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- <html><body><font face=Arial size=2>
- <form method="post" action="contact.php">
- <table bgcolor=#ffffcc align=center>
- <tr><td colspan=2><strong>Formulário:</strong></td></tr>
- <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>
- <tr><td><font color=red>*</font> Nome:</td><td><input size=25 nome="Nome"></td></tr>
- <tr><td><font color=red>*</font> Email:</td><td><input size=25 nome="Email"></td></tr>
- <tr><td>Empresa:</td><td><input size=25 nome="Empresa"></td></tr>
- <tr><td>Telemóvel:</td><td><input size=25 nome="Telemóvel"></td></tr>
- <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>
- <tr><td colspan=2>Comentário:</td></tr>
- <tr><td colspan=2 align=center><textarea name="Comentário" rows=5 cols=35></textarea></td></tr>
- <tr><td colspan=2 align=center><input type=submit nome="send" value="Enviar"></td></tr>
- <tr><td colspan=2 align=center><small> <font color=red>*</font> Indica um campo de preenchimento obrigatório.</small></td></tr>
- </table>
- </form>
- </body>
- </html>
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