<tr>    
      <td><strong><font color=steelblue>Ad:</font></strong></td>

      <td><input name="ad" type="text" size="22" maxlength="25"></td>

    </tr>

<tr>    
      <td><strong><font color=steelblue>Soyad:</font></strong></td>

      <td><input name="soyad" type="text" size="22" maxlength="25" ></td>

    </tr>

<tr>
      <td><strong><font color=steelblue>Telefon:</font></strong></td>

      <td><input name="telefon" type="text" size="20" maxlength="22" ></td>

    </tr>
<tr>

	<tr>
      <td><strong><font color=steelblue>Email:</font></strong></td>

      <td><input name="email" type="text" size="50" maxlength="150" ><br></td>

    </tr>

<tr>
	<td valign=top><strong><font color=steelblue>Notlar:</font></strong></td>

      <td colspan="2"><textarea name="notlar" cols="65" rows="8" wrap="VIRTUAL"></textarea></td>

    </tr>