Ride Share Drivers - 100 Free Dash Cams Form

Complete the following info and submit.

Heidari Law Group To Give Away 100 Free Dash Cams To Ride Share Drivers
News Story Link
Available in Las Vegas Only
Name Name * First Last
Phone Phone * - ### - ### ####
Email *
Address
(Las Vegas Offer Only) Address
(Las Vegas Offer Only) *
Street Address
Address Line 2 City State / Province / Region Postal / Zip Code Country
What rideshare platforms do you use:
(Select all that apply) *

What rideshare platforms do you use:
(Select all that apply) Uber Lyft
Upload a screenshot of your last 5 trips

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Upload a picture of your drivers license.

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