1 pause quarentena

form.html

<style type="text/css" scoped>
    .mauticform_wrapper { max-width: 600px; margin: 10px auto; }
    .mauticform-innerform {}
    .mauticform-post-success {}
    .mauticform-name { font-weight: bold; font-size: 1.5em; margin-bottom: 3px; }
    .mauticform-description { margin-top: 2px; margin-bottom: 10px; }
    .mauticform-error { margin-bottom: 10px; color: red; }
    .mauticform-message { margin-bottom: 10px;color: green; }
    .mauticform-row { display: block; margin-bottom: 20px; }
    .mauticform-label { font-size: 1.1em; display: block; font-weight: bold; margin-bottom: 5px; }
    .mauticform-row.mauticform-required .mauticform-label:after { color: #e32; content: " *"; display: inline; }
    .mauticform-helpmessage { display: block; font-size: 0.9em; margin-bottom: 3px; }
    .mauticform-errormsg { display: block; color: red; margin-top: 2px; }
    .mauticform-selectbox, .mauticform-input, .mauticform-textarea { width: 100%; padding: 0.5em 0.5em; border: 1px solid #CCC; background: #fff; box-shadow: 0px 0px 0px #fff inset; border-radius: 4px; box-sizing: border-box; }
    .mauticform-checkboxgrp-row {}
    .mauticform-checkboxgrp-label { font-weight: normal; }
    .mauticform-checkboxgrp-checkbox {}
    .mauticform-radiogrp-row {}
    .mauticform-radiogrp-label { font-weight: normal; }
    .mauticform-radiogrp-radio {}
    .mauticform-button-wrapper .mauticform-button.btn-default, .mauticform-pagebreak-wrapper .mauticform-pagebreak.btn-default { color: #5d6c7c;background-color: #ffffff;border-color: #dddddd;}
    .mauticform-button-wrapper .mauticform-button, .mauticform-pagebreak-wrapper .mauticform-pagebreak { display: inline-block;margin-bottom: 0;font-weight: 600;text-align: center;vertical-align: middle;cursor: pointer;background-image: none;border: 1px solid transparent;white-space: nowrap;padding: 6px 12px;font-size: 13px;line-height: 1.3856;border-radius: 3px;-webkit-user-select: none;-moz-user-select: none;-ms-user-select: none;user-select: none;}
    .mauticform-button-wrapper .mauticform-button.btn-default[disabled], .mauticform-pagebreak-wrapper .mauticform-pagebreak.btn-default[disabled] { background-color: #ffffff; border-color: #dddddd; opacity: 0.75; cursor: not-allowed; }
    .mauticform-pagebreak-wrapper .mauticform-button-wrapper {  display: inline; }
</style>
<div id="mauticform_wrapper_1pausequarentena" class="mauticform_wrapper">
    <form autocomplete="false" role="form" method="post" action="https://mautic.iurisilv.io/form/submit?formId=27" id="mauticform_1pausequarentena" data-mautic-form="1pausequarentena" enctype="multipart/form-data">
        <div class="mauticform-error" id="mauticform_1pausequarentena_error"></div>
        <div class="mauticform-message" id="mauticform_1pausequarentena_message"></div>
        <div class="mauticform-innerform">

            
          <div class="mauticform-page-wrapper mauticform-page-1" data-mautic-form-page="1">

            <div id="mauticform_1pausequarentena_email" data-validate="email" data-validation-type="email" class="mauticform-row mauticform-email mauticform-field-1 mauticform-required">
                <input id="mauticform_input_1pausequarentena_email" name="mauticform[email]" value="" placeholder="Seu email" class="mauticform-input" type="email">
                <span class="mauticform-errormsg" style="display: none;">Isso é obrigatório.</span>
            </div>

            <div id="mauticform_1pausequarentena_primeiro_nome" data-validate="primeiro_nome" data-validation-type="text" class="mauticform-row mauticform-text mauticform-field-2 mauticform-required">
                <input id="mauticform_input_1pausequarentena_primeiro_nome" name="mauticform[primeiro_nome]" value="" placeholder="Primeiro nome" class="mauticform-input" type="text">
                <span class="mauticform-errormsg" style="display: none;">Isso é obrigatório.</span>
            </div>

            <div id="mauticform_1pausequarentena_receber_material" class="mauticform-row mauticform-button-wrapper mauticform-field-3">
                <button type="submit" name="mauticform[receber_material]" id="mauticform_input_1pausequarentena_receber_material" value="" class="mauticform-button btn btn-default">Receber material</button>
            </div>
            </div>
        </div>

        <input type="hidden" name="mauticform[formId]" id="mauticform_1pausequarentena_id" value="27">
        <input type="hidden" name="mauticform[return]" id="mauticform_1pausequarentena_return" value="">
        <input type="hidden" name="mauticform[formName]" id="mauticform_1pausequarentena_name" value="1pausequarentena">

        </form>
</div>