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<section> <fieldset id="registration_fields" class="account_creation form-group" style="border: none;"> <div class="clearfix"></div> <div class="rf_input_wrapper rf_only_f_0 required form-group text form-group row" data-f="0" data-v="0"> <label class="rf_input_label required col-md-4 form-control-label"> <span style="color: #FF5555!important">*</span> Tipologia</label> <div class="col-md-7"> <input class="rf_checkboxes" type="hidden" data-required="1" value="1" data-depend="0"> <div class="type_multiboxes col-lg-1" id="uniform-62"> <input type="radio" data-field="1" id="radio_62" class="form-control is_required " name="fields[1][]" value="62" /> </div> <label class="type_multiboxes col-lg-8 top" for="radio_62"> Privato </label> <div class="clearfix"></div> <div class="type_multiboxes col-lg-1" id="uniform-63"> <input type="radio" data-field="1" id="radio_63" class="form-control is_required " name="fields[1][]" value="63" checked="checked" /> </div> <label class="type_multiboxes col-lg-8 top" for="radio_63"> Azienda </label> <div class="clearfix"></div> <div class="type_multiboxes col-lg-1" id="uniform-64"> <input type="radio" data-field="1" id="radio_64" class="form-control is_required " name="fields[1][]" value="64" /> </div> <label class="type_multiboxes col-lg-8 top" for="radio_64"> Ente / Pubblica Amministrazione </label> <div class="clearfix"></div> <div class="type_multiboxes col-lg-1" id="uniform-65"> <input type="radio" data-field="1" id="radio_65" class="form-control is_required " name="fields[1][]" value="65" /> </div> <label class="type_multiboxes col-lg-8 top" for="radio_65"> Ditta individuale </label> <div class="clearfix"></div> </div> <div class="clearfix"></div> </div> <div class="clearfix"></div> <div class="rf_input_wrapper rf_only_f_1 required form-group text form-group row rf_no_display rf_no_display_1_63" data-f="1" data-v="63"> <label class="rf_input_label required col-md-4 form-control-label"> <span style="color: #FF5555!important">*</span> Ragione Sociale Azienda</label> <div class="col-md-7"> <input type="text" name="fields[7]" value="Temno Srl" class="text is_required form-control" /> </div> <div class="clearfix"></div> </div> <div class="clearfix"></div> <div class="rf_input_wrapper rf_only_f_1 required form-group text form-group row rf_no_display rf_no_display_1_63" data-f="1" data-v="63"> <label class="rf_input_label required col-md-4 form-control-label"> <span style="color: #FF5555!important">*</span> Partita IVA Azienda</label> <div class="col-md-7"> <input type="text" name="fields[3]" value="05876960154" class="text is_required form-control" /> </div> <div class="clearfix"></div> </div> <div class="clearfix"></div> <div class="rf_input_wrapper rf_only_f_1 required form-group text form-group row rf_no_display rf_no_display_1_62" data-f="1" data-v="62"> <label class="rf_input_label required col-md-4 form-control-label"> <span style="color: #FF5555!important">*</span> Codice Fiscale</label> <div class="col-md-7"> <input type="text" name="fields[4]" value="" class="text is_required form-control" /> </div> <div class="clearfix"></div> </div> <div class="clearfix"></div> <div class="rf_input_wrapper rf_only_f_1 required form-group text form-group row rf_no_display rf_no_display_1_63" data-f="1" data-v="63"> <label class="rf_input_label col-md-4 form-control-label"> PEC Azienda</label> <div class="col-md-7"> <input type="text" name="fields[5]" value="temno@pec.it" class="text form-control" /> </div> <div class="clearfix"></div> </div> <div class="clearfix"></div> <div class="rf_input_wrapper rf_only_f_1 required form-group text form-group row rf_no_display rf_no_display_1_63" data-f="1" data-v="63"> <label class="rf_input_label col-md-4 form-control-label"> Codice Destinatario Azienda</label> <div class="col-md-7"> <input type="text" name="fields[6]" value="M5UXCR1" class="text form-control" /> </div> <div class="clearfix"></div> </div> <div class="clearfix"></div> <div class="rf_input_wrapper rf_only_f_1 required form-group text form-group row rf_no_display rf_no_display_1_64" data-f="1" data-v="64"> <label class="rf_input_label required col-md-4 form-control-label"> <span style="color: #FF5555!important">*</span> Denominazione Ente</label> <div class="col-md-7"> <input type="text" name="fields[14]" value="" class="text is_required form-control" /> </div> <div class="clearfix"></div> </div> <div class="clearfix"></div> <div