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" id="helpdesk_ticket_custom_field_informe_a_uf_309457" name="helpdesk_ticket[custom_field][informe_a_uf_309457]"><option value="">...</option>
<option value="AC" data-id="9000433957">AC</option>
<option value="AL" data-id="9000433958">AL</option>
<option value="AP" data-id="9000433959">AP</option>
<option value="AM" data-id="9000433960">AM</option>
<option value="BA" data-id="9000433961">BA</option>
<option value="CE" data-id="9000433962">CE</option>
<option value="DF" data-id="9000433963">DF</option>
<option value="ES" data-id="9000433964">ES</option>
<option value="GO" data-id="9000433965">GO</option>
<option value="MA" data-id="9000433966">MA</option>
<option value="MT" data-id="9000433967">MT</option>
<option value="MS" data-id="9000433968">MS</option>
<option value="MG" data-id="9000433969">MG</option>
<option value="PA" data-id="9000433970">PA</option>
<option value="PB" data-id="9000433971">PB</option>
<option value="PR" data-id="9000433972">PR</option>
<option value="PE" data-id="9000433973">PE</option>
<option value="PI" data-id="9000433974">PI</option>
<option value="RJ" data-id="9000433975">RJ</option>
<option value="RN" data-id="9000433976">RN</option>
<option value="RS" data-id="9000433977">RS</option>
<option value="RO" data-id="9000433978">RO</option>
<option value="RR" data-id="9000433979">RR</option>
<option value="SC" data-id="9000433980">SC</option>
<option value="SP" data-id="9000433981">SP</option>
<option value="SE" data-id="9000433982">SE</option>
<option value="TO" data-id="9000433983">TO</option>
<option value="TG" data-id="9000433984">TG</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" id="helpdesk_ticket_custom_field_nome_da_unidade_309457" name="helpdesk_ticket[custom_field][nome_da_unidade_309457]" size="30" type="text" value="" />
            </div> 
                </div>

Tipo de solicitação

Grupo

Suporte SESI

1 erro impediu este ticket de ser salvo