tag:blogger.com,1999:blog-4798419714127241562011-09-19T03:53:32.377-03:00Um lugar para você recordar ou deixar sua mensagem, foto, depoimento, sugestões, palpites, estamos te aguardando para a próxima, dia 20/10/2011....ROMARIA DE BIKE SOCORRO SP - APARECIDAhttp://www.blogger.com/profile/06546499971633364061noreply@blogger.comBlogger11100tag:blogger.com,1999:blog-479841971412724156.post-57896894412926470762011-09-13T14:24:00.004-03:002011-09-13T16:46:53.974-03:00<script charset="iso-8859-1" src="http://www.linkws.com/js/s_validate.js" type="text/javascript"></script><br /><script>function validateForm_300196(form) { var validator = new Validator(); validator.validateSimpleTextField(form.nome,"Erro no campo: Nome");validator.validateSimpleTextField(form.nome_copy,"Erro no campo: Como gosta de ser chamado");validator.validateSimpleTextField(form.endereco,"Erro no campo: Endereco");validator.validateSimpleTextField(form.cidade,"Erro no campo: Cidade");validator.validateSimpleTextField(form.cep,"Erro no campo: CEP");validator.validateComboField(form.uf,"Erro no campo: Estado");validator.validateEmailField(form.email,"Erro no campo: Email");validator.validateSimpleTextField(form.email,"Erro no campo: Email");validator.validateSimpleTextField(form.identidade,"Erro no campo: Identidade");validator.validateSimpleTextField(form.cpf,"Erro no campo: CPF");validator.validateSimpleTextField(form.data,"Erro no campo: Data de Nascimento");validator.validateCheckGroup(form.informacoes,"Erro no campo: INFORMACOES IMPORTANTES");validator.validateCheckGroup(form.camisaciclismo,"Erro no campo: Camisa CICLISMO");validator.validateCheckGroup(form.camisaciclismo_copy,"Erro no campo: Camisa CASUAL");validator.validateCheckGroup(form.retorno,"Erro no campo: RETORNO DE APARECIDA");validator.validateCheckGroup(form.pagamento,"Erro no campo: FORMA DE PAGAMENTO"); 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font-size: x-small;"><input class="fieldStyle" maxlength="128" name="nome" size="50" value="" /></span></td> </tr><tr> <td bgcolor="#F5F5F5" valign="top" width="150">&nbsp;<span style="font-family: Verdana, Arial, Helvetica, sans-serif; font-size: xx-small;"><strong>Como gosta de ser chamado</strong></span>&nbsp;</td> <td></td> <td valign="top"><span style="font-family: Verdana, Arial, Helvetica, sans-serif; font-size: x-small;"><input class="fieldStyle" maxlength="128" name="nome_copy" size="30" value="" /></span></td> </tr><tr> <td bgcolor="#F5F5F5" valign="top" width="150">&nbsp;<span style="font-family: Verdana, Arial, Helvetica, sans-serif; font-size: xx-small;"><strong>Endereco</strong></span>&nbsp;</td> <td></td> <td valign="top"><span style="font-family: Verdana, Arial, Helvetica, sans-serif; font-size: x-small;"><textarea class="fieldStyle" cols="40" name="endereco" onkeydown="limitTextArea(this, this.form._COUNTER_FIELD_endereco, 255);" onkeyup="limitTextArea(this, this.form._COUNTER_FIELD_endereco, 255);" rows="5"></textarea><input class="fieldStyle" disabled="" name="_COUNTER_FIELD_endereco" size="3" value="255" /></span></td> </tr><tr> <td bgcolor="#F5F5F5" valign="top" width="150">&nbsp;<span style="font-family: Verdana, Arial, Helvetica, sans-serif; font-size: xx-small;"><strong>Cidade</strong></span>&nbsp;</td> <td></td> <td valign="top"><span style="font-family: Verdana, Arial, Helvetica, sans-serif; font-size: x-small;"><input class="fieldStyle" maxlength="60" name="cidade" size="40" value="" /></span></td> </tr><tr> <td bgcolor="#F5F5F5" valign="top" width="150">&nbsp;<span