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1 forms found in the DOM

POST /v/dYSJddhGKH4/form

<form class="simple_form dialog-form access_definition__captures" id="new_access_definition_form_capture" action="/v/dYSJddhGKH4/form" accept-charset="UTF-8" data-remote="true" method="post">
  <input type="hidden" name="authenticity_token" value="N7smyKLoxQG51vkvsfLn9l1EgkniNFCYiKRzjrN9P5Xn7PNoTKB6DSGINqFbS/xcvZWWNnaZeR2jNRh/GvDKdQ==">
  <div class="nsm-form">
    <div class="form-group string required"><label class="font-weight-bold" for="access_definition_form_capture_form_email_value">E-mail</label><input type="email" name="access_definition_form_capture[form][email][value]"
        id="access_definition_form_capture_form_email_value" placeholder="E-mail" required="required" class="email string form-control"></div>
    <div class="form-group string required"><label class="font-weight-bold" for="access_definition_form_capture_form_name_value">Nome Completo</label><input type="text" name="access_definition_form_capture[form][name][value]"
        id="access_definition_form_capture_form_name_value" placeholder="Nome Completo" required="required" class="string form-control"></div>
    <div class="form-group string required"><label class="font-weight-bold" for="access_definition_form_capture_form_1_value">Empresa</label><input type="text" name="access_definition_form_capture[form][1][value]"
        id="access_definition_form_capture_form_1_value" placeholder="Empresa" required="required" class="string form-control"></div>
    <div class="form-group string required"><label class="font-weight-bold" for="access_definition_form_capture_form_2_value">Eu autorizo a coleta/utilização do meu nome e e-mail para envio semanal da agenda de eventos do inovabra habitat, junto com
        o compartilhamento aos organizadores.</label>
      <div><input type="radio" name="access_definition_form_capture[form][2][value]" id="access_definition_form_capture_form_2_value_yes" value="yes" style="margin-right: 5px;" checked="checked"><span style="margin-right: 15px;">Sim</span><input
          type="radio" name="access_definition_form_capture[form][2][value]" id="access_definition_form_capture_form_2_value_no" value="no" style="margin-right: 5px;"><span>Não</span></div>
    </div>
  </div>
  <span class="flash-message login__errors js-password-error" style="display: none;"></span>
  <input type="submit" name="commit" value="Assistir" class="btn access_definition__btn access_definition__nsm-btn nsm-btn nsm-btn--blue btn-sm nsm-ui-customization-background-color" data-disable-with="Assistir">
</form>

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CONHECIMENTO GENÉTICA HUMANA NO COMBATE CIBERNÉTICO

inovabra habitat
E-mail
Nome Completo
Empresa
Eu autorizo a coleta/utilização do meu nome e e-mail para envio semanal da
agenda de eventos do inovabra habitat, junto com o compartilhamento aos
organizadores.
SimNão
Português English
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