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<head>
<title>Dati del proprietario</title>
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<body>
<form method="post" action="new2.php">
<table width="664" border="1" cellspacing="5" bgcolor="#3333CC">
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  <tr bordercolor="#FFFFFF" bgcolor="#6633FF" class="form">
    <td height="20" colspan="9" class="form">NUOVO INSERIMENTO</td>
  </tr>
  <tr bordercolor="#3333CC" bgcolor="#3333CC" class="form">
    <td width="149" height="20">&nbsp;</td>
    <td width="81">&nbsp;</td>
    <td width="11">&nbsp;</td>
    <td width="65">&nbsp;</td>
    <td width="83">&nbsp;</td>
    <td width="10">&nbsp;</td>
    <td width="65">&nbsp;</td>
    <td width="79">&nbsp;</td>
    <td width="33">&nbsp;</td>
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  <tr bordercolor="#3333CC" bgcolor="#3333CC" class="form">
    <td height="20" colspan="3" valign="top" bordercolor="#FFFFFF" bgcolor="#6633FF">Dati anagrafici proprietario</td>
    <td>&nbsp;</td>
    <td>&nbsp;</td>
    <td>&nbsp;</td>
    <td>&nbsp;</td>
    <td>&nbsp;</td>
    <td>&nbsp;</td>
  </tr>
  <tr bordercolor="#3333CC" bgcolor="#3333CC">
    <td height="26" colspan="3" valign="baseline" bordercolor="#FFFFFF" bgcolor="#CC0033" class="form" ><div align="justify" >Nome</div></td>
    <td colspan="6"><input name="nome" type="text" id="nome" size="50"></td>
  </tr>
  <tr bordercolor="#3333CC" bgcolor="#3333CC">
    <td height="26" colspan="3" valign="baseline" bordercolor="#FFFFFF" bgcolor="#CC0033" class="form"><div align="justify" >Cognome</div></td>
    <td colspan="6"><input name="cognome" type="text" id="cognome" size="50"></td>
  </tr>
  <tr bordercolor="#3333CC" bgcolor="#3333CC">
    <td height="26" colspan="3" valign="baseline" bordercolor="#FFFFFF" bgcolor="#CC0033" class="form" ><div align="justify" >Indirizzo</div></td>
    <td colspan="6"><input name="indirizzo" type="text" id="indirizzo" size="50"></td>
  </tr>
  <tr bordercolor="#3333CC" bgcolor="#3333CC">
    <td height="26" colspan="3" valign="baseline" bordercolor="#FFFFFF" bgcolor="#CC0033" class="form" >Citt&agrave;</td>
    <td colspan="6"><input name="citta" type="text" id="citta" size="50"></td>
  </tr>
  <tr bordercolor="#3333CC" bgcolor="#3333CC">
    <td height="26" colspan="3" valign="baseline" bordercolor="#FFFFFF" bgcolor="#CC0033" class="form" >CAP</td>
    <td colspan="6"><input name="cap" type="text" id="cap" size="25" maxlength="20"></td>
  </tr>
  <tr bordercolor="#3333CC" bgcolor="#3333CC">
    <td height="26" colspan="3" valign="baseline" bordercolor="#FFFFFF" bgcolor="#CC0033" class="form" >Provincia di Residenza </td>
    <td colspan="6"><select name="pvres" size="1" id="select">
      <option value="" selected> </option>
      <option value="AG">AG</option>
      <option value="AL">AL</option>
      <option value="AN">AN</option>
      <option value="AO">AO</option>
      <option value="AP">AP</option>
      <option value="AQ">AQ</option>
      <option value="AR">AR</option>
      <option value="AT">AT</option>
      <option value="AV">AV</option>
      <option value="BA">BA</option>
      <option value="BG">BG</option>
      <option value="BI">BI</option>
      <option value="BL">BL</option>
      <option value="BN">BN</option>
      <option value="BO">BO</option>
      <option value="BR">BR</option>
      <option value="BS">BS</option>
      <option value="BZ">BZ</option>
      <option value="CA">CA</option>
      <option value="CB">CB</option>
      <option value="CE">CE</option>
      <option value="CH">CH</option>
      <option value="CL">CL</option>
      <option value="CN">CN</option>
      <option value="CO">CO</option>
      <option value="CR">CR</option>
      <option value="CS">CS</option>
      <option value="CT">CT</option>
      <option value="CZ">CZ</option>
      <option value="EE">EE</option>
      <option value="EN">EN</option>
      <option value="FC">FC</option>
      <option value="FE">FE</option>
      <option value="FG">FG</option>
      <option value="FI">FI</option>
      <option value="FO">FO</option>
      <option value="FR">FR</option>
      <option value="GE">GE</option>
      <option value="GO">GO</option>
      <option value="GR">GR</option>
      <option value="IM">IM</option>
      <option value="IS">IS</option>
      <option value="KR">KR</option>
      <option value="LC">LC</option>
      <option value="LE">LE</option>
      <option value="LI">LI</option>
      <option value="LO">LO</option>
      <option value="LT">LT</option>
      <option value="LU">LU</option>
      <option value="MC">MC</option>
      <option value="ME">ME</option>
      <option value="MI">MI</option>
      <option value="MN">MN</option>
      <option value="MO">MO</option>
      <option value="MS">MS</option>
