cortinabanca.onlineregistration.it
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Submitted URL: https://cortinabanca.onlineregistration.it/
Effective URL: https://cortinabanca.onlineregistration.it/iscrizione.php
Submission: On June 24 via automatic, source certstream-suspicious — Scanned from IT
Effective URL: https://cortinabanca.onlineregistration.it/iscrizione.php
Submission: On June 24 via automatic, source certstream-suspicious — Scanned from IT
Form analysis 1 forms found in the DOM
POST
<form id="myForm" class="form-horizontal" role="form" method="post" action="" novalidate="novalidate">
<div class="card-body card-padding">
<div class="row">
<div class="col-md-4">
<div class="form-group">
<div class="col-sm-12">
<label for="codice_fiscale" class="control-label"> * Codice Fiscale </label>
<div class="fg-line">
<input type="text" class="form-control input-lg" id="codice_fiscale" name="codice_fiscale">
</div>
</div>
</div>
</div>
<div class="col-md-4">
<div class="form-group">
<div class="col-sm-12">
<label for="cellulare" class="control-label"> * Cellulare (anteporre 39 e non inserire spazi) </label>
<div class="fg-line">
<input type="text" class="form-control input-lg" id="cellulare" name="cellulare">
</div>
</div>
</div>
</div>
<div class="col-md-4">
<div class="form-group">
<div class="col-sm-12">
<label for="email" class="control-label"> * Email </label>
<div class="fg-line">
<input type="text" class="form-control input-lg" id="email" name="email">
</div>
</div>
</div>
</div>
</div>
<div class="row">
<div class="col-md-12">
<div class="form-group">
<div class="col-sm-12">
<label for="nominativo" class="control-label"> Nominativo </label>
<div id="div_nominativo" class="input-lg"></div>
</div>
</div>
</div>
</div>
<div class="row">
<div class="col-md-4">
<div class="checkbox m-b-15">
<label>
<input type="checkbox" id="flag_presenza_accompagnatore_maggiorenne" name="flag_presenza_accompagnatore_maggiorenne" value="checked">
<i class="input-helper"></i>
<p>Presenza accompagnatore maggiorenne</p>
</label>
</div>
</div>
<div class="col-md-4">
<div class="form-group">
<div class="col-sm-12">
<label for="numero_accompagnatori_minorenni" class="control-label"> Figli minorenni che parteciperanno alla festa </label>
<div class="select">
<select class="form-control selectpicker bs-select-hidden" id="numero_accompagnatori_minorenni" name="numero_accompagnatori_minorenni">
<option value="0"> SCEGLI... </option>
<option value="1">1</option>
<option value="2">2</option>
<option value="3">3</option>
<option value="4">4</option>
<option value="5">5</option>
</select>
<div class="btn-group bootstrap-select form-control"><button type="button" class="btn dropdown-toggle btn-default" data-toggle="dropdown" data-id="numero_accompagnatori_minorenni" title="SCEGLI..."><span class="filter-option pull-left">
SCEGLI... </span> <span class="caret"></span></button>
<div class="dropdown-menu open">
<ul class="dropdown-menu inner" role="menu">
<li data-original-index="0" class="selected"><a tabindex="0" class="" style="" data-tokens="null"><span class="text">
SCEGLI...
</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="1"><a tabindex="0" class="" style="" data-tokens="null"><span class="text">1</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="2"><a tabindex="0" class="" style="" data-tokens="null"><span class="text">2</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="3"><a tabindex="0" class="" style="" data-tokens="null"><span class="text">3</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="4"><a tabindex="0" class="" style="" data-tokens="null"><span class="text">4</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="5"><a tabindex="0" class="" style="" data-tokens="null"><span class="text">5</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
</ul>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="row">
<div class="col-md-7">
<div class="checkbox m-b-15">
<label>
<input type="checkbox" name="privacy" value="checked">
<i class="input-helper"></i>
<p class="f-14">Letta e compresa la <a href="https://www.rivierabanca.it/privacy-policy/" target="_blank">Privacy Policy</a> fornitami ai sensi ex D.Lgs. 196/2003 e Regolamento UE 679/2016.<br>Presto il mio consenso al trattamento dei
miei dati personali, come specificato nella relativa sezione.</p>
</label>
</div>
</div>
</div>
<br>
<div class="row">
<div class="col-md-12 text-center">
<div class="form-group">
<div class="col-sm-12 text-center">
<button type="submit" class="btn btn-lg btn-primary waves-effect">INVIA</button>
</div>
</div>
</div>
</div>
</div>
<input type="hidden" id="id_socio" name="id_socio">
<input type="hidden" id="id_firmatario" name="id_firmatario">
<input type="hidden" id="nominativo" name="nominativo">
</form>Text Content
Please wait... 16 GIUGNO 2024 - ORE 19:00 FESTA DEL SOCIO “INSIEME IN RIVIERABANCA!” ARENA DELLA REGINA (CATTOLICA) P.ZA DELLA REPUBBLICA, 28 * Codice Fiscale * Cellulare (anteporre 39 e non inserire spazi) * Email Nominativo Presenza accompagnatore maggiorenne Figli minorenni che parteciperanno alla festa SCEGLI... 1 2 3 4 5 SCEGLI... * SCEGLI... * 1 * 2 * 3 * 4 * 5 Letta e compresa la Privacy Policy fornitami ai sensi ex D.Lgs. 196/2003 e Regolamento UE 679/2016. Presto il mio consenso al trattamento dei miei dati personali, come specificato nella relativa sezione. INVIA