<?
$veri_yolu=mysql_connect("localhost","root","");
mysql_select_db( "bayiler" , $veri_yolu );
mysql_query("SET NAMES 'latin5'");
echo mysql_error();
mysql_query("SET character_set_connection = 'latin5'");
mysql_query("SET character_set_client = 'latin5'");
mysql_query("SET character_set_results = 'latin5'");
$sorgu = mysql_query("SELECT * FROM bayiler where cariisim like '$_POST[Q13]%'", $veri_yolu);
$x1 = mysql_result ($sorgu,$i,"cariisim"); 
$x2 = mysql_result ($sorgu,$i,"adres");
$x3 = mysql_result ($sorgu,$i,"telefon");
?>
<html>
<head>
<meta http-equiv="Content-Type" content="text/html; charset=iso-8859-9">
<meta http-equiv="Content-Type" content="text/html; charset=windows-1254">
<style type="text/css">
<!--
body,td,th {
 font-family: Arial, Helvetica, sans-serif;
}
-->
</style></head>
<body bgcolor="#FFFFFF">
  <p align="center">
 
 
<p align="center"><b>GHFBAYİ SİPARİŞ FORMU</b></p>
<div style="position: absolute; width: 966px; height: 22px; z-index: 1; left: 76px; top: 153px; background-color: #CC0000" id="layer1">
&nbsp;</div>
<p align="center">&nbsp;</p>
</p>
<table width="87%"  border="0" align="center" style="border-width: 0px">
  <tr>
<td style="border-style: none; border-width: medium">
<form action="rapor.php" method="POST" name="s">
  <p>
    <INPUT TYPE="hidden" NAME="title" VALUE="Tesekkür Ederiz">
    <INPUT TYPE="hidden" NAME="bgcolor" VALUE="#FFFFFF">
    <INPUT TYPE="hidden" NAME="env_report" VALUE="REMOTE_HOST,REMOTE_ADDR,REMOTE_USER,HTTP_USER_AGENT">
    <INPUT TYPE="hidden" NAME="print_config" VALUE="ozkan,email">
    <INPUT TYPE="hidden" NAME="recipient" VALUE="karabela@live.com">
    <INPUT TYPE="hidden" NAME="sort" VALUE="order:Q1,Q2,Q3,Q4,Q5">
    <input TYPE="hidden" NAME="append_db" value="data.txt">
    <input TYPE="hidden" NAME="db_fields" VALUE="Q1,Q2,Q3,Q4,Q5">
    <input TYPE="hidden" NAME="db_delimiter" value="|">
  </p>
  <blockquote>
    <p align="justify"><u><b>Son Kullanıcı Bilgileri</b></u></p>
    <p align="left"> 
          Firma Adı/Ünvanı :&nbsp;
          <input type="text" name="Q7" size="107"></p>
 <p align="left"> 
          Firma Adresi :&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
          <input type="text" name="Q8" size="107"></p>
 <p align="justify"> 
          &nbsp;İlgili Kişi Adı :&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
          <input type="text" name="Q6" size="107"></p>
    <p align="justify">İlgili Kişi E-posta:&nbsp;&nbsp;
          <input type="text" name="Q9" size="107"></p>
 <p align="justify">Telefon :&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;
          <input type="text" name="Q11" size="29"></p>
 <p align="justify">Faks :&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
          <input type="text" name="Q12" size="29"></p>
 <p align="justify"><u><b>BAYİ BİLGİLERİ</b></u></p>
 <p align="justify">Bayii Adı/Ünvanı :&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
<input type="text" name="Q13" size="106" value="<? echo $x1;?>"</p>
<p align="justify">Sipariş Geçen Yetkili Adı :<input type="text" name="Q112" size="106">
 </p>
 <p align="justify">Bayii Adresi :&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
<input type="text" name="Q132" size="106" value="<? echo $x2;?>"</p>
 </p>
 <p align="justify">Telefon / Faks&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 
<input type="text" name="Q133" size="106" value="<? echo $x3;?>"</p>
 </p>
 <p align="justify">Vergi Dairesi -No&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 
   <input type="text" name="Q1332" size="29">
 </p>
 <table border="1" width="100%" id="table1" style="border-style: solid; border-width: 1px; padding-left: 4px; padding-right: 4px; padding-top: 1px; padding-bottom: 1px">
  <!-- MSTableType="nolayout" -->
  <tr>
   <td width="85">
  <p align="left"><b><font size="2">STOK KODU</font></b>&nbsp;</td>
   <td width="361">
  <p align="left"><b><font size="2">ÜRÜN ADI</font></b>&nbsp;</td>
   <td width="110">
   <p align="left">
  <b><font size="2">SON KULLANICI BİRİM FİYATI</font></b></p>
</td>
   <td width="58">
  <p align="center"><font size="2"><b>ADET</b></font>&nbsp;</td>
   <td width="105">
  <b><font size="2">SON KULLANICI TOPLAM</font></b>&nbsp;</td>
   <td><b><font size="2">BAYİ TOPLAM
</font></b>
</td>
  </tr>
 </table>
 <p>
          <input type="text" name="Q14" size="8">&nbsp; <b>|</b>&nbsp;&nbsp;
          <input type="text" name="Q15" size="50">&nbsp;&nbsp;&nbsp;&nbsp; <b>|</b>&nbsp;
          <input type="text" name="Q16" size="6"> <b>|&nbsp; </b>
          <input type="text" name="Q17" size="5"><b> | </b>&nbsp;<input type="text" name="Q18" size="6"><b> 
   |&nbsp;&nbsp;&nbsp; </b>&nbsp;<input type="text" name="Q19" size="6"></p>
  </blockquote>
  <p align="center"> 
      <input type="submit" value="Rapor Yazdir">
      &nbsp; &nbsp; 
      <input type="reset" value="  Sil  ">
 
</form>
</td>
  </tr>
</table>
</body>
</html>