ADCAR

Registration form

Please, fill in the registration form and be able earn up to 400 a month
Full name
E-mail
Phone
What is your birth year
In what city do you live
What is the post code of the city
What is the brand of you car
What is the model of your car
What year was the car registered
How many KM do you drive a day on average
How many KM do you drive a year
In what state is the car
Did you have any crashes in the last two year
Please describe the usual routes you drive
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