<div class="widget_assinar_newsletter">
    <div class="widget_titulo widget_assinar_newsletter_titulo">Assine nossa newsletter:</div>
    <span class="widget_assinar_newsletter_lbl_nm_assinante">Nome:</span>
    <input type="text" maxlength="50" class="widget_assinar_newsletter_txt_nm_assinante" />
    <span class="widget_assinar_newsletter_lbl_ds_email">Email:</span>
    <input type="text" maxlength="80" class="widget_assinar_newsletter_txt_ds_email" />
    <input type="submit" value="Ok" class="widget_assinar_newsletter_btn_enviar" />
</div>