Hyundai Multicultural - Influencer Placement Form
This form will provide all the information needed for Influencer loan deliveries and collaborations
Influencer Program
*
Loan Requested By
*
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Influencer and Vehicle Information
Vehicle Model
*
(Palisade, Elantra)
Vehicle VIN
*
Which DriveShop office for loans
*
Atlanta
Boston
Charlotte
Chicago
Dallas
Houston
Phoenix
Portland
Denver
Detroit
Los Angeles
Miami
New York
San Francisco
Seattle
Washington D.C.
Is the vehicle in fleet yet?
*
Yes
No
If the vehicle is not in our fleet at time of request, please provide transport details here
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
*
This must be the email of the influencer and primary driver, used solely for vehicle loan coordination and sending related agreements.
Influencer Phone Number
*
Influencer License Number
*
State
*
International Driver's License
AK
AL
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Expiration Date
*
-
Month
-
Day
Year
Date Picker Icon
Influencer Birthday
*
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Please select a year
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
Will anyone else be driving the vehicle other than the contracted influencer?
*
Yes
No
Completed MVR disclosure form for Influencer
*
Browse Files
Cancel
of
If yes, please fill out the below information for them to drive the vehicle
All additional drivers must have a MVR check and complete a BVA prior to each placement.
Additional Driver Name
*
First Name
Last Name
Additional Driver primary email
*
example@example.com
Additional Driver License Number
*
State
*
International Driver's License
AK
AL
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Expiration Date
*
-
Month
-
Day
Year
Date Picker Icon
Additional Driver Birthday
*
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Please select a year
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
Completed MVR disclosure form for additional driver
Browse Files
Cancel
of
Contract and Social Media Information
Link to Influencer Main Channel
Other Social Channels you want us to monitor
Will influencer need a contract and payment, coordinated by DriveShop?
Payment and Contract
Contract no payment
No, this is an earned placement and only needs a confirmation email
Additional Notes
*
Submit
Should be Empty: