	


<section id="featured">
	<div class="container" >
		<div class="row">
			<div class="col-lg-9" style="padding-right:0; padding-top:20px; padding-bottom:30px;">	
				
				<div class="col-lg-12" id="pad_most" style="background:#fff; padding:0 10px 0 10px;">

					<div style="background-color:#990000; line-height:62px;"><span style="color:#ffffff; text-transform:uppercase; font-size:18px;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Cadastro de Correspondente</span></div>
					<div style="position:absolute; width:90%;z-index:99999;">
			<div style="width:35px; padding-left:25px; padding-bottom:20px;">
				<img src="images/seta_serv_V.png" style="">
			</div>
		</div>
					<div id="mostra_min" style="background-color:#ffffff; padding-top:30px; ">

				<form name="correspondentes"  id="contactform"  action="correspondentes2" method="post">

						<%if session("confirma_correspondentes") = 1 then%>
						<div class="confirma">Seu cadastro foi enviado corretamente.</div>
						<%end if%>

						<h3 class="subtit">Dados para Contato</h3>

						<table cellspacing="0" cellpadding="0" width="99%">
		
						  <tr>
							<td class="tde">Nome</td>
							<td class="tdd"><input type="text" name="Form_Nome" size="40" required="required" class="campo" /></td>
						  </tr>
						  <tr><td colspan="2" height="5px"></td></tr>
						  <tr>
							<td class="tde">N&ordm; OAB</td>
							<td class="tdd"><input type="text" name="Form_oab" size="40" required="required" class="campo" /></td>
						  </tr>
						  <tr><td colspan="2" height="5px"></td></tr>
						  <tr>
							<td class="tde">Endereço</td>
							<td class="tdd"><input type="text" name="Form_Endereco" size="14" required="required" class="campo" /></td>
						  </tr>
						  <tr><td colspan="2" height="5px"></td></tr>
						  <tr>
							<td class="tde">Telefone</td>
							<td class="tdd"><input type="text" name="Form_Fone1" size="14" required="required" class="campo" /></td>
						  </tr>
						  <tr><td colspan="2" height="5px"></td></tr>
						  <tr>
							<td class="tde">Celular</td>
							<td class="tdd"><input type="text" name="Form_Fone2" size="14" required="required" class="campo" /></td>
						  </tr>
						  <tr><td colspan="2" height="5px"></td></tr>
						  <tr>
							<td class="tde">Email</td>
							<td class="tdd"><input type="text" name="Form_Email" size="40" required="required" class="campo" /></td>
						  </tr>
						  <tr><td colspan="2" height="5px"></td></tr>
						  <tr>
							<td class="tde">Site</td>
							<td class="tdd"><input type="text" name="Form_Site" size="40" class="campo" /></td>
						  </tr>
						</table>

						<tr><td colspan="2" height="5px"></td></tr>

						<h3 class="subtit">Comarcas de Atuação</h3>

						<table cellspacing="0" cellpadding="0" width="99%">
						
						  <tr>
							<td class="tde" width="200px;">Selecionar comarcas de<br />atuação:</td>
							<td class="tdd">
							  <input type="checkbox" name="Form_comarca" value="Piracicaba" />Piracicaba<br />
							  <input type="checkbox" name="Form_comarca" value="Rio das Pedras" />Rio das Pedras<br />
							  <input type="checkbox" name="Form_comarca" value="Capivari" />Capivari<br />
							  <input type="checkbox" name="Form_comarca" value="Americana" />Americana<br />
							  <input type="checkbox" name="Form_comarca" value="Limeira" />Limeira<br />
							  <input type="checkbox" name="Form_comarca" value="Rio Claro" />Rio Claro<br />
							  <input type="checkbox" name="Form_comarca" value="Charqueada" />Charqueada<br />
							  <input type="checkbox" name="Form_comarca" value="Iracemápolis" />Iracemápolis<br />
							  <input type="checkbox" name="Form_comarca" value="Sumaré" />Sumaré<br />
							  <input type="checkbox" name="Form_comarca" value="São Pedro" />São Pedro<br />
							  <input type="checkbox" name="Form_comarca" value="Cordeirópolis" />Cordeirópolis<br />
							  <input type="checkbox" name="Form_comarca" value="Monte Mor" />Monte Mor<br />
							</td>
						  </tr>
						</table>
						
						<tr><td colspan="2" height="5px"></td></tr>
						
						<table cellspacing="0" cellpadding="0" width="99%">
							<h3 class="subtit">Serviços</h3>
						  		<tr>
									<td class="tde" >Selecionar serviços:</td>
									<td class="tdd">
									  <input type="checkbox" name="Form_servicos" value="Audiência" />Audiência<br />
									  <input type="checkbox" name="Form_servicos" value="Consulta de processos" />Consultas de processos<br />
									  <input type="checkbox" name="Form_servicos" value="Diligências em geral" />Diligências em geral<br />
									</td>
								</tr>
								
								<tr><td colspan="2" height="5px"></td></tr>
						  
								  <tr>
							<td class="tde">Observações</td>
							<td class="tdd"><textarea name="Form_Obs" cols="35" rows="4"  style="padding:10px; border: 1px solid #E4E2DF;"></textarea></td>
						  </tr>
						  
						  <tr>
							<td class="tde"></td>
							<td class="tdd"><input type="submit" value="ENVIAR" class="btn btn-theme margintop10 pull-left" onclick="valida(this.form);" /></td>
						  </tr>
						  
						</table>
					</form>
				<div class="clear"></div>

					
					</div>	

				</div>
				</div>
				

									<div class="col-lg-3" style="margin-left:-20px; padding:20px;">	
									
				<div class="col-lg-12" style="margin-left:-20px;">	
					<!-- #include file="menu.asp" -->
				</div>
				
								<div class="col-lg-12" style="padding:0; height:150px;">	
				
				<ul id="publicidade">
				<%=ws_publicidade%>
				</ul>
				</div>	

				<div class="col-lg-12" style="padding:0; margin-top:20px;">	

			<div class="enquete">
				<h1>ENQUETE</h1>
					<div class="enquete_form">
						<%=ws_enquete%>
					</div>
			</div>	
			
				</div>
				</div>
					
	</div>
	
	</div>
	
	
</section>

<%session("confirma_correspondentes") = "0" %>
