<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<!--
Author: Reality Software
Website: http://www.realitysoftware.ca
Note: This is a free template released under the Creative Commons Attribution 3.0 license,
which means you can use it in any way you want provided you keep the link to the author intact.
-->
<html xmlns="http://www.w3.org/1999/xhtml">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=utf-8" />
<title></title>
<link href="style.css" rel="stylesheet" type="text/css" />
<style type="text/css">
.style1 {
font-size: small;
}
.style2 {
color: #FFFFFF;
}
.style3 {
color: #FFFFFF;
font-weight: 700;
}
.bod {
font-family: "MS Sans Serif";
font-size: 10px;
color: #000000;
}
</style>
</head>
<body>
<div id="header">
<div id="logo" style="height: 1px"><a href="#">AyIşiği Telekom</a></div>
<div id="menu">
<ul><li><a href="http://www.ayisigitelekom.com/">Anasayfa</a> - <a href="http://www.ayisigitelekom.com/misyonumuz.html">Misyonumuz</a> - <a href="http://www.ayisigitelekom.com/telefon.html">Telefon</a> - <a href="http://www.ayisigitelekom.com/bayilerimiz.html">Bayilerimiz</a> - <a href="http://www.ayisigitelekom.com/adsl.html">ADSL</a> -
<a href="http://www.ayisigitelekom.com/iletisim.html">İletişim</a></li>
</ul>
</div>
</div>
<!--end header -->
<!-- main -->
<div id="main">
<div id="content">
<div id="sidebar">
<div id="sidebar_top"></div>
<div id="sidebar_text">
<h2>ADSL Başvuruları Başladı!!!</h2>
<p>Artık internetten ücretsiz başvura bilirsiniz...</p>
<h2>Cihaz takiP</h2>
<p>Cihazınızı internetten takip etme şansını bulacaksın!!!</p>
</div>
<div id="sidebar_bottom"></div>
</div>
<div id="text">
<h1>adsl başvurusu başladı</h1>
<p class="style1"><strong>
</strong></p>
<p><strong></strong></p>
<table border="0" width="100%" height="100%">
<tr>
<td class="style2">
<font face="Tahoma" style="font-size: 9pt; font-weight:700">
<span class="style2">Hat Sahibinin Adı Soyadı *</span></font></td>
<td class="style2">
<font face="Tahoma" style="font-size: 9pt; font-weight: 700">
:</font></td>
<td>
<font face="Tahoma" color="#666666" size="1">
<span style="font-size: 9pt">
<input style="border:1px solid #CC0080; background-color: #FFFFFF; font-family:Tahoma; font-size:9pt; font-weight:bold"type="text" name="adinizsoyadiniz" size="20"></span></font><font face="Tahoma" style="font-size: 9pt"><span class="style2">
</span>
</font></td>
</tr>
<tr>
<td class="style2">
<font face="Tahoma" style="font-size: 9pt; font-weight:700" class="style2">
Hat Sahibinin TC Nosu </font>
<font face="Tahoma" style="font-size: 9pt; font-weight:700">
<span class="style2">*</span></font></td>
<td class="style2">
<font face="Tahoma" style="font-size: 9pt; font-weight: 700">
:</font></td>
<td>
<font face="Tahoma" color="#666666" size="1">
<span style="font-size: 9pt">
<input style="border:1px solid #CC0080; background-color: #FFFFFF; font-family:Tahoma; font-size:9pt; font-weight:bold" type="text" name="tcnosu" size="20"></span></font><font face="Tahoma" style="font-size: 9pt"><span class="style2">
</span>
</font></td>
</tr>
<tr>
<td class="style2">
<font face="Tahoma" style="font-size: 9pt; font-weight:700" class="style2">
Adsl Bağlanacak Telefon Nosu</font><font face="Tahoma" style="font-size: 9pt; font-weight:700"><span class="style2">*</span></font></td>
<td class="style2">
<font face="Tahoma" style="font-size: 9pt; font-weight: 700">
:</font></td>
<td>
<font face="Tahoma" color="#666666" size="1">
<span style="font-size: 9pt">
