simef2024.secureplatform.it
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93.95.216.220
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Submitted URL: https://simef2024.secureplatform.it/
Effective URL: https://simef2024.secureplatform.it/FrontEnd/index.php?EVENT=3158595a313936384058595a3139363821&PATH=6963706d323032302f58595a3139363...
Submission: On April 05 via api from US — Scanned from US
Effective URL: https://simef2024.secureplatform.it/FrontEnd/index.php?EVENT=3158595a313936384058595a3139363821&PATH=6963706d323032302f58595a3139363...
Submission: On April 05 via api from US — Scanned from US
Form analysis
1 forms found in the DOMName: registration_form — POST
<form name="registration_form" class="w-100" method="POST"><!--id="contactForm" name="sentMessage" novalidate="novalidate"-->
<input type="hidden" name="job" value="REGISTRAZIONE">
<div class="container-fluid">
<!--button class="btn btn-primary btn-xl text-uppercase" type="button" onclick="testPagamento();">
TEST PAGAMENTO <i class="fas fa-check"></i>
</button>
<script>
function testPagamento() {
$.ajax({
url: "ajax_external_action.php?job=effettua_pagamento_vivawallet",
success: function(data){
console.log(data);
}
});
}
</script-->
<!--CATEGORIE USER-->
<div class="row justify-content-md-center">
<div class="col col-sm-12">
<div class="list-group mb-4">
<a href="javascript:void(0);" class="list-group-item list-group-item-action ">
<input type="radio" name="NAME_RADIO_CATEGOIRE_USER" value="1" id="ID_RADIO_CATEGOIRE_USER_1">
<label class="list-group-item" for="ID_RADIO_CATEGOIRE_USER_1">
<b>Socio Ordinario</b><small class="small-float-right font-weight-bold float-right">480,00 €</small><br><small>Early Bird (entro il 30 giugno 2024)</small><br><small class="font-weight-bold"> DAL 20/03/2024 AL 30/04/2024 </small><br>
</label>
</a>
<a href="javascript:void(0);" class="list-group-item list-group-item-action ">
<input type="radio" name="NAME_RADIO_CATEGOIRE_USER" value="2" id="ID_RADIO_CATEGOIRE_USER_2">
<label class="list-group-item" for="ID_RADIO_CATEGOIRE_USER_2">
<b>Socio Giovane (< 35 anni)</b><small class="small-float-right font-weight-bold float-right">305,00 €</small><br><small>Early Bird (entro il 30 giugno 2024)</small><br><small class="font-weight-bold"> DAL 20/03/2024 AL 30/04/2024 </small><br>
</label>
</a>
<a href="javascript:void(0);" class="list-group-item list-group-item-action ">
<input type="radio" name="NAME_RADIO_CATEGOIRE_USER" value="25" id="ID_RADIO_CATEGOIRE_USER_25">
<label class="list-group-item" for="ID_RADIO_CATEGOIRE_USER_25">
<b>Socio Pensionato</b><small class="small-float-right font-weight-bold float-right">305,00 €</small><br><small>Early Bird (entro il 30 giugno 2024)</small><br><small class="font-weight-bold"> DAL 20/03/2024 AL 30/04/2024 </small><br>
</label>
</a>
<a href="javascript:void(0);" class="list-group-item list-group-item-action ">
<input type="radio" name="NAME_RADIO_CATEGOIRE_USER" value="26" id="ID_RADIO_CATEGOIRE_USER_26">
<label class="list-group-item" for="ID_RADIO_CATEGOIRE_USER_26">
<b>Accademico</b><small class="small-float-right font-weight-bold float-right">305,00 €</small><br><small>Early Bird (entro il 30 giugno 2024)</small><br><small class="font-weight-bold"> DAL 20/03/2024 AL 30/04/2024 </small><br>
</label>
</a>
<a href="javascript:void(0);" class="list-group-item list-group-item-action ">
<input type="radio" name="NAME_RADIO_CATEGOIRE_USER" value="27" id="ID_RADIO_CATEGOIRE_USER_27">
<label class="list-group-item" for="ID_RADIO_CATEGOIRE_USER_27">
<b>Istituzione</b><small class="small-float-right font-weight-bold float-right">305,00 €</small><br><small>Early Bird (entro il 30 giugno 2024)</small><br><small class="font-weight-bold"> DAL 20/03/2024 AL 30/04/2024 </small><br>
</label>
</a>
<a href="javascript:void(0);" class="list-group-item list-group-item-action ">
<input type="radio" name="NAME_RADIO_CATEGOIRE_USER" value="28" id="ID_RADIO_CATEGOIRE_USER_28">
<label class="list-group-item" for="ID_RADIO_CATEGOIRE_USER_28">
<b>Studente Master Universitario</b><small class="small-float-right font-weight-bold float-right">305,00 €</small><br><small>Early Bird (entro il 30 giugno 2024)</small><br><small class="font-weight-bold"> DAL 20/03/2024 AL 30/04/2024 </small><br>
</label>
</a>
