DTNA Cluster Order Submission Form Pricing is Dealer cost for cluster + $200 for odometer programming. Part Number*Mileage to be programmed.*(Documentation supporting mileage must be included.)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 AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Please enter the address information to where you would like the cluster shipped. (NO PO BOXES, US ONLY.)Shipping*Ground3 Day2 Day AirNext Day AirPlease select shipping method. Item will be shipped from Minneapolis, MN.UPS/FEDEX Account NumberIf you would like us to bill your UPS/FedEx Account please provide account number. Otherwise shipping charges will be added to invoice at current UPS rate.Purchase Order Number:*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.