<input style="border:1px solid #CC0080; background-color: #FFFFFF; font-family:Tahoma; font-size:9pt; font-weight:bold" type="text" name="adlsnosu" size="20"></span></font><font face="Tahoma" style="font-size: 9pt"><span class="style2">
</span>
</font></td>
</tr>
<tr>
<td class="style2">
<font face="Tahoma" style="font-size: 9pt; font-weight:700">
<span class="style2">Bayi Yetkilisi / Firma Adı*</span></font></td>
<td class="style2">
</td>
<td>
<font face="Tahoma" color="#666666" size="1">
<span style="font-size: 9pt">
<input style="border:1px solid #CC0080; background-color: #FFFFFF; font-family:Tahoma; font-size:9pt; font-weight:bold" type="text" name="bayiyetkilisifirmaadi" size="20"></span></font></td>
</tr>
<tr>
<td class="style2">
<font face="Tahoma" style="font-size: 9pt; font-weight:700">
<span class="style2">Tarife Seçeneği *</span></font></td>
<td class="style2">
<font face="Tahoma" style="font-size: 9pt; font-weight: 700">
:</font></td>
<td>
<SELECT id=Select1 style="FONT-WEIGHT: bold; WIDTH: 236px; BACKGROUND-COLOR: #EBF2F8; font-family:Tahoma; font-size:9pt" name=tarife size="1">
<OPTION value=1024-256-Kbps-4Gb-Limitli selected>1024 Kbps 4Gb LİMİTLİ -
29 YTL</OPTION>
<OPTION value=1024-256-Kbps-6Gb-Limitli>1024 Kbps 6Gb LİMİTLİ - 39 YTL</OPTION>
<OPTION value=2048-512-Kbps-6Gb-Limitli>2048-Kbps-6Gb-LİMİTLİ - 49 YTL</OPTION>
<OPTION value=1024-256-Kbps-Limitsiz>1024-256 Kbps ( limitsiz ) - 49 YTL</OPTION>
<OPTION value=2048-512-Kbps-Limitsiz>2048-512 Kbps ( limitsiz ) - 69 YTL</OPTION>
<OPTION value=4096-1024-Kbps-Limitsiz>4096-1024 Kbps ( limitsiz ) - 89
YTL</OPTION>
</SELECT><span class="style2"> </span></td>
</tr>
<tr>
<td class="style2">
<span style="font-weight: 700" class="style2">
<font face="Tahoma" style="font-size: 9pt">
Modem Seçeneği</font></span><font face="Tahoma" style="font-size: 9pt; font-weight:700"><span class="style2">
*</span></font></td>
<td class="style2">
<font face="Tahoma" style="font-size: 9pt; font-weight: 700">
:</font></td>
<td>
<SELECT id=Select2 style="FONT-WEIGHT: bold; WIDTH: 296px; BACKGROUND-COLOR: #EBF2F8; font-family:Tahoma; font-size:9pt" name=modem size="1">
<OPTION value=Ucretsiz-Kablolu-Modem+-ilk-Uc-Ay-indirim selected>Ücretsiz
Kablolu Modem + İlk Üç Ay İndirim</OPTION>
<OPTION value=Ucretsiz-Kablosuz-Modem+-ilk-iki-Ay-indirim>Ücretsiz
Kablosuz Modem + İlk İki Ay İndirim</OPTION>
<OPTION value=Modemsiz+-ilk-Dört-Ay-indirim>Modemsiz + İlk Dört Ay İndirim</OPTION>
<OPTION value=Hicbir-Kampanyadan-Faydalanmak-istemiyorum>Hiçbir
Kampanyadan Faydalanmak İstemiyorum</OPTION>
</SELECT><span class="style2"> </span></td>
</tr>
<tr>
<td class="style2">
<font face="Tahoma" style="font-size: 9pt; font-weight:700">
<span class="style2">Bağlantı Aktivasyon Ücreti *</span></font></td>
<td class="style2">
<font face="Tahoma" style="font-size: 9pt; font-weight: 700">
:</font></td>
<td>
<SELECT id=Select3 style="FONT-WEIGHT: bold; WIDTH: 206px; BACKGROUND-COLOR: #EBF2F8; font-family:Tahoma; font-size:9pt" name=sinyal size="1">
<OPTION value=29-YTL-Pesin-Ilk-Faturada selected>29 YTL Peşin İlk Faturada</OPTION>
<OPTION value=3-YTL-12-Taksitle>3 YTL 12 Taksitle</OPTION>
</SELECT><span class="style2"> </span></td>
</tr>
<tr>
<td class="style2">
<font face="Tahoma" style="font-size: 9pt; font-weight:700">
<span class="style2">İrtibat Telefonu*</span></font></td>
<td class="style2">
<font face="Tahoma" style="font-size: 9pt; font-weight: 700">
:</font></td>
<td>
<font face="Tahoma" color="#666666" size="1">
<span style="font-size: 9pt">