<a href="javascript:void(0);" class="list-group-item list-group-item-action ">
<input type="radio" name="NAME_RADIO_CATEGOIRE_USER" value="29" id="ID_RADIO_CATEGOIRE_USER_29">
<label class="list-group-item" for="ID_RADIO_CATEGOIRE_USER_29">
<b>Non Socio</b><small class="small-float-right font-weight-bold float-right">610,00 €</small><br><small>Early Bird (entro il 30 giugno 2024)</small><br><small class="font-weight-bold"> DAL 20/03/2024 AL 30/04/2024 </small><br>
</label>
</a>
<a href="javascript:void(0);" class="list-group-item list-group-item-action ">
<input type="radio" name="NAME_RADIO_CATEGOIRE_USER" value="30" id="ID_RADIO_CATEGOIRE_USER_30">
<label class="list-group-item" for="ID_RADIO_CATEGOIRE_USER_30">
<b>Socio Onorario</b><br><small>Early Bird (entro il 30 giugno 2024)</small><br><small class="font-weight-bold"> DAL 20/03/2024 AL 30/04/2024 </small><br>
</label>
</a>
<p class="help-block text-danger text-center"></p>
</div>
</div>
</div>
<div class="row justify-content-md-center mb-3">
<div class="col col-sm-12"> I CAMPI CON * SONO OBBLIGATORI </div>
</div>
<div class="row justify-content-md-center">
<!--TITOLO-->
<div class="col col-sm-12">
<div class="form-group">
<label class="small font-weight-bold w-100 mb-0"> TITOLO (*)</label> <select class="form-control " name="titolo" required="" data-custom-validity="OBBLIGATORIO" oninvalid="this.setCustomValidity($(this).attr('data-custom-validity'))"
oninput="this.setCustomValidity('')">
<option value=""> SELEZIONA TITOLO </option>
<option value="0">SIG.</option>
<option value="1">SIG.RA</option>
<option value="2">DOTT.</option>
<option value="3">DOTT.SSA</option>
<option value="4">PROF.</option>
<option value="5">PROF.SSA</option>
</select>
</div>
</div>
</div>
<div class="row justify-content-md-center">
<!--NOME-->
<div class="col col-sm-12 col-md-6">
<div class="form-group">
<label class="small font-weight-bold w-100 mb-0"> NOME (*)</label> <input class="form-control " style="text-transform:uppercase;" name="nome" type="text" value="" placeholder="NOME" required="" data-custom-validity="OBBLIGATORIO"
oninvalid="this.setCustomValidity($(this).attr('data-custom-validity'))" oninput="this.setCustomValidity('')">
</div>
</div>
<!--COGNOME-->
<div class="col col-sm-12 col-md-6">
<div class="form-group">
<label class="small font-weight-bold w-100 mb-0"> COGNOME (*)</label> <input class="form-control " style="text-transform:uppercase;" name="cognome" type="text" value="" placeholder="COGNOME" required="" data-custom-validity="OBBLIGATORIO"
oninvalid="this.setCustomValidity($(this).attr('data-custom-validity'))" oninput="this.setCustomValidity('')">
</div>
</div>
</div>
<div class="row justify-content-md-center">
<!--AFFILIAZIONE-->
<div class="col col-sm-12 col-md-6">
<div class="form-group">
<label class="small font-weight-bold w-100 mb-0"> AFFILIAZIONE (*)</label> <input class="form-control " name="affiliazione" type="text" value="" placeholder="AFFILIAZIONE" required="" data-custom-validity="OBBLIGATORIO"
oninvalid="this.setCustomValidity($(this).attr('data-custom-validity'))" oninput="this.setCustomValidity('')">
</div>
</div>
<!--CELLULARE-->
<div class="col col-sm-12 col-md-6">
<div class="form-group">
<label class="small font-weight-bold w-100 mb-0"> CELLULARE (*)</label> <input class="form-control " name="cellulare" type="text" value="" placeholder="CELLULARE" required="" data-custom-validity="OBBLIGATORIO"
oninvalid="this.setCustomValidity($(this).attr('data-custom-validity'))" oninput="this.setCustomValidity('')">
</div>
</div>
</div>
<div class="row justify-content-md-center">
<!--TELEFONO-->
<div class="col col-sm-12 col-md-6">
<div class="form-group">
<label class="small font-weight-bold w-100 mb-0"> TELEFONO </label> <input class="form-control " name="telefono" type="text" value="" placeholder="TELEFONO">
</div>
</div>
<!--FAX-->
<div class="col col-sm-12 col-md-6">
<div class="form-group">
<label class="small font-weight-bold w-100 mb-0"> FAX </label> <input class="form-control " name="fax" type="text" value="" placeholder="FAX">
</div>
</div>
</div>
<div class="row justify-content-md-center">
<!--EMAIL-->
<div class="col col-sm-12 col-md-6">
<div class="form-group">