      <option value="MT">MT</option>
      <option value="NA">NA</option>
      <option value="NO">NO</option>
      <option value="NU">NU</option>
      <option value="OR">OR</option>
      <option value="PA">PA</option>
      <option value="PC">PC</option>
      <option value="PD">PD</option>
      <option value="PE">PE</option>
      <option value="PG">PG</option>
      <option value="PI">PI</option>
      <option value="PN">PN</option>
      <option value="PO">PO</option>
      <option value="PR">PR</option>
      <option value="PS">PS</option>
      <option value="PT">PT</option>
      <option value="PU">PU</option>
      <option value="PV">PV</option>
      <option value="PZ">PZ</option>
      <option value="RA">RA</option>
      <option value="RC">RC</option>
      <option value="RE">RE</option>
      <option value="RG">RG</option>
      <option value="RI">RI</option>
      <option value="RM">RM</option>
      <option value="RN">RN</option>
      <option value="RO">RO</option>
      <option value="SA">SA</option>
      <option value="SI">SI</option>
      <option value="SO">SO</option>
      <option value="SP">SP</option>
      <option value="SR">SR</option>
      <option value="SS">SS</option>
      <option value="SV">SV</option>
      <option value="TA">TA</option>
      <option value="TE">TE</option>
      <option value="TN">TN</option>
      <option value="TO">TO</option>
      <option value="TP">TP</option>
      <option value="TR">TR</option>
      <option value="TS">TS</option>
      <option value="TV">TV</option>
      <option value="UD">UD</option>
      <option value="VA">VA</option>
      <option value="VB">VB</option>
      <option value="VC">VC</option>
      <option value="VE">VE</option>
      <option value="VI">VI</option>
      <option value="VR">VR</option>
      <option value="VT">VT</option>
      <option value="VV">VV</option>
    </select></td>
  </tr>
  <tr bordercolor="#3333CC" bgcolor="#3333CC">
    <td height="26" colspan="3" valign="baseline" bordercolor="#FFFFFF" bgcolor="#CC0033" class="form" ><span >Nato a</span></td>
    <td colspan="6"><input name="natoa" type="text" id="natoa" size="25" maxlength="20">
      <select name="natopv" size="1" id="select2">
        <option value="" selected> </option>
        <option value="AG">AG</option>
        <option value="AL">AL</option>
        <option value="AN">AN</option>
        <option value="AO">AO</option>
        <option value="AP">AP</option>
        <option value="AQ">AQ</option>
        <option value="AR">AR</option>
        <option value="AT">AT</option>
        <option value="AV">AV</option>
        <option value="BA">BA</option>
        <option value="BG">BG</option>
        <option value="BI">BI</option>
        <option value="BL">BL</option>
        <option value="BN">BN</option>
        <option value="BO">BO</option>
        <option value="BR">BR</option>
        <option value="BS">BS</option>
        <option value="BZ">BZ</option>
        <option value="CA">CA</option>
        <option value="CB">CB</option>
        <option value="CE">CE</option>
        <option value="CH">CH</option>
        <option value="CL">CL</option>
        <option value="CN">CN</option>
        <option value="CO">CO</option>
        <option value="CR">CR</option>
        <option value="CS">CS</option>
        <option value="CT">CT</option>
        <option value="CZ">CZ</option>
        <option value="EE">EE</option>
        <option value="EN">EN</option>
        <option value="FC">FC</option>
        <option value="FE">FE</option>
        <option value="FG">FG</option>
        <option value="FI">FI</option>
        <option value="FO">FO</option>
        <option value="FR">FR</option>
        <option value="GE">GE</option>
        <option value="GO">GO</option>
        <option value="GR">GR</option>
        <option value="IM">IM</option>
        <option value="IS">IS</option>
        <option value="KR">KR</option>
        <option value="LC">LC</option>
        <option value="LE">LE</option>
        <option value="LI">LI</option>
        <option value="LO">LO</option>
        <option value="LT">LT</option>
        <option value="LU">LU</option>
        <option value="MC">MC</option>
        <option value="ME">ME</option>
        <option value="MI">MI</option>
        <option value="MN">MN</option>
        <option value="MO">MO</option>
        <option value="MS">MS</option>
        <option value="MT">MT</option>
        <option value="NA">NA</option>
        <option value="NO">NO</option>
        <option value="NU">NU</option>
        <option value="OR">OR</option>
        <option value="PA">PA</option>
        <option value="PC">PC</option>
        <option value="PD">PD</option>
        <option value="PE">PE</option>
        <option value="PG">PG</option>
        <option value="PI">PI</option>
