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<title>Tarsus Tasarım - Teklif Forumu</title>
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if ($aracmarka.value == "")
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alert("Lütfen Ad ve Soyad bölümünü doldurun !")
document.form.aracmarka.select();
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if (document.form.evtel.value == "")
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<body link="#FFD700" vlink="#FFD700" alink="#FFD700" leftmargin="0" topmargin="0" style="background-color: #EFF1EE">
<center>
<p> </p>
</center>
<form method="post" action="gonder.php">
<div align="center">
<center>
<table border="0" cellPadding="0" cellSpacing="1" height="760">
<tr>
<td width="260" colspan="2" align="right"> </td>
</tr>
<tr>
<td height="1" align="right"><span class="style11">
<font color="#000000">TEKLİF SAHİBİ: </font> </span></td>
<td height="1"><span class="style12">
<font size="1">
<select name="ruhsatsahibi" size="1" id="ruhsatsahibi" style="color: #000000; border: 1px solid #FFD700; padding-left: 4px; padding-right: 4px; padding-top: 1px; padding-bottom: 1px; background-color: #FFFFFF; font-family:Verdana; font-size:8pt">
<option>Lütfen Seçim Yapınız</option>
<option>Kişi</option>
<option>Firma</option>
</select>
</font> * </span></td>
</tr>
<tr>
<td height="5" align="right"><span class="style11">
<font color="#000000">İSİM / SOYİSİM : </font></span></td>
<td height="5"><span class="style12">
<input name="aracmarka" id="aracmarka" style="font-family: verdana; color: #FF0000; font-size: 8pt; font-weight: italic; border: 1px solid #FFD700; background-color: #FFFFFF" size="30">
* </span></td>
</tr>
<tr>
<td height="10" align="right"><span class="style11">
<font color="#000000">WEB SAYFASI ( Mevcut veya
İstenilen ) :</font></span></td>
<td height="10"><span class="style12">
<input name="aracmodelyili" id="aracmodelyili" style="font-family: verdana; color: #FF0000; font-size: 8pt; font-weight: italic; border: 1px solid #FFD700; background-color: #FFFFFF" size="30">
* </span></td>
</tr>
<tr>
<td height="21" align="right"><span class="style11">
<font color="#000000">SİZİ ARAMAMIZI İSTEDİĞİNİZ TARİH :</font></span></td>
<td height="21"><span class="style12">
<input name="ruhsattesciltarihi" type="text" id="ruhsattesciltarihi" style="font-family: verdana; color: #FF0000; font-size: 8pt; font-weight: italic; border: 1px solid #FFD700; background-color: #FFFFFF" value="...../...../......." size="30">
*</span></td>
</tr>
<tr>
<td height="21" align="right"><span class="style11">
<font color="#000000">KISACA ISTEDIGINIZ SAYFANIN
ICERIGI : </font> </span></td>
<td height="21"><span class="style12"><font size="1">
<textarea name="aractipi" cols="49" rows="4" id="aractipi" style="color: #000000; font-weight: italic; border: 1px solid #FFD700; background-color: #FFFFFF; font-size:8pt; font-family:Verdana">Lütfen Buraya Yaptırmak İstediğiniz,
Sayfanın İçeği İle Alakalı Kısa Notlar Yazınız</textarea>
*
</font></span></td>
</tr>
<tr>
<td height="21" align="right"><span class="style11">
<font color="#000000">TELEFON NUMARANIZ: </font> </span></td>
<td height="21"><span class="style12"><font size="1">
<input name="aracplaka" id="aracplaka" style="color: #000000; font-weight: italic; border: 1px solid #FFD700; background-color: #FFFFFF; font-family:Verdana; font-size:8pt" value="Gsm yada Sabit Telefon" size="30">
* </font></span></td>
</tr>
<tr>
<td height="21" align="right"><span class="style11">
<font color="#000000">FAX NUMARANIZ: </font> </span></td>
<td height="21"><span class="style12"><font size="1">
<input name="ikametil" id="ikametil" style="color: #000000; font-weight: italic; border: 1px solid #FFD700; background-color: #FFFFFF; font-family:Verdana; font-size:8pt" size="30">
* </font></span></td>
</tr>
<tr>
<td height="21" align="right"><span class="style11">
<font color="#000000">İSTENİLEN E-POSTA ADETİ: </font>
</span></td>
<td height="21"><span class="style14"><font size="1">
<select name="police" size="1" id="police" style="color: #000000; border: 1px solid #FFD700; padding-left: 4px; padding-right: 4px; padding-top: 1px; padding-bottom: 1px; background-color: #FFFFFF; font-family:Verdana; font-size:8pt">
