edit/change any personal/financial information, see below.

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 "I Authorize and Agree" at the bottom of the page.

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

Subject:

Order Placed By: * Past/Current Customers Only *

* = response required

* Full Name:
* Contact Phone:	Work \| Home \| Cell
* E-mail address:
E-mail CC address:

To edit your contact info., go to section 2. Section 3

Order Placed By: * New Customers Only *

Past Customer -- Edited

* = response required

* We will confirm within 24 hours your reservation by E-mail. We will also re-confirm with you approx. one (1) day before the reservation date by phone. A confirmation phone call is mandatory for reservations going to the airport. Please contact us if you do not receive a confirmation call at least 2 hours before your reservation time. Go to Section 3

Billing Information: *see PRICING TERMS/CONDITIONS below

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

(Billing Information is Required to Secure your Reservation Date. Only the Primary Cardholder responsible for this account may utilize this Account Online feature. Please review our Pricing terms. Review our Privacy Policy.

I authorize My Chauffeur to authorize and/or charge my credit card*.

Below is my personal & credit card information.

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
Check box if you would like to edit your CC Account Info., fill in below.
To set up a credit card account; click here.

Card Type:
***

Credit or Debit Card:

Credit Card Number (no spaces):    save this credit card & billing info. on-file **

Exp. Date:


Billing Info:    Billing same as info. above, section 2.

Name on Card:

Street or P.O. Box:

City:

State:

Zip Code:

I will be paying final bill by: Credit Card Debit Card Cash Undecided

Go To Section 4

* ** *** see Billing Terms & Conditions

Res. #1 is RED. Each time we pick you up is a new reservation. If you are scheduling just 1 reservation; only complete red section. For consecutive or round-trips, please fill in Res.#1 (red section) & Res.#2 (blue/gray section). For additional trips more than 2, see 'Additional pickups' box below.

Res. #2 is Blue/Gray; if applicable. We suggest completing all of Res. #1; then complete Res. #2.

Passenger Name:

Res. #1

same as above (section 2 or section 1)	(if different)

Res. #2

same as Res. #1	same as Res. #1

Reservation Date:

Res. #1

Res. #2

(for additional dates, see "additional pickups" below)

Pick-Up Address & Time: Res. #1

Res. #1 only * fill in only 1 box below *

PDX P/U Location: *all information is required

Airline:

Flight #:

From which city:

Landing Time:


AM/PM

Checked Bags?

NON-PDX P/U Location: *all information is required

P/U Time:

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

Street Address:

City:

Zip Code:

Pick-Up Address & Time: Res. #2

Res. #2 only * fill in only 1 box below *

PDX P/U Location: *all information is required

Airline:

Flight #:

From which city:

Landing Time:


AM/PM

Checked Bags?

NON-PDX P/U Location:

P/U Time:

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

Street address:

City:

Zip Code:

Drop-Off Address:

Res. #1 Drop-off Address:

PDX; do not fill in below. D/O address same as address above (section 2) or "on-file" home address; do not fill in below.

Street Address:

City:

Zip Code:

Stops en-route or off-route: *

Res. #2 Drop-off Address:

PDX; do not fill in below. D/O Address same as address above (section 2) or "on-file" home address; do not fill in below.

Street Address:

City:

Zip Code:

Stops en-route or off-route: *

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

Number of Passengers:

(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 tour date, will be required.)

Res. #1 approximate

Res. #2 approximate

Vehicle Requested (optional):

The Credit Card Holder Is Responsible For the Minimum Charges of each Vehicle when choosing below. Multiple vehicles may be selected by holding down the 'Ctrl' Key. For groups of 4-5 persons, if extra comfort is desired, we recommend requesting the 2-8 passenger stretch limo. For groups of 7-8 persons, if extra comfort is desired, we recommend requesting the 14 passenger limo bus. If no vehicle is chosen, we will send the minimum required based on the passenger # noted above.

For pickups from the airport, only the town car and Denali may be reserved. For groups larger than 6, multiple vehicles may be chosen.

For pickups to the airport, any vehicle may be chosen.

View Terms & Conditions.

View Vehicle Descriptions for vehicle descriptions and person capacities; Specially ordered vehicles below require additional charges.

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

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

Vehicle Rates

Res. #1

Res. #2  same as Res. #1, if applicable.

* Denali upgrade is not guaranteed.

END of section 4. back to top for Res. #2, if applicable.

Final Payment Instructions:

(Options: choose one option below):

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 Account/Corporate Account information already on file with My Chauffeur. No-signature account; 20% chauffeur gratuity applies.

If the Payee is not the Passenger, choose option below: (more than 1 option may be selected)

Give passenger the receipt;

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

U.S. postal mail receipt to:  same as billing same as address above or on-file address

Any Comments or Special Instructions:

Are 3 or more P/U Dates Requested?

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

Yes    No

Additional Pickup Info: (include names, date, time, phone #, P/U location & D/O location)

Passenger Meet 'n Greet at PDX: (at the curbside, baggage claim or airline gate)

If the passenger is not very mobile, unfamiliar with the airport or for any other reason, you may request assistance at PDX. If requested, we will send you 'instructions' with your confirmation. Additional charges may be required for these services.

Assistance options at PDX.

NO | YES -

Other: (optional)

Discount Coupon Code:

Gift Certificate Reservation # (if applicable):

How did you hear about us? Other:

BY SUBMITTING FORM BELOW, I CERTIFY I HAVE READ AND UNDERSTAND THIS CONTRACT, I AM AUTHORIZING THIS TRANSACTION, AND AGREEING TO THE POLICIES ON THE TERMS & CONDITIONS. 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 of your reservation date and vehicle will be sent to you by email or fax within 24 hours after we receive this reservation request. 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. Please contact us if you do not receive this confirmation within 24 hours (excluding Sunday).

Submitting this form is a request for a reservation.

Thank you for your order.

The transaction is not final until you click the 'SUBMIT FORM' button below and the Confirmation Page appears.

Instructions on how to locate your vehicle at PDX (if applicable) and the terms & conditions will be on your confirmation sent to you after you submit this reservation request. But...

you may now print Instructions on how to locate your vehicle at PDX, if desired.

Terms and Conditions:
View Terms and Conditions.

I agree to the Terms and Conditions.

I DO NOT agree to the Terms and Conditions.



Click only once and
wait for the confirmation.

Security Notice: This form features secure SSL technology.

TEL: 503-969-4370

Toll-Free: 1-877-692-4283