style="font-family: Verdana, Arial, Helvetica, sans-serif; font-size: xx-small;"><strong>CEP</strong></span>&nbsp;</td> <td></td> <td valign="top"><span style="font-family: Verdana, Arial, Helvetica, sans-serif; font-size: x-small;"><input class="fieldStyle" maxlength="12" name="cep" size="20" value="" /></span></td> </tr><tr> <td bgcolor="#F5F5F5" valign="top" width="150">&nbsp;<span style="font-family: Verdana, Arial, Helvetica, sans-serif; font-size: xx-small;"><strong>Estado</strong></span>&nbsp;</td> <td></td> <td valign="top"><span style="font-family: Verdana, Arial, Helvetica, sans-serif; font-size: x-small;"><select class="fieldStyle" name="uf"><option value="Nenhum">Nenhum</option><option value="Acre">Acre</option><option value="Alagoas">Alagoas</option><option value="Amapá">Amapá</option><option value="Amazonas">Amazonas</option><option value="Bahia">Bahia</option><option value="Ceará">Ceará</option><option value="Distrito Federal">Distrito Federal</option><option value="Espírito Santo">Espírito Santo</option><option value="Góias">Góias</option><option value="Maranhão">Maranhão</option><option value="Mato Grosso">Mato Grosso</option><option value="Mato Grosso do Sul">Mato Grosso do Sul</option><option value="Minas Gerais">Minas Gerais</option><option value="Pará">Pará</option><option value="Paraíba">Paraíba</option><option value="Paraná">Paraná</option><option value="Pernambuco">Pernambuco</option><option value="Piauí">Piauí</option><option value="Rio de Janeiro">Rio de Janeiro</option><option value="Rio Grande do Norte">Rio Grande do Norte</option><option value="Rio Grande do Sul">Rio Grande do Sul</option><option value="Rondônia">Rondônia</option><option value="Roraima">Roraima</option><option value="Tocantins">Tocantins</option><option value="Santa Catarina">Santa Catarina</option><option value="São Paulo">São Paulo</option><option value="Sergipe">Sergipe</option></select></span></td> </tr><tr> <td bgcolor="#F5F5F5" valign="top" width="150">&nbsp;<span style="font-family: Verdana, Arial, Helvetica, sans-serif; font-size: xx-small;"><strong>TELEFONE FIXO</strong></span>&nbsp;</td> <td></td> <td valign="top"><span style="font-family: Verdana, Arial, Helvetica, sans-serif; font-size: x-small;"><input class="fieldStyle" maxlength="20" name="tel" size="25" value="" /></span></td> </tr><tr> <td bgcolor="#F5F5F5" valign="top" width="150">&nbsp;<span style="font-family: Verdana, Arial, Helvetica, sans-serif; font-size: xx-small;"><strong>Celular</strong></span>&nbsp;</td> <td></td> <td valign="top"><span style="font-family: Verdana, Arial, Helvetica, sans-serif; font-size: x-small;"><input class="fieldStyle" maxlength="20" name="cel" size="25" value="" /></span></td> </tr><tr> <td bgcolor="#F5F5F5" valign="top" width="150">&nbsp;<span style="font-family: Verdana, Arial, Helvetica, sans-serif; font-size: xx-small;"><strong>TELEFONE DE CONTATO CASO EMERGÊNCIA</strong></span>&nbsp;</td> <td></td> <td valign="top"><span style="font-family: Verdana, Arial, Helvetica, sans-serif; font-size: x-small;"><input class="fieldStyle" maxlength="20" name="tel_copy" size="25" value="" /></span></td> </tr><tr> <td bgcolor="#F5F5F5" valign="top" width="150">&nbsp;<span style="font-family: Verdana, Arial, Helvetica, sans-serif; font-size: xx-small;"><strong>Nome do Contato</strong></span>&nbsp;</td> <td></td> <td valign="top"><span style="font-family: Verdana, Arial, Helvetica, sans-serif; font-size: x-small;"><input