200
| <![CDATA[<fieldset class="formHorizontal formContainer" id="rsform_6_page_0">
<div class="rsform-block rsform-block-name">
<div class="formControlLabel">NOME</div>
<div class="formControls">
<div class="formBody"><input type="text" value="" size="50" name="form[Name]" id="Name" class="rsform-input-box"/><span class="formValidation"><span id="component36" class="formNoError">Please let us know your name.</span></span></div>
<p class="formDescription"></p>
</div>
</div>
<div class="rsform-block rsform-block-email">
<div class="formControlLabel">E-Mail<strong class="formRequired">(*)</strong></div>
<div class="formControls">
<div class="formBody"><input type="text" value="" size="20" name="form[Email]" id="Email" class="rsform-input-box"/><span class="formValidation"><span id="component37" class="formNoError">Por favor, é preciso inserir o seu endereço de e-mail.</span></span></div>
<p class="formDescription"></p>
</div>
</div>
<div class="rsform-block rsform-block-subject">
<div class="formControlLabel">Assunto</div>
<div class="formControls">
<div class="formBody"><input type="text" value="" size="50" maxlength="50" name="form[Subject]" id="Subject" class="rsform-input-box"/><span class="formValidation"><span id="component38" class="formNoError">Please write a subject for your message.</span></span></div>
<p class="formDescription"></p>
</div>
</div>
<div class="rsform-block rsform-block-message">
<div class="formControlLabel">Messagem</div>
<div class="formControls">
<div class="formBody"><textarea cols="50" rows="5" name="form[Message]" id="Message" class="rsform-text-box"></textarea><span class="formValidation"><span id="component39" class="formNoError">Please let us know your message.</span></span></div>
<p class="formDescription"></p>
</div>
</div>
<div class="rsform-block rsform-block-robo">
<div class="formControlLabel">Por Favor, confirme que você não é um robô<strong class="formRequired">(*)</strong></div>
<div class="formControls">
<div class="formBody"><img src="/index.php/contato/fale-conosco.html?task=captcha&componentId=50&tmpl=component&sid=549867369" id="captcha50" alt="Por Favor, confirme que você não é um robô "/><br /><input type="text" name="form[robo]" value="" id="captchaTxt50" style="text-align:center;width:75px;" class="rsform-captcha-box" /><span class="formValidation"><span id="component50" class="formNoError">Invalid Input</span></span></div>
<p class="formDescription"></p>
</div>
</div>
<div class="rsform-block rsform-block-send">
<div class="formControlLabel"></div>
<div class="formControls">
<div class="formBody"><input type="submit" value="Enviar" name="form[Send]" id="Send" class="rsform-submit-button" /> ; ;<input type="reset" value="Limpar" name="form[Send]" class="rsform-reset-button" /><span class="formValidation"></span></div>
<p class="formDescription"></p>
</div>
</div>
</fieldset>]]>
|