File: E:/Home/ibratele2/Web/backup/ingles/revendedor.html
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<head>
<meta http-equiv="Content-Type" content="text/html; charset=utf-8" />
<title>Ibratele - Quem Tem Fala Bem</title>
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<body>
<div id="ConteudoTotal">
<!--++++MENU++++-->
<div id="Menu">
<script type="text/javascript">
AC_FL_RunContent( 'codebase','http://download.macromedia.com/pub/shockwave/cabs/flash/swflash.cab#version=9,0,28,0','width','196','height','415','movie','imagens/menu','quality','high','wmode','transparent','bgcolor','#1073B4' ); //end AC code
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</div>
<!--++++MENU++++-->
<!--++++CONTEÚDO++++-->
<div id="Conteudo">
<h1 align="right"><img src="imagens/titulos/Seja-um-Revendedor.png" width="264" height="28" /><br />
</h1>
<div id="Manuais">
<form action="revendedor.asp" method="post">
<table class="Curriculo" width="41%" border="0" align="center" cellpadding="3" cellspacing="3">
<tr>
<td width="100%">Razão Social:<br />
<input maxlength="80" name="razao" size="62" id="razao" /> </td>
</tr>
<tr>
<td>Nome:<br />
<input maxlength="80" name="nome" size="62" id="nome" /></td>
</tr>
<tr>
<td>Endereço:
<input maxlength="48" name="endereco" size="62" id="endereco" /> </td>
</tr>
<tr>
<td>Bairro:
<br />
<input maxlength="24" name="bairro" size="62" id="bairro" /></td>
</tr>
<tr>
<td>Cidade:
<input maxlength="24" name="cidade" size="62" id="cidade" /></td>
</tr>
<tr>
<td>Estado:<br />
<select name="estado" size="1" id="estado">
<option value="Acre">Acre - AC</option>
<option value="Alagoas">Alagoas - AL</option>
<option value="Amapá">Amapá - AP</option>
<option value="Amazonas">Amazonas - AM</option>
<option value="Bahia">Bahia - BA</option>
<option value="Ceará">Ceará - CE</option>
<option value="Distrito Federal">Distrito Federal
- DF</option>
<option value="Espírito Santo">Espírito Santo
- ES</option>
<option value="Goiás">Goiás - GO</option>
<option value="Indiferente">Goiás - XX</option>
<option value="Maranhão">Maranhão - MA</option>
<option value="Mato Grosso">Mato Grosso - MT</option>
<option value="Mato Grosso do Sul">Mato Grosso
do Sul - MS</option>
<option value="Minas Gerais">Minas Gerais - MG</option>
<option value="Pará">Pará - PA</option>
<option value="Paraíba">Paraíba - PB</option>
<option value="Paraná">Paraná - PR</option>
<option value="Pernambuco">Pernambuco - PE</option>
<option value="Piauí">Piauí - PI</option>
<option value="Rio de Janeiro">Rio de Janeiro
- RJ</option>
<option value="Rio Grande do Norte">Rio Grande
do Norte - RN</option>
<option value="Rio Grande do Sul">Rio Grande do
Sul - RS</option>
<option value="Rondônia">Rondônia - RO</option>
<option value="Roraima">Roraima - RR</option>
<option value="Santa Catarina">Santa Catarina
- SC</option>
<option selected="selected" value="São Paulo">São Paulo -
SP</option>
<option value="Sergipe">Sergipe - SE</option>
<option value="Tocantins">Tocantins - TO</option>
</select> </td>
</tr>
<tr>
<td>Telefone:<br />
<input maxlength="20" name="telefone" size="22" id="telefone" />
(DDD+TEL) </td>
</tr>
<tr>
<td>Fax:<br />
<input maxlength="13" name="fax" size="22" id="fax" />
(DDD+TEL)</td>
</tr>
<tr>
<td>E-mail:<br />
<input name="email" size="45" maxlength="200" type="text" id="email" />
</span></td>
</tr>
<tr>
<td>Mensagem:<br />
<textarea cols="53" name="mensagem" rows="5" id="mensagem"></textarea></td>
</tr>
<tr>
<td><div align="right">
<input type="reset" name="button2" id="button2" value="Limpar" />
<input type="submit" name="button" id="button" value="Enviar" />
</div></td>
</tr>
</table>
</form>
<div align="left"></div>
</div>
</div>
<!--++++CONTEÚDO++++-->
</div>
</body>
</html>