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First Name

Last Name

Email Address

Phone Number

Home address Location Select Home Address Location Central East West South

Date Of Birth

Driver License

Shirt Size Small Medium Large X-Large XX-Large XXX-Large

Best Working Times Morning Midday Evening Morning And Midday Morning And Evening Midday And Evening Morning,Midday And Evening

Do You Own a Smart Phone? No BTC ALiv

Are You Currently Employed ? Yes No

Do You Possess Your Own Vehicle? Yes No

If you do Possess a Vehicles Please Select the type Car Scooter N/A

Are you intrested in financing your own scooter? Yes No

How many Hours are you able to work per Day ? 1 2 3 4 5 6 7 8 9 10 11 12 More than 12

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