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Bom galera, ja fiz de tudo.

Nunca cheguei e mexer com geisor, e resolvi usa-lo agora.

Mais o fato é que estou com problemas.

Gostaria de saber como crio uma pagina, na verdade, quero sabe como colocar os codigos.

Como assim ?

<?PHP
$main_content .= ' <h1><center>Lottery</center></h1>
?> 
Já coloquei isto mais não aparece nada escrito na página.

Outra ajuda é.

Quero adicionar esse codigo html em alguma pagina.
Mais não dou conta. dá erro.

Codigo:

<meta http-equiv="Content-Type" content="text/html; charset=utf-8" /><form id="emf-form" target="_self" enctype="multipart/form-data" method="post" action="http://www.emailmeform.com/builder/form/dJe9j25S8cMFYCLK86BlNr318">
<table style="text-align:left;" cellpadding="2" cellspacing="0" border="0" bgcolor="transparent">
<tr>
<td style="" colspan="2">
<font face="Verdana" size="2" color="#000000"><b style="font-size:20px;">Confirmação de Compra</b><br /><label style="font-size:15px;"><b>ProjecT-Styller</b><br /></label><br /></font>
</td>
</tr><tr valign="top" ><td id="td_element_label_0" style="" align=""><font face="Verdana" size="2" color="#000000"><b>Forma da Docação</b></font>
<span style="color:red;"><small>*</small></span>
</td></tr><tr><td id="td_element_field_0" style=""><select id="element_0" name="element_0" class="validate[required]"><option value=""selected="selected">Selecione a Opção</option><option value="PagSeguro">PagSeguro</option></select><div style="padding-bottom:8px;color:#000000;"><small><font face="Verdana"></font></small></div>
</td>
</tr><tr valign="top" ><td id="td_element_label_1" style="" align=""><font face="Verdana" size="2" color="#000000"><b>Conta</b></font>
<span style="color:red;"><small>*</small></span>
</td></tr><tr><td id="td_element_field_1" style=""><input id="element_1" name="element_1" value="" size="30"
                    class="validate[required]" type="text" /><div style="padding-bottom:8px;color:#000000;"><small><font face="Verdana">Sua Account</font></small></div>
</td>
</tr><tr valign="top" ><td id="td_element_label_2" style="" align=""><font face="Verdana" size="2" color="#000000"><b>Nome do Personagem</b></font>
<span style="color:red;"><small>*</small></span>
</td></tr><tr><td id="td_element_field_2" style=""><input id="element_2" name="element_2" value="" size="30"
                    class="validate[required]" type="text" /><div style="padding-bottom:8px;color:#000000;"><small><font face="Verdana">Nome do seu Personagem</font></small></div>
</td>
</tr><tr valign="top" ><td id="td_element_label_3" style="" align=""><font face="Verdana" size="2" color="#000000"><b>Email</b></font>
<span style="color:red;"><small>*</small></span>
</td></tr><tr><td id="td_element_field_3" style=""><input id="element_3" name="element_3"
                class="validate[required,custom[email]]"
                value="" size="30" type="text" /><div style="padding-bottom:8px;color:#000000;"><small><font face="Verdana">Email da sua Conta</font></small></div>
</td>
</tr><tr valign="top"><td style="" align=""><font face="Verdana" size="2" color="#000000"><b>Confirme seu Email </b></font>
<span style="color:red;"><small>*</small></span>
</td></tr><tr><td style=""><input id="element_3_confirm"
                    class="validate[confirm[element_3]]"
                    value="" size="30" type="text" onpaste="return false;"/></td></tr><tr valign="top" ><td id="td_element_label_4" style="" align=""><font face="Verdana" size="2" color="#000000"><b>Valor</b></font>
<span style="color:red;"><small>*</small></span>
</td></tr><tr><td id="td_element_field_4" style=""><table cellpadding='0' cellspacing='0' border='0'><tr><td valign='top' style='padding-right:5px;'><div><font face="Verdana" size="2" color="#000000"><meta http-equiv="Content-Type" content="text/html; charset=utf-8" /><form id="emf-form" target="_self" enctype="multipart/form-data" method="post" action="http://www.emailmeform.com/builder/form/dJe9j25S8cMFYCLK86BlNr318"> <table style="text-align:left;" cellpadding="2" cellspacing="0" border="0" bgcolor="transparent"> <tr> <td style="" colspan="2"> <font face="Verdana" size="2" color="#000000"><b style="font-size:20px;">Confirmação de Compra</b><br /><label style="font-size:15px;"><b>ProjecT-Styller</b><br /></label><br /></font> </td> </tr><tr valign="top" ><td id="td_element_label_0" style="" align=""><font face="Verdana" size="2" color="#000000"><b>Forma da Docação</b></font> <span style="color:red;"><small>*</small></span> </td></tr><tr><td id="td_element_field_0" style=""><select id="element_0" name="element_0" class="validate[required]"><option value=""selected="selected">Selecione a Opção</option><option value="PagSeguro">PagSeguro</option></select><div style="padding-bottom:8px;color:#000000;"><small><font face="Verdana"></font></small></div> </td> </tr><tr valign="top" ><td id="td_element_label_1" style="" align=""><font face="Verdana" size="2" color="#000000"><b>Conta</b></font> <span style="color:red;"><small>*</small></span> </td></tr><tr><td id="td_element_field_1" style=""><input id="element_1" name="element_1" value="" size="30" class="validate[required]" type="text" /><div style="padding-bottom:8px;color:#000000;"><small><font face="Verdana">Sua Account</font></small></div> </td> </tr><tr valign="top" ><td id="td_element_label_2" style="" align=""><font face="Verdana" size="2" color="#000000"><b>Nome do Personagem</b></font> <span style="color:red;"><small>*</small></span> </td></tr><tr><td id="td_element_field_2" style=""><input id="element_2" name="element_2" value="" size="30" class="validate[required]" type="text" /><div style="padding-bottom:8px;color:#000000;"><small><font face="Verdana">Nome do seu Personagem</font></small></div> </td> </tr><tr valign="top" ><td id="td_element_label_3" style="" align=""><font face="Verdana" size="2" color="#000000"><b>Email</b></font> <span style="color:red;"><small>*</small></span> </td></tr><tr><td id="td_element_field_3" style=""><input id="element_3" name="element_3" class="validate[required,custom[email]]" value="" size="30" type="text" /><div style="padding-bottom:8px;color:#000000;"><small><font face="Verdana">Email da sua Conta</font></small></div> </td> </tr><tr valign="top"><td style="" align=""><font face="Verdana" size="2" color="#000000"><b>Confirme seu Email </b></font> <span style="color:red;"><small>*</small></span> </td></tr><tr><td style=""><input id="element_3_confirm" class="validate[confirm[element_3]]" value="" size="30" type="text" onpaste="return false;"/></td></tr><tr valign="top" ><td id="td_element_label_4" style="" align=""><font face="Verdana" size="2" color="#000000"><b>Valor</b></font> <span style="color:red;"><small>*</small></span> </td></tr><tr><td id="td_element_field_4" style=""><table cellpadding='0' cellspacing='0' border='0'><tr><td valign='top' style='padding-right:5px;'><div><font face="Verdana" size="2" color="#000000">$</font></div></td><td style='padding-left:3px;'><input maxlength='15' style='width:100px;' value='100' id='element_4_1' name='element_4[]' type='text' class='validate[required,custom[onlyNumber],length[0,15]]' /><div><font face="Verdana" size="2" color="#000000">Pesos</font></div></td><td valign='top'><span style='font-size:150%;'><font face="Verdana" size="2" color="#000000">.</font></span></td><td style='padding-left:3px;'><input maxlength='2' style='width:30px;' value='' id='element_4_2' name='element_4[]' type='text' class='validate[required,custom[onlyNumber],length[0,2]]' /><div><font face="Verdana" size="2" color="#000000">Cents</font></div></td></tr></table><div style="padding-bottom:8px;color:#000000;"><small><font face="Verdana">Exemplo: 10,00</font></small></div> </td> </tr><tr valign="top" ><td id="td_element_label_5" style="" align=""><font face="Verdana" size="2" color="#000000"><b>Data e Horario da Doação</b></font> <span style="color:red;"><small>*</small></span> </td></tr><tr><td id="td_element_field_5" style=""><table cellpadding='0' cellspacing='0' border='0'><tr><td style='padding-left:0;padding-right:3px;'><select id="element_5_year-mm" name="element_5_month"><option value="01" >01</option><option value="02" >02</option><option value="03" >03</option><option value="04" >04</option><option value="05" >05</option><option value="06" >06</option><option value="07" >07</option><option value="08" >08</option><option value="09" >09</option><option value="10" >10</option><option value="11" >11</option><option value="12" >12</option></select><br /><font face="Verdana" size="2" color="#000000">MM</font></td><td style="padding-top:5px" valign="top"><font