<?xml version="1.0" encoding="UTF-8"?>

<form url="qslprint.php"
 window="_self"
 method="POST"
 fontname="MS Sans Serif"
 width="450"
 height="474"
 bkcolor="0xFFFFFF"
 transparent="t"
 fontcolor="0x000000"
 themecolor="0xFFFF99"
 fontcolor2="#000000"
 bkcolor2="#FFFFFF"
 includeresults="false"
 emailuser="true"
 verifymessage="The E-Mail address you entered does not match !"
 reqmessage="One or More Fields are Required"
 transition="0"
 autoresponseincluderesults="f"
 autoresponseaddtotop="f"
 usephp="true"
 disableclicktoactiveprompt="true"
 extensions="*.txt;*.gif;*.jpg;*.jpeg;*.zip;*.doc;*.png;*.pdf;*.rtf"
>

<hidden
 name="subject"
 value="Contacto para impressão QSL&apos;s"
></hidden>

<textinput
 name="My Input Box 1"
 x="12"
 y="64"
 w="175"
 h="22"
 initvalue=""
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
 editable="true"
>
</textinput>

<textinput
 name="My Input Box 2"
 x="12"
 y="118"
 w="175"
 h="22"
 initvalue=""
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
 emailbox="true"
 editable="true"
  restrict="email"
>
</textinput>

<textinput
 name="My Input Box 3"
 x="12"
 y="169"
 w="175"
 h="22"
 initvalue=""
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
 editable="true"
>
</textinput>

<textarea
 name="My Text Area 1"
 x="8"
 y="344"
 w="314"
 h="91"
 initvalue=""
 wordwrap="true"
 editable="true"
 bkcolor="0xFFFFFF"
  fontsize="12"
  fontname="Arial"
  fontcolor="0x000000"
></textarea>

<submitbutton
 name="Submit Button"
 x="84"
 y="440"
 w="185"
 h="20"
 label="Enviar mensagem"
 fontname="Georgia"
 fontcolor="0x000000"
  fontsize="12"
></submitbutton>

<label
 name="My Text 1"
 x="12"
 y="320"
 w="87"
 h="16"
 text="Mensagem:"
 fontbold="bold"
  fontname="Georgia"
  fontcolor="0x993300"
  fontsize="13"
></label>

<label
 name="My Text 2"
 x="12"
 y="150"
 w="69"
 h="16"
 text="Assunto:"
 fontbold="bold"
  fontname="Georgia"
  fontcolor="0x800000"
  fontsize="13"
></label>

<label
 name="My Text 3"
 x="12"
 y="98"
 w="148"
 h="16"
 text="Endereço de E-Mail:"
 fontbold="bold"
  fontname="Georgia"
  fontcolor="0x800000"
  fontsize="13"
></label>

<label
 name="My Text 4"
 x="12"
 y="42"
 w="52"
 h="16"
 text="Nome:"
 fontbold="bold"
  fontname="Georgia"
  fontcolor="0x800000"
  fontsize="13"
></label>

<label
 name="My Text 5"
 x="68"
 y="8"
 w="243"
 h="23"
 text="Dúvidas ou comentários"
 fontbold="bold"
  fontname="Georgia"
  fontcolor="0x633232"
  fontsize="19"
></label>

<captcha
 name="My Captcha 1"
 x="12"
 y="208"
 w="133"
 h="100"
 text="Enter Key Here:"
 fnt="Arial"
 fntclr="0x000000"
 fntsize="11"
 bkbdrcolor="0x000000"
 bkfillclr="0xFFFFFF"
 bkdobdr="t"
 bkbdrsolid="t"
 bkdobk="t"
 bkfillalpha="100"
 message="Incorrect key!"
></captcha>

</form>