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Plug-In NB Rebate Program - Dealership/Retailer Registration Form

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:


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.

Select a button below and locate the desired file on your computer. Important: Please ensure the additional information you are including is contained in up to 6 files with a total maximum size of 5 MB.

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