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<B><font size="2" color="#DC143C">Completa il form con i tuoi dati</font></B>
<font size="2"><br><font color="#FF0000">*</font>campi obbligatori</font></td></tr>
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<td height=23><font size="2"><font color="#FF0000">*</font>Società:</font></td>
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<td height=23><font size="2"><font color="#FF0000">*</font>Nome:</font></td>
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<td height=23><font size="2"><font color="#FF0000">*</font>Cognome:</font></td>
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<td height=23><font size="2"><font color="#FF0000">*</font>Indirizzo:</font></td>
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<td height=23><font size="2"><font color="#FF0000">*</font>Città:</font></td>
<td height=23><font size="2"><input maxLength=64 name=citta size=45></font></td></tr>
<tr>
<td height=23><font size="2"><font color="#FF0000">*</font>Provincia:</font></td>
<td height=23><font size="2"><select class=input1 name=provincia size=1>
<option selected value=AA>Seleziona</option>
<option value=AG>AGRIGENTO
<option value=AL>ALESSANDRIA
<option value=AN>ANCONA
<option value=AO>AOSTA
<option value=AR>AREZZO
<option value=AP>ASCOLI PICENO
<option value=AT>ASTI
<option value=AV>AVELLINO
<option value=BA>BARI
<option value=BL>BELLUNO
<option value=BN>BENEVENTO
<option value=BG>BERGAMO
<option value=BI>BIELLA
<option value=BO>BOLOGNA
<option value=BZ>BOLZANO-BOZEN
<option value=BS>BRESCIA
<option value=br>BRINDISI
<option value=CA>CAGLIARI
<option value=CL>CALTANISSETTA
<option value=CB>CAMPOBASSO
<option value=CE>CASERTA
<option value=CT>CATANIA
<option value=CZ>CATANZARO
<option value=CH>CHIETI
<option value=CO>COMO
<option value=CS>COSENZA
<option value=CR>CREMONA
<option value=KR>CROTONE
<option value=CN>CUNEO
<option value=EN>ENNA
<option value=FE>FERRARA
<option value=FI>FIRENZE
<option value=FG>FOGGIA
<option value=FO>FORLI'-CESENA
<option value=FR>FROSINONE
<option value=GE>GENOVA
<option value=GO>GORIZIA
<option value=GR>GROSSETO
<option value=IM>IMPERIA
<option value=IS>ISERNIA
<option value=AQ>L'AQUILA
<option value=SP>LA SPEZIA
<option value=LT>LATINA
<option value=LE>LECCE
<option value=LC>LECCO
<option value=LI>LIVORNO
<option value=LO>LODI
<option value=LU>LUCCA
<option value=MC>MACERATA
<option value=MN>MANTOVA
<option value=MS>MASSA-CARRARA
<option value=MT>MATERA
<option value=ME>MESSINA
<option value=MI>MILANO
<option value=MO>MODENA
<option value=NA>NAPOLI
<option value=NO>NOVARA
<option value=NU>NUORO
<option value=OR>ORISTANO
<option value=PD>PADOVA
<option value=PA>PALERMO
<option value=PR>PARMA
<option value=PV>PAVIA
<option value=PG>PERUGIA
<option value=PS>PESARO E URBINO
<option value=PE>PESCARA
<option value=PC>PIACENZA
<option value=PI>PISA
<option value=PT>PISTOIA
<option value=PN>PORDENONE
<option value=PZ>POTENZA
<option value=PO>PRATO
<option value=RG>RAGUSA
<option value=RA>RAVENNA
<option value=RC>REGGIO CALABRIA
<option value=RE>REGGIO EMILIA
<option value=RI>RIETI
<option value=RN>RIMINI
<option value=RM>ROMA
<option value=RO>ROVIGO
<option value=SA>SALERNO
<option value=SS>SASSARI
<option value=SV>SAVONA
<option value=SI>SIENA
<option value=SR>SIRACUSA
<option value=SO>SONDRIO
<option value=TA>TARANTO
<option value=TE>TERAMO
<option value=tr>TERNI
<option value=TO>TORINO
<option value=TP>TRAPANI
<option value=TN>TRENTO
<option value=TV>TREVISO
<option value=TS>TRIESTE
<option value=UD>UDINE
<option value=VA>VARESE
<option value=VE>VENEZIA
<option value=VB>VERBANO-CUSIO-O
<option value=VC>VERCELLI
<option value=VR>VERONA
<option value=VV>VIBO VALENTIA
<option value=VI>VICENZA
<option value=VT>VITERBO</option></select></font></td>
</tr>
<tr>
<td height=23><font size="2"> CAP:</font></td>
<td height=23><font size="2"><input maxLength=40 name=cap size=10></font></td></tr>
<tr>
<td height=23><font size="2"><font color="#FF0000">*</font>Telefono:</font></td>
<td height=23><font size="2"><input maxLength=40 name=tel size=25></font></td></tr>
<tr>
<td height=23><font size="2"> FAX:</font></td>
<td height=23><font size="2"><input maxLength=40 name=fax size=25></font></td></tr>
<tr>
<td height=23><font size="2"><font color="#FF0000">*</font>E-mail:</font> </td>
<td height=23><font size="2"><input maxLength=64 name=email size=35></font></td></tr>
<tr>
<td align=middle colSpan=2 height=29 vAlign=top>
<div id="legge"><input id="Privacy" onClick="accetta(this)" type="checkbox" value="Accetto il trattamento dei dati" name="Privacy" />
Letta l'<a target="_blank" href="#">informativa
sulla Privacy ai sensi del Dlg 196/03</a>, do il consenso
al trattamento dei dati personali per le finalità e con
le modalità specificatamente indicate nell'informativa stessa.</div>
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<P>
<font color="#000000"><b><font size="2">Commento:</font></b></font>
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<p align="center"><font color="#000000" size="1">I dati sopra forniti verranno trattati nel rispetto della legge 675/96<br>(Tutela dei dati personali)</font><br></p>
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