<input style="border:1px solid #CC0080; background-color: #FFFFFF; font-family:Tahoma; font-size:9pt; font-weight:bold" type="text" name="irtibattel" size="20"></span></font><font face="Tahoma" style="font-size: 9pt"><span class="style2">
</span>
</font></td>
</tr>
<tr>
<td class="style2">
<font face="Tahoma" style="font-size: 9pt; font-weight:700">
Cep Telefonu</font></td>
<td class="style2">
<font face="Tahoma" style="font-size: 9pt; font-weight: 700">
:</font></td>
<td>
<font face="Tahoma" color="#666666" size="1">
<span style="font-size: 9pt">
<input style="border:1px solid #CC0080; background-color: #FFFFFF; font-family:Tahoma; font-size:9pt; font-weight:bold" type="text" name="ceptelno" size="35"></span></font><font face="Tahoma" style="font-size: 9pt"><span class="style2">
</span>
</font></td>
</tr>
<tr>
<td class="style3">
<font face="Tahoma" style="font-size: 9pt">
Kurulum Talebi</font></td>
<td class="style2">
<font face="Tahoma" style="font-size: 9pt; font-weight: 700">
:</font></td>
<td>
<font face="Tahoma" color="#666666" size="1">
<span style="font-size: 9pt">
<input style="border:1px solid #CC0080; background-color: #FFFFFF; font-family:Tahoma; font-size:9pt; font-weight:bold" type="text" name="kurulumtalebi" size="35"></span></font></td>
</tr>
<tr>
<td valign="top" class="style2">
<font face="Tahoma" style="font-size: 9pt; font-weight:700">
Mesajınız</font></td>
<td valign="top" class="style2">
<font face="Tahoma" style="font-size: 9pt; font-weight: 700">
:</font></td>
<td>
<font face="Tahoma" color="#666666" size="1">
<span style="font-size: 9pt">
<textarea style="border:1px solid #CC0080; background-color: #FFFFFF; font-family:Tahoma; font-size:9pt; font-weight:bold" name="mesaj" rows="5" cols="30"></textarea></span></font><font face="Tahoma" style="font-size: 9pt"><span class="style2">
</span>
</font></td>
</tr>
<tr class="style2">
<td> </td>
<td> </td>
<td> </td>
</tr>
<tr>
<td><span class="style2"></td>
<td></span></td>
<td>
<a href="gonder.php">
<font size="1" face="Arial, Helvetica, sans-serif">
</font></a><font size="1" face="Arial, Helvetica, sans-serif"><a href="/gonder.php"><input style="border:1px solid #CC0080; background-color: #FFFFFF; font-family:Tahoma; font-size:9pt; color:#666666" type="button" value="Gönder" class="bod" name="gonder" class="bod" onClick="kontrol();"></a></font><font color="#666666" face="Tahoma" style="font-size: 9pt">
</font>
<font size="1" face="Arial, Helvetica, sans-serif">
<input style="border:1px solid #CC0080; background-color: #FFFFFF; font-family:Tahoma; font-size:9pt; color:#666666" type="reset" name="temizle" value="Temizle"></font><font color="#666666" face="Tahoma" style="font-size: 9pt">
</font>
</td>
</tr>
<tr>
<td colspan="3" class="style2">
<font face="Tahoma" style="font-size: 9pt; font-weight:700">
<span class="style2">* </span></font>
<font face="Tahoma" style="font-size: 9pt; ">
<span class="style2">işaretli yerleri, sizlere ulaşmamız
açısından mutlaka doldurunuz.</span></font></td>
</tr>
<tr>
<td colspan="3" class="style2"> </td>
</tr>
</table>
<p> </p>
</div>
</div>
<!-- footer -->
<div id="footer">
<div id="right_footer">
<!-- Please do not change or delete this link. Read the license! Thanks. :-) -->
Design by <a href="" title="Website Design"></a><a href="">Secret Tr</a>ap</div>
<div id="left_footer"><strong>© Copyright 2008 AYIŞIĞI TELEKOM</strong> </div>
</div>
<!-- end footer -->
</div>
<!-- end main -->
<div style="font-size: 0.8em; text-align: center; margin-top: 1.0em; margin-bottom: 1.0em;">
</div>
</body>
</html>