"mixradiomix@hotmail.com"
Bootstrap 3.0.3 Snippet by mixradio

<link href="//netdna.bootstrapcdn.com/bootstrap/3.0.3/css/bootstrap.min.css" rel="stylesheet" id="bootstrap-css"> <script src="//netdna.bootstrapcdn.com/bootstrap/3.0.3/js/bootstrap.min.js"></script> <script src="//code.jquery.com/jquery-1.11.1.min.js"></script> <!------ Include the above in your HEAD tag ----------> <center> <div class="container"> <div class="row"> <div class="col-md-6 col-md-offset-3"> <div class="well well-sm"> <form class="form-horizontal" action="" method="post"> <fieldset> <legend class="text-center">PARTICIPE</legend> <!-- Name input--> <div class="form-group"> <label class="col-md-3 control-label" for="name">Nome</label> <div class="col-md-9"> <input id="name" name="name" type="text" placeholder="Mix Rádio" class="form-control"> </div> </div> <!-- Artista / Música input--> <div class="form-group"> <label class="col-md-3 control-label" for="name">Artista / Música</label> <div class="col-md-9"> <input id="Artista / Música" name="name" type="text" placeholder="simone e simaria - duvido você não tomar uma" class="form-control"> </div> </div> <!-- Bairro / Cidade input--> <div class="form-group"> <label class="col-md-3 control-label" for="name">Bairro / Cidade</label> <div class="col-md-9"> <input id="bairro / cidade" name="name" type="text" placeholder="Centro / Colorado" class="form-control"> </div> </div> <!-- Ofereço para body --> <div class="form-group"> <label class="col-md-3 control-label" for="message">Ofereço para</label> <div class="col-md-9"> <textarea class="form-control" id="Ofereço para" name="message" placeholder="Ofereço para" rows="5"></textarea> </div> </div> <!-- Form actions --> <div class="form-group"> <div class="col-md-12 text-right"> <button type="submit" class="btn btn-primary btn-lg">Enviar</button> </div> </div> </fieldset> </form> </div> </div> </div> </div> </center>

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