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Sep 20th, 2017
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  1. <html><body><font face=Arial size=2>
  2. <form method="post" action="contact.php">
  3. <table bgcolor=#ffffcc align=center>
  4. <tr><td colspan=2><strong>Formulário:</strong></td></tr>
  5. <tr><td>Departmento:</td><td><select nome="sendto"> <option value="rochagay@hotmail.com">Geral</option> <option value="rochagay@hotmail.com">Apoio</option> <option value="rochagay@hotmail.com">Vendas</option> </select></td></tr>
  6. <tr><td><font color=red>*</font> Nome:</td><td><input size=25 nome="Nome"></td></tr>
  7. <tr><td><font color=red>*</font> Email:</td><td><input size=25 nome="Email"></td></tr>
  8. <tr><td>Empresa:</td><td><input size=25 nome="Empresa"></td></tr>
  9. <tr><td>Telemóvel:</td><td><input size=25 nome="Telemóvel"></td></tr>
  10. <tr><td>Subscrever<br> </td><td><input type="radio" nome="list" value="No"> Não, obrigado <br> <input type="radio" nome="list" value="Yes" checked> Sim, mantenham-me informado :D<br></td></tr>
  11. <tr><td colspan=2>Comentário:</td></tr>
  12. <tr><td colspan=2 align=center><textarea name="Comentário" rows=5 cols=35></textarea></td></tr>
  13. <tr><td colspan=2 align=center><input type=submit nome="send" value="Enviar"></td></tr>
  14. <tr><td colspan=2 align=center><small> <font color=red>*</font> Indica um campo de preenchimento obrigatório.</small></td></tr>
  15. </table>
  16. </form>
  17. </body>
  18. </html>
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