Please Enter the Year, Make, and Model of your Vehicle*Please enter the mileage of your vehicle. (Documentation supporting mileage must be included.)*Please enter the Vehicle Identification Number (VIN) of your vehicle. VIN will be verified by D&D Staff.*Please enter the part number of your instrument cluster.*Name* First Last Company*Please enter company name.Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Please enter the address information to where you would like the cluster shipped. (NO PO BOXES, US ONLY.)Email* Please enter an email address D&D Instruments may contact you at.Phone*Please enter a phone number that D&D Instruments may contact you at.Odometer Verification Document Drop files here or Please upload a document that verifies mileage stated above is accurate. Examples are registration, oil change/service records, recent bill of sale. (Please contact us with any questions.) Mileage will have to be verified prior to order being processed.Agreement of terms* I agree to the terms as listed above. In accordance with the State of Minnesota Statue 325E.14, servicing of an odometer to an adjust mileage that differs from the actual mileage if unlawful. By supplying an odometer reading and supporting documentation you are agreeing that the mileage is correct for the vehicle/VIN entered above.CommentsThis field is for validation purposes and should be left unchanged.