Drivers Wanted

Would you like to be compensated for driving the same way you do now? Do you have a commute that makes you wish you could get paid for dealing with the traffic? You may be the perfect candidate for our driver program. Simply advertising on your vehicle could mean money in your pocket.

Please complete the following form and we will contact you with more information about our driver program.

First & Last Name:

Street Address:

City:

Zip Code:

State:

Home Phone:

Fax:

Cell Phone:

Email Address:

How did you first hear about Ads4Tow?:

Annual Income Bracket:

How many moving violations have you had in the past 3 years?:

How many car accidents within the past 5 years?:

Have you had a DUI in the past 10 years?:

Do you own your home or rent?:

What social group do you belong to?:

Other Social Group::

In 200 words or less describe why you feel that you would be a great canidate to advertise on your vehicle::

Your Vehicle Type: Make, Model, Color, Milage and Year:

Your Auto Insurance Company:

Does your vehicle have a traior hitch receptacle?:

If so, then what size?:

It not, are you willing to have one installed on your vehicle?:

How many miles do you drive each week?:

What main freeways do you travel on to and from work?:

What hours of the day are you on the road to and from work?:

How many miles round-trip to work?:

Where is your vehicle parked when at home?:

Where is your vehicle parked when at work?: