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Current File : /home/novotermaco/public_html/inc_contato.php
<div role="form" class="wpcf7" id="wpcf7-f61-p15-o1" lang="en-US" dir="ltr">
    <div class="screen-reader-response">
        <p role="status" aria-live="polite" aria-atomic="true"></p>
        <ul></ul>
    </div>
    <script src="https://www.google.com/recaptcha/api.js" async defer></script>
                    <script>
                    function validaForm(){

                    d = document.form_2;

                    if (d.nome.value == ""){ alert("O campo NOME deve ser selecionado!"); d.nome.focus(); return false; }

                    //// email
                    if (d.email.value == ""){ alert("O campo E-MAIL deve ser selecionado!"); d.email.focus(); return false; }
                    parte1 = d.email.value.indexOf("@");
                    parte2 = d.email.value.indexOf(".");
                    parte3 = d.email.value.length;
                    if (!(parte1 >= 2 && parte2 >= 2 && parte3 >= 9)) { alert("O campo EMAIL deve conter um endereco eletronico!"); d.email.focus(); return false; }

                    /// telefone
                    if (d.telefone.value == ""){ alert("O campo TELEFONE deve ser selecionado!"); d.telefone.focus(); return false; }
                    var value = document.getElementById('telefone').value;
                    if (value.length < 10) { alert("O campo TELEFONE deve ser preenchido corretamente!"); d.telefone.focus(); return false; }

                    if (d.cidade.value == ""){ alert("O campo CIDADE deve ser selecionado!"); d.cidade.focus(); return false; }
                    if (d.estado.value == ""){ alert("O campo ESTADO deve ser selecionado!"); d.estado.focus(); return false; }

                    if (d.empresa.value == ""){ alert("O campo EMPRESA deve ser selecionado!"); d.empresa.focus(); return false; }
                    if (d.assunto.value == ""){ alert("O campo ASSUNTO deve ser selecionado!"); d.assunto.focus(); return false; }
                    if (d.mensagem.value == ""){ alert("O campo MENSAGEM deve ser selecionado!"); d.mensagem.focus(); return false; }

					return true;
                    
                    }
                    </script>

        <form action="envia_contato.php" class="wpcf7-form init" id="form_2" name="form_2" method="post" autocomplete="off"  onSubmit="return validaForm();">

        <script>
        function Ativar1() {
            document.getElementById("box1").style.display = "block";
            document.getElementById("box2").style.display = "none";
        }
        function Ativar2() {
            document.getElementById("box1").style.display = "none";
            document.getElementById("box2").style.display = "block";
        }
        </script>

        <div class="column one" style="display: none;">
            
                                        <input type="radio" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" onclick="Ativar1();" checked value="Duvida" name="sac" id="sac">
                                        SAC e Demais Assuntos


        </div>
        <div class="column one" style="display: none;">
            
                                        <input type="radio" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" onclick="Ativar2();" value="Elogio | Sugest&atilde;o | Raclama&ccedil;&atilde;o | Ouvidoria" name="sac" id="sac"> 
                                    Ouvidoria Termaco

        </div>

        <div id="box1">
        <div class="column one-second"><span class="wpcf7-form-control-wrap nome">
        <label class="col col-form-label" for="example-text-input">NOME COMPLETO:</label>
                    <input type="text"
                    name="nome" id="nome" value="" size="40"
                    class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" aria-required="true"
                    placeholder="" /></span></div>

        <div class="column one-second"><span class="wpcf7-form-control-wrap email">
        <label class="col col-form-label" for="example-text-input">E-MAIL:</label>    
        <input type="email"
                    name="email" id="email" value="" size="40"
                    class="wpcf7-form-control wpcf7-text wpcf7-email wpcf7-validates-as-required wpcf7-validates-as-email"
                    placeholder="" /></span></div>
        
        <div class="column one-second"><span class="wpcf7-form-control-wrap nome">
        <label class="col col-form-label" for="example-text-input">TELEFONE:</label>    
        <input type="text"
                    name="telefone" id="telefone" value="" size="40"
                    class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" aria-required="true"
                    placeholder="DDD+TELEFONE" /></span></div>

                    <div class="column one-second"><span class="wpcf7-form-control-wrap nome">
                    <label class="col col-form-label" for="example-text-input">EMPRESA:</label>    
                    <input type="text"
                    name="empresa" id="empresa" value="" size="40"
                    class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" aria-required="true"
                    placeholder="Razão Social ou Nome Fantasia" /></span></div>

        <div class="column one-second"><span class="wpcf7-form-control-wrap nome">
        <label class="col col-form-label" for="example-text-input">CIDADE:</label>    
        <input type="text"
                    name="cidade" id="cidade" value="" size="40"
                    class="wpcf7-form-control wpcf7-text wpcf7-email wpcf7-validates-as-required wpcf7-validates-as-email"
                    placeholder="" /></span> </div>