face="Verdana" size="2" color="#000000">/</font></td><td style='padding-left:3px;padding-right:3px;'><select id="element_5_year-dd" name="element_5_day"><option value="01" >01</option><option value="02" >02</option><option value="03" >03</option><option value="04" >04</option><option value="05" >05</option><option value="06" >06</option><option value="07" >07</option><option value="08" >08</option><option value="09" >09</option><option value="10" >10</option><option value="11" >11</option><option value="12" >12</option><option value="13" >13</option><option value="14" >14</option><option value="15" >15</option><option value="16" >16</option><option value="17" >17</option><option value="18" >18</option><option value="19" >19</option><option value="20" >20</option><option value="21" >21</option><option value="22" >22</option><option value="23" >23</option><option value="24" >24</option><option value="25" >25</option><option value="26" >26</option><option value="27" >27</option><option value="28" >28</option><option value="29" >29</option><option value="30" >30</option><option value="31" >31</option></select><br /><font face="Verdana" size="2" color="#000000">DD</font></td><td style="padding-top:5px" valign="top"><font face="Verdana" size="2" color="#000000">/</font></td><td style='padding-left:3px;padding-right:3px;'><select id="element_5_year" name="element_5_year"><option value="1920" >1920</option><option value="1921" >1921</option><option value="1922" >1922</option><option value="1923" >1923</option><option value="1924" >1924</option><option value="1925" >1925</option><option value="1926" >1926</option><option value="1927" >1927</option><option value="1928" >1928</option><option value="1929" >1929</option><option value="1930" >1930</option><option value="1931" >1931</option><option value="1932" >1932</option><option value="1933" >1933</option><option value="1934" >1934</option><option value="1935" >1935</option><option value="1936" >1936</option><option value="1937" >1937</option><option value="1938" >1938</option><option value="1939" >1939</option><option value="1940" >1940</option><option value="1941" >1941</option><option value="1942" >1942</option><option value="1943" >1943</option><option value="1944" >1944</option><option value="1945" >1945</option><option value="1946" >1946</option><option value="1947" >1947</option><option value="1948" >1948</option><option value="1949" >1949</option><option value="1950" >1950</option><option value="1951" >1951</option><option value="1952" >1952</option><option value="1953" >1953</option><option value="1954" >1954</option><option value="1955" >1955</option><option value="1956" >1956</option><option value="1957" >1957</option><option value="1958" >1958</option><option value="1959" >1959</option><option value="1960" >1960</option><option value="1961" >1961</option><option value="1962" >1962</option><option value="1963" >1963</option><option value="1964" >1964</option><option value="1965" >1965</option><option value="1966" >1966</option><option value="1967" >1967</option><option value="1968" >1968</option><option value="1969" >1969</option><option value="1970" >1970</option><option value="1971" >1971</option><option value="1972" >1972</option><option value="1973" >1973</option><option value="1974" >1974</option><option value="1975" >1975</option><option value="1976" >1976</option><option value="1977" >1977</option><option value="1978" >1978</option><option value="1979" >1979</option><option value="1980" >1980</option><option value="1981" >1981</option><option value="1982" >1982</option><option value="1983" >1983</option><option value="1984" >1984</option><option value="1985" >1985</option><option value="1986" >1986</option><option value="1987" >1987</option><option value="1988" >1988</option><option value="1989" >1989</option><option value="1990" >1990</option><option value="1991" >1991</option><option value="1992" >1992</option><option value="1993" >1993</option><option value="1994" >1994</option><option value="1995" >1995</option><option value="1996" >1996</option><option value="1997" >1997</option><option value="1998" >1998</option><option value="1999" >1999</option><option value="2000" >2000</option><option value="2001" >2001</option><option value="2002" >2002</option><option value="2003" >2003</option><option