| 237
| <![CDATA[<input name="nome" value="" placeholder="Nome Completo" type="text" required>]]>
|
| 247
| <![CDATA[<input name="email" value="" placeholder="E-mail" type="email" required>]]>
|
| 257
| <![CDATA[<input name="telefone" value="" class="phone" placeholder="Telefone" type="text" required>]]>
|
| 267
| <![CDATA[<input name="endereco" placeholder="Endereço" type="text" required>]]>
|
| 277
| <![CDATA[<input name="cidade" value="" placeholder="Cidade" type="text" required>]]>
|
| 287
| <![CDATA[<input name="bairro" placeholder="Bairro" type="text" required>]]>
|
| 394
| <![CDATA[<textarea name="mensagem" placeholder="Mensagem" required></textarea>]]>
|
| 297
| <![CDATA[<select name="estado" class="dropdown" required>
<option value="">UF</option>
<option value="AC">AC</option>
<option value="AL">AL</option>
<option value="AP">AP</option>
<option value="AM">AM</option>
<option value="BA">BA</option>
<option value="CE">CE</option>
<option value="DF">DF</option>
<option value="ES">ES</option>
<option value="GO">GO</option>
<option value="MA">MA</option>
<option value="MT">MT</option>
<option value="MS">MS</option>
<option value="MG">MG</option>
<option value="PA">PA</option>
<option value="PB">PB</option>
<option value="PR">PR</option>
<option value="PE">PE</option>
<option value="PI">PI</option>
<option value="RJ">RJ</option>
<option value="RN">RN</option>
<option value="RS">RS</option>
<option value="RO">RO</option>
<option value="RR">RR</option>
<option value="SC">SC</option>
<option value="SP">SP</option>
<option value="SE">SE</option>
<option value="TO">TO</option>
</select>]]>
|
| 369
| <![CDATA[<select name="setor" class="form-control">
<option value="">Setor</option>
<option value="Diretoria Administrativa Financeira">Diretoria Administrativa Financeira</option>
<option value="Gerência de Contabilidade">Gerência de Contabilidade</option>
<option value="Gerência de RH">Gerência de RH</option>
<option value="Juridico">Juridico</option>
<option value="Ouvidoria">Ouvidoria</option>
<option value="Pericia Médica">Pericia Médica</option>
<option value="Previdência Social">Previdência Social</option>
<option value="Recepção">Recepção</option>
<option value="TI">TI</option>
</select>]]>
|