class="rf_input_wrapper rf_only_f_1 required form-group text form-group row rf_no_display rf_no_display_1_64" data-f="1" data-v="64"> <label class="rf_input_label col-md-4 form-control-label"> PEC Ente</label> <div class="col-md-7"> <input type="text" name="fields[12]" value="" class="text form-control" /> </div> <div class="clearfix"></div> </div> <div class="clearfix"></div> <div class="rf_input_wrapper rf_only_f_1 required form-group text form-group row rf_no_display rf_no_display_1_64" data-f="1" data-v="64"> <label class="rf_input_label required col-md-4 form-control-label"> <span style="color: #FF5555!important">*</span> Codice Fiscale Ente</label> <div class="col-md-7"> <input type="text" name="fields[11]" value="" class="text is_required form-control" /> </div> <div class="clearfix"></div> </div> <div class="clearfix"></div> <div class="rf_input_wrapper rf_only_f_1 required form-group text form-group row rf_no_display rf_no_display_1_64" data-f="1" data-v="64"> <label class="rf_input_label col-md-4 form-control-label"> Codice Destinatario Ente</label> <div class="col-md-7"> <input type="text" name="fields[13]" value="" class="text form-control" /> </div> <div class="clearfix"></div> </div> <div class="clearfix"></div> <div class="rf_input_wrapper rf_only_f_1 required form-group text form-group row rf_no_display rf_no_display_1_65" data-f="1" data-v="65"> <label class="rf_input_label required col-md-4 form-control-label"> <span style="color: #FF5555!important">*</span> Ragione Sociale Ditta</label> <div class="col-md-7"> <input type="text" name="fields[15]" value="" class="text is_required form-control" /> </div> <div class="clearfix"></div> </div> <div class="clearfix"></div> <div class="rf_input_wrapper rf_only_f_1 required form-group text form-group row rf_no_display rf_no_display_1_65" data-f="1" data-v="65"> <label class="rf_input_label required col-md-4 form-control-label"> <span style="color: #FF5555!important">*</span> Partita IVA Ditta</label> <div class="col-md-7"> <input type="text" name="fields[16]" value="" class="text is_required form-control" /> </div> <div class="clearfix"></div> </div> <div class="clearfix"></div> <div class="rf_input_wrapper rf_only_f_1 required form-group text form-group row rf_no_display rf_no_display_1_65" data-f="1" data-v="65"> <label class="rf_input_label required col-md-4 form-control-label"> <span style="color: #FF5555!important">*</span> Codice Fiscale Ditta</label> <div class="col-md-7"> <input type="text" name="fields[17]" value="" class="text is_required form-control" /> </div> <div class="clearfix"></div> </div> <div class="clearfix"></div> <div class="rf_input_wrapper rf_only_f_1 required form-group text form-group row rf_no_display rf_no_display_1_65" data-f="1" data-v="65"> <label class="rf_input_label col-md-4 form-control-label"> PEC Ditta</label> <div class="col-md-7"> <input type="text" name="fields[18]" value="" class="text form-control" /> </div> <div class="clearfix"></div> </div> <div class="clearfix"></div> <div class="rf_input_wrapper rf_only_f_1 required form-group text form-group row rf_no_display rf_no_display_1_65" data-f="1" data-v="65"> <label class="rf_input_label col-md-4 form-control-label"> Codice Destinatario Ditta</label> <div class="col-md-7"> <input type="text" name="fields[19]" value="" class="text form-control" /> </div> <div class="clearfix"></div> </div> </fieldset> <div class="form-group row "> <label class="col-md-4 form-control-label required"></label> <div class="col-md-6"> </div> </div> <style> .rf_no_display { display: none;} #registration_fields .radio-inline, #registration_fields .checkbox { display: inline-block; margin-right: 3%} #registration_fields .radio-inline .radio, #registration_fields .checkbox .checker { display:inline-block; padding-right: 3px; vertical-align: middle} </style> </section> <h3 class="col-xs-12 field-error hidden" id="checkFieldsError"></h3><div class="form-group row"> <input type="hidden" id="captcha-box" name="g-recaptcha-response"/> <script src="https://www.google.com/recaptcha/api.js?render=6Lf9rG8pAAAAAHPEPYA7YZwe7OJykRPgBZZKj7hh"></script> <script> grecaptcha.ready(function () { grecaptcha.execute('6Lf9rG8pAAAAAHPEPYA7YZwe7OJykRPgBZZKj7hh', {action: 'contact'}).then(function (token) { var recaptchaResponse = document.getElementById('captcha-box'); recaptchaResponse.value = token; }); }); </script> </div>

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