<option value="DF">DF</option><option value="ES">ES</option><option value="GO">GO</option>
<option value="MA">MA</option><option value="MG">MG</option><option value="MS">MS</option>
<option value="MT">MT</option><option value="PA">PA</option><option value="PB">PB</option>
<option value="PE">PE</option><option value="PI">PI</option><option value="PR">PR</option>
<option value="RJ">RJ</option><option value="RN">RN</option><option value="RO">RO</option>
<option value="RR">RR</option><option value="RS">RS</option><option value="SC">SC</option>
<option value="SE">SE</option><option value="SP">SP</option><option value="TO">TO</option>
</select>
</div>
</div>
<div class="form-group">
<label for="pais" class="col-sm-2 control-label no-padding-right"><strong>País:</strong></label>
<div class="col-sm-9">
<input type="text" id="pais" class="col-xs-10 col-sm-5" name="pais" value="<?php
echo $conta->getPais();
?>
" />
</div>
</div>
<div class="form-group">
<label for="pontoReferencia" class="col-sm-2 control-label no-padding-right"><strong>Referência:</strong></label>
<div class="col-sm-9">
<input type="text" id="pontoReferencia" class="col-xs-10 col-sm-5" name="pontoReferencia" value="<?php
echo $conta->getPontoReferencia();
?>
" maxlength="100" />
</div>
</div>
</fieldset>
