codice:<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN"> <html> <head> <title>Documento senza titolo</title> <meta http-equiv="Content-Type" content="text/html; charset=iso-8859-1"> <script language="JavaScript" type="text/JavaScript"> <!-- function MM_reloadPage(init) { //reloads the window if Nav4 resized if (init==true) with (navigator) {if ((appName=="Netscape")&&(parseInt(appVersion)==4)) { document.MM_pgW=innerWidth; document.MM_pgH=innerHeight; onresize=MM_reloadPage; }} else if (innerWidth!=document.MM_pgW || innerHeight!=document.MM_pgH) location.reload(); } MM_reloadPage(true); //--> </script> </head> <BODY><BODY background="elementi/sfondo.gif"> <div id="Layer1" style="position:absolute; left:682px; top:164px; width:192px; height:189px; z-index:1"> <object classid="clsid:D27CDB6E-AE6D-11cf-96B8-444553540000" codebase="http://download.macromedia.com/pub/shockwave/cabs/flash/swflash.cab#version=6,0,29,0" width="190" height="59"> <param name="movie" 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width:722px; height:555px; z-index:5"> <form method="post" action="mailto:sarasat@email.it"> <table width="100%" height="286" border="0"> <tr> <td width="58" height="36"><font face="Verdana, Arial, Helvetica, sans-serif" size="1"> Cognome</font></td> <td width="383" height="36"><font face="Verdana, Arial, Helvetica, sans-serif" size="1"> <input type=input size=30 name="cognome" maxlength=20 value=""> </font></td> <TD width="186"></TD> <TD align=left></TD> </tr> <tr> <td width="58" height="39"><font face="Verdana, Arial, Helvetica, sans-serif" size="1">Nome</font></td> <td width="383" height="39"><font face="Verdana, Arial, Helvetica, sans-serif" size="1"> <input type=input size=30 name="nome" maxlength=20 value=""> </font></td> <TD width="186"><font size="1" face="Verdana, Arial, Helvetica, sans-serif">Proprietario in Ansedonia</font></TD> <TD align=left><font size="1" face="Verdana, Arial, Helvetica, sans-serif"><SPAN class=testo> <INPUT tabIndex=3 type=radio CHECKED value=M name=SEX> </SPAN></font></TD> </tr> <tr> <td height="39"><font face="Verdana, Arial, Helvetica, sans-serif" size="1">Città</font></td> <TD><font size="1" face="Verdana, Arial, Helvetica, sans-serif"> <INPUT name=CITTA id="CITTA" tabIndex=5 size=25 maxLength=40> Provincia <span class=testo> <select class=SELECT tabindex=6 name=provincia> <option selected> <option>AG <option>AL <option>AN <option>AO <option>AP <option>AQ <option>AR <option>AT <option>AV <option>BA <option>BG <option>BI <option>BL <option>BN <option>BO <option>BR <option>BS <option>BZ <option>CA <option>CB <option>CE <option>CH <option>CL <option>CN <option>CO <option>CR <option>CS <option>CT <option>CZ <option>EE <option>EN <option>FC <option>FE <option>FG <option>FI <option>FO <option>FR <option>GE <option>GO <option>GR <option>IM <option>IS <option>KR <option>LC <option>LE <option>LI <option>LO <option>LT <option>LU <option>MC <option>ME <option>MI <option>MN <option>MO <option>MS <option>MT <option>NA <option>NO <option>NU <option>OR <option>PA <option>PC <option>PD <option>PE <option>PG <option>PI <option>PN <option>PO <option>PR <option>PS <option>PT <option>PU <option>PV <option>PZ <option>RA <option>RC <option>RE <option>RG <option>RI <option>RM <option>RN <option>RO <option>SA <option>SI <option>SO <option>SP <option>SR <option>SS <option>SV <option>TA <option>TE <option>TN <option>TO <option>TP <option>TR <option>TS <option>TV <option>UD <option>VA <option>VB <option>VC <option>VE <option>VI <option>VR <option>VT <option>VV</option> </select> </span> </font></TD> <td><font size="1" face="Verdana, Arial, Helvetica, sans-serif">Socio