Sites Pertecentes a (o) MG

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<![CDATA[<fieldset> <div class="row"> <div class="col-xl-8 col-lg-8 col-md-8 col-sm-6 col-12"> <div class="form-group"> <label for="nome">Nome </label> <input type="text" name="nome" class="form-control" id="nome" value="" required aria-describedby="info"> <small id="info" class="form-text"> * </small> </div> </div> <div class="col-xl-4 col-lg-4 col-md-4 col-sm-6 col-12"> <div class="form-group"> <label for="email">E-mail </label> <input type="email" name="email" class="form-control" id="email" value="" required aria-describedby="info"> <small id="info" class="form-text"> * </small> </div> </div> <div class="col-xl-3 col-lg-3 col-md-3 col-sm-6 col-12"> <div class="form-group"> <label for="sexo">Sexo </label> <select class="form-control" id="sexo" aria-describedby="info" name="sexo"><option selected="selected" value="">Selecione</option><option value="1">Feminino</option><option value="2">Masculino</option><option value="3">Prefiro não informar</option></select> <small id="info" class="form-text"> * </small> </div> </div> <div class="col-xl-4 col-lg-4 col-md-4 col-sm-4 col-12"> <div class="form-group"> <label for="escolaridade">Escolaridade </label> <select class="form-control" id="escolaridade" aria-describedby="info" name="escolaridade"><option selected="selected" value="">Selecione</option><option value="1">Analfabeto</option><option value="2">Ensino Fundamental incompleto</option><option value="3">Ensino Fundamental completo</option><option value="4">Ensino Médio completo</option><option value="5">Ensino Médio incompleto</option><option value="6">Superior completo (ou graduação)</option><option value="7">Pós-graduação</option><option value="8">Mestrado</option><option value="9">Doutorado</option><option value="10">Pós-Doutorado</option></select> <small id="info" class="form-text"> * </small> </div> </div> <div class="col-xl-5 col-lg-5 col-md-5 col-sm-5 col-12"> <div class="form-group"> <label for="ocupacao">Ocupação </label> <input type="text" class="form-control" name="ocupacao" id="ocupacao" value="" required aria-describedby="info"> <small id="info" class="form-text"> * </small> </div> </div> <div class="col-xl-12 col-lg-12 col-md-12 col-sm-12 col-12"> <small id="info" class="form-text"> Pelo menos um dos dois campos abaixo deve ser preenchido, telefone ou celular ou ambos. </small> </div> <div class="col-xl-6 col-lg-6 col-md-6 col-sm-6 col-12"> <div class="form-group"> <label for="telefone">Telefone </label> <input type="text" class="form-control" name="telefone" id="telefone" value=""> </div> </div> <div class="col-xl-6 col-lg-6 col-md-6 col-sm-6 col-12"> <div class="form-group"> <label for="celular">Celular </label> <input type="text" class="form-control" id="celular" name="celular" value=""> </div> </div> <div class="col-xl-4 col-lg-4 col-md-4 col-sm-4 col-12"> <div class="form-group"> <label for="cep">CEP </label> <input type="text" class="form-control" name="cep" id="cep" value="" data-mask="00000-000" required aria-describedby="info"> <small id="info" class="form-text"> * </small> </div> </div> <div class="col-xl-8 col-lg-8 col-md-8 col-sm-8 col-12"> <div class="form-group"> <label for="rua">Rua </label> <input type="text" class="form-control" name="rua" id="rua" value="" required aria-describedby="info"> <small id="info" class="form-text"> * </small> </div> </div> <div class="col-xl-3 col-lg-3 col-md-3 col-sm-4 col-12"> <div class="form-group"> <label for="numero">Número </label> <input type="text" class="form-control" name="numero" id="numero" value="" required aria-describedby="info"> <small id="info" class="form-text"> * </small> </div> </div> <div class="col-xl-9 col-lg-9 col-md-9 col-sm-8 col-12"> <div class="form-group"> <label for="complemento">Complemento </label> <input type="text" class="form-control" name="complemento" id="complemento" value=""> </div> </div> <div class="col-xl-5 col-lg-5 col-md-5 col-sm-6 col-12"> <div class="form-group"> <label for="bairro">Bairro </label> <input type="text" class="form-control" name="bairro" id="bairro" value="" required aria-describedby="info"> <small id="info" class="form-text"> * </small> </div> </div> <div class="col-xl-5 col-lg-5 col-md-5 col-sm-6 col-12"> <div class="form-group"> <label for="cidade">Cidade </label> <input type="text" class="form-control" name="cidade" id="cidade" value="" required aria-describedby="info"> <small id="info" class="form-text"> * </small> </div> </div> <div class="col-xl-2 col-lg-2 col-md-2 col-sm-6 col-12"> <div class="form-group"> <label for="uf">Estado </label> <input type="text" class="form-control" name="estado" id="uf" value="" maxlength="2" minlength="2" required aria-describedby="info"> <small id="info" class="form-text"> * </small> </div> </div> <div class="col-xl-6 col-lg-6 col-md-6 col-sm-6 col-12"> <div class="form-group"> <label for="resposta">Como deseja receber o retorno </label> <select class="form-control" id="resposta" name="resposta"><option selected="selected" value="">Selecione</option><option value="1">Em mãos (pode haver custos)</option><option value="2">No email</option><option value="3">Na resposta</option></select> <small id="info" class="form-text"> * </small> </div> </div> <div class="col-xl-12 col-lg-12 col-md-12 col-sm-12 col-12"> <div class="form-group"> <label for="resumo">Resumo da solicitação </label> <input type="text" class="form-control" name="resumo" id="resumo" value="" required aria-describedby="info"> <small id="info" class="form-text"> * </small> </div> </div> <div class="col-xl-12 col-lg-12 col-md-12 col-sm-12 col-12"> <div class="form-group"> <label for="exampleFormControlTextarea1">Descreva sua solicitação </label> <textarea class="form-control" id="exampleFormControlTextarea1" name="solicitacao" required aria-describedby="info"></textarea> <small id="info" class="form-text"> * </small> </div> </div> <div data-sitekey="6Ld-Y6YUAAAAAOkvIXTjMiBZV5VmUR4mZf7laSRr" class="g-recaptcha"></div> <div class="col-xl-12 col-lg-12 col-md-12 col-sm-12 col-12"> <div class="form-group text-right"> <button type="submit" class="btn btn_solid">Enviar</button> </div> </div> </div> </fieldset>]]>