Tekil Mesaj gösterimi - gonder.php

Konu gonder.php
14-09-2008, 00:51:49
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                              <td width=140><font size=5><img height=80  
                  src="ttnet-logo.jpg" width=138></font></td> 
                              <td align=middle><font size=5>Online ADSL Başvuru Formu</font></td> 
                            </tr> 
                          </tbody> 
                      </table></td> 
                    </tr> 
                    <tr bgcolor=#ededed> 
                      <td align=right width="50%"><div align="left"><span class="style4"><font color=#ff0000>*</font> Telefon sahibinin adı soyadı : </span></div></td> 
                      <td colspan=2><input name="f1" id="f12" size=25 #invalid_attr_id="100%"></td> 
                    </tr> 
                    <tr bgcolor=#ededed> 
                      <td align=right><div align="left"><span class="style4">Başvuru yapanın adı soyadı :</span></div></td> 
                      <td colspan=2><input name="f2" id="f2" size=25 #invalid_attr_id="100%"> 
                      </td> 
                    </tr> 
                    <tr bgcolor=#ededed> 
                      <td align=right><div align="left"><span class="style4"><font color=#ff0000>*</font> Size ulaşabileceğimiz Tel. No. :</span></div></td> 
                      <td> <span style="font-family: Verdana, Arial, Helvetica, sans-serif; font-size: 13px;"> 
                        <select id="f3" name="f3"> 
                          <option selected>Alan Kodu</option> 
                          <option value="İST (212)">İST (212)</option> 
                          <option value="İST AND(216)">İST AND(216)</option> 
                          <option value="ADANA">ADANA</option> 
                          <option value="ADIYAMAN">ADIYAMAN</option> 
                          <option value="AFYON">AFYON</option> 
                          <option value="AĞRI">AĞRI</option> 
                          <option  
              value="AKSARAY">AKSARAY</option> 
                          <option  
              value="AMASYA">AMASYA</option> 
                          <option  
              value="ANKARA">ANKARA</option> 
                          <option  
              value="ANTALYA">ANTALYA</option> 
                          <option  
              value="ARDAHAN">ARDAHAN</option> 
                          <option  
              value="ARTVİN">ARTVİN</option> 
                          <option  
              value="AYDIN">AYDIN</option> 
                          <option  
              value="BALIKESİR">BALIKESİR</option> 
                          <option  
              value="BARTIN">BARTIN</option> 
                          <option  
              value="BATMAN">BATMAN</option> 
                          <option  
              value="BAYBURT">BAYBURT</option> 
                          <option  
              value="BİLECİK">BİLECİK</option> 
                          <option  
              value="BİNGÖL">BİNGÖL</option> 
                          <option  
              value="BİTLİS">BİTLİS</option> 
                          <option  
              value="BOLU">BOLU</option> 
                          <option  
              value="BURDUR">BURDUR</option> 
                          <option  
              value="BURSA">BURSA</option> 
                          <option  
              value="ÇANAKKALE">ÇANAKKALE</option> 
                          <option  
              value="ÇANKIRI">ÇANKIRI</option> 
                          <option  
              value="ÇORUM">ÇORUM</option> 
                          <option  
              value="DENİZLİ">DENİZLİ</option> 
                          <option  
              value="DİYARBAKIR">DİYARBAKIR</option> 
                          <option  
              value="EDİRNE">EDİRNE</option> 
                          <option  
              value="ELAZIĞ">ELAZIĞ</option> 
                          <option  
              value="ERZİNCAN">ERZİNCAN</option> 
                          <option  
              value="ERZURUM">ERZURUM</option> 
                          <option  
              value="ESKİŞEHİR">ESKİŞEHİR</option> 
                          <option  
              value="GAZİANTEP">GAZİANTEP</option> 
                          <option  
              value="GİRESUN">GİRESUN</option> 
                          <option  
              value="GÜMÜŞHANE">GÜMÜŞHANE</option> 
                          <option  
              value="HAKKARİ">HAKKARİ</option> 
                          <option  
              value="HATAY">HATAY</option> 
                          <option  
              value="IĞDIR">IĞDIR</option> 
                          <option  
              value="ISPARTA">ISPARTA</option> 
                          <option  
              value="İÇEL">İÇEL</option> 
                          <option value="İZMİR">İZMİR</option> 