frequentatore</font></td> <TD align=left><font size="1" face="Verdana, Arial, Helvetica, sans-serif"><SPAN class=testo> <INPUT tabIndex=3 type=radio value= name=socio frequentatore> </SPAN></font></TD> </tr> <tr> <td width="58" height="39"><font size="1" face="Verdana, Arial, Helvetica, sans-serif">Indirizzo</font></td> <td width="383" height="39"><font face="Verdana, Arial, Helvetica, sans-serif" size="1"> <input type=input size=30 name="indirizzo" maxlength=40 value=""> n. <input type=text size=5 maxlength=5 name="civico" value=""> </font></td> <td><font size="1" face="Verdana, Arial, Helvetica, sans-serif">Iscrizione (100,00 euro)</font></td> <TD align=left><font size="1" face="Verdana, Arial, Helvetica, sans-serif"><SPAN class=testo> <INPUT tabIndex=3 type=radio value= name=iscrizione> </SPAN></font></TD> </tr> <tr> <td width="58" height="39"><font face="Verdana, Arial, Helvetica, sans-serif" size="1">Cap</font></td> <td width="383" height="39"><font face="Verdana, Arial, Helvetica, sans-serif" size="1"> <input type=text size=5 maxlength=5 name="cap" value=""> </font></td> <td><font size="1" face="Verdana, Arial, Helvetica, sans-serif">Quota annuale (100,00 euro)</font></td> <TD align=left><font size="1" face="Verdana, Arial, Helvetica, sans-serif"><SPAN class=testo> <INPUT tabIndex=3 type=radio value= name=quota annuale> </SPAN></font></TD> </tr> <tr> <TD><font size="1" face="Verdana, Arial, Helvetica, sans-serif">tel</font></TD> <td width="383" height="39"><div align="left"><font face="Verdana, Arial, Helvetica, sans-serif" size="1"> <input type=text size=12 maxlength=12 name="cap22" value=""> fax </font><font face="Verdana, Arial, Helvetica, sans-serif" size="1"> <input type=text size=12 maxlength=12 name="cap23" value=""> </font></div></td> <td></td> <td width="77" height="39"></td> </tr> <tr> <td><font size="1" face="Verdana, Arial, Helvetica, sans-serif">email</font></td> <td width="383" height="39"><font face="Verdana, Arial, Helvetica, sans-serif" size="1"> <input type=input size=30 name="email" maxlength=30 value=""> </font></td> <td></td> <td></td> </tr> </table> <input type="reset" value="cancella"> <input type="submit" value="invia il modulo"> </form> <p align="justify"><font size="2" face="Verdana, Arial, Helvetica, sans-serif">Il pagamento può essere fatto anche mediante accredito bancariosul conto corrente n._82617 della Banca Nuova-Gruppo Popolare di Vicenza (ABI 5132-CAB 3201) Via Orazio,23/25 00193, Roma, intestato Associazione Difesa Ansedonia. Si prega di inviare copia del presente modulo, compilato, unitamente alla copia del bonifico, all’indirizzo dell’Associazione.</font></p> <p align="justify"><font size="2" face="Verdana, Arial, Helvetica, sans-serif">n.b. Da riempire solo in caso di Nuova Iscrizione</font></p> <font size="2" face="Verdana, Arial, Helvetica, sans-serif">Il/La sottoscritta/o Dichiaro di volere aderire alla Associazione Difesa Ansedonia, A.D.A., ed ai sensi della legge 31/12/96 n.675 dichiaro di acconsentire che i dati soprariportati siano trattati e comunicati a terzi nei limiti di cui alla predetta informativa. </font><font face="Verdana, Arial, Helvetica, sans-serif"> </font> </p> <p align="justify"> </p> </div> <div id="Layer5" style="position:absolute; left:145px; top:827px; width:731px; height:76px; z-index:6"> <p align="center"><font size="2" face="Verdana, Arial, Helvetica, sans-serif"><font size="2" face="Verdana, Arial, Helvetica, sans-serif">A.D.A. Associazione Difesa Ansedonia Viale delle Milizie, 106 - 00192 Roma Fax 0686216883 - CF. 97322380581 ada.ansedonia@tiscali.it</font></font></p> </div> </body> </html>
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