Sites Pertecentes a (o) MG

175

<![CDATA[<fieldset class="formHorizontal formContainer" id="rsform_5_page_0"> <div class="rsform-block rsform-block-nome"> <div class="formControlLabel">Nome Completo<strong class="formRequired">(*)</strong></div> <div class="formControls"> <div class="formBody"><input type="text" value="" size="20" name="form[Nome ]" id="Nome " class="rsform-input-box" /><span class="formValidation"><span id="component42" class="formNoError">Entrada Inválida</span></span></div> <p class="formDescription"></p> </div> </div> <div class="rsform-block rsform-block-cpf"> <div class="formControlLabel">Cpf:<strong class="formRequired">(*)</strong></div> <div class="formControls"> <div class="formBody"><input type="text" value="" size="20" name="form[Cpf]" id="Cpf" class="rsform-input-box" /><span class="formValidation"><span id="component43" class="formNoError">Entrada Inválida</span></span></div> <p class="formDescription"></p> </div> </div> <div class="rsform-block rsform-block-endereco"> <div class="formControlLabel">Endereço:<strong class="formRequired">(*)</strong></div> <div class="formControls"> <div class="formBody"><input type="text" value="" size="20" name="form[Endereco]" id="Endereco" class="rsform-input-box" /><span class="formValidation"><span id="component44" class="formNoError">Entrada Inválida</span></span></div> <p class="formDescription"></p> </div> </div> <div class="rsform-block rsform-block-email"> <div class="formControlLabel">Email:<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="component45" class="formNoError">Entrada Inválida</span></span></div> <p class="formDescription"></p> </div> </div> <div class="rsform-block rsform-block-telefone"> <div class="formControlLabel">Telefone:<strong class="formRequired">(*)</strong></div> <div class="formControls"> <div class="formBody"><input type="text" value="" size="20" name="form[Telefone]" id="Telefone" class="rsform-input-box" /><span class="formValidation"><span id="component46" class="formNoError">Entrada Inválida</span></span></div> <p class="formDescription"></p> </div> </div> <div class="rsform-block rsform-block-justificativa"> <div class="formControlLabel">Detalhamento da solicitação:<strong class="formRequired">(*)</strong></div> <div class="formControls"> <div class="formBody"><textarea cols="50" rows="5" name="form[Justificativa]" id="Justificativa" class="rsform-text-box"></textarea><span class="formValidation"><span id="component47" class="formNoError">Entrada Inválida</span></span></div> <p class="formDescription"></p> </div> </div> <div class="rsform-block rsform-block-recaptcha"> <div class="formControlLabel">Anti-spam</div> <div class="formControls"> <div class="formBody"><div id="g-recaptcha-56"></div> <noscript> <div style="width: 302px; height: 352px;"> <div style="width: 302px; height: 352px; position: relative;"> <div style="width: 302px; height: 352px; position: absolute;"> <iframe src="https://www.google.com/recaptcha/api/fallback?k=6LcjsY0UAAAAAGATWLDi3gDYL1luaJf4ipbePwvF" frameborder="0" scrolling="no" style="width: 302px; height:352px; border-style: none;"></iframe> </div> <div style="width: 250px; height: 80px; position: absolute; border-style: none; bottom: 21px; left: 25px; margin: 0px; padding: 0px; right: 25px;"> <textarea id="g-recaptcha-response" name="g-recaptcha-response" class="g-recaptcha-response" style="width: 250px; height: 80px; border: 1px solid #c1c1c1; margin: 0px; padding: 0px; resize: none;" value=""></textarea> </div> </div> </div> </noscript><span class="formValidation"><span id="component56" class="formNoError">Entrada Inválida</span></span></div> <p class="formDescription"></p> </div> </div> <div class="rsform-block rsform-block-envio"> <div class="formControlLabel"></div> <div class="formControls"> <div class="formBody"><input type="submit" name="form[envio]" id="envio" class="rsform-submit-button" value="Enviar" /><span class="formValidation"></span></div> <p class="formDescription"></p> </div> </div> <div class="rsform-block rsform-block-aviso"> <div class="formBody">Após preenchimento do formulário acima, a Câmara Municipal de Rio Piracicaba enviará uma e-mail com número de protocolo e as instruções para posterior acompanhamento da solicitação. Obs: Todo acompanhamento das solicitações serão feitas via e-mail. </div> </div> </fieldset>]]>