New user registration for the customers area
Fields marked with a red asterisk (*) are mandatory.
 
Name:*
Last Name:*
Company :*
 
Poliform customer code:
Varenna customer code:
 
EMail:*
 
Comments:
NOTICE TO APPLICANTS:  Read the information prepared in accordance with article 13 of Italian Legislative Decree No. 196/2003.
In accordance with Legislative Decree No. 196/2003, and having read the information published on the Poliform® S.p.A. website, I authorise this company to process my personal data, and to also transfer it to third parties, with computerised/hardcopy storage, in order to process my request.