        <div class="column one-second"><span class="wpcf7-form-control-wrap nome"><label class="col col-form-label" for="example-text-input">ESTADO:</label>
                    <select name="estado" id="estado" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required"><option value="" selected>Selecione</option><option value="Acre">Acre</option><option value="Alagoas">Alagoas</option><option value="Amazonas">Amazonas</option><option value="Amapa">Amapa</option><option value="Bahia">Bahia</option><option value="Ceara">Ceara</option><option value="Distrito Federal">Distrito Federal</option><option value="Espirito Santo">Espirito Santo</option><option value="Goias">Goias</option><option value="Maranhao">Maranhao</option><option value="Minas Gerais">Minas Gerais</option><option value="Mato Grosso do Sul">Mato Grosso do Sul</option><option value="Mato Grosso">Mato Grosso</option><option value="Para">Para</option><option value="Paraiba">Paraiba</option><option value="Pernambuco">Pernambuco</option><option value="Piaui">Piaui</option><option value="Parana">Parana</option><option value="Rio de Janeiro">Rio de Janeiro</option><option value="Rio Grande do Norte">Rio Grande do Norte</option><option value="Rondonia">Rondonia</option><option value="Roraima">Roraima</option><option value="Rio Grande do Sul">Rio Grande do Sul</option><option value="Santa Catarina">Santa Catarina</option><option value="Sergipe">Sergipe</option><option value="Sao Paulo">Sao Paulo</option><option value="Tocantins">Tocantins</option></select> 
                    </span> </div>

        <div class="column one"><span class="wpcf7-form-control-wrap assunto"><label class="col col-form-label" for="example-text-input">ASSUNTO:</label><input type="text"
                    name="assunto" id="assunto" value="" size="40" class="wpcf7-form-control wpcf7-text" aria-invalid="false"
                    placeholder="Informe o assunto" /></span> </div>
        <div class="column one"><span class="wpcf7-form-control-wrap mensagem"><label class="col col-form-label" for="example-text-input">MENSAGEM:</label><textarea name="mensagem" id="mensagem"
                    cols="40" rows="7" class="wpcf7-form-control wpcf7-textarea" aria-invalid="false"
                    placeholder="Como podemos te ajudar ?"></textarea></span></div>


                    <?php
                    /*
                                        <div class="column one">
                                            <div class="g-recaptcha" data-sitekey="6LfAaYsfAAAAACtRoaMZIqrvMWCMOckLWG5wqROa"></div>
                      </div>
                    */
                    ?>
                      <div class="column one">
                        <input type="checkbox" id="aceite" />
                        <label for="aceite">Aceite dos <a href="https://termaco.com.br/termo-fale-conosco.pdf" target="_blank">termos de esclarecimento e consentimento ao tratamento de dados</a></label>
                    </div>

                    <script>
                        document.addEventListener('DOMContentLoaded', function() {
                        var aceite = document.querySelector('#aceite');
                        var enviar = document.querySelector('#enviar');
                        
                        aceite.addEventListener('click', function() {
                            if (aceite.checked) {
                            enviar.disabled = false;
                            } else {
                            enviar.disabled = true;
                            }
                        });
                        });
                    </script>
                    <style>
                        button:disabled, button[disabled]{ background-color: #cccccc; }                       
                        .button-default input[type="submit"]:disabled { background-color: #cccccc;; }
                        .button-default input[type="submit"] { background-color: #162A6C;; }
                    </style>

        <div class="column one"><input type="submit" id="enviar" value="Enviar Dados" disabled class="wpcf7-form-control wpcf7-submit" />
        </div>
        <div class="wpcf7-response-output" aria-hidden="true"></div>
        </div>

                     <div id="box2" class="card" style="margin-bottom: 30px; text-align:center; display:none;">

                                                            <div class="elementor-element elementor-element-0b46306 elementor-widget elementor-widget-button"
                                                                data-id="0b46306" data-element_type="widget"
                                                                data-widget_type="button.default">
                                                                <div class="elementor-widget-container">
                                                                    <div class="elementor-button-wrapper">
                                                                        <a href="https://www.helloethics.com/termaco/pt/main.html"
                                                                            class="elementor-button-link elementor-button elementor-size-sm"
                                                                            role="button" target="_blank">
                                                                            <span
                                                                                class="elementor-button-content-wrapper">
                                                                                <span
                                                                                    class="elementor-button-icon elementor-align-icon-left">
                                                                                    <i class="fas fa-external-link-square-alt"></i>
                                                                                </span>
                                                                                <span
                                                                                    class="elementor-button-text">Acessar</span>
                                                                            </span>
                                                                        </a>
                                                                    </div>
                                                                </div>
                                                            </div>
                                                            <div class="elementor-element elementor-element-0b46306 elementor-widget elementor-widget-button"
                                                                data-id="0b46306" data-element_type="widget"
                                                                data-widget_type="button.default">
                                                                <div class="elementor-widget-container">
                                                                    <div class="elementor-button-wrapper">
                                                                        <a href="https://termaco.com.br/fale-conosco"
                                                                            class="elementor-button-link elementor-button elementor-size-sm"
                                                                            role="button">
                                                                            <span
                                                                                class="elementor-button-content-wrapper">
                                                                                <span
                                                                                    class="elementor-button-icon elementor-align-icon-left">
                                                                                    <i class="far fa-envelope"></i>
                                                                                </span>
                                                                                <span
                                                                                    class="elementor-button-text">Formulário de Contato</span>
                                                                            </span>
                                                                        </a>
                                                                    </div>
                                                                </div>
                                                            </div>
                                                            

                    </div>

    </form>
</div>

<div style="margin-top:40px;">
<iframe src="https://www.google.com/maps/embed?pb=!1m18!1m12!1m3!1d3981.0992944562945!2d-38.513490484559625!3d-3.788560044543905!2m3!1f0!2f0!3f0!3m2!1i1024!2i768!4f13.1!3m3!1m2!1s0x7c74f96ccb24d11%3A0x13eaecdc3b73d7dc!2sTermaco+Log%C3%ADstica+-+Matriz!5e0!3m2!1spt-BR!2sbr!4v1481943205296" width="100%" height="350" frameborder="0" style="border:0" allowfullscreen></iframe>
    </div>

Youez - 2016 - github.com/yon3zu
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