<label class="small font-weight-bold w-100 mb-0"> EMAIL (*)</label> <input class="form-control " name="email" type="email" value="" placeholder="EMAIL" required="" data-custom-validity="OBBLIGATORIO"
oninvalid="this.setCustomValidity($(this).attr('data-custom-validity'))" oninput="this.setCustomValidity('')">
</div>
</div>
<!--CONFERMA EMAIL-->
<div class="col col-sm-12 col-md-6">
<div class="form-group">
<label class="small font-weight-bold w-100 mb-0"> CONFERMA EMAIL (*)</label> <input class="form-control " name="conferma_email" type="email" value="" placeholder="CONFERMA EMAIL" required="" data-custom-validity="OBBLIGATORIO"
oninvalid="this.setCustomValidity($(this).attr('data-custom-validity'))" oninput="this.setCustomValidity('')">
</div>
</div>
</div>
<div class="row justify-content-md-center">
<!--EMAIL AGGIUNTIVA-->
<div class="col col-sm-12 col-md-6">
<div class="form-group">
<label class="small font-weight-bold w-100 mb-0"> EMAIL AGGIUNTIVA </label> <input class="form-control " name="email_aggiuntiva" type="email" value="" placeholder="EMAIL AGGIUNTIVA">
</div>
</div>
<!--CONFERMA EMAIL AGGIUNTIVA-->
<div class="col col-sm-12 col-md-6">
<div class="form-group">
<label class="small font-weight-bold w-100 mb-0"> CONFERMA EMAIL AGGIUNTIVA </label> <input class="form-control " name="conferma_email_aggiuntiva" type="email" value="" placeholder="CONFERMA EMAIL AGGIUNTIVA">
</div>
</div>
</div>
<!--PASSWORD-->
<div class="row justify-content-md-center">
<div class="col col-sm-12">
<div class="form-group">
<label class="small font-weight-bold w-100 mb-0"> IMPOSTA PASSWORD (*)</label> <input class="form-control " name="password" type="password" value="" placeholder="IMPOSTA PASSWORD" required="" data-custom-validity="OBBLIGATORIO"
oninvalid="this.setCustomValidity($(this).attr('data-custom-validity'))" oninput="this.setCustomValidity('')">
</div>
</div>
</div>
<div class="row justify-content-md-center">
<!--ALLERGIE_INTOLLERANZE-->
<div class="col col-sm-12 col-md-6">
<div class="form-group">
<label class="small font-weight-bold w-100 mb-0"> ALLERGIE INTOLLERANZE </label> <input class="form-control " name="allergie_intolleranze" type="text" value="" placeholder="ALLERGIE INTOLLERANZE">
</div>
</div>
<!--NAZIONALITA-->
<div class="col col-sm-12 col-md-6">
<div class="form-group">
<label class="small font-weight-bold w-100 mb-0"> NAZIONALITA (*)</label> <select class="form-control" name="nazionalita" required="" data-custom-validity="OBBLIGATORIO"
oninvalid="this.setCustomValidity($(this).attr('data-custom-validity'))" oninput="this.setCustomValidity('')">
<option value=""> SELEZIONA NAZIONALITA </option>
<option value="AF">Afghanistan</option>
<option value="AX">Aland Islands</option>
<option value="AL">Albania</option>
<option value="DZ">Algeria</option>
<option value="AS">American Samoa</option>
<option value="AD">Andorra</option>
<option value="AO">Angola</option>
<option value="AI">Anguilla</option>
<option value="AQ">Antarctica</option>
<option value="AG">Antigua And Barbuda</option>
<option value="AR">Argentina</option>
<option value="AM">Armenia</option>
<option value="AW">Aruba</option>
<option value="AU">Australia</option>
<option value="AT">Austria</option>
<option value="AZ">Azerbaijan</option>
<option value="BS">Bahamas</option>
<option value="BH">Bahrain</option>
<option value="BD">Bangladesh</option>
<option value="BB">Barbados</option>
<option value="BY">Belarus</option>
<option value="BE">Belgium</option>
<option value="BZ">Belize</option>
<option value="BJ">Benin</option>
<option value="BM">Bermuda</option>
<option value="BT">Bhutan</option>
<option value="BO">Bolivia</option>
<option value="BA">Bosnia And Herzegovina</option>
<option value="BW">Botswana</option>
<option value="BV">Bouvet Island</option>
<option value="BR">Brazil</option>
<option value="IO">British Indian Ocean Territory</option>
<option value="BN">Brunei Darussalam</option>
<option value="BG">Bulgaria</option>
<option value="BF">Burkina Faso</option>
<option value="BI">Burundi</option>
<option value="KH">Cambodia</option>
<option value="CM">Cameroon</option>
<option value="CA">Canada</option>
<option value="CV">Cape Verde</option>
<option value="KY">Cayman Islands</option>
<option value="CF">Central African Republic</option>
<option value="TD">Chad</option>
<option value="CL">Chile</option>
<option value="CN">China</option>