<option>Lütfen Seçim Yapınız</option>
<option>1</option>
<option>5</option>
<option>10</option>
<option>50</option>
</select>
* </font>
</span></td>
</tr>
<tr>
<td height="21" align="right"><span class="style11">
<font color="#000000">İNTRO SAYFASI: </font></span></td>
<td height="21"><span class="style14">
<font size="1">
<select name="policesirketi" size="1" id="policesirketi" style="color: #000000; border: 1px solid #FFD700; padding-left: 4px; padding-right: 4px; padding-top: 1px; padding-bottom: 1px; background-color: #FFFFFF; font-family:Verdana; font-size:8pt">
<option>Lütfen Seçim Yapınız</option>
<option>İstiyorum</option>
<option>İstemiyorum</option>
<option>Site İçerisinde</option>
</select>
* </font> </span></td>
</tr>
<tr>
<td height="21" align="right"><span class="style11">
<font color="#000000">İSTENİLEN WEB SAYFASI ADETİ :</font></span></td>
<td height="21"><span class="style14">
<font size="1">
<input name="policebitistarihi" id="policebitistarihi" style="color: #000000; font-weight: italic; border: 1px solid #FFD700; background-color: #FFFFFF; font-family:Verdana; font-size:8pt" value="Lütfen Adet Giriniz" size="30">
* </font> </span></td>
</tr>
<tr>
<td height="21" align="right"><span class="style11">
<font color="#000000">YAYINLANMASINI İSTENİLEN RESİM
ADETİ : </font></span></td>
<td height="21"><span class="style14"><font size="1">
<span class="style12">
<input name="policenumarasi" class="style14" id="policenumarasi" style="font-family: verdana; color: #000000; font-size: 8pt; font-weight: italic; border: 1px solid #FFD700; background-color: #FFFFFF" value="Lütfen Adet Giriniz" size="30">
</span> * </font>
</span></td>
</tr>
<tr>
<td height="21" align="right"><span class="style11">
<font color="#000000">HİZMET SEKTÖRÜNÜZ : </font></span></td>
<td height="21"><span class="style14"><font size="1">
<span class="style12">
<input name="policeacenteno" id="policeacenteno" style="font-family: verdana; color: #000000; font-size: 8pt; font-weight: italic; border: 1px solid #FFD700; background-color: #FFFFFF" size="30">
</span> * </font>
</span></td>
</tr>
<tr>
<td align="right" height="32"><span class="style11">
<font color="#000000">DİL VERSİYONLARI:</font></span></td>
<td height="32"><span class="style14"><font size="1">
<select name="hasartazminati" size="1" id="hasartazminati" style="color: #000000; border: 1px solid #FFD700; padding-left: 4px; padding-right: 4px; padding-top: 1px; padding-bottom: 1px; background-color: #FFFFFF; font-family:Verdana; font-size:8pt">
<option>Lütfen Seçim Yapınız</option>
<option>Türkçe</option>
<option>Türkçe - İngilizce</option>
<option>Türkçe - Almanca
</option>
<option>Türkçe - Rusça</option>
<option>Hepsi</option>
</select>
*</font></span></td>
</tr>
<tr>
<td align="right" height="21"><span class="style11">
<font color="#000000">DİL ÇEVİRİSİ :</font></span></td>
<td height="21"><span class="style14"><font size="1">
<select name="hasarsizlikindirim" size="1" id="hasarsizlikindirimi" style="color: #000000; border: 1px solid #FFD700; padding-left: 4px; padding-right: 4px; padding-top: 1px; padding-bottom: 1px; background-color: #FFFFFF; font-family:Verdana; font-size:8pt">
<option>Mutlaka Seçim Yapınız.</option>
<option>Bizim Tarafımızdan</option>
<option>Tarsus Tasarım Tarafından</option>
</select>
*</font></span></td>
</tr>
<tr>
<td align="right" height="21"><span class="style11">
<font color="#000000">FORM İSTEKLERİNİZ :</font></span></td>
<td height="21"><span class="style14"><font size="1">
<select name="cinsiyet" size="1" id="cinsiyet" style="color: #000000; border: 1px solid #FFD700; padding-left: 4px; padding-right: 4px; padding-top: 1px; padding-bottom: 1px; background-color: #FFFFFF; font-family:Verdana; font-size:8pt">
<option>Lütfen Seçim Yapınız</option>
<option>Sipariş Formu</option>
<option>Ziyaretçi Formu</option>
<option>Anket</option>
<option>Farklı Düşüncem Var ?</option>
</select>
* </font>
</span></td>
</tr>
<tr>
<td height="10" align="right"><span class="style11">
<font color="#000000">BEĞENDİĞİNİZ WEB SİTELERİ :</font></span></td>
<td height="10">
