By checking the box to receive telephone calls and submitting this form, I agree to be
contacted by Roche Diabetes Care, Inc. ("Roche") or persons or contractors acting on Roche's
behalf at the mobile telephone number I have provided.
I confirm that the mobile telephone number I provided is associated with a mobile
telephone belonging to me, not to a family member or third party. I understand that my
consent to receiving telephone calls by mobile telephone is not required as a condition of
purchasing any goods or services. If I do not consent, Roche will not be able to contact me
by mobile telephone.
Standard messaging and data rates may apply.
By participating, I am agreeing to receive advertising messages regarding Roche's product
and services sent via an automated telephone dialing system.
To stop receiving phone calls, please email graeme.harvey@roche.com.
You may also review our Terms & Conditions and Privacy
Policy.