<option value="CX">Christmas Island</option>
<option value="CC">Cocos (Keeling) Islands</option>
<option value="CO">Colombia</option>
<option value="KM">Comoros</option>
<option value="CG">Congo</option>
<option value="CD">Congo, Democratic Republic</option>
<option value="CK">Cook Islands</option>
<option value="CR">Costa Rica</option>
<option value="CI">Cote D'Ivoire</option>
<option value="HR">Croatia</option>
<option value="CU">Cuba</option>
<option value="CY">Cyprus</option>
<option value="CZ">Czech Republic</option>
<option value="DK">Denmark</option>
<option value="DJ">Djibouti</option>
<option value="DM">Dominica</option>
<option value="DO">Dominican Republic</option>
<option value="EC">Ecuador</option>
<option value="EG">Egypt</option>
<option value="SV">El Salvador</option>
<option value="GQ">Equatorial Guinea</option>
<option value="ER">Eritrea</option>
<option value="EE">Estonia</option>
<option value="ET">Ethiopia</option>
<option value="FK">Falkland Islands (Malvinas)</option>
<option value="FO">Faroe Islands</option>
<option value="FJ">Fiji</option>
<option value="FI">Finland</option>
<option value="FR">France</option>
<option value="GF">French Guiana</option>
<option value="PF">French Polynesia</option>
<option value="TF">French Southern Territories</option>
<option value="GA">Gabon</option>
<option value="GM">Gambia</option>
<option value="GE">Georgia</option>
<option value="DE">Germany</option>
<option value="GH">Ghana</option>
<option value="GI">Gibraltar</option>
<option value="GR">Greece</option>
<option value="GL">Greenland</option>
<option value="GD">Grenada</option>
<option value="GP">Guadeloupe</option>
<option value="GU">Guam</option>
<option value="GT">Guatemala</option>
<option value="GG">Guernsey</option>
<option value="GN">Guinea</option>
<option value="GW">Guinea-Bissau</option>
<option value="GY">Guyana</option>
<option value="HT">Haiti</option>
<option value="HM">Heard Island & Mcdonald Islands</option>
<option value="VA">Holy See (Vatican City State)</option>
<option value="HN">Honduras</option>
<option value="HK">Hong Kong</option>
<option value="HU">Hungary</option>
<option value="IS">Iceland</option>
<option value="IN">India</option>
<option value="ID">Indonesia</option>
<option value="IR">Iran, Islamic Republic Of</option>
<option value="IQ">Iraq</option>
<option value="IE">Ireland</option>
<option value="IM">Isle Of Man</option>
<option value="IL">Israel</option>
<option value="IT">Italy</option>
<option value="JM">Jamaica</option>
<option value="JP">Japan</option>
<option value="JE">Jersey</option>
<option value="JO">Jordan</option>
<option value="KZ">Kazakhstan</option>
<option value="KE">Kenya</option>
<option value="KI">Kiribati</option>
<option value="KR">Korea</option>
<option value="KW">Kuwait</option>
<option value="KG">Kyrgyzstan</option>
<option value="LA">Lao People's Democratic Republic</option>
<option value="LV">Latvia</option>
<option value="LB">Lebanon</option>
<option value="LS">Lesotho</option>
<option value="LR">Liberia</option>
<option value="LY">Libyan Arab Jamahiriya</option>
<option value="LI">Liechtenstein</option>
<option value="LT">Lithuania</option>
<option value="LU">Luxembourg</option>
<option value="MO">Macao</option>
<option value="MK">Macedonia</option>
<option value="MG">Madagascar</option>
<option value="MW">Malawi</option>
<option value="MY">Malaysia</option>
<option value="MV">Maldives</option>
<option value="ML">Mali</option>
<option value="MT">Malta</option>
<option value="MH">Marshall Islands</option>
<option value="MQ">Martinique</option>
<option value="MR">Mauritania</option>
<option value="MU">Mauritius</option>
<option value="YT">Mayotte</option>
<option value="MX">Mexico</option>
<option value="FM">Micronesia, Federated States Of</option>
<option value="MD">Moldova</option>
<option value="MC">Monaco</option>
<option value="MN">Mongolia</option>
<option value="ME">Montenegro</option>
<option value="MS">Montserrat</option>
<option value="MA">Morocco</option>
<option value="MZ">Mozambique</option>
<option value="MM">Myanmar</option>
<option value="NA">Namibia</option>
<option value="NR">Nauru</option>
<option value="NP">Nepal</option>
<option value="NL">Netherlands</option>
<option value="AN">Netherlands Antilles</option>
