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            <title>Nullaosta | Focaccia Group : Nullaosta - Focaccia</title>
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<meta name="description" content="Compila il modulo per richiedere la trasformazione di veicoli N1-M1 o M1-N1" />


        
    
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    <div class="col-12 register_form ">
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        <h5 class="text-center mb-2">Registrati</h5>
        <p class="mb-4 text-muted fs-13 ms-0 text-center">Compila il modulo sottostante per gestire le tue pratiche</p>

                        <form name="members_user_registration_form" method="post" action="/utenti/registrazione/" novalidate="novalidate" class="members_user_registration_register">

        <div class="form-floating mb-5">
            <select id="members_user_registration_form_tipologia" name="members_user_registration_form[tipologia]" required="required" class="form-control form-select" id="tipologia"><option value="" selected="selected"></option><option value="rivenditore">Ditta (partita IVA)</option><option value="privato">Privato</option></select>
            <label for="members_user_registration_form_tipologia" id="tipologia" class="form-label required">Scegli il tipo di registrazione</label>
            
        </div>

        <div id="all-fields" style="display:none;">
            <div class="form-floating mb-3">
                <input type="email" id="members_user_registration_form_email" name="members_user_registration_form[email]" required="required" placeholder="Email" class="form-control form-control" id="email" />
                <label for="members_user_registration_form_email" id="email" class="form-label required">Email</label>
                
            </div>

            <div class="form-floating mb-3">
                <input type="password" id="members_user_registration_form_plainPassword_first" name="members_user_registration_form[plainPassword][first]" required="required" class="form-control form-control" id="plainPassword.first" />
                <label for="members_user_registration_form_plainPassword_first" id="plainPassword.first" class="form-label required">Scegli una password</label>
                
            </div>

            <div class="form-floating mb-3">
                <input type="password" id="members_user_registration_form_plainPassword_second" name="members_user_registration_form[plainPassword][second]" required="required" class="form-control form-control" id="plainPassword.second" />
                <label for="members_user_registration_form_plainPassword_second" id="plainPassword.second" class="form-label required">Ripeti la password</label>
                
            </div>

            <div id="codice-fiscale-nome-cognome" style="display:none;">
                                <div class="form-floating mb-3">
                    <input type="text" id="members_user_registration_form_nome" name="members_user_registration_form[nome]" placeholder="Nome" class="form-control form-control" id="nome" />
                    <label for="members_user_registration_form_nome" id="nome" class="form-label">Nome</label>
                    
                </div>
                                                <div class="form-floating mb-3">
                    <input type="text" id="members_user_registration_form_cognome" name="members_user_registration_form[cognome]" placeholder="Cognome" class="form-control form-control" id="cognome" />
                    <label for="members_user_registration_form_cognome" id="cognome" class="form-label">Cognome</label>
                    
                </div>
                                                <div class="form-floating mb-3">
                    <input type="text" id="members_user_registration_form_codiceFiscale" name="members_user_registration_form[codiceFiscale]" placeholder="Codice fiscale" class="form-control form-control" id="codiceFiscale" />
                    <label for="members_user_registration_form_codiceFiscale" id="codiceFiscale" class="form-label">Codice fiscale</label>
                    
                </div>
                            </div>

            <div id="ragione-sociale-piva" style="display:none;">
                                <div class="form-floating mb-3">
                    <input type="text" id="members_user_registration_form_ragioneSociale" name="members_user_registration_form[ragioneSociale]" placeholder="Ragione sociale" class="form-control form-control" id="ragioneSociale" />
                    <label for="members_user_registration_form_ragioneSociale" id="ragioneSociale" class="form-label">Ragione sociale</label>
                    
                </div>
                                                <div class="form-floating mb-3">
                    <input type="text" id="members_user_registration_form_piva" name="members_user_registration_form[piva]" placeholder="Partita iva" class="form-control form-control" id="piva" />
                    <label for="members_user_registration_form_piva" id="piva" class="form-label">Partita iva</label>
                    
                </div>
                                                <div class="form-floating mb-3">
                    <input type="text" id="members_user_registration_form_sdi" name="members_user_registration_form[sdi]" placeholder="SDI" class="form-control form-control" id="sdi" />
                    <label for="members_user_registration_form_sdi" id="sdi" class="form-label">SDI</label>
                    
