Region Dealer Code(e.g. 030101): 
 
 

Estimated Time to Complete: 25-30 minutes based upon complexity of IT systems.

PLEASE NOTE: Once survey is initiated, it must be completed within a 45 minute timeframe. Otherwise, the data will not be saved. It is highly recommended that you choose the "Print Blank Survey" option above first. Then fill out all of the information and come back to enter the survey information for submission.

Useful information you will need to complete survey:
  - PC specifications (software,hardware).
  - Network specifications (wiring,hardware).
  - Specifics regarding current Internet Access method(s).
  - Information on your Internet Access technical and provider contact info.

For questions, please call: 877-782-7404