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</head>
<body bgcolor="#FFFFFF" text="#000000">
<form name="form_inscrip" action="http://www.melodysoft.com/cgi-bin/form.cgi enctype="text/plain" method="post" >
<input type="hidden" name="recipient" value="
[email protected]">
<input type="hidden" NAME="subject" value="Formulario de Reservas Individuales">
<table width="750" border="0" align="center">
<tr>
<td colspan="5" class="subtitulo">
<div align="center"><img src="file:///D|/web/51congreso/imaxes/forminscripcion.jpg" width="740" height="62"></div>
</td>
</tr>
<tr>
<td colspan="4" class="texto" bgcolor="#007283"><font color="#FFFFFF"><b>Datos
Personales</b></font></td>
</tr>
<tr>
<td width="319" class="texto">&nbsp;</td>
<td width="130" class="texto">&nbsp;</td>
<td width="141" class="texto">&nbsp;</td>
<td width="130" class="texto">&nbsp;</td>
</tr>
<tr>
<td width="319" class="texto">Primer Apellido*</td>
<td width="130">
<input type="text" name="APELLIDO1">
</td>
<td width="141" class="textoder">&nbsp;</td>
<td colspan="2">&nbsp; </td>
</tr>
<tr>
<td width="319" class="texto">Segundo Apellido*</td>
<td width="130">
<input type="text" name="APELLIDO2">
</td>
<td width="141" class="textoder">&nbsp;</td>
<td width="130">&nbsp; </td>
</tr>
<tr>
<td width="319" class="texto">Nombre*</td>
<td width="130">
<input type="text" name="NOMBRE">
</td>
<td width="141" class="textoder">N.I.F*</td>
<td width="130">
<input type="text" name="NIF">
</td>
</tr>
<tr>
<td width="319" class="texto">Direcci&oacute;n del Participante*</td>
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