?>
" />
<span class="mandatory" >*</span></td>
</tr>
<tr align="left" valign="top">
<td align="right" valign="middle" class="text"><?php
echo getlang(102);
?>
;</td>
<td align="left" class="text"><select name="region" id="region" class="formStyle" onchange="fillProvince();">
<option value="0"><?php
echo getlang(232);
?>
</option>
<?php
echo selectRegion('');
?>
</select></td>
</tr>
<tr>
<td class="text" align="right"><?php
echo getlang(150);
?>
: </td>
<td class="text" align="left"><select name="province" class="formStyle" id="province" onchange="fillService();">
<option value="0">[<?php
echo getlang(150);
?>
]</option>
</select></td>
</tr>
echo getlang(154);
?>
</td>
</tr>
<tr>
<td class="text" align="center"><table width="600" border="0" align="left" cellpadding="5" cellspacing="0" class="botBorder">
<tbody>
<tr align="left" valign="top">
<td align="right" valign="middle" class="text"><?php
echo getlang(102);
?>
: </td>
<td align="left" class="text"><select name="region" id="region" class="formStyle">
<option value="0"></option>
<?php
echo selectRegion($idregion);
?>
</select> <span class="mandatory">*</span></td>
</tr>
<tr align="left" valign="top">
<td width="200" align="right" valign="middle" class="text"><?php
echo getlang(154);
?>
: </td>
<td width="358" align="left" class="text"><input name="province" type="text" class="formStyle" id="province" value="<?php
echo $province;
?>
" />
<span class="mandatory">*</span></td>
</tr>
<tr>
