simef2024.secureplatform.it Open in urlscan Pro
93.95.216.220  Public Scan

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

Form analysis 1 forms found in the DOM

Name: registration_formPOST

<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 (&lt; 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 &amp; 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>

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EFFETTUTA LA REGISTRAZIONE SELEZIONANDO LA CATEGORIA ISCRITTO E COMPILANDO I
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TIPO IMPIEGO
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SPECIALIZZAZIONE
TIPO INTESTATARIO FATTURA (*) SELEZIONA TIPO INTESTATARIO FATTURA PERSONA FISICA
PERSONA GIURIDICA
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INDIRIZZO (*)
DATA NASCITA (OBBLIGATORIO PER UNDER 35 ISCRIZIONE)
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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)


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