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Full Name
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Number:
Email
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Mode of Transportation
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Car/Truck
Bike/Scooter
Cycle
By Feet
Enter Your Age
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How Many Active Hours You are Willing to Work?
1-2
2-4
4-6
6-8
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Contact Name
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Vendor Name
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Phone
Email
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Address
Number of Employees
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Do You Have Your Own Riders?
Yes
No
No of Branches:
*
1
2
3
4
5+
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