ÿþ<html> <head> <meta name="GENERATOR" content="Microsoft FrontPage 4.0"> <meta name="Microsoft Border" content="none"> <title>Cadastro</title> </head> <body background="parafuso02.gif" bgproperties="fixed" topmargin="5"> <p align="center"><img src="cadastro.gif" width="217" height="35" alt="cadastro.gif (4231 bytes)"></p> <p align="center">Cadastre-se como cliente e receba informações sobre produtos, serviços e promoções.</p> </tr> <form action="http://fixadores.com.br/cgi-sys/FormMail.cgi" method="post" name="formulario"> <table width="100%" border="0" cellpadding="0" cellspacing="0" id="formulario" height="238"> <tbody> <tr> <td width="200" height="21">&nbsp;</td> <td height="21"><input name="recipient" type="hidden" id="recipient" value="asoberana@fixadores.com.br" /><input name="subject" type="hidden" id="subject" value="Contato enviado pelo site fixadores.com.br" /><input name="redirect" type="hidden" id="redirect" value="http://www.fixadores.com.br/principal.htm" /> </tr> </center></center> <tr <tr> <td width="22%" height="25">Nome Fantasia:</td> <td width="78%" height="25"><INPUT TYPE="text" NAME="nome_fantasia" size="55"> </td> </tr> <tr> <td width="22%" height="25">Contato:</td> <td width="78%" height="25"><INPUT TYPE="text" NAME="contato" size="55"> </td> </tr> <tr> <td width="22%" height="25">Endereço:</td> <td width="78%" height="25"><INPUT TYPE="text" NAME="endereco" size="55"> </td> </tr> <tr> <td width="22%" height="25">Cidade:</td> <td width="78%" height="25"><INPUT TYPE="text" NAME="cidade" size="20"> </td> </tr> <tr> <td width="22%" height="25">Estado:</td> <td width="78%" height="25"><INPUT TYPE="text" NAME="estado" size="3"> </td> </tr> <tr> <td width="22%" height="25">Telefone:</td> <td width="78%" height="25"><INPUT TYPE="text" NAME="tel" size="20"> </td> </tr> <tr> <td width="22%" height="25">Fax:</td> <td width="78%" height="25"><INPUT TYPE="text" NAME="fax" size="20"> </td> </tr> <tr> <td width="22%" height="25">E-mail</td> <td width="78%" height="25"><INPUT TYPE="text" NAME="mail" size="25"> </td> </tr> <tr> <td width="22%" height="25">C.G.C</td> <td width="78%" height="25"><INPUT TYPE="text" NAME="cgc" size="25"> </td> </tr> <tr> <td width="22%" height="26">Inscrição Est.</td> <td width="78%" height="26"><INPUT TYPE="text" NAME="insc" size="25"> </td> </tr> </table> <p align="center">&nbsp;<INPUT TYPE="submit" NAME="submit" VALUE="Enviar"> </p> </FORM> <p align="center">&nbsp;</p> <p align="center">Se você já é um cliente cadastrado e deseja fazer algum pedido use o formulário abaixo.</p> <form action="http://fixadores.com.br/cgi-sys/FormMail.cgi" method="post" name="formulario"> <table width="100%" border="0" cellpadding="0" cellspacing="0" id="formulario" height="238"> <tbody> <tr> <td width="200" height="21">&nbsp;</td> <td height="21"><input name="recipient" type="hidden" id="recipient" value="asoberana@fixadores.com.br" /><input name="subject" type="hidden" id="subject" value="Contato enviado pelo site fixadores.com.br" /><input name="redirect" type="hidden" id="redirect" value="http://www.fixadores.com.br/principal.htm" /> </tr> <table border="0" width="100%" cellspacing="0" cellpadding="0"> <tr> <td width="22%" height="25">Razão Social:</td> <td width="78%" height="25"><INPUT TYPE="text" NAME="razao" size="55"> </td> </tr> <tr> <td width="22%" height="25">Telefone:</td> <td width="78%" height="25"><INPUT TYPE="text" NAME="tel" size="20"> </td> </tr> <tr> <td width="22%" height="25">E-mail</td> <td width="78%" height="25"><INPUT TYPE="text" NAME="mail" size="25"> </td> </tr> </table> <p>&nbsp;</p> <table border="0" width="100%" cellspacing="0" cellpadding="0"> <tr> <td width="13%"> <p align="center">Quantidade</td> <td width="87%">&nbsp;Artigo</td> </tr> <tr> <td width="13%"><INPUT TYPE="text" NAME="quantidade" size="11"> </td> <td width="87%"><INPUT TYPE="text" NAME="artigo" size="67"> </td> </tr> <tr> <td width="13%"><INPUT TYPE="text" NAME="quantidade1" size="11"> </td> <td width="87%"><INPUT TYPE="text" NAME="artigo1" size="67"> </td> </tr> <tr> <td width="13%"><INPUT TYPE="text" NAME="quantidade2" size="11"> </td> <td width="87%"><INPUT TYPE="text" NAME="artigo2" size="67"> </td> </tr> <tr> <td width="13%"><INPUT TYPE="text" NAME="quantidade3" size="11"> </td> <td width="87%"><INPUT TYPE="text" NAME="artigo3" size="67"> </td> </tr> <tr> <td width="13%"><INPUT TYPE="text" NAME="quantidade4" size="11"> </td> <td width="87%"><INPUT TYPE="text" NAME="artigo4" size="67"> </td> </tr> <tr> <td width="13%"><INPUT TYPE="text" NAME="quantidade5" size="11"> </td> <td width="87%"><INPUT TYPE="text" NAME="artigo5" size="67"> </td> </tr> <tr> <td width="13%"><INPUT TYPE="text" NAME="quantidade6" size="11"> </td> <td width="87%"><INPUT TYPE="text" NAME="artigo6" size="67"> </td> </tr> <tr> <td width="13%"><INPUT TYPE="text" NAME="quantidade7" size="11"> </td> <td width="87%"><INPUT TYPE="text" NAME="artigo7" size="67"> </td> </tr> <tr> <td width="13%"><INPUT TYPE="text" NAME="quantidade8" size="11"> </td> <td width="87%"><INPUT TYPE="text" NAME="artigo8" size="67"> </td> </tr> <tr> <td width="13%"><INPUT TYPE="text" NAME="quantidade9" size="11"> </td> <td width="87%"><INPUT TYPE="text" NAME="artigo9" size="67"> </td> </tr> <tr> <td width="13%"><INPUT TYPE="text" NAME="quantidade10" size="11"> </td> <td width="87%"><INPUT TYPE="text" NAME="artigo10" size="67"> </td> </tr> <tr> <td width="13%"><INPUT TYPE="text" NAME="quantidade11" size="11"> </td> <td width="87%"><INPUT TYPE="text" NAME="artigo11" size="67"> </td> </tr> <tr> <td width="13%"><INPUT TYPE="text" NAME="quantidade12" size="11"> </td> <td width="87%"><INPUT TYPE="text" NAME="artigo12" size="67"> </td> </tr> <tr> <td width="13%"><INPUT TYPE="text" NAME="quantidade13" size="11"> </td> <td width="87%"><INPUT TYPE="text" NAME="artigo13" size="67"> </td> </tr> </table> <p align="left">&nbsp; </p> <p align="center">&nbsp;<INPUT TYPE="submit" NAME="submit" VALUE="Enviar"> </p> </FORM> <p align="center">&nbsp;</p> <p align="center"><font face="Arial"><small>©2000</small><small> - 2005 - A SOBERANA DOS PARAFUSOS</small></font></p> </body>