New Dealership Sign Up

Thank you for your interest in being part of the Clean Vehicle Assistance Program Dealership Network. Please fill out the required and appropriate fields.

Dealership Name *

Your First Name *

Your Last Name *

Your Email Address *

I understand that as the Account Administrator, I will be responsible for the management of this account. This includes but is not limited to: assigning a second administrator, managing staff access, communications with CVAP, and keeping dealership information and documents up to date. *

I understand

Office Phone Number *

Your Title at the Dealership *

Department *

Street Address of the Dealership *

City *

State *

Zip Code *

Are you a member of CUDL? *

Are you franchised with an automobile manufacturer? *

NOTE: Only CUDL members and dealerships franchised with a manufacturer qualify for this program.

Manufacturers you are associated with. Please select all that apply. *