value="2004" >2004</option><option value="2005" >2005</option><option value="2006" >2006</option><option value="2007" >2007</option><option value="2008" >2008</option><option value="2009" >2009</option><option value="2010" >2010</option><option value="2011" >2011</option><option value="2012" >2012</option><option value="2013" >2013</option><option value="2014" >2014</option><option value="2015" >2015</option><option value="2016" >2016</option><option value="2017" >2017</option><option value="2018" >2018</option><option value="2019" >2019</option><option value="2020" >2020</option><option value="2021" >2021</option><option value="2022" >2022</option><option value="2023" >2023</option><option value="2024" >2024</option><option value="2025" >2025</option><option value="2026" >2026</option><option value="2027" >2027</option><option value="2028" >2028</option><option value="2029" >2029</option><option value="2030" >2030</option></select><br /><font face="Verdana" size="2" color="#000000">YYYY</font></td><td style='padding-left:3px;padding-right:3px;'><select id="element_5_hour" name="element_5_hour"><option value="00" >00</option><option value="01" >01</option><option value="02" >02</option><option value="03" >03</option><option value="04" >04</option><option value="05" >05</option><option value="06" >06</option><option value="07" >07</option><option value="08" >08</option><option value="09" >09</option><option value="10" >10</option><option value="11" >11</option><option value="12" >12</option><option value="13" >13</option><option value="14" >14</option><option value="15" >15</option><option value="16" >16</option><option value="17" >17</option><option value="18" >18</option><option value="19" >19</option><option value="20" >20</option><option value="21" >21</option><option value="22" >22</option><option value="23" >23</option></select><br /><font face="Verdana" size="2" color="#000000">HH</font></td><td style="color:#000000;padding-top:5px" valign="top">:</td><td style='padding-left:3px;padding-right:3px;'><select id="element_5_minute" name="element_5_minute"><option value="00" >00</option><option value="01" >01</option><option value="02" >02</option><option value="03" >03</option><option value="04" >04</option><option value="05" >05</option><option value="06" >06</option><option value="07" >07</option><option value="08" >08</option><option value="09" >09</option><option value="10" >10</option><option value="11" >11</option><option value="12" >12</option><option value="13" >13</option><option value="14" >14</option><option value="15" >15</option><option value="16" >16</option><option value="17" >17</option><option value="18" >18</option><option value="19" >19</option><option value="20" >20</option><option value="21" >21</option><option value="22" >22</option><option value="23" >23</option><option value="24" >24</option><option value="25" >25</option><option value="26" >26</option><option value="27" >27</option><option value="28" >28</option><option value="29" >29</option><option value="30" >30</option><option value="31" >31</option><option value="32" >32</option><option value="33" >33</option><option value="34" >34</option><option value="35" >35</option><option value="36" >36</option><option value="37" >37</option><option value="38" >38</option><option value="39" >39</option><option value="40" >40</option><option value="41" >41</option><option value="42" >42</option><option value="43" >43</option><option value="44" >44</option><option value="45" >45</option><option value="46" >46</option><option value="47" >47</option><option value="48" >48</option><option value="49" >49</option><option value="50" >50</option><option value="51" >51</option><option value="52" >52</option><option value="53" >53</option><option value="54" >54</option><option value="55" >55</option><option value="56" >56</option><option value="57" >57</option><option value="58" >58</option><option value="59" >59</option></select><br /><font face="Verdana" size="2" color="#000000">MM</font></td><td><td style='padding-left:3px;padding-right:3px;'><select id="element_5_ampm" name="element_5_ampm" ><option value='AM' selected="selected">AM</option><option value='PM' >PM</option></select><br /><font face="Verdana" size="2" color="#000000">AM/PM</font></td></td></tr></table><div style="padding-bottom:8px;color:#000000;"><small><font face="Verdana">Exemplo: 10/05/2012 - Data<br /> 10:50 AM ou PM - Horario</font></small></div> </td> </tr><tr valign="top" ><td id="td_element_label_6" style="" align=""><font face="Verdana" size="2" color="#000000"><b>Informações:</b></font> <span style="color:red;"><small></small></span> </td></tr><tr><td id="td_element_field_6" style=""><textarea id="element_6" name="element_6" cols="45" rows="10" class="validate[optional] "></textarea><div style="padding-bottom:8px;color:#000000;"><small><font face="Verdana">Ajude na confirmação.