EducarBrasil Widget

Informe seu e-mail

Assunto

Description

É usuário do portal

<div class="control-group ticket_section">
                 <label class=" required control-label informe_a_uf_309457-label " for="helpdesk_ticket_informe_a_uf_309457">Informe a UF</label>
            <div class="controls   ">
              <select class=" required dropdown_blank section_field" data-placeholder="..." name="helpdesk_ticket[custom_field][informe_a_uf_309457]" id="helpdesk_ticket_custom_field_informe_a_uf_309457"><option value="">...</option>
<option data-id="9000433957" value="AC">AC</option>
<option data-id="9000433958" value="AL">AL</option>
<option data-id="9000433959" value="AP">AP</option>
<option data-id="9000433960" value="AM">AM</option>
<option data-id="9000433961" value="BA">BA</option>
<option data-id="9000433962" value="CE">CE</option>
<option data-id="9000433963" value="DF">DF</option>
<option data-id="9000433964" value="ES">ES</option>
<option data-id="9000433965" value="GO">GO</option>
<option data-id="9000433966" value="MA">MA</option>
<option data-id="9000433967" value="MT">MT</option>
<option data-id="9000433968" value="MS">MS</option>
<option data-id="9000433969" value="MG">MG</option>
<option data-id="9000433970" value="PA">PA</option>
<option data-id="9000433971" value="PB">PB</option>
<option data-id="9000433972" value="PR">PR</option>
<option data-id="9000433973" value="PE">PE</option>
<option data-id="9000433974" value="PI">PI</option>
<option data-id="9000433975" value="RJ">RJ</option>
<option data-id="9000433976" value="RN">RN</option>
<option data-id="9000433977" value="RS">RS</option>
<option data-id="9000433978" value="RO">RO</option>
<option data-id="9000433979" value="RR">RR</option>
<option data-id="9000433980" value="SC">SC</option>
<option data-id="9000433981" value="SP">SP</option>
<option data-id="9000433982" value="SE">SE</option>
<option data-id="9000433983" value="TO">TO</option></select>
            </div> 
                </div>
      <div class="control-group ticket_section">
                 <label class=" required control-label nome_da_unidade_309457-label " for="helpdesk_ticket_nome_da_unidade_309457">Nome da Unidade</label>
            <div class="controls   ">
              <input class=" required text section_field span12" value="" placeholder="" type="text" name="helpdesk_ticket[custom_field][nome_da_unidade_309457]" id="helpdesk_ticket_custom_field_nome_da_unidade_309457" />
            </div> 
                </div>

Tipo de solicitação

Grupo

Suporte SESI

1 erro impediu este ticket de ser salvo