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Rebate Now Dealership Enrollment

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

Dealership Information
Provided by the manufacturer
5-digit number assigned by the DMV
5-digit number assigned by the DMV
Primary Dealership Contact
Secondary Dealership Contact
Payment Information
Routing numbers do not match