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PARA MAIS INFORMAÇÕES:<br><br>

<form action="http://freeautobot.com/cgi-bin/autores/autores.cgi">
<input type=hidden name="do" value="add_lead_external">
<input type=hidden name="Username" value="NOME">
<input type=hidden name="Stop_Status" value="Active">
<input type=hidden name="Cycle_Number" value="0">
<input type=hidden name="Success_URL" value="http://concursofacil.no.comunidades.net/index.php?pagina=1046326926">
<input type=hidden name="Failure_URL" value="http://freeautobot.com/Failure.html">
<input type=hidden name="Notes" value="Added from opt-in form">
NOME: <input type=text name="Name" value=""><br>
Email : <input type=text name="Email" value=""><br>
<input type=submit value="ENVIAR">
</form>

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