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"Teste"
Bootstrap 3.3.0 Snippet by
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<link href="//maxcdn.bootstrapcdn.com/bootstrap/3.3.0/css/bootstrap.min.css" rel="stylesheet" id="bootstrap-css"> <script src="//maxcdn.bootstrapcdn.com/bootstrap/3.3.0/js/bootstrap.min.js"></script> <script src="//code.jquery.com/jquery-1.11.1.min.js"></script> <!------ Include the above in your HEAD tag ----------> <form class="form-horizontal"> <fieldset> <!-- Form Name --> <legend>FICHA CADASTRAL - BALCÃO</legend> <!-- Text input--> <div class="control-group"> <label class="control-label" for="VENDEDOR">VENDEDOR</label> <div class="controls"> <input id="VENDEDOR" name="VENDEDOR" type="text" placeholder="VENDEDOR" class="input-xlarge" required=""> <p class="help-block">VENDEDOR</p> </div> </div> <!-- Text input--> <div class="control-group"> <label class="control-label" for="TELEFONEVENDEDOR">TELEFONE</label> <div class="controls"> <input id="TELEFONEVENDEDOR" name="TELEFONEVENDEDOR" type="text" placeholder="TELEFONE" class="input-xlarge" required=""> <p class="help-block">TELEFONE</p> </div> </div> <!-- Text input--> <div class="control-group"> <label class="control-label" for="NOMECLIENTE">NOME</label> <div class="controls"> <input id="NOMECLIENTE" name="NOMECLIENTE" type="text" placeholder="NOME" class="input-xlarge" required=""> <p class="help-block">NOME</p> </div> </div> <!-- Text input--> <div class="control-group"> <label class="control-label" for="CPFCLIENTE">CPF</label> <div class="controls"> <input id="CPFCLIENTE" name="CPFCLIENTE" type="text" placeholder="CPF" class="input-xlarge" required=""> <p class="help-block">CPF</p> </div> </div> <!-- Text input--> <div class="control-group"> <label class="control-label" for="RGCLIENTE">RG</label> <div class="controls"> <input id="RGCLIENTE" name="RGCLIENTE" type="text" placeholder="RG" class="input-xlarge" required=""> <p class="help-block">RG</p> </div> </div> <!-- Text input--> <div class="control-group"> <label class="control-label" for="OECLIENTE">ORGÃO EMISSOR</label> <div class="controls"> <input id="OECLIENTE" name="OECLIENTE" type="text" placeholder="ORGÃO EMISSOR" class="input-xlarge" required=""> <p class="help-block">ORGÃO EMISSOR</p> </div> </div> <!-- Text input--> <div class="control-group"> <label class="control-label" for="DECLIENTE">DATA EMISSÃO</label> <div class="controls"> <input id="DECLIENTE" name="DECLIENTE" type="text" placeholder="DATA EMISSÃO" class="input-xlarge" required=""> <p class="help-block">DATA EMISSÃO</p> </div> </div> <!-- Text input--> <div class="control-group"> <label class="control-label" for="textinput">Text Input</label> <div class="controls"> <input id="textinput" name="textinput" type="text" placeholder="placeholder" class="input-xlarge"> <p class="help-block">help</p> </div> </div> <!-- Text input--> <div class="control-group"> <label class="control-label" for="DNCLIENTE">DATA NASC</label> <div class="controls"> <input id="DNCLIENTE" name="DNCLIENTE" type="text" placeholder="DATA NASC" class="input-xlarge" required=""> <p class="help-block">Data Nascimento</p> </div> </div> <!