codice:
<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.01 Strict//EN" "http://www.w3.org/TR/html4/strict.dtd">
<html>
 <head>
  <title>Documento senza titolo</title>
  <meta charset="utf-8">
  <style type="text/css">.ts-1 {
 border: none;
 height: 173px;
 position: relative;
 text-align: left;
 width: 500px;
}
.ts-1-1 {
 border: none;
 height: 25px;
 left: 0px;
 line-height: 25px;
 padding: 0px;
 position: absolute;
 top: 0px;
 width: 167px;
}
.ts-1-2 {
 border: none;
 height: 25px;
 left: 167px;
 line-height: 25px;
 padding: 0px;
 position: absolute;
 top: 0px;
 width: 167px;
}
.ts-1-3 {
 border: none;
 height: 25px;
 left: 333px;
 line-height: 25px;
 padding: 0px;
 position: absolute;
 top: 0px;
 width: 167px;
}
.ts-1-4 {
 border: none;
 height: 24px;
 left: 0px;
 line-height: 24px;
 padding: 0px;
 position: absolute;
 top: 25px;
 width: 167px;
}
.ts-1-5 {
 border: none;
 height: 24px;
 left: 167px;
 line-height: 24px;
 padding: 0px;
 position: absolute;
 top: 25px;
 width: 167px;
}
.ts-1-6 {
 border: none;
 height: 24px;
 left: 333px;
 line-height: 24px;
 padding: 0px;
 position: absolute;
 top: 25px;
 width: 167px;
}
.ts-1-7 {
 border: none;
 height: 38px;
 left: 0px;
 padding: 0px;
 position: absolute;
 top: 49px;
 width: 167px;
}
.ts-1-8 {
 border: none;
 height: 38px;
 left: 167px;
 padding: 0px;
 position: absolute;
 top: 49px;
 width: 167px;
}
.ts-1-9 {
 border: none;
 height: 38px;
 left: 333px;
 padding: 0px;
 position: absolute;
 top: 49px;
 width: 167px;
}
.ts-1-10 {
 border: none;
 height: 24px;
 left: 0px;
 line-height: 24px;
 padding: 0px;
 position: absolute;
 top: 87px;
 width: 167px;
}
.ts-1-11 {
 border: none;
 height: 24px;
 left: 167px;
 line-height: 24px;
 padding: 0px;
 position: absolute;
 top: 87px;
 width: 167px;
}
.ts-1-12 {
 border: none;
 height: 24px;
 left: 333px;
 line-height: 24px;
 padding: 0px;
 position: absolute;
 top: 87px;
 width: 167px;
}
.ts-1-13 {
 border: none;
 height: 38px;
 left: 0px;
 padding: 0px;
 position: absolute;
 top: 111px;
 width: 167px;
}
.ts-1-14 {
 border: none;
 height: 38px;
 left: 167px;
 padding: 0px;
 position: absolute;
 top: 111px;
 width: 167px;
}
.ts-1-15 {
 border: none;
 height: 38px;
 left: 333px;
 padding: 0px;
 position: absolute;
 top: 111px;
 width: 167px;
}
.ts-1-16 {
 border: none;
 height: 24px;
 left: 0px;
 line-height: 24px;
 padding: 0px;
 position: absolute;
 top: 149px;
 width: 167px;
}
.ts-1-17 {
 border: none;
 height: 24px;
 left: 167px;
 line-height: 24px;
 padding: 0px;
 position: absolute;
 top: 149px;
 width: 167px;
}
.ts-1-18 {
 border: none;
 height: 24px;
 left: 333px;
 line-height: 24px;
 padding: 0px;
 position: absolute;
 top: 149px;
 width: 167px;
}
</style>
 </head>
 <body>
  <form>
   <div class="ts-1">
    <div class="ts-1-1">Etichetta</div>
    <div class="ts-1-2">Etichetta</div>
    <div class="ts-1-3">Etichetta</div>
    <div class="ts-1-4"><input></div>
    <div class="ts-1-5"><input></div>
    <div class="ts-1-6"><input></div>
    <div class="ts-1-7"><br>Etichetta</div>
    <div class="ts-1-8"><br>Etichetta</div>
    <div class="ts-1-9"><br>Etichetta</div>
    <div class="ts-1-10"><input></div>
    <div class="ts-1-11"><input></div>
    <div class="ts-1-12"><input></div>
    <div class="ts-1-13"><br>Etichetta</div>
    <div class="ts-1-14"><br>Etichetta</div>
    <div class="ts-1-15"><br>Etichetta</div>
    <div class="ts-1-16"><input></div>
    <div class="ts-1-17"><input></div>
    <div class="ts-1-18"><input></div>
   </div>
  </form>
 </body>
</html>