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                <div class="wrapper">

  <form accept-charset="UTF-8" method="post" action="#" class="form" id="pardot-form">

    <p>Lorem Ipsum ...</p>
          <p class="form-field  first_name pd-text required    ">

              <label class="field-label" for="428972_392661pi_428972_392661">Name</label>

            <input type="text" name="428972_392661pi_428972_392661" id="428972_392661pi_428972_392661" value="" class="text" size="30" maxlength="40" onchange="" placeholder="Nome*"></p>
          <div id="error_for_428972_392661pi_428972_392661" style="display:none"></div>

          <p class="form-field  email pd-text required    ">

              <label class="field-label" for="428972_392663pi_428972_392663">Email</label>

            <input type="text" name="428972_392663pi_428972_392663" id="428972_392663pi_428972_392663" value="" class="text" size="30" maxlength="255" onchange="piAjax.auditEmailField(this, 428972, 392663, 132743708);" placeholder="Email*"></p>
          <div id="error_for_428972_392663pi_428972_392663" style="display:none"></div>

          <p class="form-field  phone pd-text required    ">

              <label class="field-label" for="428972_392665pi_428972_392665">Phone</label>

            <input type="text" name="428972_392665pi_428972_392665" id="428972_392665pi_428972_392665" value="" class="text" size="30" maxlength="40" onchange="" placeholder="Telefone*"></p>
          <div id="error_for_428972_392665pi_428972_392665" style="display:none"></div>

          <p class="form-field  company pd-text required    ">

              <label class="field-label" for="428972_392667pi_428972_392667">Company</label>

            <input type="text" name="428972_392667pi_428972_392667" id="428972_392667pi_428972_392667" value="" class="text" size="30" maxlength="255" onchange="" placeholder="Empresa*"></p>
          <div id="error_for_428972_392667pi_428972_392667" style="display:none"></div>

          <p class="form-field  tamanho_da_empresa pd-select required    ">

              <label class="field-label" for="428972_393744pi_428972_393744">Company size</label>

            <select name="428972_393744pi_428972_393744" id="428972_393744pi_428972_393744" class="select" onchange="" placeholder="Tamanho da empresa*"><option value="" selected=""></option><option value="4500378">Micro</option><option value="4500380">Small</option><option value="4500382">Medium</option><option value="4500384">Large</option></select></p>
          <div id="error_for_428972_393744pi_428972_393744" style="display:none"></div>

      <p style="position:absolute; width:190px; left:-9999px; top: -9999px;visibility:hidden;">
        <label for="pi_extra_field">Comments</label>
        <input type="text" name="pi_extra_field" id="pi_extra_field" placeholder="Comments"></p>

        <!-- forces IE5-8 to correctly submit UTF8 content  -->
        <input name="_utf8" type="hidden" value="☃"><p class="submit">
          <input type="submit" accesskey="s" class="enviar w-button" value="Quero receber"></p>

    <input type="hidden" name="hiddenDependentFields" id="hiddenDependentFields" value="">


                .form p label {display:none}
.form input:focus{
  outline: none !important;
    border:1px solid #D32E28;
.form select:focus{
  outline: none !important;
    border:1px solid #D32E28;
.wrapper{width:50%;margin:0 auto;padding:0}
.text, .select {
    display: block;
    width: 100%;
    height: 38px;
    padding: 8px 12px;
    margin-bottom: 10px;
    font-size: 14px;
    line-height: 1.42857143;
    color: #333333;
    vertical-align: middle;
    background-color: #ffffff;
    border: 1px solid #cccccc;
    padding-left: 25px;
    border-radius: 100px;

  color: white;
  border: 0;
  line-height: inherit;
  text-decoration: none;
  cursor: pointer;
  display: inline-block;
  border-radius: 100px;
  background-color: #f62617;
  font-size: 14px;
  font-weight: 700;
  padding: 2% 25%;
  text-align: center;
  width: 100%;


                var labels = document.querySelectorAll("label");
var i = labels.length;
while (i--) {
	var label = labels.item(i);
	var text = label.textContent;
	label.parentNode.classList.contains("required") && (text += "*");
	label.nextElementSibling.setAttribute("placeholder", text);

var selected = document.getElementsByClassName("select")[0];
selected[0].innerHTML = selected.attributes.placeholder.nodeValue;
selected[0].value = "";