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<html xmlns="http://www.w3.org/1999/xhtml">
<head>
<title>
Contato
</title>
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<meta http-equiv="Content-Type" content="text/html; charset=utf-8" />
<meta name="generator" content="Wufoo.com" />
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<link rel="stylesheet" href="css/structure.css" type="text/css" />
<link rel="stylesheet" href="css/form.css" type="text/css" />
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</head>
<body id="public">
<div id="container">
<h1 id="logo">
<a href="http://wufoo.com" title="Powered by Wufoo">Wufoo</a>
</h1>
<form id="form1" name="form1" class="wufoo topLabel page" autocomplete="off" enctype="multipart/form-data" method="post" action="#public">
<div class="info">
<h2>Contato</h2>
<div>Queremos te ajudar, se você necessita de uma oração, aconselhamento, estaremos á sua disposição. Deus te abençoe!</div>
</div>
<ul>
<li id="foli1" class=" ">
<label class="desc" id="title1" for="Field1">
Nome:
</label>
<div>
<input id="Field1" name="Field1" type="text" class="field text medium" value="" maxlength="255" tabindex="1" onkeyup="" />
</div>
</li>
<li id="foli2" class=" ">
<label class="desc" id="title2" for="Field2">
E-mail:
</label>
<div>
<input id="Field2" name="Field2" type="text" class="field text medium" value="" maxlength="255" tabindex="2" onkeyup="" />
</div>
</li>
<li id="foli5" class=" ">
<label class="desc" id="title5" for="Field5">
Marque a opção
</label>
<div>
<span>
<input id="Field5" name="Field5" type="checkbox" class="field checkbox" value="Oração" tabindex="3" />
<label class="choice" for="Field5">Oração</label>
</span>
<span>
<input id="Field6" name="Field6" type="checkbox" class="field checkbox" value="Aconselhamento" tabindex="4" />
<label class="choice" for="Field6">Aconselhamento</label>
</span>
<span>
<input id="Field7" name="Field7" type="checkbox" class="field checkbox" value="Sugestoes" tabindex="5" />
<label class="choice" for="Field7">Sugestoes</label>
</span>
</div>
</li>
<li id="foli110"
class=" ">
<label class="desc" id="title110" for="Field110">
Mensagen (obrigatório) :
</label>
<div>
<textarea id="Field110"
name="Field110"
class="field textarea medium"
rows="10" cols="50"
tabindex="6"
onkeyup=""
></textarea>
</div>
</li>
<li class="buttons ">
<div>
<input type="hidden" name="currentPage" id="currentPage" value="dB5YAYUJLThQ1vViLqkRtO8PC6nWmLuPsz2BRQNT4gw=" />
<input id="saveForm" name="saveForm" class="btTxt submit" type="submit" value="Submit"
onmousedown="doSubmitEvents();" />
</div>
</li>
<li style="display:none">
<label for="comment">Do Not Fill This Out</label>
<textarea name="comment" id="comment" rows="1" cols="1"></textarea>
<input type="hidden" id="idstamp" name="idstamp" value="" />
<input type="hidden" id="stats" name="stats" value="" />
<input type="hidden" id="clickOrEnter" name="clickOrEnter" value="" />
</li>
</ul>
</form>
</div><!--container-->
<img id="bottom" src="images/bottom.png" alt="" />
<a class="powertiny" href="http://wufoo.com" title="Powered by Wufoo"
style="display:block !important;visibility:visible !important;text-indent:0 !important;position:relative !important;height:auto !important;width:95px !important;overflow:visible !important;text-decoration:none;cursor:pointer !important;margin:0 auto !important">
<span style="background:url(./images/powerlogo.png) no-repeat center 7px; margin:0 auto;display:inline-block !important;visibility:visible !important;text-indent:-9000px !important;position:static !important;overflow: auto !important;width:62px !important;height:30px !important">Wufoo</span>
<b style="display:block !important;visibility:visible !important;text-indent:0 !important;position:static !important;height:auto !important;width:auto !important;overflow: auto !important;font-weight:normal;font-size:9px;color:#777;padding:0 0 0 3px;">Designed</b>
</a>
</body>
</html>