<script src="http://turk.jotform.com/js/form.js?v2.0.1205" type="text/javascript"></script>
<style type="text/css">
.tbmain{ 
 /* Changes on the form */
 background: white !important; 
}
.left{
  /* Changes on the form */
  color: black !important; 
  font-family: Verdana !important;
  font-size: 12px !important;
}
.head{
  color:#333333;
  font-size:20px;;
  text-decoration:underline;
  font-family:"Verdana";
}
td.left {
  font-family:"Verdana";
  font-size:12px;
  color:black;
}
.pagebreak{
  font-family:"Verdana";
  font-size:12px;
  color:black;
}
.tbmain{
  height:100%;
  background:white;
}
span.required{
  font-size: 13px !important;
  color: red !important;
}
 
div.backButton{
    background: transparent url("http://turk.jotform.com//images/btn_back.gif") no-repeat scroll 0 0;
    height:16px;
    width:53px;
    float:left;
    margin-bottom:15px;
    padding-right:5px;
}
div.backButton:hover{
    background: transparent url("http://turk.jotform.com//images/btn_back_over.gif") no-repeat scroll 0 0;
}
div.backButton:active{
    background: transparent url("http://turk.jotform.com//images/btn_back_down.gif") no-repeat scroll 0 0;
}
div.nextButton{
    background: transparent url("http://turk.jotform.com//images/btn_next.gif") no-repeat scroll 0 0;
    height:16px;
    width:53px;
    float: left;
    margin-bottom:15px;
    padding-right:5px;
}
div.nextButton:hover{
    background: transparent url("http://turk.jotform.com//images/btn_next_over.gif") no-repeat scroll 0 0;
}
div.nextButton:active{
    background: transparent url("http://turk.jotform.com//images/btn_next_down.gif") no-repeat scroll 0 0;
}
.pageinfo{
    padding-right:5px;
    margin-bottom:15px;
    float:left;
}
 
</style> 
<table width="100%" cellpadding="2" cellspacing="0" class="tbmain">
<tr><td class="topleft" width="10" height="10">&nbsp;</td>
<td class="topmid">&nbsp;</td>
<td class="topright" width="10" height="10">&nbsp;</td>
  </tr>
<tr>
<td class="midleft" width="10">&nbsp;&nbsp;&nbsp;</td>
<td class="midmid" valign="top">
<form accept-charset="utf-8"  action="http://turk.jotform.com/submit.php"  method="post" name="q_form_10745051205">
<input type="hidden" name="formID" value="10745051205" />
<div id="main"> 
<div class="pagebreak"> 
<input type="hidden" id="spc" name="spc" value="spc" />
<script type="text/javascript">
   document.getElementById('spc').value = 'a49b5d5547f1502b18b6ab15d7a542c2';
</script>
<table width="520" cellpadding="5" cellspacing="0">
 <tr >
  <td width="150" class="left" >
   <label >Ad Soyad <span class="required">*</span></label>
  </td>
  <td class="right" >
   <input type="text" size="20" name="q0_AdSoyad" class="text" value="" id="q0"  onblur="validate(this,'Required')"  maxlength="100" maxsize="100" />
  </td>
 </tr>
 <tr >
  <td width="150" class="left" >
   <label >Telefon <span class="required">*</span></label>
  </td>
  <td class="right" >
   <input type="text" size="20" name="q1_Telefon" class="text" value="" id="q1"  onblur="validate(this,'Required')"  maxlength="100" maxsize="100" />
  </td>
 </tr>
 <tr >
  <td width="150" class="left" >
   <label >Adres <span class="required">*</span></label>
  </td>
  <td class="right" >
   <input type="text" size="20" name="q5_Adres" class="text" value="" id="q5"  onblur="validate(this,'Required')"  maxlength="100" maxsize="100" />
  </td>
 </tr>
 <tr >
  <td width="150" class="left" >
   <label >Sehir/İlce <span class="required">*</span></label>
  </td>
  <td class="right" >
   <input type="text" size="20" name="q6_Sehirlce" class="text" value="" id="q6"  onblur="validate(this,'Required')"  maxlength="100" maxsize="100" />
  </td>
 </tr>
 <tr >
  <td width="150" class="left" >
   <label >E-mail</label>
  </td>
  <td class="right" >
   <input type="text" size="20" name="q2_Email" class="text" value="" id="q2"  maxlength="100" maxsize="100" />
  </td>
 </tr>
 <tr >
  <td width="150" class="left" valign="top"  >
   <label>Mesajınız <span class="required">*</span></label>
  </td>
  <td class="right" >
   <textarea cols="35" rows="10" name="q3_Mesajnz" class="text" id="q3"  onblur="validate(this,'Required')" ></textarea>
  </td>
 </tr>
 <tr >
  <td width="150" class="left" >&nbsp;
 
  </td>
  <td class="right">
  <input type="submit" class="btn" value="Submit" />
 </td>
 </tr>
</table>
</div>
</div>
</form>
</td>
<td class="midright" width="10">&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
 <td class="bottomleft" width="10" height="10">&nbsp;</td>
 <td class="bottommid">&nbsp;</td>
 <td class="bottomright" width="10" height="10">&nbsp;</td>
</tr>
</table>
<script type="text/javascript">
validate("q_form_10745051205");
</script>