document.write('<div style="border: 1px solid #ccc; background: #fff; width: 300px; min-height: 250px">');
document.write('<div style="padding: 10px; font-family: arial; font-size: 15px; color: #000; background: #eee">Quanto dinheiro vc mantém na sua conta corrente?</div>');
document.write('<div style="padding: 10px; font-family: arial; font-size: 14px; color: #000">');
document.write('<form action="http://www.websitegoodies.com/vote.php" method="post">');
document.write('<input type="hidden" name="id" value="115135">');
        document.write('<div style="vertical-align: middle; padding: 3px 0"><label style="font-weight: normal"><input type="radio" name="vote" value="926823" /> &nbsp; R$ 10.000</label></div>');
        document.write('<div style="vertical-align: middle; padding: 3px 0"><label style="font-weight: normal"><input type="radio" name="vote" value="926824" /> &nbsp; R$ 5.000</label></div>');
        document.write('<div style="vertical-align: middle; padding: 3px 0"><label style="font-weight: normal"><input type="radio" name="vote" value="926825" /> &nbsp; Gastos do mês</label></div>');
        document.write('<div style="vertical-align: middle; padding: 3px 0"><label style="font-weight: normal"><input type="radio" name="vote" value="926826" /> &nbsp; Gastos de 2 meses</label></div>');
        document.write('<div style="vertical-align: middle; padding: 3px 0"><label style="font-weight: normal"><input type="radio" name="vote" value="926827" /> &nbsp; Gastos de 3 meses</label></div>');
        document.write('<div style="vertical-align: middle; padding: 3px 0"><label style="font-weight: normal"><input type="radio" name="vote" value="926828" /> &nbsp; Gastos de 6 meses</label></div>');
        document.write('<div style="vertical-align: middle; padding: 3px 0"><label style="font-weight: normal"><input type="radio" name="vote" value="926829" /> &nbsp; Zero</label></div>');
        document.write('<div style="vertical-align: middle; padding: 3px 0"><label style="font-weight: normal"><input type="radio" name="vote" value="926830" /> &nbsp; Outro (comente)</label></div>');
document.write('<div align="center" style="margin-top: 10px">');
document.write('<input type="submit" value="Submit My Vote"><br /><br />');
document.write('<a href="http://www.websitegoodies.com/pollresults.php?id=115135" target="_blank">View Results</a>');
document.write('</div>');
document.write('</form>');
document.write('</div>');
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