Country *
USA
Canada
Anguilla
Antigua and Barbuda
Argentina
Aruba
Australia
Bahamas
Barbados
Belize
Bermuda
Bolivia
Brunei
Virgin Islands, British
Cambodia
Cayman Islands
Chile
Colombia
Costa Rica
Curaçao
Dominica
Dominican Republic
Ecuador
El Salvador
French Guiana
Grenada
Guadeloupe
Guatemala
Guyana
Haiti
Honduras
Indonesia
Jamaica
Japan
Laos
Malaysia
Martinique
Mexico
Montserrat
Myanmar
New Zealand
Nicaragua
Panama
Paraguay
Peru
Philippines
Saint Barthélemy
Saint Kitts and Nevis
Saint Lucia
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Singapore
Suriname
Thailand
Trinidad and Tobago
Turks and Caicos Islands
Uruguay
Venezuela
Vietnam
Bonaire, Sint Eustatius and Saba
Saint Martin (French part)
Sint Maarten (Dutch part)
Company *
First Name *
Last Name *
Email *
Phone *
City *
State *
Alabama
Alaska
Alberta
Arizona
Arkansas
British Columbia
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Manitoba
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Brunswick
New Hampshire
New Jersey
New Mexico
New York
Newfoundland and Labrador
North Carolina
North Dakota
Northwest Territories
Nova Scotia
Nunavut
Ohio
Oklahoma
Ontario
Oregon
Pennsylvania
Prince Edward Island
Quebec
Rhode Island
Saskatchewan
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Yukon Territories
Australian Capital Territory
New South Wales
Northern Territory
Queensland
South Australia
Tasmania
Victoria
Western Australia
Aguascalientes
Baja California
Baja California Sur
Chihuahua
Colima
Campeche
Coahuila
Chiapas
Distrito Federal
Durango
Estado de Mexico
Guerrero
Guanajuato
Hidalgo
Jalisco
Michoacán
Morelos
Nayarit
Nuevo León
Oaxaca
Puebla
Querétaro
Quintana Roo
Sinaloa
San Luis Potosí
Sonora
Tabasco
Tlaxcala
Tamaulipas
Veracruz
Yucatán
Zacatecas
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
American Samoa
Guam
Puerto Rico
United States Minor Outlying Islands
US Virgin Islands
Zip *
Which product do you want to have installed with Roland Care Onsite Service? *
VersaSTUDIO BN-20A
VersaSTUDIO BN2-20
VersaSTUDIO BN2-20A
VersaSTUDIO BY-20
VersaSTUDIO BD-8
VersaOBJECT MO-240
TrueVIS VG3 Series
TrueVIS SG3 Series
TrueVIS LG Series
TrueVIS MG Series
TrueVIS AP-640
VersaUV LEF2-200
IU-1000F Industrial Flatbed Printer
EU-1000MF UV LED Flatbed Printer
VersaOBJECT CO-i Series
Dimensor S
DWX-53DC Dental Mill
(Select all that apply.) Hold Ctrl and click to select more than one.
Any additional details or preferences for the install?
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