<option value="NC">New Caledonia</option>
<option value="NZ">New Zealand</option>
<option value="NI">Nicaragua</option>
<option value="NE">Niger</option>
<option value="NG">Nigeria</option>
<option value="NU">Niue</option>
<option value="NF">Norfolk Island</option>
<option value="MP">Northern Mariana Islands</option>
<option value="NO">Norway</option>
<option value="OM">Oman</option>
<option value="PK">Pakistan</option>
<option value="PW">Palau</option>
<option value="PS">Palestinian Territory, Occupied</option>
<option value="PA">Panama</option>
<option value="PG">Papua New Guinea</option>
<option value="PY">Paraguay</option>
<option value="PE">Peru</option>
<option value="PH">Philippines</option>
<option value="PN">Pitcairn</option>
<option value="PL">Poland</option>
<option value="PT">Portugal</option>
<option value="PR">Puerto Rico</option>
<option value="QA">Qatar</option>
<option value="RE">Reunion</option>
<option value="RO">Romania</option>
<option value="RU">Russian Federation</option>
<option value="RW">Rwanda</option>
<option value="BL">Saint Barthelemy</option>
<option value="SH">Saint Helena</option>
<option value="KN">Saint Kitts And Nevis</option>
<option value="LC">Saint Lucia</option>
<option value="MF">Saint Martin</option>
<option value="PM">Saint Pierre And Miquelon</option>
<option value="VC">Saint Vincent And Grenadines</option>
<option value="WS">Samoa</option>
<option value="SM">San Marino</option>
<option value="ST">Sao Tome And Principe</option>
<option value="SA">Saudi Arabia</option>
<option value="SN">Senegal</option>
<option value="RS">Serbia</option>
<option value="SC">Seychelles</option>
<option value="SL">Sierra Leone</option>
<option value="SG">Singapore</option>
<option value="SK">Slovakia</option>
<option value="SI">Slovenia</option>
<option value="SB">Solomon Islands</option>
<option value="SO">Somalia</option>
<option value="ZA">South Africa</option>
<option value="GS">South Georgia And Sandwich Isl.</option>
<option value="ES">Spain</option>
<option value="LK">Sri Lanka</option>
<option value="SD">Sudan</option>
<option value="SR">Suriname</option>
<option value="SJ">Svalbard And Jan Mayen</option>
<option value="SZ">Swaziland</option>
<option value="SE">Sweden</option>
<option value="CH">Switzerland</option>
<option value="SY">Syrian Arab Republic</option>
<option value="TW">Taiwan</option>
<option value="TJ">Tajikistan</option>
<option value="TZ">Tanzania</option>
<option value="TH">Thailand</option>
<option value="TL">Timor-Leste</option>
<option value="TG">Togo</option>
<option value="TK">Tokelau</option>
<option value="TO">Tonga</option>
<option value="TT">Trinidad And Tobago</option>
<option value="TN">Tunisia</option>
<option value="TR">Turkey</option>
<option value="TM">Turkmenistan</option>
<option value="TC">Turks And Caicos Islands</option>
<option value="TV">Tuvalu</option>
<option value="UG">Uganda</option>
<option value="UA">Ukraine</option>
<option value="AE">United Arab Emirates</option>
<option value="GB">United Kingdom</option>
<option value="US">United States</option>
<option value="UM">United States Outlying Islands</option>
<option value="UY">Uruguay</option>
<option value="UZ">Uzbekistan</option>
<option value="VU">Vanuatu</option>
<option value="VE">Venezuela</option>
<option value="VN">Viet Nam</option>
<option value="VG">Virgin Islands, British</option>
<option value="VI">Virgin Islands, U.S.</option>
<option value="WF">Wallis And Futuna</option>
<option value="EH">Western Sahara</option>
<option value="YE">Yemen</option>
<option value="ZM">Zambia</option>
<option value="ZW">Zimbabwe</option>
</select>
</div>
</div>
</div>
<!--CUSTOM FIELD-->
<div class="row justify-content-md-center">
<div class="col col-sm-12 col-md-6">
<div class="form-group">
<label class="small font-weight-bold w-100 mb-0"> TIPO IMPIEGO </label> <input class="form-control " name="tipo_impiego" type="text" value="" placeholder="TIPO IMPIEGO" data-custom-validity="OBBLIGATORIO">
</div>
</div>
<div class="col col-sm-12 col-md-6">
<div class="form-group">
<label class="small font-weight-bold w-100 mb-0"> PROFESSIONE </label> <input class="form-control " name="professione" type="text" value="" placeholder="PROFESSIONE" data-custom-validity="OBBLIGATORIO">
</div>
</div>
<div class="col col-sm-12">
