| 3360
| <![CDATA[<input type="text" class="input txtacess" placeholder="Nome*" name="full_name">]]>
|
| 3363
| <![CDATA[<input type="text" class="input txtacess" placeholder="E-mail*" name="email">]]>
|
| 3366
| <![CDATA[<input id="phone" type="text" class="input txtacess" placeholder="Telefone*" name="phone">]]>
|
| 3372
| <![CDATA[<input id="rg" type="text" class="input txtacess" placeholder="RG*" name="rg">]]>
|
| 3381
| <![CDATA[<input id="cpf" type="text" class="cpf input txtacess" placeholder="CPF*" name="cpf">]]>
|
| 3387
| <![CDATA[<textarea type="text" class="input txtacess tamanhotext" rows="4" placeholder="Solicitação*" name="form_description" cols="50"></textarea>]]>
|
| 3375
| <![CDATA[<select class="input txtacess" name="expedition_state"><option selected="selected" value="">Est. de Expedição (RG)*</option><option value="AC">AC</option><option value="AL">AL</option><option value="AM">AM</option><option value="AP">AP</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="MG">MG</option><option value="MS">MS</option><option value="MT">MT</option><option value="PA">PA</option><option value="PB">PB</option><option value="PE">PE</option><option value="PI">PI</option><option value="PR">PR</option><option value="RJ">RJ</option><option value="RN">RN</option><option value="RO">RO</option><option value="RR">RR</option><option value="RS">RS</option><option value="SC">SC</option><option value="SP">SP</option><option value="SE">SE</option><option value="TO">TO</option></select>]]>
|
| 3384
| <![CDATA[<select class="input txtacess" name="requester_type"><option selected="selected" value="">Ocupação / função*</option><option value="1">Agente Político</option><option value="2">Estudante</option><option value="3">Jornalista</option><option value="4">Membro de Controle Interno</option><option value="5">Representante de Instituição</option><option value="6">Servidor Público</option><option value="7">Outros</option></select>]]>
|