-- Text input--> <div class="control-group"> <label class="control-label" for="ECCLIENTE">ESTADO CIVÍL</label> <div class="controls"> <input id="ECCLIENTE" name="ECCLIENTE" type="text" placeholder="ESTADO CIVÍL" class="input-xlarge" required=""> <p class="help-block">ESTADO CIVÍL</p> </div> </div> <!-- Text input--> <div class="control-group"> <label class="control-label" for="NATCLIENTE">NATURALIDADE</label> <div class="controls"> <input id="NATCLIENTE" name="NATCLIENTE" type="text" placeholder="NATURALIDADE" class="input-xlarge" required=""> <p class="help-block">NATURALIDADE</p> </div> </div> <!-- Text input--> <div class="control-group"> <label class="control-label" for="NPCLIENTE">NOME DO PAI</label> <div class="controls"> <input id="NPCLIENTE" name="NPCLIENTE" type="text" placeholder="NOME DO PAI" class="input-xlarge" required=""> <p class="help-block">NOME DO PAI</p> </div> </div> <!-- Text input--> <div class="control-group"> <label class="control-label" for="NMCLIENTE">NOME DA MÃE</label> <div class="controls"> <input id="NMCLIENTE" name="NMCLIENTE" type="text" placeholder="NOME DA MÃE" class="input-xlarge" required=""> <p class="help-block">NOME DA MÃE</p> </div> </div> <!-- Text input--> <div class="control-group"> <label class="control-label" for="EMAILCLIENTE">EMAIL</label> <div class="controls"> <input id="EMAILCLIENTE" name="EMAILCLIENTE" type="text" placeholder="EMAIL" class="input-xlarge" required=""> <p class="help-block">EMAIL</p> </div> </div> <!-- Text input--> <div class="control-group"> <label class="control-label" for="ENDCLIENTE">ENDEREÇO</label> <div class="controls"> <input id="ENDCLIENTE" name="ENDCLIENTE" type="text" placeholder="ENDEREÇO" class="input-xlarge" required=""> <p class="help-block">ENDEREÇO</p> </div> </div> <!-- Text input--> <div class="control-group"> <label class="control-label" for="BAIRROCLIENTE">BAIRRO</label> <div class="controls"> <input id="BAIRROCLIENTE" name="BAIRROCLIENTE" type="text" placeholder="BAIRRO" class="input-xlarge" required=""> <p class="help-block">BAIRRO</p> </div> </div> <!-- Text input--> <div class="control-group"> <label class="control-label" for="CEPCLIENTE">CEP</label> <div class="controls"> <input id="CEPCLIENTE" name="CEPCLIENTE" type="text" placeholder="CEP" class="input-xlarge" required=""> <p class="help-block">CEP</p> </div> </div> <!-- Text input--> <div class="control-group"> <label class="control-label" for="CIDADECLIENTE">CIDADE</label> <div class="controls"> <input id="CIDADECLIENTE" name="CIDADECLIENTE" type="text" placeholder="CIDADE" class="input-xlarge" required=""> <p class="help-block">CIDADE</p> </div> </div> <!-- Text input--> <div class="control-group"> <label class="control-label" for="TRCLIENTE">TEMPO RESIDÊNCIA</label> <div class="controls"> <input id="TRCLIENTE" name="TRCLIENTE" type="text" placeholder="TEMPO RESIDÊNCIA" class="input-xlarge" required=""> <p class="help-block">TEMPO RESIDÊNCIA</p> </div> </div> <!-- Multiple Radios --> <div class="control-group"> <label class="control-label" for="TIPORESDCLIENTE">RESIDÊNCIA</label> <div class="controls"> <label class="radio" for="TIPORESDCLIENTE-0"> <input type="radio" name="TIPORESDCLIENTE" id="TIPORESDCLIENTE-0" value="PRÓPRIA" checked="checked"> PRÓPRIA </label> <label class="radio" for="TIPORESDCLIENTE-1"> <input type="radio" name="TIPORESDCLIENTE" id="TIPORESDCLIENTE-1" value="ALUGADA"> ALUGADA </label> <label class="radio" for="TIPORESDCLIENTE-2"> <input type="radio" name="TIPORESDCLIENTE" id="TIPORESDCLIENTE-2" value="FAMILIAR"> FAMILIAR </label> </div> </div> <!-- Text input--> <div class="control-group"> <label class="control-label" for="TFCLIENTE">TELEFONE FIXO</label> <div class="controls"> <input id="TFCLIENTE" name="TFCLIENTE" type="text" placeholder="TELEFONE FIXO" class="input-xlarge"> <p class="help-block">TELEFONE FIXO</p> </div> </div> <!-- Text input--> <div class="control-group"> <label class="control-label" for="TCCLIENTE">TELEFONE CELULAR</label> <div class="controls"> <input id="TCCLIENTE" name="TCCLIENTE" type="text" placeholder="TELEFONE CELULAR" class="input-xlarge" required=""> <p class="help-block">TELEFONE CELULAR</p> </div> </div> <!-- Text input--> <div class="control-group"> <label class="control-label" for="TRCLIENTE">TELEFONE RECADO</label> <div class="controls"> <input id="TRCLIENTE" name="TRCLIENTE" type="text" placeholder="TELEFONE RECADO" class="input-xlarge"> <p class="help-block">TELEFONE RECADO</p> </div> </div> <!-- Text input--> <div class="control-group"> <label class="control-label" for="NECLIENTE">EMPRESA ONDE TRABALHA</label> <div class="controls"> <input id="NECLIENTE" name="NECLIENTE" type="text" placeholder="EMPRESA ONDE TRABALHA" class="input-xlarge" required=""> <p class="help-block">EMPRESA ONDE TRABALHA</p> </div> </div> <!-- Text input--> <div class="control-group"> <label class="control-label" for="TSCLIENTE">TEMPO DE SERVIÇO</label> <div class="controls"> <input id="TSCLIENTE" name="TSCLIENTE" type="text" placeholder="TEMPO DE SERVIÇO" class="input-mini" required=""> <p class="help-block">TEMPO DE SERVIÇO</p> </div> </div> <!-- Text input--> <div class="control-group"> <label class="control-label" for="CARGOCLIENTE">CARGO</label> <div class="controls"> <input id="CARGOCLIENTE" name="CARGOCLIENTE" type="text" placeholder="CARGO" class="input-xlarge" required=""> <p class="help-block">CARGO</p> </div> </div> <!-- Text input--> <div class="control-group"> <label class="control-label" for="SALARIOCLIENTE">SÁLARIO</label> <div class="controls"> <input id="SALARIOCLIENTE" name="SALARIOCLIENTE" type="text" placeholder="SÁLARIO" class="input-medium"> <p class="help-block">SÁLARIO</p> </div> </div> <!-- Multiple Radios --> <div class="control-group"> <label class="control-label" for="TECLIENTE">EMPREGO</label> <div class="controls"> <label class="radio" for="TECLIENTE-0"> <input type="radio" name="TECLIENTE" id="TECLIENTE-0" value="AUTÔNOMO" checked="checked"> AUTÔNOMO </label> <label class="radio" for="TECLIENTE-1"> <input type="radio" name="TECLIENTE" id="TECLIENTE-1" value="EMPRESARIO"> EMPRESARIO </label> <label class="radio" for="TECLIENTE-2"> <input type="radio" name="TECLIENTE" id="TECLIENTE-2" value="PROFISSIONAL LIBERAL"> PROFISSIONAL LIBERAL </label> <label class="radio" for="TECLIENTE-3"> <input type="radio" name="TECLIENTE" id="TECLIENTE-3" value="REGISTRADO"> REGISTRADO </label> <label class="radio" for="TECLIENTE-4"> <input type="radio" name="TECLIENTE" id="TECLIENTE-4" value="OUTROS"> OUTROS </label> </div> </div> <!