Registration of a new account

Surname: *
First name: *
Phone:
E-mail: *
Tax ID:
Full company name:
City:
Password: *
Repeat password: *
Country:
The password can consist of uppercase and lowercase letters and numbers and special characters


I want to receive the ROMER newsletter * I declare that I have read the contents Regulations of the website and accept its provisions. * I declare that I have read the contents Privacy policy and accept its provisions. * I agree to receive from ROMER S.C. A.CIURA W. CIURA with registered office at ul. Rejowskiej 99, in Skarżysko-Kamienna 26-110, by e-mail, to the e-mail address provided by me with commercial information related to the Company's operations, in particular information about products offered by ROMER S.C. A.CIURA W. CIURA. The above consent may be revoked at any time. * I agree to the presentation by ROMER S.C. A.CIURA W.CIURA with registered office at ul. Rejowskiej 99, in Skarżysko-Kamienna 26-110 by phone, to the telephone number provided by me in the contact form, commercial information related to the Company's operations, in particular information on products offered by ROMER S.C. A.CIURA W.CIURA. The above consent may be revoked at any time. (*)Fields required

This part of the form is useful when shopping

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