                </div>
                            </div>

            <div class="row">
                <div class="col-md-6">
                    <div class="form-floating mb-3">
                        <input type="text" id="members_user_registration_form_via" name="members_user_registration_form[via]" required="required" placeholder="Via" class="form-control form-control" id="via" />
                        <label for="members_user_registration_form_via" id="via" class="form-label required">Via</label>
                        
                    </div>
                </div>
                <div class="col-md-6">
                    <div class="form-floating mb-3">
                        <input type="text" id="members_user_registration_form_cap" name="members_user_registration_form[cap]" required="required" placeholder="CAP" class="form-control form-control" id="cap" />
                        <label for="members_user_registration_form_cap" id="cap" class="form-label required">CAP</label>
                        
                    </div>
                </div>
                <div class="col-md-6">
                    <div class="form-floating mb-3">
                        <input type="text" id="members_user_registration_form_citta" name="members_user_registration_form[citta]" required="required" placeholder="Città" class="form-control form-control" id="citta" />
                        <label for="members_user_registration_form_citta" id="citta" class="form-label required">Città</label>
                        
                    </div>
                </div>
                <div class="col-md-6">
                    <div class="form-floating mb-3">
                        <input type="text" id="members_user_registration_form_provincia" name="members_user_registration_form[provincia]" required="required" placeholder="Provincia" class="form-control form-control" id="provincia" />
                        <label for="members_user_registration_form_provincia" id="provincia" class="form-label required">Provincia</label>
                        
                    </div>
                </div>
                <div class="col-md-6">
                    <div class="form-floating mb-3">
                        <select id="members_user_registration_form_nazione" name="members_user_registration_form[nazione]" required="required" class="form-control form-select" id="nazione"><option value=""></option><option value="IT" selected="selected">Italia</option><option value="SM">San Marino</option></select>
                        <label for="members_user_registration_form_nazione" id="nazione" class="form-label required">Nazione</label>
                        
                    </div>
                </div>
                <div class="col-md-6">
                    <div class="form-floating mb-3">
                        <input type="text" id="members_user_registration_form_telefono" name="members_user_registration_form[telefono]" required="required" placeholder="Telefono" class="form-control form-control" id="telefono" />
                        <label for="members_user_registration_form_telefono" id="telefono" class="form-label required">Telefono</label>
                        
                    </div>
                </div>
            </div>
            <div class="col-12 text-start mb-1 mt-2">
                <div class="form-check d-flex align-content-center gap-2">
                    <div class="form-check"><input type="checkbox" id="members_user_registration_form_privacyA" name="members_user_registration_form[privacyA]" required="required" class="form-check-input form-check-input" id="privacyA" value="1" />
        <label class="form-check-label required" for="members_user_registration_form_privacyA"></label></div>
                    <label for="members_user_registration_form_privacyA" class="form-label">
                        <p>Acconsento al trattamento dei miei dati personali ai sensi dell&#039;articolo 13 del Regolamento Europeo per la Protezione dei Dati Personali 2016/679 (GDPR). <a class="iubenda-nostyle no-brand iubenda-noiframe iubenda-embed iubenda-noiframe" href="https://www.iubenda.com/privacy-policy/89691858" title="Privacy Policy">Visiona la Privacy Policy</a></p>
                    </label>
                </div>
                
            </div>
            <div class="col-12 text-start mb-5">
                <div class="form-check d-flex align-content-center gap-2">
                    <div class="form-check"><input type="checkbox" id="members_user_registration_form_privacyB" name="members_user_registration_form[privacyB]" class="form-check-input form-check-input" id="privacyB" value="1" />
        <label class="form-check-label" for="members_user_registration_form_privacyB"></label></div>
                    <label for="members_user_registration_form_privacyB" class="form-label">
                        <p>Desidero essere informato e aggiornato sulle novità e le iniziative riguardo ai prodotti e servizi di Focaccia group S.r.l. Unipersonale</p>
                    </label>
                </div>
                
            </div>
            <div class="col-12 text-start mb-4">
                <label class="fw-bold mb-2">Inserisci l&#039;indirizzo di spedizione</label>
                <div class="form-check d-flex align-content-center gap-2">
                    <div class="form-check"><input type="checkbox" id="members_user_registration_form_sameShippingAddress" name="members_user_registration_form[sameShippingAddress]" class="form-check-input form-check-input" id="sameShippingAddress" value="1" />
        <label class="form-check-label" for="members_user_registration_form_sameShippingAddress">Indirizzo di spedizione uguale a quello dell&#039;anagrafica</label></div>
                    