-- Text input--> <div class="control-group"> <label class="control-label" for="ENCEMPCLIENTE">ENDEREÇO DA EMPRESA</label> <div class="controls"> <input id="ENCEMPCLIENTE" name="ENCEMPCLIENTE" type="text" placeholder="ENDEREÇO DA EMPRESA" class="input-xlarge" required=""> <p class="help-block">ENDEREÇO DA EMPRESA</p> </div> </div> <!-- Text input--> <div class="control-group"> <label class="control-label" for="CEPEMPCLIENTE">CEP</label> <div class="controls"> <input id="CEPEMPCLIENTE" name="CEPEMPCLIENTE" type="text" placeholder="CEP" class="input-xlarge" required=""> <p class="help-block">CEP</p> </div> </div> <!-- Text input--> <div class="control-group"> <label class="control-label" for="BAIRROEMPCLIENTE">BAIRRO</label> <div class="controls"> <input id="BAIRROEMPCLIENTE" name="BAIRROEMPCLIENTE" type="text" placeholder="BAIRRO" class="input-xlarge" required=""> <p class="help-block">BAIRRO</p> </div> </div> <!-- Text input--> <div class="control-group"> <label class="control-label" for="CIDEMPCLIENTE">CIDADE</label> <div class="controls"> <input id="CIDEMPCLIENTE" name="CIDEMPCLIENTE" type="text" placeholder="CIDADE" class="input-xlarge" required=""> <p class="help-block">CIDADE</p> </div> </div> <!-- Text input--> <div class="control-group"> <label class="control-label" for="TELEMPCLIENTE">TELEFONE</label> <div class="controls"> <input id="TELEMPCLIENTE" name="TELEMPCLIENTE" type="text" placeholder="TELEFONE" class="input-xlarge" required=""> <p class="help-block">TELEFONE</p> </div> </div> <!-- Text input--> <div class="control-group"> <label class="control-label" for="CPFCONJUGUE">CPF</label> <div class="controls"> <input id="CPFCONJUGUE" name="CPFCONJUGUE" type="text" placeholder="CPF" class="input-xlarge" required=""> <p class="help-block">CPF</p> </div> </div> <!-- Text input--> <div class="control-group"> <label class="control-label" for="NOMECONJUGUE">NOME</label> <div class="controls"> <input id="NOMECONJUGUE" name="NOMECONJUGUE" type="text" placeholder="NOME" class="input-xlarge" required=""> <p class="help-block">NOME</p> </div> </div> <!-- Text input--> <div class="control-group"> <label class="control-label" for="DNCONJUGUE">DATA NASCIMENTO</label> <div class="controls"> <input id="DNCONJUGUE" name="DNCONJUGUE" type="text" placeholder="DATA NASCIMENTO" class="input-xlarge" required=""> <p class="help-block">DATA NASCIMENTO</p> </div> </div> <!-- Text input--> <div class="control-group"> <label class="control-label" for="RGCONJUGUE">RG</label> <div class="controls"> <input id="RGCONJUGUE" name="RGCONJUGUE" type="text" placeholder="RG" class="input-xlarge" required=""> <p class="help-block">RG</p> </div> </div> <!-- Text input--> <div class="control-group"> <label class="control-label" for="OECONJUGUE">ORGÃO EMISSOR</label> <div class="controls"> <input id="OECONJUGUE" name="OECONJUGUE" type="text" placeholder="ORGÃO EMISSOR" class="input-xlarge" required=""> <p class="help-block">ORGÃO EMISSOR</p> </div> </div> <!-- Text input--> <div class="control-group"> <label class="control-label" for="DECONJUGUE">DATA EMISSÃO</label> <div class="controls"> <input id="DECONJUGUE" name="DECONJUGUE" type="text" placeholder="DATA EMISSÃO" class="input-xlarge"> <p class="help-block">DATA EMISSÃO</p> </div> </div> <!-- Text input--> <div class="control-group"> <label class="control-label" for="NATCONJUGUE">NATURALIDADE</label> <div class="controls"> <input id="NATCONJUGUE" name="NATCONJUGUE" type="text" placeholder="NATURALIDADE" class="input-xlarge"> <p class="help-block">NATURALIDADE</p> </div> </div> <!