2021
| <![CDATA[<input class="form-control" name="nome" id="nome" value="" type="text" />]]>
|
2026
| <![CDATA[<input class="form-control" name="cpf" id="cpf" type="text" value="" />]]>
|
2031
| <![CDATA[<input class="form-control" name="telefone" id="telefone" type="text" value="" />]]>
|
2036
| <![CDATA[<input class="form-control" name="cep" id="cep" type="text" value="" />]]>
|
2041
| <![CDATA[<input class="form-control" name="endereco" id="endereco" type="text" value="" />]]>
|
2046
| <![CDATA[<input class="form-control" name="bairro" id="bairro" type="text" value="" />]]>
|
2051
| <![CDATA[<input class="form-control" name="numero" id="numero" type="text" value="" />]]>
|
2064
| <![CDATA[<input type="radio" name="mesmo_end" checked="checked" value="1">]]>
|
2068
| <![CDATA[<input type="radio" name="mesmo_end" value="0">]]>
|
2076
| <![CDATA[<input class="form-control" name="endereco_serv" id="endereco_serv" value="" type="text" />]]>
|
2081
| <![CDATA[<input class="form-control" name="bairro_serv" id="bairro_serv" type="text" value="" />]]>
|
2089
| <![CDATA[<input class="form-control" name="numero_serv" id="numero_serv" type="text" value="" />]]>
|
2092
| <![CDATA[<input class="form-control" name="ponto_referencia" id="ponto_referencia" type="text" value="" />]]>
|
2099
| <![CDATA[<input type="radio" name="servico" id="radio3" value="3" >]]>
|
2104
| <![CDATA[<input type="radio" name="servico" id="radio0" value="0" >]]>
|
2109
| <![CDATA[<input type="radio" name="servico" id="radio1" value="1" >]]>
|
2114
| <![CDATA[<input type="radio" name="servico" id="radio2" value="2" >]]>
|
2122
| <![CDATA[<textarea style="resize:none;" class="form-control" name="descricao" id="descricao" type="text"></textarea>]]>
|