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<!DOCTYPE HTML PUBLIC "-//IETF//DTD HTML//EN">
<html>
<head>
<meta http-equiv="Content-Type" content="text/html; charset=iso-8859-1">
<meta name="GENERATOR" content="Microsoft FrontPage 3.0">
<title>Formulario Sugestoes e Reclamacoes - </title>
</head>
<body bgcolor="#FFFFFF">
<!--webbot bot="Include" u-include="barra.htm" tag="BODY" startspan -->
<p align="center"><font color="#000000" size="1" face="Arial"><strong><a href="index.htm" target="_top"><img src="images/Cml.gif" alt="CML" border="0" WIDTH="99" HEIGHT="27"></a><a href="Informacoes/52538.htm" target="_top"><img src="images/Inform.gif" alt="Informacoes" border="0" WIDTH="99" HEIGHT="27"></a><a href="query.htm" target="_top"><img src="images/Procurar.gif" alt="Procurar" border="0" WIDTH="99" HEIGHT="27"></a><a href="inquerito.htm" target="_top"><img src="images/Comentar.gif" alt="Comentar" border="0" WIDTH="99" HEIGHT="27"></a><a href="contactos.htm" target="_top"><img src="images/Contacto.gif" alt="Contactar" border="0" WIDTH="99" HEIGHT="27"></a></strong></font></p>
<!--webbot bot="Include" endspan i-checksum="31411" -->
<p align="center"><big><strong><font face="Arial"><font color="#0000A0">EmailAzul<br>
</font>Reclamações/Sugestões</font></strong></big></p>
<form method="POST" action="/scripts/form2mail.pl" enctype="x-www-form-encoded">
<input type="hidden" name="email" value="dagai@mail.cm-lisboa.pt"><input type="hidden" name="recipient" value="dagai@mail.cm-lisboa.pt"><input type="hidden" name="redirect" value="http://www.cm-lisboa.pt"><input type="hidden" name="sort" value="order:Sugestao,Assunto,Nome,Morada,Telefone,Fax,e_mail"><input type="hidden" name="subject" value="Formulario Sugestoes-Reclamacoes"><div align="center"><center><table border="1" width="75%" cellpadding="10" bgcolor="#C0C0C0" bordercolor="#000000" bordercolorlight="#000000" bordercolordark="#000000" cellspacing="0">
<tr>
<td width="100%" align="center"><blockquote>
<div align="left"><p><small><font face="Verdana"><input type="checkbox" name="Sugestao" value="ON"><strong>Sugestão</strong><br>
<input type="checkbox" name="Reclamacao" value="ON"><strong>Reclamação</strong></font></small></p>
</div>
</blockquote>
<div align="center"><center><p><strong><small><font face="Verdana">Assunto:</font></small></strong></p>
</center></div><div align="center"><center><p><small><font face="Verdana"><textarea rows="4" name="Assunto" cols="57"></textarea><br>
</font></small></p>
</center></div><div align="left"><p><strong><small><font face="Verdana">Se o entender e
quiser obter resposta deixe-nos o:</font></small></strong></p>
</div><table border="0" width="100%" cellspacing="0" cellpadding="0">
<tr>
<td width="8%"><blockquote>
<p><small><font face="Verdana">Nome </font></small></p>
</blockquote>
</td>
<td width="92%"><small><font face="Verdana"><input type="text" name="Nome" size="46"></font></small></td>
</tr>
<tr>
<td width="8%"><blockquote>
<p><small><font face="Verdana">Morada </font></small></p>
</blockquote>
</td>
<td width="92%"><small><font face="Verdana"><input type="text" name="Morada" size="46"> </font></small></td>
</tr>
<tr>
<td width="8%"><blockquote>
<small><font face="Verdana"><p>Tel.</p>
</font></small>
</blockquote>
</td>
<td width="92%"><small><font face="Verdana"><input type="text" name="Telefone" size="9">
Fax: <input type="text" name="Fax" size="9"></font></small></td>
</tr>
</table>
<div align="left"><p><strong><small><font face="Verdana">Caso pretenda uma resposta por
e-mail:</font></small></strong></p>
</div><blockquote>
<div align="left"><p><small><font face="Verdana">Email <input type="text" name="e_mail" size="46"></font></small></p>
</div>
</blockquote>
<div align="center"><center><p><font face="Verdana"><small><input type="submit" value="Enviar"><input type="reset" value="Limpar" name="B2"></small></font></td>
</tr>
</table>
</center></div>
</form>
</body>
</html>