<div id="box_invio">
<form id="form_2" method="post" action="#">
<div >Tipologia di spot da segnalare:</div>
<div align="center">
<input class="radio" type="radio" name="spot" value="bike" />[img]file/img_legenda/biketrialista.png[/img]
<input class="radio" type="radio" name="spot" value="mono" />[img]file/img_legenda/Monotrialista.png[/img]
<input class="radio" type="radio" name="spot" value="park" />[img]file/img_legenda/park.png[/img]
<input class="radio" type="radio" name="spot" value="evento" />[img]file/img_legenda/event.png[/img]
<input class="radio" type="radio" name="spot" value="gara" />[img]file/img_legenda/competition.png[/img]
<input class="radio" type="radio" name="spot" value="negozio" />[img]file/img_legenda/shop.png[/img]</div>
<div class="name">Nome:</div>
<input class="text_2" name="nome" type="text" />
<div class="name">Nick:</div>
<input class="text_2" name="nick" type="text" />
<div class="name">Indirizzo google map:</div>
<input class="text_2" name="indirizzo" type="text" />
<div class="name">Firma:</div>
<textarea class="text_2" name="firma" type="text" rows="5" /></textarea>
</form>
</div>