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contatowellington

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Aug 16th, 2016
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  1. <form name="form1" method="get" action="../../indexresp.php">
  2. <label> </label>
  3. <div class="grid_4">
  4. <div class="input-prepend cep-label"> <span class="add-on">CEP</span>
  5. <input id="cep" name="cep" type="text" maxlength="9" placeholder="Informe o CEP" />
  6. </div>
  7. <div class="input-prepend"> <span class="add-on">Rua</span>
  8. <input id="rua" name="rua" type="text" placeholder="Nome da Rua / Logradouro" />
  9. </div>
  10. <div class="input-prepend"> <span class="add-on">N&ordm;</span>
  11. <input id="num" name="num" type="text" placeholder="N&uacute;mero" />
  12. </div>
  13. <div class="input-prepend"> <span class="add-on">Bairro</span>
  14. <input id="bairro" name="bairro" type="text" placeholder="Informe o Bairro" />
  15. </div>
  16. <div class="input-prepend"> <span class="add-on">Cidade</span>
  17. <input id="cidade" name="cidade" type="text" placeholder="Informe a Cidade" />
  18. </div>
  19. <div class="input-prepend"> <span class="add-on">UF</span>
  20. <input id="uf" name="uf" type="text" placeholder="Informe a UF" />
  21. </div>
  22. </div>
  23. <p>&nbsp;</p>
  24. <p>&nbsp;</p>
  25. <p>&nbsp;</p>
  26. <p>&nbsp;</p>
  27. <p>&nbsp;</p>
  28. <p>
  29. <input type="submit" name="button" id="button" value="Submit">
  30. </p>
  31. <p>&nbsp;</p>
  32. </form>
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