570
| <![CDATA[<input type="text" value="" size="20" name="form[NomeCompleto]" id="NomeCompleto" class="rsform-input-box"/>]]>
|
575
| <![CDATA[<input type="text" value="" size="20" name="form[Email]" id="Email" class="rsform-input-box"/>]]>
|
594
| <![CDATA[<input type="text" value="" size="20" name="form[Identidade]" id="Identidade" class="rsform-input-box"/>]]>
|
599
| <![CDATA[<input type="text" value="" size="20" name="form[cpf]" id="cpf" class="rsform-input-box"/>]]>
|
604
| <![CDATA[<input type="text" value="" size="80" name="form[Endereco]" id="Endereco" class="rsform-input-box"/>]]>
|
609
| <![CDATA[<input type="text" value="" size="30" name="form[Cidade]" id="Cidade" class="rsform-input-box"/>]]>
|
614
| <![CDATA[<input type="text" value="" size="30" name="form[Estado]" id="Estado" class="rsform-input-box"/>]]>
|
619
| <![CDATA[<input type="text" value="" size="30" name="form[CEP]" id="CEP" class="rsform-input-box"/>]]>
|
624
| <![CDATA[<input type="text" value="" size="30" name="form[Profissao]" id="Profissao" class="rsform-input-box"/>]]>
|
629
| <![CDATA[<input type="text" value="" size="30" name="form[Nacionalidade]" id="Nacionalidade" class="rsform-input-box"/>]]>
|
634
| <![CDATA[<input id="txtcal8_0" name="form[DataNasc]" type="text" readonly="readonly" value="" class="rsform-calendar-box"/>]]>
|
639
| <![CDATA[<input type="text" value="" size="13" name="form[TelefoneFixo]" id="TelefoneFixo" class="rsform-input-box"/>]]>
|
644
| <![CDATA[<input type="text" value="" size="13" name="form[Celular]" id="Celular" class="rsform-input-box"/>]]>
|
649
| <![CDATA[<input type="text" value="" size="50" name="form[Local]" id="Local" class="rsform-input-box"/>]]>
|
654
| <![CDATA[<textarea cols="50" rows="5" name="form[Denuncia]" id="Denuncia" class="rsform-text-box"></textarea>]]>
|