<span class="style14"><font size="1">
<input name="dogumtarihi" id="dogumtarihi" style="color: #000000; font-weight: italic; border: 1px solid #FFD700; background-color: #FFFFFF; font-family:Verdana; font-size:8pt" value="Lütfen Aralarına (-) Koyunuz" size="33">
* </font> </span></td>
</tr>
<tr>
<td height="10" align="right"><span class="style11">
<font color="#000000">BULUNDUĞUNUZ ŞEHİR : </font>
</span></td>
<td height="10"><span class="style14"><font size="1">
<input name="ehliyetverilis" id="ehliyetverilis" style="color: #000000; font-weight: italic; border: 1px solid #FFD700; background-color: #FFFFFF; font-family:Verdana; font-size:8pt" value="Şehir İsmi Yazınız" size="33">
* </font></span></td>
</tr>
<tr>
<td height="21" align="right"><p class="style2 style7">
<font color="#000000">TC KİMLİK NUMARASI :</font></p> </td>
<td height="21"><span class="style14"><font size="1">
<input name="tckimlikno" id="tckimlikno" style="color: #000000; font-weight: italic; border: 1px solid #FFD700; background-color: #FFFFFF" size="40" maxlength="11">
* </font></span></td>
</tr>
<tr>
<td align="right" vAlign="middle" height="28">
<span class="style11"><font color="#000000">SİTE
ZİYARETÇİ SAYACI : </font></span></td>
<td height="28"><font size="1">
<select name="meslek" size="1" id="meslek" style="color: #000000; border: 1px solid #FFD700; padding-left: 4px; padding-right: 4px; padding-top: 1px; padding-bottom: 1px; background-color: #FFFFFF; font-family:Verdana; font-size:8pt">
<option selected>Lütfen Seçim Yapınız</option>
<option>İstiyorum</option>
<option>İstemiyorum</option>
<option>Karar Vermedim</option>
</select>
</font></td>
</tr>
<tr>
<td align="right" vAlign="middle" height="14">
<span class="style11"><font color="#000000">ARAMA
MOTORLARINA KAYIT : </font> </span></td>
<td height="14"><font size="1">
<select name="kurum" size="1" id="kurum" style="color: #000000; border: 1px solid #FFD700; padding-left: 4px; padding-right: 4px; padding-top: 1px; padding-bottom: 1px; background-color: #FFFFFF; font-family:Verdana; font-size:8pt">
<option>Lütfen Kurum Seçiniz</option>
<option>İstiyorum</option>
<option>İstemiyorum</option>
</select>
</font></td>
</tr>
<tr>
<td align="right" vAlign="middle" height="29">
<span class="style11"><font color="#000000">LOGO
ÇALIŞMASI İSTİYORMUSUNUZ ? : </font></span></td>
<td height="29"><span class="style14"><font size="1">
<select name="aksesuar" size="1" id="aksesuar" style="color: #000000; border: 1px solid #FFD700; padding-left: 4px; padding-right: 4px; padding-top: 1px; padding-bottom: 1px; background-color: #FFFFFF; font-family:Verdana; font-size:8pt">
<option>Lütfen Seçim Yapınız..</option>
<option>Evet</option>
<option>Hayır</option>
<option>Mevcut Var</option>
</select>
* </font></span></td>
</tr>
<tr>
<td align="right" vAlign="middle" height="29">
<span class="style11"><font color="#000000">YUKARIDA
BELİRTİLEN MADDELER <br>
DIŞINDA KALAN DİĞER İSTEKLERİNİZİ<br>
BELİRTİNİZ : </font></span></td>
<td height="29"><span class="style14"><font size="1">
<textarea name="aksesuardetay" cols="49" rows="5" id="aksesuardetay" style="color: #000000; font-weight: italic; border: 1px solid #FFD700; background-color: #FFFFFF; font-family:Verdana; font-size:8pt">Lütfen Bizlere Özel Olarak Belirtmek istediğiniz İsteklerinizi Yazınız.</textarea>
* </font></span></td>
</tr>
<tr>
<td height="75" colspan="2">
<p align="center"> <font size="1"><span class="style14"></span></font><font size="1" color="#FFD700">
<input type="submit" value=" Gönder " style="font-weight: italic; border: 1px solid #FFD700; padding: 0; background-color: #000000; color:#FFD700">
<input type="reset" value=" Sil " style="font-weight: italic; border: 1px solid #FFD700; padding: 0; background-color: #000000; color:#FFD700">
</font></p>
<p align="center" class="style2 style13">
LÜTFEN UYGUN GÖRDÜĞÜNÜZ ALANLARI DOLD<font color="#FFFFFF">URUNUZ.
BİZLERE NE KADAR ÇOK DETAY VEREBİLİRSENİZ <br>
SİZE VERECEĞİMİZ TEKLİF BİR O KADAR ETKİLİ OLACAĞINI
BELİRTMEK İSTERİZ.<br>
</font></td>
<p align="center">
<td width="12"></td>
</tr>
</table>
</center>
</div>
</form>
</body>
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