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<TD WIDTH="10" VALIGN="top" BACKGROUND="../navigazione/barretta_sx.gif"> </TD>
<TD VALIGN="top" WIDTH="732" BGCOLOR="#FFCC00">
<FORM METHOD="post" ACTION="iscrizionidb.php?action=iscrizioni" NAME="iscrizione">
<TABLE WIDTH="100%" BORDER="0" CELLSPACING="0" CELLPADDING="0">
<TR BGCOLOR="#FFCC00">
<TD BGCOLOR="#FFFFFF">

<TABLE WIDTH="95%" BORDER="0" CELLSPACING="0" CELLPADDING="0" ALIGN="center">
<TR>
<TD VALIGN="top">

<P ALIGN="center">[img]images/maglia.jpg[/img]

</P>
<HR>
Per iscriversi &egrave; sufficiente compilare il form di registrazione

<TABLE WIDTH="100%" BORDER="0" CELLSPACING="0" CELLPADDING="0">
<TR VALIGN="middle" ALIGN="left">
<TD>Nome</TD>
<TD>
<INPUT TYPE="text" NAME="nome"> </TD>
<TD>Cognome</TD>
<TD>
<INPUT TYPE="text" NAME="cognome"> </TD>
</TR>
<TR VALIGN="middle" ALIGN="left">
<TD>Luogo di nascita</TD>
<TD>
<INPUT TYPE="text" NAME="luogo"> </TD>
<TD>Data di nascita</TD>
<TD>
<INPUT TYPE="text" NAME="data" VALUE="gg/mm/aaaa"> </TD>
</TR>
<TR VALIGN="middle" ALIGN="left">
<TD>Indirizzo</TD>
<TD>
<INPUT TYPE="text" NAME="indirizzo"> </TD>
<TD>CAP</TD>
<TD>
<INPUT TYPE="text" NAME="cap"> </TD>
</TR>
<TR VALIGN="middle" ALIGN="left">
<TD>Citt&agrave; </TD>
<TD>
<INPUT TYPE="text" NAME="citta"> </TD>
<TD>Provincia</TD>
<TD>
<INPUT TYPE="text" NAME="provincia"> </TD>
</TR>
<TR VALIGN="middle" ALIGN="left">
<TD>Telefono</TD>
<TD>
<INPUT TYPE="text" NAME="tel"> </TD>
<TD>Fax</TD>
<TD>
<INPUT TYPE="text" NAME="fax"> </TD>
</TR>
<TR VALIGN="middle" ALIGN="left">
<TD>E-mail</TD>
<TD>
<INPUT TYPE="text" NAME="email"> </TD>
<TD></TD>
<TD></TD>
</TR>
<TR VALIGN="middle" ALIGN="center">
<TD COLSPAN="4" HEIGHT="10"> </TD>
</TR>
<TR VALIGN="middle" ALIGN="center">
<TD COLSPAN="4" BGCOLOR="#0000FF"></TD>
</TR>
</TABLE>

<P CLASS="Stile1">NOTA INFORMATIVA</TD>
</TR>
<TR>
<TD VALIGN="top"><table width="30%" border="0" align="center" cellpadding="0" cellspacing="0">
<tr>
<td width="50%"><div align="center">
<input name="privacy" type=radio checked>
</div></td>
<td width="50%"><div align="center">
<input type=radio name="privacy">
</div></td>
</tr>
<tr>
<td><div align="center">Accetto</div></td>
<td><div align="center">Non accetto</div></td>
</tr>
</table></TD>
</TR>

<TR>
<TD VALIGN="top" bgcolor="#0000FF"><div align="center">
<INPUT TYPE="submit" NAME="Submit" VALUE="Conferma">
<INPUT TYPE="reset" NAME="Reset" VALUE="Annulla">
</div></TD>
</TR>
</TABLE>


</TD>
</TR>
</TABLE>
</FORM>
</TD>
<TD HEIGHT="4" WIDTH="10" VALIGN="top" BACKGROUND="../navigazione/barretta_dx.gif"></TD>
</TR>
<TR BGCOLOR="EBEBEB" BACKGROUND="../navigazione/sfondo_bottom.gif">
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</TR>
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