                    
                </div>
            </div>
            <div id="form-campi-spedizione">
                <div class="row">
                    <div class="col-md-12">
                        <div class="form-floating mb-3">
                            <input type="text" id="members_user_registration_form_nominativoSpedizione" name="members_user_registration_form[nominativoSpedizione]" placeholder="Nominativo" class="form-control form-control" id="nominativoSpedizione" />
                            <label for="members_user_registration_form_nominativoSpedizione" id="nominativoSpedizione" class="form-label">Nominativo</label>
                            
                        </div>
                    </div>
                    <div class="col-md-6">
                        <div class="form-floating mb-3">
                            <input type="text" id="members_user_registration_form_viaSpedizione" name="members_user_registration_form[viaSpedizione]" placeholder="members.form.via-spedizionee" class="form-control form-control" id="viaSpedizione" />
                            <label for="members_user_registration_form_viaSpedizione" id="viaSpedizione" class="form-label">Via</label>
                            
                        </div>
                    </div>
                    <div class="col-md-6">
                        <div class="form-floating mb-3">
                            <input type="text" id="members_user_registration_form_capSpedizione" name="members_user_registration_form[capSpedizione]" placeholder="members.form.cap-spedizionee" class="form-control form-control" id="capSpedizione" />
                            <label for="members_user_registration_form_capSpedizione" id="capSpedizione" class="form-label">CAP</label>
                            
                        </div>
                    </div>
                    <div class="col-md-6">
                        <div class="form-floating mb-3">
                            <input type="text" id="members_user_registration_form_cittaSpedizione" name="members_user_registration_form[cittaSpedizione]" placeholder="members.form.citta-spedizionee" class="form-control form-control" id="cittaSpedizione" />
                            <label for="members_user_registration_form_cittaSpedizione" id="cittaSpedizione" class="form-label">Città</label>
                            
                        </div>
                    </div>
                    <div class="col-md-6">
                        <div class="form-floating mb-3">
                            <input type="text" id="members_user_registration_form_provinciaSpedizione" name="members_user_registration_form[provinciaSpedizione]" placeholder="members.form.provincia-spedizionee" class="form-control form-control" id="provinciaSpedizione" />
                            <label for="members_user_registration_form_provinciaSpedizione" id="provinciaSpedizione" class="form-label">Provincia</label>
                            
                        </div>
                    </div>
                    <div class="col-md-6">
                        <div class="form-floating mb-3">
                            <select id="members_user_registration_form_nazioneSpedizione" name="members_user_registration_form[nazioneSpedizione]" class="form-control form-select" id="nazioneSpedizione"><option value=""></option><option value="IT" selected="selected">Italia</option><option value="SM">San Marino</option></select>
                            <label for="members_user_registration_form_nazioneSpedizione" id="nazioneSpedizione" class="form-label">Nazione</label>
                            
                        </div>
                    </div>
                    <div class="col-md-6">
                        <div class="form-floating mb-3">
                            <input type="text" id="members_user_registration_form_telefonoSpedizione" name="members_user_registration_form[telefonoSpedizione]" placeholder="Telefono" class="form-control form-control" id="telefonoSpedizione" />
                            <label for="members_user_registration_form_telefonoSpedizione" id="telefonoSpedizione" class="form-label">Telefono</label>
                            
                        </div>
                    </div>
                </div>
            </div>
        </div>
        <div class="d-flex justify-content-center">
            <div class="mb-3"><button type="submit" id="members_user_registration_form_submit" name="members_user_registration_form[submit]" class="btn btn-primary rounded-pill btn-w-sm btn">Invia</button></div>
        </div>
        <input type="hidden" id="members_user_registration_form_userName" name="members_user_registration_form[userName]" /><input type="hidden" id="members_user_registration_form__token" name="members_user_registration_form[_token]" value="b03c.YzuKnkZa-9p7ouaQn8ADDoOGyvBza2XdB3hnPPEpnM8.PHW5yQI3lIsQy4_G9Y1nV83sg7gsH1fuWBcwUL57xZ8FCe6mKB-jkhjw0g" /></form>
                </div>
            </div>
        </div>
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