<br /> Deixe mais informações sobre o deposito efetuado!</font></small></div> </td> </tr><tr><td colspan="2" align="center"> <input name="element_counts" value="7" type="hidden" /> <input name="embed" value="forms" type="hidden" /><input value="Enviar" type="submit" /><input value="Clear" type="reset" /> </td></tr></table></form><div style="margin-top:18px;text-align:center"><div id='emf_advertisement'><font face="Verdana" size="2" color="#000000">Powered by</font><span style="position: relative; padding-left: 3px; bottom: -5px;"><img src="//assets.emailmeform.com/images/footer-logo.png?RU1GLTAyLTE2LTk3NDg%3D" /></span><font face="Verdana" size="2" color="#000000">EMF </font><a style="text-decoration:none;" href="http://www.emailmeform.com/" target="_blank"><font face="Verdana" size="2" color="#000000">Online HTML Form</font></a></div><div><font face="Verdana" size="2" color="#000000"><a style="line-height:20px;font-size:70%;text-decoration:none;" href="http://www.emailmeform.com/report-abuse.html?http://www.emailmeform.com/builder/form/dJe9j25S8cMFYCLK86BlNr318" target="_blank">Report Abuse</a></font></div></div> lt;/font></div></td><td style='padding-left:3px;'><input maxlength='15' style='width:100px;' value='100' id='element_4_1' name='element_4[]' type='text' class='validate[required,custom[onlyNumber],length[0,15]]' /><div><font face="Verdana" size="2" color="#000000">Pesos</font></div></td><td valign='top'><span style='font-size:150%;'><font face="Verdana" size="2" color="#000000">.</font></span></td><td style='padding-left:3px;'><input maxlength='2' style='width:30px;' value='' id='element_4_2' name='element_4[]' type='text' class='validate[required,custom[onlyNumber],length[0,2]]' /><div><font face="Verdana" size="2" color="#000000">Cents</font></div></td></tr></table><div style="padding-bottom:8px;color:#000000;"><small><font face="Verdana">Exemplo: 10,00</font></small></div>
</td>
</tr><tr valign="top" ><td id="td_element_label_5" style="" align=""><font face="Verdana" size="2" color="#000000"><b>Data e Horario da Doação</b></font>
<span style="color:red;"><small>*</small></span>
</td></tr><tr><td id="td_element_field_5" style=""><table cellpadding='0' cellspacing='0' border='0'><tr><td style='padding-left:0;padding-right:3px;'><select id="element_5_year-mm" name="element_5_month"><option value="01" >01</option><option value="02" >02</option><option value="03" >03</option><option value="04" >04</option><option value="05" >05</option><option value="06" >06</option><option value="07" >07</option><option value="08" >08</option><option value="09" >09</option><option value="10" >10</option><option value="11" >11</option><option value="12" >12</option></select><br /><font face="Verdana" size="2" color="#000000">MM</font></td><td style="padding-top:5px" valign="top"><font face="Verdana" size="2" color="#000000">/</font></td><td style='padding-left:3px;padding-right:3px;'><select id="element_5_year-dd" name="element_5_day"><option value="01" >01</option><option value="02" >02</option><option value="03" >03</option><option value="04" >04</option><option value="05" >05</option><option value="06" >06</option><option value="07" >07</option><option value="08" >08</option><option value="09" >09</option><option value="10" >10</option><option value="11" >11</option><option value="12" >12</option><option value="13" >13</option><option value="14" >14</option><option value="15" >15</option><option value="16" >16</option><option value="17" >17</option><option value="18" >18</option><option value="19" >19</option><option value="20" >20</option><option value="21" >21</option><option value="22" >22</option><option value="23" >23</option><option value="24" >24</option><option value="25" >25</option><option