    <div class="form-message">Por favor, preencha os campos destacados abaixo.</div>
    <input name="FNAME" id="nome" class="form__input wow fadeInUp" data-wow-delay="0.2" type="text" placeholder="Nome Completo" required data-parsley-errors-messages-disabled>
    <input name="EMAIL" id="email" class="form__input wow fadeInUp" data-wow-delay="0.4" type="email" placeholder="E-mail" required data-parsley-errors-messages-disabled>
    <div class="row">
        <div class="form__select col-2 wow fadeInUp" data-wow-delay="0.6">
            <select name="estado" id="estado">
                <option value="">UF</option>
            </select>
        </div>
        <div class="form__select col-3 wow fadeInUp" data-wow-delay="0.8">
            <select name="cidade" id="cidade">
                <option value="">Cidade</option>
            </select>
        </div>
    </div>
    <input class="form__submit wow fadeInUp" data-wow-delay="1" type="submit" value="assinar a newsletter">
