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Bienvenido a <strong>ProEdad</strong>! El registro es muy sencillo solo llena los siguientes espacios, valida <strong>TU CUENTA </strong>y accederás a todo lo que tenemos preparado para ti. </p> <form id='registroForm' name='registroForm' method='post' action='index.php?action=saveRegistro'> <table align="center"> <tr> <td align="right" width="180px" > Nombre: </td> <td align="left" width="300px" > <div style="width:50%; float:left;"><input type='text' name='nombre' id='nombre' onclick='this.value=""' value="Nombre(s)" style='width:100%; height:100%; font-family:arial; font-size:12px;'></div> <div style="width:50%; float:left;"><input type='text' name='apellido' id='apellido' onclick='this.value=""' value="Apellido (s)" style='width:100%; height:100%; font-family:arial; font-size:12px;'></div> <div style="clear:both;"></div> </td> </tr> <tr><td colspan="2" height="7px" ></td></tr> <!-- ESPACIO --> <tr> <td align="right"> E-mail: </td> <td align="left"> <input type='text' name='mail' id='mail' style='width:100%; height:100%;'> </td> </tr> <tr><td colspan="2" height="7px" ></td></tr> <!-- ESPACIO --> <tr> <td align="right"> Confirma tu e-mail: </td> <td align="left"> <input type='text' name='reMail' id='reMail' style='width:100%; height:100%;'> </td> </tr> <tr><td colspan="2" height="7px" ></td></tr> <!-- ESPACIO --> <tr> <td align="right"> Teléfono: </td> <td align="left"> <div style="float:left; width:30%;"> <input type='text' name='telefono' id='telefono' style='width:100%; height:100%;'> </div> <div style="float:left; width:70%;"> <div style="float:left; width:30%; text-align:right;"> <span style="margin-right:3px;">País:</span> </div> <div style="float:left; width:70%;"> <select name='pais' id='pais' style='width:100%'> <option value="">Seleccione País <option value="1">España <option value="2">Portugal <option value="3">Colombia <option value="4">Argentina <option value="5">Brasil <option value="6">Chile <option value="7">Bolivia <option value="8">Cuba <option value="9">Republica Dominicana <option value="10">Ecuador <option value="11">Guatemala <option value="12">México <option value="13">Uruguay <option value="14">Panama <option value="15">Nicaragua <option value="16">Honduras <option value="17">El Salvador <option value="18">Paraguay <option value="19">Peru <option value="20">Puerto Rico <option value="21">Estados Unidos <option value="22">Venezuela <option value="23">Costa Rica <option value="24">resto <option value="25">Andorra <option value="196">Palau <option value="26">Emiratos Arabes Unidos <option value="27">Afganistán <option value="28">Antigua y Barbuda <option value="29">Anguila <option value="30">Albania <option value="31">Armenia <option value="32">Antillas Holandesas <option value="33">Angola <option value="34">Antártida <option value="35">Viejo estilo Arpanet <option value="36">Samoa Americana <option value="37">Austria <option value="38">Australia <option value="39">Aruba <option value="40">Azerbaián <option value="41">Bosnia-Herzegovina <option value="42">Barbados <option value="43">Bangladesh <option value="44">Bélgica <option value="45">Burkina Faso <option value="46">Bulgaria <option value="47">Bahrain <option value="48">Burundi <option value="49">Benin <option value="50">Bermuda <option value="51">Brunei Darussalam <option value="52">Bahamas <option value="53">Bután <option value="54">Isla Bouvet <option value="55">Botswana <option value="56">Bielorusia <option value="57">Belice <option value="58">Canada <option value="59">Cocos - Isla Keeling <option value="60">Zaire <option value="61">República de Africa Central <option value="62">República de Congo (Zaire) <option value="63">Suiza <option value="64">Costa de Marfil <option value="65">Islas de Cook (Rarotonga) <option value="66">Camerún <option value="67">China <option value="68">Comercial <option value="69">República Checa y Eslovaquia <option value="70">Cabo Verde <option value="71">Islas Navidad <option value="72">Chipre <option value="73">República Checa <option value="74">Alemania <option value="75">Yibuti <option value="76">Dinamarca <option value="77">República Dominicana <option value="78">Algeria <option value="79">Educativo <option value="80">Estonia <option value="81">Egipto <option value="82">Sahara Occidental <option value="83">Eritrea <option value="84">Etiopía <option value="85">Finlandia <option value="86">Fiji <option value="87">Islas Malvinas <option value="88">Micronesia <option value="89">Islas Faroe <option value="90">Francia <option value="91">Francia (Territorio Europeo) <option value="92">Gabón <option value="93">Reino Unido <option value="94">Granada <option value="95">Georgia <option value="96">Guyana Francesa <option value="97">Guernsey <option value="98">Ghana <option value="99">Gibraltar <option value="100">Groenlandia <option value="101">Gambia <option value="102">Guinea <option value="103">Gobierno <option value="104">Guadalupe <option value="105">Guinea Ecuatorial <option value="106">Grecia <option value="107">Georgia Sur e I. Sandwich <option value="108">Guam <option value="109">Guinea-Bissau <option value="110">Guyana <option value="111">Hong Kong <option value="112">Islas Heard y McDonald <option value="113">Croacia <option value="114">Haití <option value="115">Hungría <option value="116">Indonesia <option value="117">Irlanda <option value="118">Israel <option value="119">Isla de Man <option value="120">India <option value="121">Internacional <option value="122">T. Oceánico Indio-Británico <option value="123">Irak <option value="124">Irán <option value="125">Islandia <option value="126">Italia <option value="127">Jersey <option value="128">Jamaica <option value="129">Jordania <option value="130">Japón <option value="131">Kenya <option value="132">Kyrgyzstán <option value="133">Camboya <option value="134">Kiribati <option value="135">Comoros <option value="136">San Kitts y Nevis <option value="137">Korea del Norte <option value="138">Korea del Sur <option value="139">Kuwait <option value="140">Islas Caimán <option value="141">Kazakhstán <option value="142">Laos <option value="143">Lábano <option value="144">Santa Lucia <option value="145">Liechtenstein <option value="146">Sri Lanka <option value="147">Liberia <option value="148">Lesotho <option value="149">Lituania <option value="150">Luxemburgo <option value="151">Letonia <option value="152">Libia <option value="153">Marruecos <option value="154">Mónaco <option value="155">Moldova <option value="156">Madagascar <option value="157">Islas Marshall <option value="158">Militar <option value="159">Macedonia <option value="160">Malí <option value="161">Myanmar <option value="162">Mongolia <option value="163">Macau <option value="164">Islas Marianas del Norte <option value="165">Martinica <option value="166">Mauritania <option value="167">Montserrat <option value="168">Malta <option value="169">Isla Mauricio <option value="170">Islas Maldivas <option value="171">Malawi <option value="172">Malasia <option value="173">Mozambique <option value="174">Namibia <option value="175">Nueva Caledonia <option value="176">Níger <option value="177">Red <option value="178">Isla Norfolk <option value="179">Nigeria <option value="180">Países Bajos (Holanda) <option value="181">Noruega <option value="182">Nepal <option value="183">Nauru <option value="184">Isla Niue <option value="185">Nueva Zelanda <option value="186">Omán <option value="187">Organizaciones sin fin lucro <option value="188">Polinesia Francesa <option value="189">Papua Nueva-Guinea <option value="190">Filipinas <option value="191">Pakistán <option value="192">Polonia <option value="193">San Pierre y Miquelon <option value="194">Isla Pitcairn <option value="195">Territorio Palestino Ocupado <option value="197">Catar <option value="198">Isla Reunión <option value="199">Rumania <option value="200">Rusia <option value="201">Rwanda <option value="202">Arabia Saudita <option value="203">Islas Salomón <option value="204">Islas Seychelles <option value="205">Sudán <option value="206">Suecia <option value="207">Singapur <option value="208">Santa Helena <option value="209">Eslovenia <option value="210">Islas Svalbard y Jan Mayen <option value="211">Eslovaquia <option value="212">Sierra Leona <option value="213">San Marino <option value="214">Senegal <option value="215">Somalia <option value="216">Surinam <option value="217">Saint Tome and Principe <option value="218">Antigua USSR <option value="219">Siria <option value="220">Swazilandia <option value="221">Islas Turks y Caicos <option value="222">Chad <option value="223">Territorios Sureños de Francia <option value="224">Togo <option value="225">Tailandia <option value="226">Tajikistán <option value="227">Islas Tokelau <option value="228">Turkmenistán <option value="229">Túnez <option value="230">Tonga <option value="231">Timor Oriental <option value="232">Turquía <option value="233">Trinidad y Tobago <option value="234">Tuvalu <option value="235">Taiwán <option value="236">Tanzania <option value="237">Ucrania <option value="238">Uganda <option value="239">Reino Unido <option value="240">Islas menores remotas de USA <option value="241">Uzbekistán <option value="242">Ciudad del Vaticano <option value="243">San Vicente y Granadinas <option value="244">Islas Vírgenes (Británicas) <option value="245">Islas Vírgenes (USA) <option value="246">Vietnam <option value="247">Vanautu (Nuevas Híbridas) <option value="248">Islas Wallis y Futuna <option value="249">Samoa <option value="250">Yemen <option value="251">Mayotte <option value="252">Yugoeslavia <option value="253">Africa del Sur <option value="254">Zambia <option value="255">Zaire <option value="256">Zimbabwe </select> </div> <div style="clear:both;"></div> </div> <div style="clear:both;"></div> </td> </tr> <tr><td colspan="2" height="7px" ></td></tr> <!