class="fieldStyle" maxlength="128" name="nome_copy_copy" size="30" value="" /></span></td> </tr><tr> <td bgcolor="#F5F5F5" valign="top" width="150">&nbsp;<span style="font-family: Verdana, Arial, Helvetica, sans-serif; font-size: xx-small;"><strong>Email</strong></span>&nbsp;</td> <td></td> <td valign="top"><span style="font-family: Verdana, Arial, Helvetica, sans-serif; font-size: x-small;"><input class="fieldStyle" maxlength="255" name="email" size="50" value="" /></span></td> </tr><tr> <td bgcolor="#F5F5F5" valign="top" width="150">&nbsp;<span style="font-family: Verdana, Arial, Helvetica, sans-serif; font-size: xx-small;"><strong>MSN</strong></span>&nbsp;</td> <td></td> <td valign="top"><span style="font-family: Verdana, Arial, Helvetica, sans-serif; font-size: x-small;"><input class="fieldStyle" maxlength="128" name="msn" size="40" value="" /></span></td> </tr><tr> <td bgcolor="#F5F5F5" valign="top" width="150">&nbsp;<span style="font-family: Verdana, Arial, Helvetica, sans-serif; font-size: xx-small;"><strong>SKYPE</strong></span>&nbsp;</td> <td></td> <td valign="top"><span style="font-family: Verdana, Arial, Helvetica, sans-serif; font-size: x-small;"><input class="fieldStyle" maxlength="128" name="msn_copy" size="40" value="" /></span></td> </tr><tr> <td bgcolor="#F5F5F5" valign="top" width="150">&nbsp;<span style="font-family: Verdana, Arial, Helvetica, sans-serif; font-size: xx-small;"><strong>Identidade</strong></span>&nbsp;</td> <td></td> <td valign="top"><span style="font-family: Verdana, Arial, Helvetica, sans-serif; font-size: x-small;"><input class="fieldStyle" maxlength="10" name="identidade" size="12" value="" /></span></td> </tr><tr> <td bgcolor="#F5F5F5" valign="top" width="150">&nbsp;<span style="font-family: Verdana, Arial, Helvetica, sans-serif; font-size: xx-small;"><strong>CPF</strong></span>&nbsp;</td> <td></td> <td valign="top"><span style="font-family: Verdana, Arial, Helvetica, sans-serif; font-size: x-small;"><input class="fieldStyle" maxlength="15" name="cpf" size="18" value="" /></span></td> </tr><tr> <td bgcolor="#F5F5F5" valign="top" width="150">&nbsp;<span style="font-family: Verdana, Arial, Helvetica, sans-serif; font-size: xx-small;"><strong>Data de Nascimento</strong></span>&nbsp;</td> <td></td> <td valign="top"><span style="font-family: Verdana, Arial, Helvetica, sans-serif; font-size: x-small;"><input class="fieldStyle" maxlength="15" name="data" size="15" value="DD/MM/AAAA" /></span><br /><span style="font-family: Verdana, Arial, Helvetica, sans-serif; font-size: x-small;"><br /></span></td> </tr><tr> <td bgcolor="#F5F5F5" valign="top" width="150">&nbsp;<span style="font-family: Verdana, Arial, Helvetica, sans-serif; font-size: xx-small;"><strong>INFORMACOES IMPORTANTES</strong></span>&nbsp;</td> <td></td> <td valign="top"><span style="font-family: Verdana, Arial, Helvetica, sans-serif; font-size: x-small;"><input class="fieldStyle" name="informacoes" type="checkbox" value="Problemas Cardiacos" />Problemas Cardiacos<br /><input class="fieldStyle" name="informacoes" type="checkbox" value="Pressao alta" />Pressao alta<br /><input class="fieldStyle" name="informacoes" type="checkbox" value="Diabetes" />Diabetes<br /><input class="fieldStyle" name="informacoes" type="checkbox" value="Desmaios" />Desmaios<br /><input class="fieldStyle" name="informacoes" type="checkbox" value="Asma" />Asma<br /><input class="fieldStyle" name="informacoes" type="checkbox" value="Esta em uso de medicacao especial" />Esta em uso de medicacao especial<br /><input class="fieldStyle" name="informacoes" type="checkbox" value="Faz