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<input id="NOME" class="inputtext" maxlength="100" name="NOME" style="width: 112px" /></td>
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*Iniziale cognome</td>
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</td>
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<input id="COGNOME" class="inputtext" maxlength="100" name="COGNOME" style="width: 22px" />
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*email</td>
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<input id="E_MAIL" class="inputtext" maxlength="100" name="E_MAIL" /></td>
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*telefono</td>
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</td>
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<input id="NUMERO_TELEFONO" class="inputtext" maxlength="30" name="NUMERO_TELEFONO" /></td>
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*provincia</td>
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<select id="Select1" class="inputtext" name="PROV_FATT_COD" type="text">
<option selected="selected" value="-1">Seleziona una voce</option>
<option value="AG">Agrigento</option>
<option value="AL">Alessandria</option>
<option value="AN">Ancona</option>
<option value="AO">Aosta</option>
<option value="AQ">Aquila</option>
<option value="AR">Arezzo</option>
<option value="AP">Ascoli-Piceno</option>
<option value="AT">Asti</option>
<option value="AV">Avellino</option>
<option value="BA">Bari</option>
<option value="BL">Belluno</option>
<option value="BN">Benevento</option>
<option value="BG">Bergamo</option>
<option value="BI">Biella</option>
<option value="BO">Bologna</option>
<option value="BZ">Bolzano</option>
<option value="BS">Brescia</option>
<option value="BR">Brindisi</option>
<option value="CA">Cagliari</option>
<option value="CL">Caltanissetta</option>
<option value="CB">Campobasso</option>
<option value="CE">Caserta</option>
<option value="CT">Catania</option>
<option value="CZ">Catanzaro</option>
<option value="CH">Chieti</option>
<option value="CO">Como</option>
<option value="CS">Cosenza</option>
<option value="CR">Cremona</option>
<option value="KR">Crotone</option>
<option value="CN">Cuneo</option>
<option value="EN">Enna</option>
<option value="FE">Ferrara</option>
<option value="FI">Firenze</option>
<option value="FG">Foggia</option>
<option value="FO">Forli-Cesena</option>
<option value="FR">Frosinone</option>
<option value="GE">Genova</option>
<option value="GO">Gorizia</option>
<option value="GR">Grosseto</option>
<option value="IM">Imperia</option>
<option value="IS">Isernia</option>
<option value="SP">La-Spezia</option>
<option value="LT">Latina</option>
<option value="LE">Lecce</option>
<option value="LC">Lecco</option>
<option value="LI">Livorno</option>
<option value="LO">Lodi</option>
<option value="LU">Lucca</option>
<option value="MC">Macerata</option>
<option value="MN">Mantova</option>
<option value="MS">Massa-Carrara</option>
<option value="MT">Matera</option>
<option value="ME">Messina</option>
<option value="MI">Milano</option>
<option value="MO">Modena</option>
<option value="NA">Napoli</option>
<option value="NO">Novara</option>
<option value="NU">Nuoro</option>
<option value="OR">Oristano</option>
<option value="PD">Padova</option>
<option value="PA">Palermo</option>
<option value="PR">Parma</option>
<option value="PV">Pavia</option>
<option value="PG">Perugia</option>
<option value="PS">Pesaro-Urbino</option>
<option value="PE">Pescara</option>
<option value="PC">Piacenza</option>
<option value="PI">Pisa</option>
<option value="PT">Pistoia</option>
<option value="PN">Pordenone</option>
<option value="PZ">Potenza</option>
<option value="PO">Prato</option>
<option value="RG">Ragusa</option>
<option value="RA">Ravenna</option>
<option value="RC">Reggio-Calabria</option>
<option value="RE">Reggio-Emilia</option>
<option value="RI">Rieti</option>
<option value="RN">Rimini</option>
<option value="RM">Roma</option>
<option value="RO">Rovigo</option>
<option value="SA">Salerno</option>
<option value="SS">Sassari</option>
<option value="SV">Savona</option>
<option value="SI">Siena</option>
<option value="SR">Siracusa</option>
<option value="SO">Sondrio</option>
<option value="TA">Taranto</option>
<option value="TE">Teramo</option>
<option value="TR">Terni</option>
<option value="TO">Torino</option>
<option value="TP">Trapani</option>
<option value="TN">Trento</option>
<option value="TV">Treviso</option>
<option value="TS">Trieste</option>
<option value="UD">Udine</option>
<option value="VA">Varese</option>
<option value="VE">Venezia</option>
<option value="VB">Verbania</option>
<option value="VC">Vercelli</option>
<option value="VR">Verona</option>
<option value="VV">Vibo Valentia</option>
<option value="VI">Vicenza</option>
<option value="VT">Viterbo</option>
</select>
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*città</td>
<td style="width: 3px; color: white; height: 19px">
</td>
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<input id="Text1" class="inputtext" maxlength="100" name="CITTA_FATT" /></td>
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height: 19px">
*cap</td>
<td style="width: 3px; color: white; height: 19px">
</td>
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<input id="Text2" class="inputtext" maxlength="5" name="CAP_FATT" /></td>
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<td style="font-weight: bold; width: 876px; color: #990000">
Sei una persona sportiva?
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</td>
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</td>
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<input id="Text3" class="inputtext" maxlength="5" name="CAP_FATT" style="width: 112px" /></td>
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<td style="font-weight: bold; width: 876px; color: #990000; height: 19px">
Hai qualche hobby</td>
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</td>
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<input id="Text4" class="inputtext" maxlength="5" name="CAP_FATT" style="width: 112px" /></td>
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<td align="right" style="font-weight: bold; width: 876px; color: #990000">
Sai ballare?<br />
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<span class="testoblubig">
<input id="Text5" class="inputtext" maxlength="5" name="CAP_FATT" /></span></td>
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<td align="right" style="font-weight: bold; width: 876px; color: #990000; height: 26px;">
Quali sono i tuoi generi di film preferiti?</td>
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<td align="right" style="width: 498px; color: white; text-align: left; height: 26px;">
<input id="Text6" class="inputtext" maxlength="5" name="CAP_FATT" /></td>
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<td align="right" style="font-weight: bold; width: 876px; color: #990000; height: 40px;">
Ti reputi una persona estroversa?<br />
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</td>
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<input id="Text7" class="inputtext" maxlength="5" name="CAP_FATT" /><br />
<br />
</td>
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</table>
<a href="javascript:CheckForm();"><span style="color: #0000ff">INVIA</span></a><br />