Data Polling Information

1. DMS Polling Data
Collection Form
Dealership Information
Name: __________________________________________________________________________________
Address: _________________________________________________________________________________
City: ______________________________________ State: ________________ Zip: ___________________
Phone: __________________________________________________________________________________
Dealer Contact
First Name: __________________________ Last Name: ___________________________________________
Phone: _________________________________ Email: ___________________________________________
Technical Contact
First Name: __________________________ Last Name: ___________________________________________
Phone: _________________________________ Email: ___________________________________________
VPN Information
DMS IP Address (if available): _________________________________________________________________
Data Source Information:
DMS System
 ADP:  -FI  -SL
Access to ENG (RPG optional but helpful)
Username: _______________________________ Password: _______________________________________
 Reynolds & Reynolds:
 F&I
Access to 6910 (optional functions: 4770)

2. Username: _______________________________ Password: _______________________________________
 Other DMS Type: ________________________________________________________________________
Please provide the Dealer’s Technical Contact information in the top portion of this form. Authenticom will contact the deale r to
acquire the proper technical specifications for this DMS Type.
Other Instructions: