Questo è il file "form.htm"
codice:<html> <head> <meta http-equiv="Content-Type" content="text/html; charset=windows-1252"> <title>FORM JAVASCRIPT</title> <script type="text/javascript" language="javascript" src="validation.js"></script> <script> function reload_captcha () { document.getElementById("captcha").src = "captcha.php?" + Math.random(); } </script> </head> <body topmargin="0" leftmargin="0" rightmargin="0" bottommargin="0" marginwidth="0" marginheight="0"> <form method="POST" name="modulo" action="invia.php" onSubmit="return Controlla(this);"> <div align="left"> <div align="left"> <div align="left"> <table border="0" width="450" cellspacing="0" cellpadding="0" id="table380"> <tr> <td> <i><b> <font face="Arial" color="#4B4B4B"> Verifica disponibilità</font></b></i></td> </tr> <tr> <td> <div align="center"> <table border="0" width="100%"> <tr> <td width="111"> <font face="Arial" size="2" color="#4B4B4B"> Cognome:</font><font face="Verdana" style="font-size: 10pt; font-weight: 700" color="#FF0000">*</font></td> <td> </td> <td> <font face="Arial" size="2" color="#4B4B4B"> Nome:</font><font face="Verdana" style="font-size: 10pt; font-weight: 700" color="#FF0000">*</font></td> <td> </td> </tr> <tr> <td width="111"> <font size="4" face="Palatino Linotype"> <input type="text" name="cognome" size="25" style="border:1px solid #D1D1D1; float: left; padding-left:4px; padding-right:4px; padding-top:1px; padding-bottom:1px; color:#43C5C3; font-family:Bookman Old Style; background-image: url('text.jpg')"></font></td> <td> </td> <td> <font size="4" face="Palatino Linotype"> <input name="nome" size="25" style="border:1px solid #D1D1D1; float: left; padding-left:4px; padding-right:4px; padding-top:1px; padding-bottom:1px; color:#43C5C3; font-family:Bookman Old Style; background-image: url('text.jpg')"></font></td> <td> </td> </tr> <tr> <td width="111"> <font face="Arial" size="2" color="#4B4B4B"> Telefono/Cellulare:</font><font face="Verdana" style="font-size: 10pt; font-weight: 700" color="#FF0000">*</font></td> <td> </td> <td> <font face="Arial" size="2" color="#4B4B4B"> Città:</font><font face="Verdana" style="font-size: 10pt; font-weight: 700" color="#FF0000">*</font></td> <td> </td> </tr> <tr> <td width="111"> <font size="4" face="Palatino Linotype"> <input type="text" name="telefono" size="25" style="border:1px solid #D1D1D1; float: left; padding-left:4px; padding-right:4px; padding-top:1px; padding-bottom:1px; color:#43C5C3; font-family:Bookman Old Style; background-image: url('text.jpg')"></font></td> <td> </td> <td> <font size="4" face="Palatino Linotype"> <input type="text" name="citta" size="30" style="border:1px solid #D1D1D1; float: left; padding-left:4px; padding-right:4px; padding-top:1px; padding-bottom:1px; color:#43C5C3; font-family:Bookman Old Style; background-image: url('text.jpg')"></font></td> <td> </td> </tr> <tr> <td width="111"> <font face="Arial" size="2" color="#4B4B4B"> E-mail:</font><font face="Verdana" style="font-size: 10pt; font-weight: 700" color="#FF0000">*</font></td> <td> </td> <td> </td> <td> </td> </tr> <tr> <td width="111"> <font size="4" face="Palatino Linotype"> <input type="text" name="email" size="25" style="border:1px solid #D1D1D1; float: left; padding-left:4px; padding-right:4px; padding-top:1px; padding-bottom:1px; color:#43C5C3; font-family:Bookman Old Style; background-image: url('text.jpg')"></font></td> <td> </td> <td> </td> <td> </td> </tr> </table> </div> </td> </tr> <tr> <td> </td> </tr> <tr> <td> <table cellSpacing="0" cellPadding="0" align="center" border="0" id="table677" width="340"> <tr> <td style="FONT-SIZE: 9pt; COLOR: #003e84; FONT-FAMILY: Verdana" vAlign="top"> </td> <td style="FONT-SIZE: 9pt; COLOR: #003e84; FONT-FAMILY: Verdana" vAlign="top" width="160"> <p><font size="2" color="#4B4B4B" face="Arial">Modalità di pagamento:</font><b><font color="#FF0000" size="2">*</font></b></td> <td style="FONT-SIZE: 9pt; COLOR: #003e84; FONT-FAMILY: Verdana" width="159"> <font size="2" color="#000000"><br> </font> <font face="Verdana"> <input type="radio" value="Bonifico Bancario" name="pagamento" checked></font><font size="2" color="#000000"><font face="Arial">Bonifico Bancario</font><br> </font> <font face="Verdana"> <input type="radio" value="Contanti" name="pagamento" ></font><font size="2" color="#000000"><font face="Arial">Contanti</font><font face="Palatino Linotype"><br> </font></font></td> </tr> </table> <div align="center"> <table border="0" width="400" cellpadding="0" id="table678"> <tr> <td width="20"> <p align="left"> <label for="accetto"> <input id="accetto" type="checkbox" value="accetto" name="C6" checked /></label> </td> <td> <a href="file:///E:/Backup%20ELIO%2005.06.2012/Materiale%20di%20Elio/sito%20ELMAR/Sito%20v.23%20con%20nuova%20Area%20protetta/protect/protect-APREAMARE/x" class="linkelmar"> <font face="Arial" color="#4B4B4B" size="1"> <span style="text-decoration: none"> Autorizzo trattamento Dati Personali</span></font><b><span style="text-decoration: none"><font face="Arial" size="1" color="#4B4B4B"> »</font></span></b></a></td> <td width="146"> <p align="center"> <b> <font size="2" face="Arial" color="#4B4B4B"> (</font><font color="#FF0000" size="2" face="Verdana">*</font><font size="2" face="Arial" color="#4B4B4B">) </font><i><span lang="it"> <font size="1" face="Arial" color="#4B4B4B"> Campi obbligatori</font></span></i></b></td> <td width="18"> </td> </tr> </table> <div align="center"> <table border="0" width="425" id="table679"> <tr> <td width="76"> </td> <td width="320"> </td> <td width="15"> </td> </tr> <tr> <td width="76"><font face="Arial" size="2" color="#4B4B4B"> Particolari servizi o necessità:</font></td> <td width="320"> <textarea name="richieste" rows="5" cols="50" style="border:1px solid #C0C0C0; padding-left:3px; padding-right:3px; color:#43C5C3; font-family:Arial"></textarea></td> <td width="15"> </td> </tr> </table> <p> </div></div> </td> </tr> <tr> <td> <img src="captcha.php" alt="Captcha" id="captcha" border="1px" value='<?php $_POST["captcha"] ?>'/> <img border="0" src="code-refresh.png" width="16" height="16" onClick="reload_captcha()"> <font color="#4B4B4B">» </font> <input type="text" name="codice" size="5" maxlength="3" style="border:1px solid #D1D1D1; padding-left:4px; padding-right:4px; padding-top:1px; padding-bottom:1px; color:#43C5C3; font-family:Bookman Old Style; background-image: url('text.jpg')"></td> </tr> <tr> <td> <div align="left"> <table border="0" width="228" cellspacing="4" height="74"> <tr> <td width="218"> <input type="button" value="Verifica disponibilità" onClick="Controlla()" style="width: 270; height: 74; color: #FFFFFF; font-family: Verdana; font-size: 11; font-weight: bold; border-width: 0; padding-left: 10px; padding-right: 10px; padding-top: 8px; padding-bottom: 10px; background-image: url('Pulsante-invia.jpg'); float:left"></td> </tr> </table> </div> </td> </tr> </form> </table> </div> </div> </div> </body> </html>
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