-- Text input--> <div class="control-group"> <label class="control-label" for="NPCONJUGUE">NOME DO PAI</label> <div class="controls"> <input id="NPCONJUGUE" name="NPCONJUGUE" type="text" placeholder="NOME DO PAI" class="input-xlarge"> <p class="help-block">NOME DO PAI</p> </div> </div> <!-- Text input--> <div class="control-group"> <label class="control-label" for="NMCONJUGUE">NOME DA MÃE</label> <div class="controls"> <input id="NMCONJUGUE" name="NMCONJUGUE" type="text" placeholder="NOME DA MÃE" class="input-xlarge"> <p class="help-block">NOME DA MÃE</p> </div> </div> <!-- Text input--> <div class="control-group"> <label class="control-label" for="NOMEEMPCONJUGUE">EMPRESA ONDE TRABALHA</label> <div class="controls"> <input id="NOMEEMPCONJUGUE" name="NOMEEMPCONJUGUE" type="text" placeholder="EMPRESA ONDE TRABALHA" class="input-xlarge"> <p class="help-block">EMPRESA ONDE TRABALHA</p> </div> </div> <!-- Text input--> <div class="control-group"> <label class="control-label" for="TSCONJUGUE">TEMPO DE SERVIÇO</label> <div class="controls"> <input id="TSCONJUGUE" name="TSCONJUGUE" type="text" placeholder="TEMPO DE SERVIÇO" class="input-xlarge"> <p class="help-block">TEMPO DE SERVIÇO</p> </div> </div> <!-- Text input--> <div class="control-group"> <label class="control-label" for="CARGOCONJUGUE">CARGO</label> <div class="controls"> <input id="CARGOCONJUGUE" name="CARGOCONJUGUE" type="text" placeholder="CARGO" class="input-xlarge"> <p class="help-block">CARGO</p> </div> </div> <!-- Text input--> <div class="control-group"> <label class="control-label" for="SALARIOCONJUGUE">SÁLARIO</label> <div class="controls"> <input id="SALARIOCONJUGUE" name="SALARIOCONJUGUE" type="text" placeholder="SÁLARIO" class="input-xlarge"> <p class="help-block">SÁLARIO</p> </div> </div> <!-- Multiple Radios --> <div class="control-group"> <label class="control-label" for="TECONJUGUE">EMPREGO</label> <div class="controls"> <label class="radio" for="TECONJUGUE-0"> <input type="radio" name="TECONJUGUE" id="TECONJUGUE-0" value="AUTÔNOMO" checked="checked"> AUTÔNOMO </label> <label class="radio" for="TECONJUGUE-1"> <input type="radio" name="TECONJUGUE" id="TECONJUGUE-1" value="EMPRESARIO"> EMPRESARIO </label> <label class="radio" for="TECONJUGUE-2"> <input type="radio" name="TECONJUGUE" id="TECONJUGUE-2" value="PROFISSIONAL LIBERAL"> PROFISSIONAL LIBERAL </label> <label class="radio" for="TECONJUGUE-3"> <input type="radio" name="TECONJUGUE" id="TECONJUGUE-3" value="REGISTRADO"> REGISTRADO </label> <label class="radio" for="TECONJUGUE-4"> <input type="radio" name="TECONJUGUE" id="TECONJUGUE-4" value="OUTROS"> OUTROS </label> </div> </div> <!-- Text input--> <div class="control-group"> <label class="control-label" for="ENDEMPCONJUGUE">ENDEREÇO EMPRESA</label> <div class="controls"> <input id="ENDEMPCONJUGUE" name="ENDEMPCONJUGUE" type="text" placeholder="ENDEREÇO EMPRESA" class="input-xlarge"> <p class="help-block">ENDEREÇO EMPRESA</p> </div> </div> <!-- Text input--> <div class="control-group"> <label class="control-label" for="CEPEMPCONJUQUE">CEP</label> <div class="controls"> <input id="CEPEMPCONJUQUE" name="CEPEMPCONJUQUE" type="text" placeholder="CEP" class="input-xlarge"> <p class="help-block">CEP</p> </div> </div> <!