Please Fill Out The Following Fields

Please note that the information you provide below will show up on our online search feature of certified installers when individuals are looking for someone to install a tank. This information should only be your business contact information – no personal information should be included that you do not want on the internet.

Company *
First Name *
Last Name *
Address *
City *
State/Province *
Zip Code *
Phone Number *
Email Address *
Are you currently certified and willing to install the Roth Heating Oil Storage Tank? Yes     No
Date Certified *
Certification Location *
Name of Certification Trainer
Roth would be happy to certify you! Simply fill out the rest of this form and submit. A Roth representative will be in touch with you shortly with certification instructions.
Would you like become certified online? Yes     No
Is your Company a Roth Industries Wholesale Distributor? Yes   No
Does your company deliver fuel oil to the homeowner? Yes   No
How many tanks do you install per year? *
Would you like to be listed on Heating Oil Storage Yes   No
Security Question: What is the opposite of hot?