<table >
<tr><td width="10%" align="center"><b>SIRA</b></td><td><b>HİZMET</b></td><td width="20%" align="center"><b>FİYAT</b><td width="10%" align="center"><b>SEÇ</b></td></tr>
<tbody>
<tr><td align="center">1</td><td>satır 1</td><td align="center">1</td><td align="center"><input type="checkbox" class="hizmetler" name="hizmet1" value="100"></td></tr>
<tr><td align="center">2</td><td>satır 1</td><td align="center">2</td><td align="center"><input type="checkbox" class="hizmetler" name="hizmet2" value="200"></td></tr>
<tr><td align="center">3</td><td>satır 1</td><td align="center">3</td><td align="center"><input type="checkbox" class="hizmetler" name="hizmet3" value="300"></td></tr>
<tr><td align="center">4</td><td>satır 1</td><td align="center">4</td><td align="center"><input type="checkbox" class="hizmetler" name="hizmet4" value="400"></td></tr>
</tbody>
</table>

<div class="col-sm-6">
<input type="text" class="form-control" id="siptoplam" name="siptoplam" >
</div>