Rebate Now Dealership Enrollment | Clean Vehicle Rebate Project

Information - Introduction

Please complete the form below to enroll in Rebate Now. The information below will be used to release the preapproved rebate funds to the dealership.

Dealership Information

Dealership Name

Dealer Right

OEM Dealer Code

Provided by the manufacturer

DMV License Number

5-digit number assigned by the DMV

Dealership Street Address

City

State

Zip Code

Primary Dealership Contact

First Name

Last Name

Title

Mobile

Email

Secondary Dealership Contact

First Name

Last Name

Title

Mobile

Email

Payment Information

Account Type

Account Type Right

Bank Routing Number

Re-Enter Bank Routing Number

Routing numbers do not match

Bank Account Number

Re-Enter Bank Account Number

Terms and Conditions

I have read and agree to the CVRP Rebate Now Terms and Conditions.

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