<div class="form-group">
<label class="small font-weight-bold w-100 mb-0"> SPECIALIZZAZIONE </label> <input class="form-control " name="specializzazione" type="text" value="" placeholder="SPECIALIZZAZIONE" data-custom-validity="OBBLIGATORIO">
</div>
</div>
</div>
<!--TIPO_INTESTATARIO_FATTURA-->
<div class="row justify-content-md-center">
<div class="col col-sm-12">
<div class="form-group">
<label class="small font-weight-bold w-100 mb-0"> TIPO INTESTATARIO FATTURA (*)</label> <select onchange="cambiaCampiPerTipoIntestatatioFattura(this);" class="form-control" name="tipo_intestatario_fattura" required=""
data-custom-validity="OBBLIGATORIO" oninvalid="this.setCustomValidity($(this).attr('data-custom-validity'))" oninput="this.setCustomValidity('')">
<option value=""> SELEZIONA TIPO INTESTATARIO FATTURA </option>
<option value="0">PERSONA FISICA</option>
<option value="1">PERSONA GIURIDICA</option>
</select>
<script>
$(document).ready(function() {});
</script>
</div>
</div>
</div>
<div class="row justify-content-md-center data-type" data-type="01" style="display: none;">
<!--CODICE FISCALE-->
<div class="col col-sm-12 col-md-6">
<div class="form-group">
<label class="small font-weight-bold w-100 mb-0"> CODICE FISCALE (PER GLI ITALIANI SOLO TUTTI GLI ALTRI INSERISCI 00) (*)</label> <input class="form-control" name="codice_fiscale" data-type="codice_fiscale" type="text" value=""
placeholder="CODICE FISCALE (PER GLI ITALIANI SOLO TUTTI GLI ALTRI INSERISCI 00)" required="" data-custom-validity="OBBLIGATORIO" oninvalid="this.setCustomValidity($(this).attr('data-custom-validity'))"
oninput="this.setCustomValidity('')">
</div>
</div>
<!--INDIRIZZO-->
<div class="col col-sm-12 col-md-6">
<div class="form-group">
<label class="small font-weight-bold w-100 mb-0"> INDIRIZZO (*)</label> <input class="form-control pac-target-input" name="indirizzo" data-google-api="address-new" type="text" value="" placeholder="INDIRIZZO" required=""
data-custom-validity="OBBLIGATORIO" oninvalid="this.setCustomValidity($(this).attr('data-custom-validity'))" oninput="this.setCustomValidity('')" autocomplete="off">
</div>
</div>
</div>
<div class="row justify-content-md-center data-type" data-type="0" style="display: none;">
<!--DATA_NASCITA-->
<!--? php print(convertDBTimestampToBackEndTimestamp((isset($_SESSION["USER_FRONT_END"])?$_SESSION["USER_FRONT_END"]->data_nascita:""),true)); ?-->
<div class="col col-sm-12 col-md-6">
<div class="form-group">
<label class="small font-weight-bold w-100 mb-0"> DATA NASCITA (OBBLIGATORIO PER UNDER 35 ISCRIZIONE) </label> <input class="form-control" name="data_nascita" type="date" value=""
placeholder="DATA NASCITA (OBBLIGATORIO PER UNDER 35 ISCRIZIONE)">
</div>
</div>
<!--LUOGO_NASCITA-->
<div class="col col-sm-12 col-md-6">
<div class="form-group">
<label class="small font-weight-bold w-100 mb-0"> LUOGO NASCITA </label> <input class="form-control" name="luogo_nascita" type="text" value="" placeholder="LUOGO NASCITA">
</div>
</div>
</div>
<div class="row justify-content-md-center data-type" data-type="1" style="display: none;">
<!--TIPO_PARTITA_IVA-->
<div class="col col-sm-12 col-md-6">
<div class="form-group">
<label class="small font-weight-bold w-100 mb-0"> TIPO PARTITA IVA </label> <select class="form-control" name="tipo_partita_iva" type="text" data-custom-validity="OBBLIGATORIO">
<option value=""> SELEZIONA TIPO PARTITA IVA </option>
<option value="0">AZIENDA PRIVATA</option>
<option value="1">ENTE PUBBLICO</option>
</select>
</div>
</div>
<!--RAGIONE_SOCIALE-->
<div class="col col-sm-12 col-md-6">
<div class="form-group">
<label class="small font-weight-bold w-100 mb-0"> RAGIONE SOCIALE (*)</label> <input class="form-control" name="ragione_sociale" type="text" value="" placeholder="RAGIONE SOCIALE" data-custom-validity="OBBLIGATORIO">
</div>
</div>
</div>
<div class="row justify-content-md-center data-type" data-type="1" style="display: none;">
<!--PARTITA_IVA-->
<div class="col col-sm-12 col-md-6">
<div class="form-group">
<label class="small font-weight-bold w-100 mb-0"> PARTITA IVA (*)</label> <input class="form-control" name="partita_iva" type="text" value="" placeholder="PARTITA IVA" data-custom-validity="OBBLIGATORIO">
</div>
</div>
<!--CODICE_UNIVOCO-->
<div class="col col-sm-12 col-md-6">
