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Register As A Vehicle Owner
 

Please register here to create your profile. The more information we have about you the better are the chance to get a Campaign. We do our best to get you an advertiser as soon as you register on this database.

NOTE THAT: Empire Media does not and will not sell or give your information to third parties.

  * Fields are mandatory
  * Name and Surnames
 
   
  * ID/Passport number
 
   
  * Date Of Birth
 
   
  * Race
     
 
   
  * Gender
     
 
   
  * Status
     
 
   
  Contact Details- Tellephone
 
   
  * Cellphone Number
 
   
  * Email Address
 
   
  * Occupation
 
   
  * Driving Experience (Years)
 
   
  * What type of A Driver Are You?
     
 
   
   
  Your Vehicle Details.
   
  * Make of car (like Bmw,Audi,Nissan)
 
   
  * Model/Specs (yaris,brio,figo)
 
   
  Kilometres on the clock
 
   
  * Colour of the car
 
   
  Special external Features if any.
   
 
   
   
  Demographic Coverage. This Section will help us understand the places you visit and how you use your vehicle.
   
  * Province
     
  Gauteng
  Mpumalanga
  Kzn
  Northern Cape
  Western Cape
  North West
  Limpopo
     
  * City
 
   
  Residential Address
   
 
   
  Work or Business Address.
   
 
   
  * Free Way/High way(s) between work and home.
   
 
   
  * Routes between work and home OR from site to site.
   
 
   
  * Frequency of Movement a Day.
     
 
   
  * How many kilometres do you put on the clock per month.
 
   
  Do you play loud music in your car?
 
   
  Do you drink alcohol?
 
   
  How often do you go out partying per week?
     
 
   
  * Where do you shop - Malls?
   
 
   
  * How many visit to Malls per Month.
 
   
  * Do you go to stadiums?
 
   
  * Which gym do you go to?
     
 
   
  * What Campaigns/Promos do you prefer?
   
 
   
  * What Campaigns/Promos you don't like?
   
 
   
  * Are you available for Short or long term Contracts?
     
 
   
  Please upload recent photos of your car.
 
   
  Another Image of your car
 
   
 
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