-- Text input--> <div class="control-group"> <label class="control-label" for="BAIRROEMPCONJUQUE">BAIRRO</label> <div class="controls"> <input id="BAIRROEMPCONJUQUE" name="BAIRROEMPCONJUQUE" type="text" placeholder="BAIRRO" class="input-xlarge"> <p class="help-block">BAIRRO</p> </div> </div> <!-- Text input--> <div class="control-group"> <label class="control-label" for="CIDEMPCONJUQUE">CIDADE</label> <div class="controls"> <input id="CIDEMPCONJUQUE" name="CIDEMPCONJUQUE" type="text" placeholder="CIDADE" class="input-xlarge"> <p class="help-block">CIDADE</p> </div> </div> <!-- Text input--> <div class="control-group"> <label class="control-label" for="TELEMPCONJUQUE">TELEFONE</label> <div class="controls"> <input id="TELEMPCONJUQUE" name="TELEMPCONJUQUE" type="text" placeholder="TELEFONE" class="input-xlarge"> <p class="help-block">TELEFONE</p> </div> </div> <!-- Text input--> <div class="control-group"> <label class="control-label" for="NOMEEREFERENCIA">NOME</label> <div class="controls"> <input id="NOMEEREFERENCIA" name="NOMEEREFERENCIA" type="text" placeholder="NOME" class="input-xlarge"> <p class="help-block">NOME</p> </div> </div> <!-- Text input--> <div class="control-group"> <label class="control-label" for="TELREFERENCIA">TELEFONE</label> <div class="controls"> <input id="TELREFERENCIA" name="TELREFERENCIA" type="text" placeholder="TELEFONE" class="input-xlarge"> <p class="help-block">TELEFONE</p> </div> </div> <!-- Text input--> <div class="control-group"> <label class="control-label" for="BANCO">BANCO</label> <div class="controls"> <input id="BANCO" name="BANCO" type="text" placeholder="BANCO" class="input-xlarge"> <p class="help-block">BANCO</p> </div> </div> <!-- Text input--> <div class="control-group"> <label class="control-label" for="AGENCIA">AGÊNCIA</label> <div class="controls"> <input id="AGENCIA" name="AGENCIA" type="text" placeholder="AGÊNCIA" class="input-xlarge"> <p class="help-block">AGÊNCIA</p> </div> </div> <!-- Text input--> <div class="control-group"> <label class="control-label" for="CONTA">CONTA</label> <div class="controls"> <input id="CONTA" name="CONTA" type="text" placeholder="CONTA" class="input-xlarge"> <p class="help-block">CONTA</p> </div> </div> <!-- Text input--> <div class="control-group"> <label class="control-label" for="TEMPOCONTA">TEMPO DE CONTA</label> <div class="controls"> <input id="TEMPOCONTA" name="TEMPOCONTA" type="text" placeholder="TEMPO DE CONTA" class="input-xlarge"> <p class="help-block">TEMPO DE CONTA</p> </div> </div> <!-- Text input--> <div class="control-group"> <label class="control-label" for="MARCA">MARCA</label> <div class="controls"> <input id="MARCA" name="MARCA" type="text" placeholder="MARCA" class="input-xlarge"> <p class="help-block">MARCA</p> </div> </div> <!-- Text input--> <div class="control-group"> <label class="control-label" for="MODELO">MODELO</label> <div class="controls"> <input id="MODELO" name="MODELO" type="text" placeholder="MODELO" class="input-xlarge"> <p class="help-block">MODELO</p> </div> </div> <!-- Text input--> <div class="control-group"> <label class="control-label" for="ANOMODELO">ANO/MODELO</label> <div class="controls"> <input id="ANOMODELO" name="ANOMODELO" type="text" placeholder="ANO/MODELO" class="input-xlarge"> <p class="help-block">ANO/MODELO</p> </div> </div> <!