UnityPoint Health - Des Moines

1200 Pleasant Street

Des Moines, Iowa 50309

p: 515-241-6212

Take the Just Drive Pledge

Thank you for being a role model for our community by taking the Just Drive Pledge! After completing the pledge form, you will receive a free window cling to place in your car window as a reminder to "just drive." The window clings will be mailed directly to the address indicated below within 1 - 2 weeks.

1: I pledge to Just Drive by:

Not texting or emailing while driving.
Not texting or emailing and using a hands-free device while driving.
Not using my phone while driving. I will pull over if I need to use my phone.

2: First Name:

3: Last Name:

4: Street Address:

5: City:

6: State:

7: Zip Code:

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