<div class="form-group">
<label class="small font-weight-bold w-100 mb-0"> CODICE UNIVOCO (*)</label> <input class="form-control" name="codice_univoco" type="text" value="" placeholder="CODICE UNIVOCO" data-custom-validity="OBBLIGATORIO">
</div>
</div>
</div>
<div class="row justify-content-md-center data-type" data-type="1" style="display: none;">
<!--ESTENZIONE_IVA-->
<div class="col col-sm-12 col-md-6">
<div class="form-group">
<label class="small font-weight-bold w-100 mb-0"> ESTENZIONE IVA </label> <label class="radio-inline">
<input value="0" type="radio" name="estenzione_iva">SI </label>
<label class="radio-inline">
<input value="1" type="radio" name="estenzione_iva">NO </label>
</div>
</div>
<!--PAGAMENTI_SEPARATI-->
<div class="col col-sm-12 col-md-6">
<div class="form-group">
<label class="small font-weight-bold w-100 mb-0"> PAGAMENTI SEPARATI </label> <label class="radio-inline">
<input value="0" type="radio" name="pagamenti_separati"> SI </label>
<label class="radio-inline">
<input value="1" type="radio" name="pagamenti_separati"> NO </label>
</div>
</div>
</div>
<div class="row justify-content-md-center data-type" data-type="1" style="display: none;">
<!--CAUSALE_FATTURAZIONE-->
<div class="col col-sm-12 col-md-6">
<div class="form-group">
<label class="small font-weight-bold w-100 mb-0"> CAUSALE FATTURAZIONE E ESENZIONE IVA (INSERIRE ENTRAMBI SE NECESSARIO) </label> <input class="form-control" name="causale_fatturazione" type="text" value=""
placeholder="CAUSALE FATTURAZIONE E ESENZIONE IVA (INSERIRE ENTRAMBI)">
</div>
</div>
<!--CIG-->
<div class="col col-sm-12 col-md-6">
<div class="form-group">
<label class="small font-weight-bold w-100 mb-0"> CIG </label> <input class="form-control" name="cig" type="text" value="" placeholder="CIG">
</div>
</div>
</div>
<!--PRIVACY-->
<div class="row justify-content-md-left mb-3">
<div class="custom-control custom-checkbox float-left">
<input value="" type="checkbox" class="custom-control-input" id="ID_CHECKBOX_SERVIZIO_PRIVACY_1" required="" data-custom-validity="OBBLIGATORIO" oninvalid="this.setCustomValidity($(this).attr('data-custom-validity'))"
oninput="this.setCustomValidity('')">
<label class="custom-control-label" for="ID_CHECKBOX_SERVIZIO_PRIVACY_1">
<small>ACCETTO A PIENO I TERMINI E CONDIZIONI D'USO DEL PORTALE (DOVE CONDIZIONI D'USO DEL PORTALE VA AL LINK "TERM OF USE")</small>
</label>
</div>
</div>
<div class="row justify-content-md-left mb-3">
<div class="custom-control custom-checkbox float-left">
<input value="" type="checkbox" class="custom-control-input" id="ID_CHECKBOX_SERVIZIO_PRIVACY_2" required="" data-custom-validity="OBBLIGATORIO" oninvalid="this.setCustomValidity($(this).attr('data-custom-validity'))"
oninput="this.setCustomValidity('')">
<label class="custom-control-label" for="ID_CHECKBOX_SERVIZIO_PRIVACY_2">
<small>NEL RISPETTO DELLE PREVISIONI DELL'ART. 13 DEL DECRETO LEGISLATIVO 196/03 CODICE IN MATERIA DI PROTEZIONE DEI DATI PERSONALI (IL CODICE), COSI' COME MODIFICATO DAL D. LGS. 101/2018 (DECRETO DI ADEGUAMENTO), E DELLE PREVISIONI DEGLI
ARTT. 13 E 14 DEL REGOLAMENTO UE 2016/679 (IL GDPR), LINE CONGRESS SRL, IN QUALITA' DI TITOLARE DEL TRATTAMENTO, LE FORNISCE LE INFORMAZIONI IN ORDINE ALLE FINALITA' E MODALITA' DEL TRATTAMENTO DEI DATI PERSONALI DA LEI FORNITI, NONCHE' ©
ALLA € ™ AMBITO DI COMUNICAZIONE E DIFFUSIONE DEGLI STESSI - PER INFORMATIVA COMPLETA CLICCA QUI (DOVE IL LINK VA ALLA TUA PAGIVA DEL TESTO PRIVACY)</small>
</label>
</div>
</div>
<!--CAPTCHA-->
<div class="row justify-content-md-center mt-3">
<div class="col col-sm-3">
<img ondblclick="returnCaptcha();" name="NAME_IMG_CAPTCHA" style="border:1px solid #9c9c9c;border-radius:0.25rem;display:block;margin-left:auto;margin-right:auto;" src="captcha.php">
</div>
<div class="col col-sm-1">
<button class="btn btn-primary h1 w-100 h-100 mb-0 btn-refresh-captcha" type="button" onclick="refreshCaptcha();">
<i class="fas fa-sync-alt h3 fa-inverse mb-0"></i>
</button>
</div>
</div>
<div class="row justify-content-md-center mb-4">
<div class="col col-sm-4">
<input type="text" name="captcha" class="form-control" placeholder="" required="" data-custom-validity="OBBLIGATORIO" oninvalid="this.setCustomValidity($(this).attr('data-custom-validity'))" oninput="this.setCustomValidity('')">
