DTNA Cluster Order Submission Form If you are not a DTNA Dealership please use https://ddinstruments.com/odometer-customer/ InstagramThis field is for validation purposes and should be left unchanged.Please Choose One of the following:* I am purchasing a cluster from DDI to be programmed. Dealer Cost + $220 programming fee. I am sending a cluster to DDI to be programmed. Please enter the part number of your instrument cluster.*Please enter the mileage of your vehicle.*(Documentation supporting mileage must be included.) Entries should be in Miles only not Kilometers. Vehicle Year*Vehicle Make*Vehicle Model*VIN*Dealer Name*Dealer Code*Contact Name* First Last Contact Email* Please enter an email address D&D Instruments may contact you at.Contact Phone*Please enter a phone number that D&D Instruments may contact you at.Ship to NameShip To Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Please enter the address information to where you would like the cluster shipped. (NO PO BOXES, US ONLY.)Return Shipping Speed* Ground 3 Day 2 Day Air Next Day Air Will Call - Pick up at 2525 Winter St Ne 55413 Please select shipping method. Item will be shipped from Minneapolis, MN.Shipping Charge* Add to Invoice Charge UPS account Charge FEDEX account UPS/FEDEX Account Number*If you would like us to bill your UPS/FedEx Account please provide account number. Purchase Order Number:*Odometer Verification Document Drop files here or Select files Max. file size: 50 MB. Odometer verification documents are required. Currently the only accepted form of verification is an ECM screenshot. Verification documents must include VIN and mileage. If VIN is not on ECM screenshot an additional document with VIN and ESN must be supplied to collaborate ECM screenshot. Mileage will have to be verified by DDI staff 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. FORM MUST BE SUBMITTED ELECTRONICALLY PRINTED VERSIONS MAY NOT BE ACCEPTED. Additional Notes: