On-line Submittal form
FAX submittal form
You may set up a private or corporate account Rate
Plan at any time.
The My Chauffeur Rate Plan 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
Rate Plan Terms & Conditions
PCI DSS Compliance certificate.
Form-SSL Encryption. The information is protected using the industry
PERSON(S) AUTHORIZED TO ORDER THE 'TRIPS':
Additional go below,
PERSON(S) AUTHORIZED TO USE THIS ACCOUNT AS PASSENGERS **:
Do not limit
company passengers who may use this account.
** List passengers who may use this account. Add additional passengers
over 4 under Special Instructions below.
OFFICE STREET ADDRESS (Corporate Account):
STREET ADDRESS (Personal Account):
RATE PLAN: Choose your plan on the left column, then
whether you would like the plan to include METRO.↔PDX
Choose between yearly or monthly, and select from only 1 row.
plan may be cancelled at any time.
All account financial balances must be at zero
for the termination to be processed.)
Your credit card
information is secure. To view our PCI DSS Compliance certificate,
Contact us at 503-969-4370 or toll-free 877-692-4283) to give us your
info. Or you may leave your phone # here
# 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.
may choose to save your CC info on-file and/or fill in the CC billing info
below, if desired.
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.
Street or P.O. Box:
PERMISSION TO CHARGE CREDIT CARD:
AGREED AND ACCEPTED BY:
name is contractually and legally binding.)
COMPANY TITLE (IF APPLICABLE):
Submitting this form is a
for a My Chauffeur CC account.
request will be processed immediately. A representative will contact
with you within 24 hours to confirm. Final confirmation is issued at
that time. Please contact us if you do not receive this confirmation
within 24 hours
confirm also by phone: Yes
Thank You for your Order
Notice: This form features secure SSL technology.
(intnl: +1 503 969 4370)
My Chauffeur Office Hours
DAILY ~ 7am - 6pm
(Pacific Time) ~
2005-15 PortlandAirporter.com© & RecessionTownCar.com© / [My
Chauffeur™, My Chauffeur Wine Tours™ & 'Now tread we a measure with My
Chauffeur!'™]. All rights reserved. Use
of this Web site and its information is subject to intellectual property rights.