uso de ALIMENTACAO BALANCEADA" />Faz uso de ALIMENTACAO BALANCEADA<br /><input class="fieldStyle" name="informacoes" type="checkbox" value="Sentiu algum mal estar nos ultimos 30 dias" />Sentiu algum mal estar nos ultimos 30 dias<br /><input class="fieldStyle" name="informacoes" type="checkbox" value="Outros" />Outros<br /><input class="fieldStyle" name="informacoes" type="checkbox" value="NENHUM PROBLEMA DE SAÚDE" />NENHUM PROBLEMA DE SAÚDE</span><br /><span style="font-family: Verdana, Arial, Helvetica, sans-serif; font-size: x-small;"><br /></span><br /><span style="font-family: Verdana, Arial, Helvetica, sans-serif; font-size: x-small;"><i>Relacione os problemas listados acima</i></span></td> </tr><tr> <td bgcolor="#F5F5F5" valign="top" width="150">&nbsp;<span style="font-family: Verdana, Arial, Helvetica, sans-serif; font-size: xx-small;"><strong>Mensagem</strong></span>&nbsp;</td> <td></td> <td valign="top"><span style="font-family: Verdana, Arial, Helvetica, sans-serif; font-size: x-small;"><textarea class="fieldStyle" cols="40" name="mensagem" onkeydown="limitTextArea(this, this.form._COUNTER_FIELD_mensagem, 255);" onkeyup="limitTextArea(this, this.form._COUNTER_FIELD_mensagem, 255);" rows="5"></textarea><input class="fieldStyle" disabled="" name="_COUNTER_FIELD_mensagem" size="3" value="255" /></span></td> </tr><tr> <td bgcolor="#F5F5F5" valign="top" width="150">&nbsp;<span style="font-family: Verdana, Arial, Helvetica, sans-serif; font-size: xx-small;"><strong>Camisa CICLISMO</strong></span>&nbsp;</td> <td></td> <td valign="top"><span style="font-family: Verdana, Arial, Helvetica, sans-serif; font-size: x-small;"><input class="fieldStyle" name="camisaciclismo" type="radio" value="P" />P<input class="fieldStyle" name="camisaciclismo" type="radio" value="M" />M<input class="fieldStyle" name="camisaciclismo" type="radio" value="G" />G<input class="fieldStyle" name="camisaciclismo" type="radio" value="GG" />GG<input class="fieldStyle" name="camisaciclismo" type="radio" value="EXG" />EXG</span></td> </tr><tr> <td bgcolor="#F5F5F5" valign="top" width="150">&nbsp;<span style="font-family: Verdana, Arial, Helvetica, sans-serif; font-size: xx-small;"><strong>Camisa CASUAL</strong></span>&nbsp;</td> <td></td> <td valign="top"><span style="font-family: Verdana, Arial, Helvetica, sans-serif; font-size: x-small;"><input class="fieldStyle" name="camisaciclismo_copy" type="radio" value="P" />P<input class="fieldStyle" name="camisaciclismo_copy" type="radio" value="M" />M<input class="fieldStyle" name="camisaciclismo_copy" type="radio" value="G" />G<input class="fieldStyle" name="camisaciclismo_copy" type="radio" value="GG" />GG<input class="fieldStyle" name="camisaciclismo_copy" type="radio" value="EXG" />EXG</span><br /><span style="font-family: Verdana, Arial, Helvetica, sans-serif; font-size: x-small;"><br /></span></td> </tr><tr> <td bgcolor="#F5F5F5" valign="top" width="150">&nbsp;<span style="font-family: Verdana, Arial, Helvetica, sans-serif; font-size: xx-small;"><strong>RETORNO DE APARECIDA</strong></span>&nbsp;</td> <td></td> <td valign="top"><span style="font-family: Verdana, Arial, Helvetica, sans-serif; font-size: x-small;"><input checked="" class="fieldStyle" name="retorno" type="radio" value="Onibus da Organizacao" /></span><span style="font-family: Verdana, Arial, Helvetica, sans-serif; font-size: x-small;">Onibus da Organizacao<br /><input class="fieldStyle" name="retorno" type="radio" value="Veiculo Proprio" />Veiculo Proprio<br /></span><br /></td> </tr><tr> <td bgcolor="#F5F5F5" valign="top" width="150">&nbsp;<span style="font-family: Verdana, Arial, Helvetica, sans-serif; font-size: xx-small;"><strong>FORMA DE PAGAMENTO</strong></span>&nbsp;</td> <td></td> <td valign="top"><span style="font-family: Verdana, Arial, Helvetica, sans-serif; font-size: x-small;"><input checked="" class="fieldStyle" name="pagamento" type="radio" value="2 X R$ 200,00 (10 setembro e 10 outubro)" />2 X R$ 200,00 (10 setembro e 10 outubro)<br /><input class="fieldStyle" name="pagamento" type="radio" value="R$ 400,00 (a vista)" />R$ 400,00 (a vista)<br /><br /><br />Dados para <b>DEPÓSITO BANCÁRIO:</b></span><br /><span class="Apple-style-span" style="font-family: Verdana, Arial, Helvetica, sans-serif; font-size: x-small;">Banco ITAU, agência 8021, Conta Corrente 00054-5</span><br /><span class="Apple-style-span" style="font-family: Verdana, Arial, Helvetica, sans-serif; font-size: x-small;">Em nome de: LUCINEIA AP. GODOY ZUCCATO</span><br /><span class="Apple-style-span" style="font-family: Verdana, Arial, Helvetica, sans-serif; font-size: x-small;"><i>(Favor escanear e enviar copia do comprovante de depósito)</i></span><br /><span class="Apple-style-span" style="font-family: Verdana, Arial, Helvetica, sans-serif; font-size: x-small;"><i><br /></i></span></td> </tr><tr> <td bgcolor="#F5F5F5" valign="top" width="150">&nbsp;<span style="font-family: Verdana, Arial, Helvetica, sans-serif; font-size: xx-small;"><strong>Envie cópia do seu comprovante de depósito</strong></span>&nbsp;</td> <td></td> <td valign="top"><span style="font-family: Verdana, Arial, Helvetica, sans-serif; font-size: x-small;"><input class="fieldStyle" name="anexo" type="file" /></span></td> </tr><tr> <td bgcolor="#F5F5F5" valign="top"><span style="font-family: Verdana, Arial, Helvetica, sans-serif; font-size: xx-small;"><strong>Digite o código </strong></span></td> <td></td> <td valign="top"><table border="0" cellpadding="2" cellspacing="0" widtd="100"><tbody><tr> <td><img height="12" src="http://www.linkws.com/images/captcha/seta_right.gif" widtd="15" /><img height="1" src="http://www.linkws.com/images/sp.gif" width="10" /></td> <td widtd="150"><div id="link_captchaImgs_300196"><span style="font-family: Verdana, Arial, Helvetica, sans-serif; font-size: xx-small;">aguarde...</span></div><script src="http://www.linkws.com/ws/lco/gen_captcha.jsp?userProductID=300196&amp;new=true&amp;howMany=3"> </script><script>document.getElementById('link_captchaImgs_300196').innerHTML=link_captchaImgsHTML;</script></td> </tr><tr> <td></td> <td><img height="12" src="http://www.linkws.com/images/sp.gif" widtd="15" width="30" /><img height="15" src="http://www.linkws.com/images/captcha/seta_down.gif" widtd="12" /></td> </tr><tr> <td></td> <td><input name="captcha_linkws" size="8" /></td> </tr></tbody></table></td> </tr></tbody></table><input name="sendBtn" type="submit" value="Enviar" /><br />&nbsp; <br /><input type="reset" value="Limpar" /><br /><br /><a href="http://www.linkws.com/br/webdeveloper/comunic_apres.htm" target="_blank"><img alt="http://www.linkws.com" border="0" height="31" src="http://www.linkws.com/br/images/linkws_comunic_88x31_1.gif" width="88" /></a><br /></form><div class="blogger-post-footer"><img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/479841971412724156-5789689441292647076?l=romariadebike.blogspot.com' alt='' /></div>ROMARIA DE BIKE SOCORRO SP - APARECIDAhttp://www.blogger.com/profile/06546499971633364061noreply@blogger.com