Contact a Roger Technology Premium Dealer or Professional Dealer.

Fill out the form below to contact our following reseller or distributor directly.

Interest's area: Contact Roger Technology Premium Dealer or Professional Dealer

* The fields on the asterisk are obligatory

Private Company

* Company name:

Address:

City:

* Municipality:

* Province:

* Country:

Telephone:

Fax:

* E-mail:

Company web site :

* Typology of activity:

Type :

Company description:

Personal data

* Name:

* Surname:

Position:

* E-mail:

Mobile:

Informations about assistance:

Type of product installed

Type of product code installed:

Specify your request of assistance:

* Insert Web Form request field :

Newsletter subscription consent

I agree that personal data will be used for the marketing purposes

Insert e-mail address where you want to receive our comunications.

E-mail:

Consent to the processing of data *

I agree that personal data are used in accordance with the current privacy regulations

Security code

Type the characters that you can see on the image