ÿþ<html> <head> <style> a { text-decoration:none; } </style> </head> <body> <table width="100%" height="254" border="0"> <tr> <td width="76%"><p align="left"><strong><font face="Arial, Helvetica, sans-serif">Deixe-nos a sua mensagem:</font></strong></p> <form name="form1" id="form1" method="post" action="mailer.php"> <p><font color="#000000" size="2" face="Arial, Helvetica, sans-serif">Nome:</font> <font color="#000000" size="2" face="Arial, Helvetica, sans-serif"> <input type="text" name="nome" /> <br /> Empresa: <input type="text" name="firma" /> <br /> E-Mail para resposta: <input type="text" name="email" /> </font></p> <p><font color="#000000" size="2" face="Arial, Helvetica, sans-serif"> Serviço pretendido:</font> <select name="servico" onchange="MM_jumpMenu('parent',this,0)"> <option selected="selected">Recuperação de Pavimentos</option> <option>Pintura Epoxi</option> <option>Autonivelantes</option> <option>Betonilhas de alta resistência</option> <option>Tratamentos de Juntas</option> <option>Pedido de inclusão/troca de link</option> </select> </p> <p> <textarea name="texto" cols="60" rows="4"></textarea> <br /> <input type="submit" name="Submit" value="Enviar" /> </p> </form></td> </tr> </table> <br/> <p align="center"><font color="#000000" size="2"><strong><font face="Arial, Helvetica, sans-serif">Morada:</font></strong></font> <font size="2" face="Arial, Helvetica, sans-serif">Rua Paiva de Andrade, 12 CV 2675-424 Odivelas</font> <br /> <font color="#000000" size="2" face="Arial, Helvetica, sans-serif"><strong>Telefone:</strong></font> <font size="2" face="Arial, Helvetica, sans-serif">219 330 448 </font><font color="#000000" size="2" face="Arial, Helvetica, sans-serif"><strong>Fax:</strong></font> <font size="2" face="Arial, Helvetica, sans-serif">219 330 420</font> <font color="#000000" size="2" face="Arial, Helvetica, sans-serif"><strong>Telemóvel:</strong></font><font size="2" face="Arial, Helvetica, sans-serif"> 917 142 128<br /> </font><font color="#000000" size="2" face="Arial, Helvetica, sans-serif"><strong>E-mail:</strong> <font size="2" face="Arial, Helvetica, sans-serif" color="blue">solpave@hotmail.com</font></font></p> </body> </html>