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Date:          Sat, 27 Apr 2024 07:59:31 GMT

<h6 class="subtitle-modal">Envie-nos qualquer desacordo ou sugestão com o nosso site</h6>
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<form name="feed_back" method="post" action="/feedback/new">
<div class="row" style="margin-bottom: 7px">
    <div class="col-sm-12">
        <label for="feed_back_message">Mensagem <samp>*</samp></label>
        <textarea id="feed_back_message" name="feed_back[message]" required="required" placeholder="Mensagem" class="form-control"></textarea>
        
    </div>
</div>
<div class="row">
    <div class="col-sm-12">
        <span class="star-cb-group">
            <input type="radio" id="feed_back_rating_5" name="feed_back[rating]" value="5"/><label
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            <input type="radio" id="feed_back_rating_4" name="feed_back[rating]" value="4"/><label
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<div id="feedback_captcha"></div>
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<div class="row mb-3">
    <div class="col-sm-12">        
        <button class="btn btn-custom" style="margin-bottom: 0 !important;">Enviar</button>
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</div>
<form name="_token" method="post"><input type="hidden" id="feed_back__token" name="feed_back[_token]" value="tteWDSyfWKHKi4I4CwaI1HSbYzcyw4yvP0rvuf_8IBU" /></form>
<div style="display:none"><fieldset class="form-group"><legend class="col-form-label required">Rating</legend><div id="feed_back_rating"><div class="form-check">        <input type="radio" id="feed_back_rating_0" name="feed_back[rating]" required="required" class="form-check-input" value="1" />
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        <label class="form-check-label required" for="feed_back_rating_2">3</label></div><div class="form-check">        <input type="radio" id="feed_back_rating_3" name="feed_back[rating]" required="required" class="form-check-input" value="4" />
        <label class="form-check-label required" for="feed_back_rating_3">4</label></div><div class="form-check">        <input type="radio" id="feed_back_rating_4" name="feed_back[rating]" required="required" class="form-check-input" value="5" />
        <label class="form-check-label required" for="feed_back_rating_4">5</label></div></div></fieldset></div>
</form>
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