</div>
</div>
<div class="row justify-content-md-center">
<div class="col col-sm-4 text-center">
<button class="btn btn-primary btn-xl text-uppercase" type="submit"> SALVA <i class="fas fa-check"></i>
</button>
</div>
</div>
</div>
</form>
Text Content
*** × *** CHIUDI *** × *** SI NO * Programma * Registrazione * Servizi * Login * Contatti EFFETTUTA LA REGISTRAZIONE SELEZIONANDO LA CATEGORIA ISCRITTO E COMPILANDO I DATI OBBLIGATORI Socio Ordinario480,00 € Early Bird (entro il 30 giugno 2024) DAL 20/03/2024 AL 30/04/2024 Socio Giovane (< 35 anni)305,00 € Early Bird (entro il 30 giugno 2024) DAL 20/03/2024 AL 30/04/2024 Socio Pensionato305,00 € Early Bird (entro il 30 giugno 2024) DAL 20/03/2024 AL 30/04/2024 Accademico305,00 € Early Bird (entro il 30 giugno 2024) DAL 20/03/2024 AL 30/04/2024 Istituzione305,00 € Early Bird (entro il 30 giugno 2024) DAL 20/03/2024 AL 30/04/2024 Studente Master Universitario305,00 € Early Bird (entro il 30 giugno 2024) DAL 20/03/2024 AL 30/04/2024 Non Socio610,00 € Early Bird (entro il 30 giugno 2024) DAL 20/03/2024 AL 30/04/2024 Socio Onorario Early Bird (entro il 30 giugno 2024) DAL 20/03/2024 AL 30/04/2024 I CAMPI CON * SONO OBBLIGATORI TITOLO (*) SELEZIONA TITOLO SIG. SIG.RA DOTT. DOTT.SSA PROF. PROF.SSA NOME (*) COGNOME (*) AFFILIAZIONE (*) CELLULARE (*) TELEFONO FAX EMAIL (*) CONFERMA EMAIL (*) EMAIL AGGIUNTIVA CONFERMA EMAIL AGGIUNTIVA IMPOSTA PASSWORD (*) ALLERGIE INTOLLERANZE NAZIONALITA (*) SELEZIONA NAZIONALITA Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua And Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia And Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Congo, Democratic Republic Cook Islands Costa Rica Cote D'Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island & Mcdonald Islands Holy See (Vatican City State) Honduras Hong Kong Hungary Iceland India Indonesia Iran, Islamic Republic Of Iraq Ireland Isle Of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Korea Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libyan Arab Jamahiriya Liechtenstein Lithuania Luxembourg Macao Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States Of Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Palestinian Territory, Occupied Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda Saint Barthelemy Saint Helena Saint Kitts And Nevis Saint Lucia Saint Martin Saint Pierre And Miquelon Saint Vincent And Grenadines Samoa San Marino Sao Tome And Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia And Sandwich Isl. Spain Sri Lanka Sudan Suriname Svalbard And Jan Mayen Swaziland Sweden Switzerland Syrian Arab Republic Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad And Tobago Tunisia Turkey Turkmenistan Turks And Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Outlying Islands Uruguay Uzbekistan Vanuatu Venezuela Viet Nam Virgin Islands, British Virgin Islands, U.S. Wallis And Futuna Western Sahara Yemen Zambia Zimbabwe TIPO IMPIEGO PROFESSIONE SPECIALIZZAZIONE TIPO INTESTATARIO FATTURA (*) SELEZIONA TIPO INTESTATARIO FATTURA PERSONA FISICA PERSONA GIURIDICA CODICE FISCALE (PER GLI ITALIANI SOLO TUTTI GLI ALTRI INSERISCI 00) (*) INDIRIZZO (*) DATA NASCITA (OBBLIGATORIO PER UNDER 35 ISCRIZIONE) LUOGO NASCITA TIPO PARTITA IVA SELEZIONA TIPO PARTITA IVA AZIENDA PRIVATA ENTE PUBBLICO RAGIONE SOCIALE (*) PARTITA IVA (*) CODICE UNIVOCO (*) ESTENZIONE IVA SI NO PAGAMENTI SEPARATI SI NO CAUSALE FATTURAZIONE E ESENZIONE IVA (INSERIRE ENTRAMBI SE NECESSARIO) CIG ACCETTO A PIENO I TERMINI E CONDIZIONI D'USO DEL PORTALE (DOVE CONDIZIONI D'USO DEL PORTALE VA AL LINK "TERM OF USE") NEL RISPETTO DELLE PREVISIONI DELL'ART. 13 DEL DECRETO LEGISLATIVO 196/03 CODICE IN MATERIA DI PROTEZIONE DEI DATI PERSONALI (IL CODICE), COSI' COME MODIFICATO DAL D. LGS. 101/2018 (DECRETO DI ADEGUAMENTO), E DELLE PREVISIONI DEGLI ARTT. 13 E 14 DEL REGOLAMENTO UE 2016/679 (IL GDPR), LINE CONGRESS SRL, IN QUALITA' DI TITOLARE DEL TRATTAMENTO, LE FORNISCE LE INFORMAZIONI IN ORDINE ALLE FINALITA' E MODALITA' DEL TRATTAMENTO DEI DATI PERSONALI DA LEI FORNITI, NONCHE' © ALLA € ™ AMBITO DI COMUNICAZIONE E DIFFUSIONE DEGLI STESSI - PER INFORMATIVA COMPLETA CLICCA QUI (DOVE IL LINK VA ALLA TUA PAGIVA DEL TESTO PRIVACY) SALVA Copyright © Software Enterprise Eventi powered by Digiting