eccolo:
codice:
<SCRIPT language="JavaScript">
function doRefresh(page) {
  document.location.reload("Form.php");
}
</SCRIPT>
<form action="Form.php" method="POST" name="frmrichiesta" enctype="multipart/form-data">
	<table border=0 cellpadding="0" cellspacing="0" width="100%">
		<tr>
			<td width="70%">
			<input type="hidden" name="Data" value="">
			</td>
		</tr>
	</table>
             <table border="0" cellpadding="0" cellspacing="0" width="100%">
		<tr>
			<td>Protocollo
				<input type="text" name="Prot" style="width:50px" maxlength="6" size="5" value="" >			
			</td>
			<td></td>
		</tr>
                          <tr>
		             <td>
                                                     PTP<input type="checkbox" name="Ptp" style="width:50px" value="PTP" onClick="Ptp.checked=true;Ptu.checked=false">
	PTU<input type="checkbox" name="Ptu" style="width:50px" value="PTU" onClick="Ptu.checked=true;Ptp.checked=false">
                                      </td>
		</tr>
	</table>
             <table border=0 cellpadding="0" cellspacing="0" width="100%">
		<tr>
			<td width="100%">Dati Intestatario e/o richiedente</td>
		</tr>
	</table>
	<table border="0" cellpadding="0" cellspacing="0" width="100%">
		<tr>
			<td>
                                              Nome<input type="text" name="Nome" style="width:150px" value="" ></td>
                                       <td>Cognome<input type="text" name="Cogn" style="width:150px" value=""></td>
		</tr>
		<tr>
      		               <td>Altro</td>
			  <td><input type="text" name="Altro" style="width:300px" value="">
                                        </td>
		</tr>
		<tr>
			<td>Indirizzo</td>
			<td>
                                             <input type="text" name="Indirizzo" style="width:300px" value="">
                                      </td>
		</tr>
                          <tr>
			<td>Numero Civico</td>
			<td>
                                             <input type="text" name="Civico" style="width:50px" value="" onChange="frmrichiesta.submit();">
                                      </td>
		</tr>
		<tr>
			<td>
			      Interno<input type="text" name="Interno" style="width:30px" value="">

			       Scala<input type="text" name="Scala" style="width:30px" value="">
			</td>
                                       <td>
			       Lotto<input type="text" name="Lotto" style="width:30px" value="">
			       Fabbricato<input type="text" name="Fabbricato" style="width:30px" value="">
                                      </td>
		</tr>
	</table>
	<table border="0" cellpadding="0" cellspacing="0" width="100%">
		<tr>
			<td>
                                             Quartiere<input type='text' name='Quartiere' value=''">			</td>
		</tr>
	</table>			
	<table border="0" cellpadding="0" cellspacing="0" width="100%">
		<tr>
			<td>Recapito telefonico</td> 
			<td>
				<input type="text" name="Telefono" style="width:80px" maxlength="10" size="12" value="">
				<input type="text" name="Cellulare" style="width:80px" maxlength="10" size="12" value="">
			</td>
		</tr>
                          <tr>
			<td>Condominio</td>
			<td>
                                             SI<input type="checkbox" name="Si" value="SI" onChange="Si.checked=true;No.checked=false">

NO<input type="checkbox" name="No" value="NO" onChange="No.checked=true;Si.checked=false">
                                      </td>
		</tr>
		<tr>
			<td>Descrizione</td>
			<td><textarea name="Descr" cols="40" rows="6"> </textarea>
                                      </td>
		</tr>
	</table>
             <table border="0" cellpadding="0" cellspacing="0" width="100%">
		<tr>
			<td>SEZIONE IGIENE</td>
		</tr>
		<tr>
			<td>
                                            Codice<input type="text" name="Codice" style="width:40px" >
			      Municipio<input type="text" name="Munic" style="width:40px">
                                      </td>
			<td>
			      Quartiere<select name='Quartiere2' onChange="frmrichiesta.submit();">
<option value=''>Quartiere</option>
</select>
			</td>
		</tr>
	</table>
	<table border="0" cellpadding="0" cellspacing="0" width="100%">
		<tr>
			<td>
</td>
                          </tr>
		<tr>
			<td>Allegato</td>
			<td><input type="file" name="Allegato"></td>
                          </tr>
		<tr>
			<td>RECAPITI EMAIL</td>
		</tr>
		<tr>
			<td>Da</td>
			<td>
			       <input type="text" name="txtURCU" value="UFFICIO UTENZA" style="width:205px" readonly>
			       <input type="hidden" name="Da" value="g.carino@cmc.it" style="width:300px">
			</td>
		</tr>
		<tr>
			<td>A</td>
			<td>
                                             <select name="Servizi" style="width:205px					                 <option value="">Scelta Servizio </option>
				     <option value="m.carino@cmc.it">Sezione 1</option>
                                             </select>
</td>
		</tr>
		<tr>
			<td align="center" colspan="2">
				

				<input type="button" name="cmdConferma" value="     Conferma" style="width:100px" onClick="subControlla()">
				<input type="reset" name="Cancella" value="      Cancella" style="width:100px" onClick="doRefresh()">
				<input type="button" name="cmdIndietro" value="    Indietro" style="width:100px">
			</td>
		</tr>
	</table>
  </form>
Questo è quanto, un po lunghetto ma..
Grazie mille...