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
*
Atlanta
Boston
Charlotte
Chicago
Dallas
Houston
Phoenix
Portland
Denver
Detroit
Los Angeles
Miami
New York
San Francisco
Seattle
Washington D.C.
Is the Vehicle Currently in our Fleet?
*
Yes
No
Loan Start Date
*
-
Month
-
Day
Year
Date
Loan End Date
*
-
Month
-
Day
Year
Date
Preferred Delivery Time
*
Morning
Mid-Day
Afternoon
No Preference
Influencer Full name (as it appears on license)
*
First Name
Last Name
Influencer Address for Vehicle Drop-Off and Pickup
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Influencer Primary Email
*
Influencer Phone Number
*
Influencer MVR Disclosure Form
*
Browse Files
Cancel
of
Influencer agrees to allow DriveShop to run their Motor Vehicles Record
*
Yes - Influencer agrees to DriveShop running their Motor Vehicle Record
No - Please follow up with Influencer to discuss running their Motor Vehicle Record
Will anyone else be driving the vehicle other than the contracted influencer?
*
Yes
No
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 Name
Last Name
Additional Driver Primary Email
*
example@example.com
Additional Driver MVR Disclosure Form
Browse Files
Cancel
of
Additional Driver agrees to allow DriveShop to run their Motor Vehicles Record
Yes - Additional Driver agrees to DriveShop running their Motor Vehicle Record
No - 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
Cancel
of
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
Submit
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