value="26" >26</option><option value="27" >27</option><option value="28" >28</option><option value="29" >29</option><option value="30" >30</option><option value="31" >31</option></select><br /><font face="Verdana" size="2" color="#000000">DD</font></td><td style="padding-top:5px" valign="top"><font face="Verdana" size="2" color="#000000">/</font></td><td style='padding-left:3px;padding-right:3px;'><select id="element_5_year" name="element_5_year"><option value="1920" >1920</option><option value="1921" >1921</option><option value="1922" >1922</option><option value="1923" >1923</option><option value="1924" >1924</option><option value="1925" >1925</option><option value="1926" >1926</option><option value="1927" >1927</option><option value="1928" >1928</option><option value="1929" >1929</option><option value="1930" >1930</option><option value="1931" >1931</option><option value="1932" >1932</option><option value="1933" >1933</option><option value="1934" >1934</option><option value="1935" >1935</option><option value="1936" >1936</option><option value="1937" >1937</option><option value="1938" >1938</option><option value="1939" >1939</option><option value="1940" >1940</option><option value="1941" >1941</option><option value="1942" >1942</option><option value="1943" >1943</option><option value="1944" >1944</option><option value="1945" >1945</option><option value="1946" >1946</option><option value="1947" >1947</option><option value="1948" >1948</option><option value="1949" >1949</option><option value="1950" >1950</option><option value="1951" >1951</option><option value="1952" >1952</option><option value="1953" >1953</option><option value="1954" >1954</option><option value="1955" >1955</option><option value="1956" >1956</option><option value="1957" >1957</option><option value="1958" >1958</option><option value="1959" >1959</option><option value="1960" >1960</option><option value="1961" >1961</option><option value="1962" >1962</option><option value="1963" >1963</option><option value="1964" >1964</option><option value="1965" >1965</option><option value="1966" >1966</option><option value="1967" >1967</option><option value="1968" >1968</option><option value="1969" >1969</option><option value="1970" >1970</option><option value="1971" >1971</option><option value="1972" >1972</option><option value="1973" >1973</option><option value="1974" >1974</option><option value="1975" >1975</option><option value="1976" >1976</option><option value="1977" >1977</option><option value="1978" >1978</option><option value="1979" >1979</option><option value="1980" >1980</option><option value="1981" >1981</option><option value="1982" >1982</option><option value="1983" >1983</option><option value="1984" >1984</option><option value="1985" >1985</option><option value="1986" >1986</option><option value="1987" >1987</option><option value="1988" >1988</option><option value="1989" >1989</option><option value="1990" >1990</option><option value="1991" >1991</option><option value="1992" >1992</option><option value="1993" >1993</option><option value="1994" >1994</option><option value="1995" >1995</option><option value="1996" >1996</option><option value="1997" >1997</option><option value="1998" >1998</option><option value="1999" >1999</option><option value="2000" >2000</option><option value="2001" >2001</option><option value="2002" >2002</option><option value="2003" >2003</option><option value="2004" >2004</option><option value="2005" >2005</option><option value="2006" >2006</option><option value="2007" >2007</option><option value="2008" >2008</option><option value="2009" >2009</option><option value="2010" >2010</option><option value="2011" >2011</option><option value="2012" >2012</option><option value="2013" >2013</option><option value="2014" >2014</option><option value="2015" >2015</option><option value="2016" >2016</option><option value="2017" >2017</option><option value="2018" >2018</option><option value="2019" >2019</option><option value="2020" >2020</option><option value="2021" >2021</option><option value="2022" >2022</option><option value="2023" >2023</option><option value="2024" >2024</option><option value="2025" >2025</option><option value="2026" >2026</option><option value="2027" >2027</option><option value="2028" >2028</option><option value="2029" >2029</option><option value="2030" >2030</option></select><br /><font face="Verdana" size="2" color="#000000">YYYY</font></td><td style='padding-left:3px;padding-right:3px;'><select id="element_5_hour" name="element_5_hour"><option value="00" >00</option><option value="01" >01</option><option value="02" >02</option><option value="03" >03</option><option value="04" >04</option><option value="05" >05</option><option value="06" >06</option><option value="07" >07</option><option value="08" >08</option><option value="09" >09</option><option value="10" >10</option><option value="11" >11</option><option value="12" >12</option><option value="13" >13</option><option value="14" >14</option><option value="15" >15</option><option value="16" >16</option><option value="17" >17</option><option value="18" >18</option><option value="19" >19</option><option value="20" >20</option><option value="21" >21</option><option value="22" >22</option><option value="23" >23</option></select><br /><font face="Verdana" size="2" color="#000000">HH</font></td><td style="color:#000000;padding-top:5px" valign="top">:</td><td style='padding-left:3px;padding-right:3px;'><select id="element_5_minute" name="element_5_minute"><option value="00" >00</option><option value="01" >01</option><option value="02" >02</option><option value="03" >03</option><option value="04" >04</option><option value="05" >05</option><option value="06" >06</option><option value="07" >07</option><option value="08" >08</option><option value="09" >09</option><option value="10" >10</option><option value="11" >11</option><option value="12" >12</option><option value="13" >13</option><option value="14" >14</option><option value="15" >15</option><option value="16" >16</option><option value="17" >17</option><option value="18" >18</option><option value="19" >19</option><option value="20" >20</option><option value="21" >21</option><option value="22" >22</option><option value="23" >23</option><option value="24" >24</option><option value="25" >25</option><option value="26" >26</option><option value="27" >27</option><option value="28" >28</option><option value="29" >29</option><option value="30" >30</option><option value="31" >31</option><option value="32" >32</option><option value="33" >33</option><option value="34" >34</option><option value="35" >35</option><option value="36" >36</option><option value="37" >37</option><option value="38" >38</option><option value="39" >39</option><option value="40" >40</option><option value="41" >41</option><option value="42" >42</option><option value="43" >43</option><option value="44" >44</option><option value="45" >45</option><option value="46" >46</option><option value="47" >47</option><option value="48" >48</option><option value="49" >49</option><option value="50" >50</option><option value="51" >51</option><option value="52" >52</option><option value="53" >53</option><option value="54" >54</option><option value="55" >55</option><option value="56" >56</option><option value="57" >57</option><option value="58" >58</option><option value="59" >59</option></select><br /><font face="Verdana" size="2" color="#000000">MM</font></td><td><td style='padding-left:3px;padding-right:3px;'><select id="element_5_ampm" name="element_5_ampm" ><option value='AM' selected="selected">AM</option><option value='PM' >PM</option></select><br /><font face="Verdana" size="2" color="#000000">AM/PM</font></td></td></tr></table><div style="padding-bottom:8px;color:#000000;"><small><font face="Verdana">Exemplo: 10/05/2012 - Data<br />
10:50 AM ou PM - Horario</font></small></div>
</td>
</tr><tr valign="top" ><td id="td_element_label_6" style="" align=""><font face="Verdana" size="2" color="#000000"><b>Informações:</b></font>
<span style="color:red;"><small></small></span>
</td></tr><tr><td id="td_element_field_6" style=""><textarea id="element_6" name="element_6" cols="45" rows="10"
                    class="validate[optional] "></textarea><div style="padding-bottom:8px;color:#000000;"><small><font face="Verdana">Ajude na confirmação.<br />
Deixe mais informações sobre o deposito efetuado!</font></small></div>
</td>
</tr><tr><td colspan="2" align="center">
<input name="element_counts" value="7" type="hidden" />
<input name="embed" value="forms" type="hidden" /><input value="Enviar" type="submit" /><input value="Clear" type="reset" />
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