Pharmacy at DEZ mall - Quick check-in

    Welcome to the quick check-in at your pharmacy at the DEZ mall. For free testing, please fill out all data necessary. Thank you.
    All * fields are mandatory!


    Country
    Name *
    Lastname *
    Birthday *
    Sex *
    Passport ID / ONLY free for antigen testPassport ID / card ID is required for entry by some countries. (Optional)
    SVN *
    Street*
    House number*
    Door
    Level
    ZIP Code*
    City *
    Mobile number for SMS *
    eMail *