If you are a Dealership that would like to offer a Point of Sale rebate, please fill out this form. You will be contacted with your Dealership/Retailer registration ID once your application has been processed.

Dealership Information

Please provide the address:

Address*

 

Select a street name and postal code from the list as you type and we'll fill in the rest of the address details below. Use ST, CRT, CRES, AV, AVE, BLVD, BOUL, CH, etc., to narrow your search if necessary.

Can't find the address you're looking for? Tick the 'Enter address manually' box.

Enter address manually

Country* Country*

Canada United States Other

Street Name*

PO Box (if applicable)

City/Town*

Postal Code*

Province* Province*

Alberta British Columbia Manitoba New Brunswick Newfoundland Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon

State*

-- Select a State -- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Province/State & Country*

Zip Code*

Postal/Zip Code*

Email Address*

(example: something@somewhere.com)
Only program related communications will be sent to the email address provided

Attach Required Documents

Please attach a signed copy of the Direct Deposit Form showing the financial institution's stamp OR a signed copy of the form plus a Void Cheque.

Click the Browse button below to select the files to upload from your computer. Important: Please ensure the information you are including is contained in up to 20 files with a total maximum size of 25 MB; each individual file should be no larger than 10 MB. The permitted file types are: doc, docx, pdf, rtf, wps, txt, odt, jpg, jpeg, png, xlsx.

Word Verification