Originariamente inviato da Mackey
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<HTML>
<HEAD>
<TITLE>Anagrafica</TITLE>
<script language="JavaScript" src="/it/scripts/AnagControl.js"></script>
<link rel="stylesheet" href="/it/style.css" type="text/css">rel="stylesheet" type="text/css">
</HEAD>
<BODY leftmargin="20" bgcolor="#99CCFF" topmargin="10">
<form action="/4DACTION/WBmain/IT/autenticazione.imode.ord" method=POST name=NEWADV onSubmit="return CheckError(this);">
<table width="620" border="0" cellspacing="0" bgcolor="#2B57B6">
<tr bgcolor="#2B57B6">
<td>
<table width="100%" border="0" cellspacing="0" cellpadding="7">









<tr>
<td width=50% height=22 colspan=2 bgcolor="#FFF6D9"> <span class="Nero10Pt">Indirizzo</span>
<span class="Nero10Pt">
<input type=text name="Fisc_Nome_Via" value="" size=25 onChange="uCase(this);">
N&#176;
<input type=text name="Fisc_Numero" value="" size=5 onChange="uCase(this);">
</span> </td>
</tr>
<tr>
<td height=22 colspan=2 bgcolor="#FFF6D9"><span class="Nero10Pt">CAP
</span> <span class="Nero10Pt">
<input type=text name="V_Cap" value="" size=7 maxlength=5 onChange=checkNum(this, "Cap");'>
<span class="Nero10Pt">Citt&agrave;</span>
<input type=text name="V_Localita" value="" size=30 onChange="uCase(this);">
Provincia
<input type=text name="V_Provincia" value="" size=4 maxlength=2 onChange="uCase(this);">
</span></td>
</tr>
<tr>
<td height=22 bgcolor="#FFF6D9"> <span class="Nero10Pt"> Email</span>
<input type=text name="Email" value="" size=25>
</td>
<td width="50%" height=22 valign=top bgcolor="#FFF6D9"><span class="Nero10Pt">Telefono</span>
<input type=text name="Recapito_Tel" value="" size=20 maxlength=10 onChange='checkNum(this, "Telefono");'>
<span class="Nero10Pt"></span> </td>
</tr>

<tr>
<td height=22 colspan="2" bgcolor="#FFCC00"> <span class="BluBold">Modello
I-Mode </span></td>
</tr>
<tr>
<td height=22 bgcolor="#FFF6D9"> <span class="Nero10Pt">
<input type="radio" name="mod_imode" value="399">
</span><span class="NeroBold10Pt">Nec 341i</span><span class="Nero10Pt"><span class="Nero10Pt">
- Modello da 399 euro</span> </span> </td>
<td height=22 valign=top bgcolor="#FFF6D9"> <input type="radio" name="mod_imode" value="249">
<span class="NeroBold10Pt">Nec N 223i</span><span class="Nero10Pt">
- Modello da 249 euro</span> </td>
</tr>
<tr>
<td height=22 colspan="2" bgcolor="#FFCC00"><span class="BluBold">Opzioni
I-Mode </span></td>
</tr>
<tr>
<td height=22 colspan="2" bgcolor="#FFF6D9"><hr size="1" noshade>
<div align="center"><font face="Helvetica"> </font>
<input type=submit name=B1 value="Invia il modulo">
</div></td>
</tr>
</table>
</td>
</tr>
</table>
</form>
</BODY>
</HTML>