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Personal Information

First Name *

Last Name *

Email Address *

Phone Number *

City *

Fleet Information

Current Number of Vehicles *

Planned Fleet Size *

Vehicle Types (Select all that apply)

Sedan (UberX)

SUV (UberXL)

Luxury (Uber Black)

Electric/Hybrid (Uber Green)

Investment Budget *

Experience & Goals

Previous Experience with Uber/Rideshare *

When do you want to start? *

Monthly Income Target *

Additional Information

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