welzia - Customer area
Register Accesss
Home > Customer area > Register Accesss

To request access to the Welzia, private area, complete the following form.

You will receive two copies of the contract at your home address to access the Private Area via Internet. One copy is for you and the other should be signed and returned to Welzia using the enclosed pre-paid envelope.
Request
Name*
Surname/Registered Office*
ID/TAX ID*
Email*
Date of Birth* (mm/dd/yyyy)

 

*Mandatory Fields