-- ESPACIO --> <tr> <td align="right"> Fecha de nacimiento: </td> <td align="left"> <select name="diaEdad" id="diaEdad"> <option value=""></option> <option value='1'>1</option><option value='2'>2</option><option value='3'>3</option><option value='4'>4</option><option value='5'>5</option><option value='6'>6</option><option value='7'>7</option><option value='8'>8</option><option value='9'>9</option><option value='10'>10</option><option value='11'>11</option><option value='12'>12</option><option value='13'>13</option><option value='14'>14</option><option value='15'>15</option><option value='16'>16</option><option value='17'>17</option><option value='18'>18</option><option value='19'>19</option><option value='20'>20</option><option value='21'>21</option><option value='22'>22</option><option value='23'>23</option><option value='24'>24</option><option value='25'>25</option><option value='26'>26</option><option value='27'>27</option><option value='28'>28</option><option value='29'>29</option><option value='30'>30</option><option value='31'>31</option> </select> <select name="mesEdad" id="mesEdad"> <option value=""></option> <option value='1'>1</option><option value='2'>2</option><option value='3'>3</option><option value='4'>4</option><option value='5'>5</option><option value='6'>6</option><option value='7'>7</option><option value='8'>8</option><option value='9'>9</option><option value='10'>10</option><option value='11'>11</option><option value='12'>12</option> </select> <select name="anioEdad" id="anioEdad"> <option value=""></option> <option value='1900'>1900</option><option value='1901'>1901</option><option value='1902'>1902</option><option value='1903'>1903</option><option value='1904'>1904</option><option value='1905'>1905</option><option value='1906'>1906</option><option value='1907'>1907</option><option value='1908'>1908</option><option value='1909'>1909</option><option value='1910'>1910</option><option value='1911'>1911</option><option value='1912'>1912</option><option value='1913'>1913</option><option value='1914'>1914</option><option value='1915'>1915</option><option value='1916'>1916</option><option value='1917'>1917</option><option value='1918'>1918</option><option value='1919'>1919</option><option value='1920'>1920</option><option value='1921'>1921</option><option value='1922'>1922</option><option value='1923'>1923</option><option value='1924'>1924</option><option value='1925'>1925</option><option value='1926'>1926</option><option value='1927'>1927</option><option value='1928'>1928</option><option value='1929'>1929</option><option value='1930'>1930</option><option value='1931'>1931</option><option value='1932'>1932</option><option value='1933'>1933</option><option value='1934'>1934</option><option value='1935'>1935</option><option value='1936'>1936</option><option value='1937'>1937</option><option value='1938'>1938</option><option value='1939'>1939</option><option value='1940'>1940</option><option value='1941'>1941</option><option value='1942'>1942</option><option value='1943'>1943</option><option value='1944'>1944</option><option value='1945'>1945</option><option value='1946'>1946</option><option value='1947'>1947</option><option value='1948'>1948</option><option value='1949'>1949</option><option value='1950'>1950</option><option value='1951'>1951</option><option value='1952'>1952</option><option value='1953'>1953</option><option value='1954'>1954</option><option value='1955'>1955</option><option value='1956'>1956</option><option value='1957'>1957</option><option value='1958'>1958</option><option value='1959'>1959</option><option value='1960'>1960</option><option value='1961'>1961</option><option value='1962'>1962</option><option value='1963'>1963</option><option value='1964'>1964</option><option value='1965'>1965</option><option value='1966'>1966</option><option value='1967'>1967</option><option value='1968'>1968</option><option value='1969'>1969</option><option value='1970'>1970</option><option value='1971'>1971</option><option value='1972'>1972</option><option value='1973'>1973</option><option value='1974'>1974</option><option value='1975'>1975</option><option value='1976'>1976</option><option value='1977'>1977</option><option value='1978'>1978</option><option value='1979'>1979</option><option value='1980'>1980</option><option value='1981'>1981</option><option value='1982'>1982</option><option value='1983'>1983</option><option value='1984'>1984</option><option value='1985'>1985</option><option value='1986'>1986</option><option value='1987'>1987</option><option value='1988'>1988</option><option value='1989'>1989</option><option value='1990'>1990</option><option value='1991'>1991</option><option value='1992'>1992</option><option value='1993'>1993</option><option value='1994'>1994</option><option value='1995'>1995</option><option value='1996'>1996</option><option value='1997'>1997</option><option value='1998'>1998</option><option value='1999'>1999</option><option value='2000'>2000</option><option value='2001'>2001</option><option value='2002'>2002</option><option value='2003'>2003</option><option value='2004'>2004</option><option value='2005'>2005</option><option value='2006'>2006</option><option value='2007'>2007</option><option value='2008'>2008</option><option value='2009'>2009</option> </select> </td> </tr> <tr><td colspan="2" height="7px" ></td></tr> <!-- ESPACIO --> <tr> <td align="right"> Contraseña: </td> <td align="left"> <input type='password' name='uno' id='uno' style='width:100%; height:100%;'> 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