        <option value="PN">PN</option>
        <option value="PO">PO</option>
        <option value="PR">PR</option>
        <option value="PS">PS</option>
        <option value="PT">PT</option>
        <option value="PU">PU</option>
        <option value="PV">PV</option>
        <option value="PZ">PZ</option>
        <option value="RA">RA</option>
        <option value="RC">RC</option>
        <option value="RE">RE</option>
        <option value="RG">RG</option>
        <option value="RI">RI</option>
        <option value="RM">RM</option>
        <option value="RN">RN</option>
        <option value="RO">RO</option>
        <option value="SA">SA</option>
        <option value="SI">SI</option>
        <option value="SO">SO</option>
        <option value="SP">SP</option>
        <option value="SR">SR</option>
        <option value="SS">SS</option>
        <option value="SV">SV</option>
        <option value="TA">TA</option>
        <option value="TE">TE</option>
        <option value="TN">TN</option>
        <option value="TO">TO</option>
        <option value="TP">TP</option>
        <option value="TR">TR</option>
        <option value="TS">TS</option>
        <option value="TV">TV</option>
        <option value="UD">UD</option>
        <option value="VA">VA</option>
        <option value="VB">VB</option>
        <option value="VC">VC</option>
        <option value="VE">VE</option>
        <option value="VI">VI</option>
        <option value="VR">VR</option>
        <option value="VT">VT</option>
        <option value="VV">VV</option>
      </select></td>
  </tr>
  
  <tr bordercolor="#3333CC" bgcolor="#3333CC">
    <td height="28" colspan="3" valign="baseline" bordercolor="#FFFFFF" bgcolor="#CC0033" class="form" ><div align="justify" >Nato il (gg/mm/aaaa) </div></td>
    <td colspan="6" valign="top"><select name="gg">
	  <option>01</option>
  <option>02</option>
  <option>03</option>
  <option>04</option>
  <option>05</option>
  <option>06</option>
  <option>07</option>
  <option>08</option>
  <option>09</option>
  <option>10</option>
  <option>11</option>
  <option>12</option>
  <option>13</option>
  <option>14</option>
  <option>15</option>
  <option>16</option>
  <option>17</option>
  <option>18</option>
  <option>19</option>
  <option>20</option>
  <option>21</option>
  <option>22</option>
  <option>23</option>
  <option>24</option>
  <option>25</option>
  <option>26</option>
  <option>27</option>
  <option>28</option>
  <option>29</option>
  <option>30</option>
  <option>31</option>
    </select>
      <select name="mm">
	    <option>01</option>
  <option>02</option>
  <option>03</option>
  <option>04</option>
  <option>05</option>
  <option>06</option>
  <option>07</option>
  <option>08</option>
  <option>09</option>
  <option>10</option>
  <option>11</option>
  <option>12</option>
      </select>
      <input name="aaaa" type="text" id="aaaa" size="10" maxlength="4"></td>
    </tr>
  <tr bordercolor="#3333CC" bgcolor="#3333CC">
    <td height="26" colspan="3" valign="baseline" bordercolor="#FFFFFF" bgcolor="#CC0033" class="form" ><div align="justify">Codice Fiscale</div></td>
    <td colspan="6"><input name="fiscale" type="text" id="fiscale" size="50"></td>
  </tr>
  <tr bordercolor="#3333CC" bgcolor="#3333CC">
    <td height="26" colspan="3" valign="baseline" bordercolor="#FFFFFF" bgcolor="#CC0033" class="form" >Telefono</td>
    <td colspan="6"><input name="tel" type="text" id="tel" size="50"></td>
  </tr>
  <tr bordercolor="#3333CC" bgcolor="#3333CC">
    <td height="26" colspan="3" valign="baseline" bordercolor="#FFFFFF" bgcolor="#CC0033" class="form" >Cellulare</td>
    <td colspan="6"><input name="cel" type="text" id="cel" size="50"></td>
  </tr>
  <tr bordercolor="#3333CC" bgcolor="#3333CC">
    <td height="26" colspan="3" valign="baseline" bordercolor="#FFFFFF" bgcolor="#CC0033" class="form" >Email</td>
    <td colspan="6"><input name="email" type="text" id="email" size="50"></td>
  </tr>
  <tr bordercolor="#3333CC" bgcolor="#3333CC" class="form">
    <td height="26" colspan="2" valign="baseline" >&nbsp;</td>
    <td valign="baseline" >&nbsp;</td>
    <td valign="baseline" >&nbsp;</td>
    <td valign="baseline" >&nbsp;</td>
    <td >&nbsp;</td>
    <td >&nbsp;</td>
    <td valign="baseline" >&nbsp;</td>
    <td valign="baseline" >&nbsp;</td>
  </tr>
  <tr bordercolor="#3333CC" bgcolor="#3333CC" class="form">
    <td height="28" colspan="2" valign="baseline" >&nbsp;</td>
    <td valign="baseline" >&nbsp;</td>
    <td valign="baseline" >&nbsp;</td>
    <td valign="baseline" >&nbsp;</td>
    <td >&nbsp;</td>
    <td valign="top" bgcolor="#3333CC" ><div align="right">
        <input type="submit" name="Submit" value="Prosegui">
    </div></td>
    <td valign="baseline" >&nbsp;</td>
    <td valign="baseline" >&nbsp;</td>
  </tr>
</table>

</form>
</body>
</html>