Application form

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Please fill in the form below and we will contact you promptly.
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Once that your account will be created, you will be able to
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create pages and add content on behalf of your organization.
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<html>
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<div style="background:#f5f5f5;border:1px solid #ccc;width:400px;float:right;text-align:;padding:12px">
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<form method="post" action="https://culturaitaliana.org/w/en/parse_form.php">
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first and last name of the author<br>
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Your first and last name
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<input class="form_organization_input" type="text" placeholder="first name" name="first_name">
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<input class="form_organization_input" type="text" placeholder="last name" name="last_name">
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Your organization and your role or position
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<input class="form_organization_input" type="text" placeholder="organization" name="organization">
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<input class="form_organization_input" type="text" placeholder="role" name="organization">
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Your organization information
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<input class="form_organization_input" type="text" placeholder="city" name="organization">
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<input class="form_organization_input" type="text" placeholder="country" name="organization">
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<input class="form_organization_input" type="text" placeholder="email" name="email">
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<input class="form_organization_input" type="text" placeholder="phone" name="phone">
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<input class="form_organization_input" type="text" placeholder="website" name="website">
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Your contact
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<input class="form_organization_input" type="text" placeholder="email" name="email">
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<input class="form_organization_input" type="text" placeholder="phone" name="phone">
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Other notes
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<textarea name="notes">
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</textarea>
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<input type="submit">
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</form>
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</div>
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</html>
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==Name==
 
==Name==
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==Surname==
 
==Surname==

Revision as of 08:53, 15 February 2020

Please fill in the form below and we will contact you promptly. Once that your account will be created, you will be able to create pages and add content on behalf of your organization.

first and last name of the author
Your first and last name Your organization and your role or position Your organization information Your contact Other notes


Name

Surname

Country

Employment/Organization concerned

Description

Contacts

Websites and links useful

Retrieved from "https://culturaitaliana.org/w/index.php?title=How_it_works/Application_form&oldid=1282"