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Formulário de fale conosco

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  1. <div id="fale_conosco">
  2. 	<div class="ui-widget">
  3. 			<div class="ui-state-highlight ui-corner-all"> 
  4. 				<p><span class="ui-icon ui-icon-info"></span>
  5. 				<strong>Aviso</strong> Lorem ipsum dolor si amet.</p>
  6. 			</div>
  7. 	</div>
  8. 	<div class="ui-widget">
  9.  
  10. 		<div class="ui-state-error ui-corner-all"> 
  11. 			<p><span class="ui-icon ui-icon-alert"></span> 
  12. 			<strong>Alerta</strong> Lorem ipsum dolor si amet.</p>
  13. 		</div>
  14. 	</div>
  15. 	<div class="ui-widget">
  16. 		<div class="ui-state-error ui-corner-all ui-green"> 
  17. 			<p><span class="ui-icon ui-icon-check"></span> 
  18. 			<strong>Sucesso</strong> Lorem ipsum dolor si amet.</p>
  19.  
  20. 		</div>
  21. 	</div>			
  22. 	<form action="/sis/fale.php" method="post">
  23. 		<label for="fl1" id="fl1">
  24. 			<span>Nome</span>
  25. 			<input type="text" class="input_text" name="formContatoNome" />
  26. 		</label>
  27. 		<label for="fl2" id="fl2" >
  28. 			<span>E-mail</span>
  29.  
  30. 			<input type="text" class="input_text" name="formContatoEmail"/>
  31. 		</label>
  32. 		<label for="fl3" id="fl3">
  33. 			<span>Mensagem</span>
  34. 			<textarea name="formContatoMensagem" ></textarea>
  35. 		</label>
  36. 		<div class="block">
  37. 			<input type="submit" class="input_submit" value="Enviar" />
  38.  
  39. 		</div>				
  40. 	</form>
  41. </div>

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