ADDITIONAL DRIVER REGISTRATION

This form is intended for anyone who wishes to be added as an additional driver to an existing account. You’ll need your driver’s licence and the member number of the driver whose account you wish to join.

Registration forms for any driver wishing to be added to an existing Peg City account.

Consent(Required)
Name(Required)
MM slash DD slash YYYY
Address(Required)
mobile preferred
Line item 4D for Manitoban licences
Region and Country(Required)
Drop files here or
Accepted file types: jpg, png, Max. file size: 10 MB, Max. files: 2.
    To complete your subscription, we will need front and back photos of your driver’s licence.
    Drop files here or
    Accepted file types: jpg, png, Max. file size: 10 MB, Max. files: 2.
      Please submit a photo of yourself holding your licence. The photo must be a high resolution photo; your whole face must be completely visible; the whole arm AND the whole hand holding the licence must be completely visible; your fingers must not cover any part of the licence; and the content on the licence must be clearly readable. Keep the camera at the same level as your eyes, and look straight ahead with a neutral facial expression.
      Max. file size: 10 MB.
      If you have a Manitoba licence, please upload a completed copy of your Driver Abstract Request Form. You only need to complete the top box, then sign and date. Note that when the form requests your driver’s licence number, it’s asking for the mix of letters and numbers (line item 4D) on your licence. Your signature must match the one on your driver’s licence. If you have an out-of-province licence, we suggest you upload your driving record here, as this will sped up the application process. Many provinces provider records online.

      Emergency Contact

      Name(Required)
      Once your application has been processed, you must collect a key fob. What do you prefer?(Required)
      Our office is located at 402 – 460 Main Street, Winnipeg, MB R3B 1B6. Once your application is processed you’ll receive an email with a calendar link, allowing you to schedule a time to collect your key fob.
      Member Manual Confirmation(Required)