FRANÇAIS      
SIRIUS Earn CAA Dollars® Registration Form

Please activate your new SIRIUS radio before registering for this program.



* Please note these fields are mandatory for this rebate to be processed

* First Name:
* Last Name:
* Email:
* Address 1:
Address 2:
* City/Town:
* Province:
* Postal Code:
* Phone Number:
* CAA Membership Number:
* Model Number:
* 12 Digit Radio ESN/SID:
* Activation Date:
  (must be after May 22, 2009)
* Activation Term:
1 year 2 years or more




® CAA Dollars trade-mark owned by and use is granted by Canadian Automobile Association


CAA Rebate Terms and Conditions



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