Roman Products

Guarantee Registration

Prize Draw

Please use the form below to register your product for its guarantee. On completeion of the form below you will receive a confirmation email and thank you page. You will not receive anything in the post.

Your Details

*Indicates the field must be filled in.

Title
Firstname *
Surname *
Email Address *
Daytime Contact Number
Postcode *
Address 1 *
Address 2
Town/City *
County *
Your Age Group
Favourite Newspaper

Product Information

Product Code 1 *
Reference Number
and/or Product Code 2
Reference Number
and/or Product Code 3
Reference Number
and/or Product Code 4
Reference Number
Date Purchased * (DD-MM-YYYY)
Supplier *

Brochures & Sign Ups
Further Information The following information is for marketing purposes only and will not be passed on to any third party. This information is not mandatory.
How did you hear about Roman?
If Other please specify
Reference code for above (if any)
What is your approximate annual household income?
How many bathrooms are there at your property?
How many showering facilities are currently installed at your property?
How many people over 18 live at your property?
How many people under 18 live at your property?
Would you like to receive a Roman at Home brochure also?

Would you like to receive a Roman Shower brochure also? We would like to occasionally send you timely information, exclusive offers and news by post or email. Please select your preferences below.
Roman Showers - Luxury Showering Solutions	By Post By Email
Roman at Home - Luxury Homewares	By Post By Email
Selective third parties	By Post By Email

Guarantee Registration

Your Details

Product Information

Further Information

Brochures & Sign Ups