Genesis Marketing Influencer Form

Genesis Marketing - Influencer Placement Form

This form will provide all the information needed for Influencer loan deliveries and collaborations.
Influencer and Vehicle Information
Vehicle Model*
Vehicle VIN*
DriveShop Office for Loan Delivery*
Is the Vehicle Currently in our Fleet?*

YesNo
Loan Start Date*

MonthDayYear
Date
Loan End Date*

MonthDayYear
Date
Preferred Delivery Time*

MorningMid-DayAfternoonNo Preference
Influencer Full name (as it appears on license)*

First NameLast Name
Influencer Address for Vehicle Drop-Off and Pickup*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Influencer Primary Email*
Influencer Phone Number*
Influencer License Number*
Issuing State*
Expiration Date

MonthDayYear
Influencer Birthday *

MonthDayYear
Influencer MVR Disclosure Form *

Browse Files

Cancelof
Influencer agrees to allow DriveShop to run their Motor Vehicles Record*

Yes - Influencer agrees to DriveShop running their Motor Vehicle RecordNo - Please follow up with Influencer to discuss running their Motor Vehicle Record
Will anyone else be driving the vehicle other than the contracted influencer?*

YesNo
If yes, please fill out the below information for them to drive the vehicle

Additional drivers will be required to provide a disclose form for a MVR check and will also be sent a Borrow Vehicle Agreement (BVA) to sign.
Additional Driver Name*

First NameLast Name
Additional Driver Primary Email*
example@example.com
Additional Driver License Number*
Issuing State*
Expiration Date

MonthDayYear
Additional Driver Birthday (Must be 25+)*

MonthDayYear
Additional Driver MVR Disclosure Form

Browse Files

Cancelof
Additional Driver agrees to allow DriveShop to run their Motor Vehicles Record

Yes - Additional Driver agrees to DriveShop running their Motor Vehicle RecordNo - Please follow up with Additional Driver to discuss running their Motor Vehicle Record
Social Media and Vehicle Use Information
Link to Influencer Main Channel
Influencer Brief Upload

Browse Files

Cancelof
Influencer Use of Vehicle*
Estimated Miles Driven*
Additional Notes
Requested By
Email
example@example.com
Genesis Approved Loan

YES this has been approved by Genesis
Should be Empty:

Genesis Marketing - Influencer Placement Form

Influencer and Vehicle Information

If yes, please fill out the below information for them to drive the vehicle

Social Media and Vehicle Use Information