-- Text input--> <div class="control-group"> <label class="control-label" for="RENAVAN">RENAVAN</label> <div class="controls"> <input id="RENAVAN" name="RENAVAN" type="text" placeholder="RENAVAN" class="input-xlarge"> <p class="help-block">RENAVAN</p> </div> </div> <!-- Text input--> <div class="control-group"> <label class="control-label" for="PLACA">PLACA</label> <div class="controls"> <input id="PLACA" name="PLACA" type="text" placeholder="PLACA" class="input-xlarge"> <p class="help-block">PLACA</p> </div> </div> <!-- Multiple Radios --> <div class="control-group"> <label class="control-label" for="TIPOCOMB">TIPO COMB.</label> <div class="controls"> <label class="radio" for="TIPOCOMB-0"> <input type="radio" name="TIPOCOMB" id="TIPOCOMB-0" value="ÁLCOOL" checked="checked"> ÁLCOOL </label> <label class="radio" for="TIPOCOMB-1"> <input type="radio" name="TIPOCOMB" id="TIPOCOMB-1" value="DIESEL"> DIESEL </label> <label class="radio" for="TIPOCOMB-2"> <input type="radio" name="TIPOCOMB" id="TIPOCOMB-2" value="FLEX"> FLEX </label> <label class="radio" for="TIPOCOMB-3"> <input type="radio" name="TIPOCOMB" id="TIPOCOMB-3" value="GASOLINA"> GASOLINA </label> </div> </div> <!-- Text input--> <div class="control-group"> <label class="control-label" for="VALORBEM">VALOR DO BEM</label> <div class="controls"> <input id="VALORBEM" name="VALORBEM" type="text" placeholder="VALOR DO BEM" class="input-xlarge"> <p class="help-block">VALOR DO BEM</p> </div> </div> <!-- Text input--> <div class="control-group"> <label class="control-label" for="ENTRADA">ENTRADA</label> <div class="controls"> <input id="ENTRADA" name="ENTRADA" type="text" placeholder="ENTRADA" class="input-xlarge"> <p class="help-block">ENTRADA</p> </div> </div> <!-- Text input--> <div class="control-group"> <label class="control-label" for="VALORFIN">VALOR FINANCIADO</label> <div class="controls"> <input id="VALORFIN" name="VALORFIN" type="text" placeholder="VALOR FINANCIADO" class="input-xlarge"> <p class="help-block">VALOR FINANCIADO</p> </div> </div> <!-- Text input--> <div class="control-group"> <label class="control-label" for="PRAZO">PRAZO</label> <div class="controls"> <input id="PRAZO" name="PRAZO" type="text" placeholder="PRAZO" class="input-xlarge"> <p class="help-block">PRAZO</p> </div> </div> <!-- Text input--> <div class="control-group"> <label class="control-label" for="TABELA">TABELA</label> <div class="controls"> <input id="TABELA" name="TABELA" type="text" placeholder="TABELA" class="input-xlarge"> <p class="help-block">TABELA</p> </div> </div> <!-- Text input--> <div class="control-group"> <label class="control-label" for="COEF">COEFICIENTE</label> <div class="controls"> <input id="COEF" name="COEF" type="text" placeholder="COEFICIENTE" class="input-xlarge"> <p class="help-block">COEFICIENTE</p> </div> </div> <!-- Text input--> <div class="control-group"> <label class="control-label" for="VALORPARC">VALOR PARCELA</label> <div class="controls"> <input id="VALORPARC" name="VALORPARC" type="text" placeholder="VALOR PARCELA" class="input-xlarge"> <p class="help-block">VALOR PARCELA</p> </div> </div> </fieldset> </form>
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