                          <option  
              value="KARABÜK">KARABÜK</option> 
                          <option  
              value="KARAMAN">KARAMAN</option> 
                          <option  
              value="KARS">KARS</option> 
                          <option  
              value="KASTAMONU">KASTAMONU</option> 
                          <option  
              value="KAYSERİ">KAYSERİ</option> 
                          <option  
              value="KIRIKKALE">KIRIKKALE</option> 
                          <option  
              value="KIRKLARELİ">KIRKLARELİ</option> 
                          <option  
              value="KIRŞEHİR">KIRŞEHİR</option> 
                          <option  
              value="KİLİS">KİLİS</option> 
                          <option  
              value="K.MARAŞ">K.MARAŞ</option> 
                          <option  
              value="KOCAELİ">KOCAELİ</option> 
                          <option  
              value="KONYA">KONYA</option> 
                          <option  
              value="KÜTAHYA">KÜTAHYA</option> 
                          <option  
              value="MALATYA">MALATYA</option> 
                          <option  
              value="MANİSA">MANİSA</option> 
                          <option  
              value="MARDİN">MARDİN</option> 
                          <option  
              value="MUĞLA">MUĞLA</option> 
                          <option value="MUŞ">MUŞ</option> 
                          <option  
              value="NEVŞEHİR">NEVŞEHİR</option> 
                          <option  
              value="NİĞDE">NİĞDE</option> 
                          <option value="ORDU">ORDU</option> 
                          <option  
              value="OSMANİYE">OSMANİYE</option> 
                          <option  
              value="RİZE">RİZE</option> 
                          <option  
              value="SAKARYA">SAKARYA</option> 
                          <option  
              value="SAMSUN">SAMSUN</option> 
                          <option  
              value="SİİRT">SİİRT</option> 
                          <option  
              value="SİNOP">SİNOP</option> 
                          <option  
              value="SİVAS">SİVAS</option> 
                          <option  
              value="ŞANLIURFA">ŞANLIURFA</option> 
                          <option  
              value="ŞIRNAK">ŞIRNAK</option> 
                          <option  
              value="TEKİRDAĞ">TEKİRDAĞ</option> 
                          <option  
              value="TOKAT">TOKAT</option> 
                          <option  
              value="TRABZON">TRABZON</option> 
                          <option  
              value="TUNCELİ">TUNCELİ</option> 
                          <option  
              value="UŞAK">UŞAK</option> 
                          <option value="VAN">VAN</option> 
                          <option  
              value="YALOVA">YALOVA</option> 
                          <option  
              value="YOZGAT">YOZGAT</option> 
                          <option  
              value="ZONGULDAK">ZONGULDAK</option> 
                        </select> 
                      </span> </td> 
                      <td> 
                        <input name="f4" id="f4" onKeyPress="if (event.keyCode < 48 || event.keyCode > 57) event.returnValue = false;" size=16 maxlength=20 #invalid_attr_id="100%"></td> 
                    </tr> 
                    <tr bgcolor=#ededed> 
                      <td align=right><div align="left"><span class="style4"><font color=#ff0000>*</font>GSM : </span></div></td> 
                      <td colspan=2><input name="f5" id="f5" onKeyPress="if (event.keyCode < 48 || event.keyCode > 57) event.returnValue = false;" size=25 maxlength=20 #invalid_attr_id="100%"></td> 
                    </tr> 
                    <tr bgcolor=#ededed> 
                      <td align=right><div align="left"><span class="style4"><font color=#ff0000>*</font> ADSL bağlantısı istediğiniz Tel. No. :</span></div></td> 
                      <td><span style="font-family: Verdana, Arial, Helvetica, sans-serif; font-size: 13px;"> 
                        <select id="f6" name="f6"> 
                          <option selected>Alan Kodu</option> 
                          <option value="İST (212)">İST (212)</option> 
                          <option value="İST AND(216)">İST AND(216)</option> 
                          <option value="ADANA">ADANA</option> 
                          <option value="ADIYAMAN">ADIYAMAN</option> 
                          <option value="AFYON">AFYON</option> 
                          <option value="AĞRI">AĞRI</option> 
                          <option  
              value="AKSARAY">AKSARAY</option> 
                          <option  
              value="AMASYA">AMASYA</option> 
                          <option  
              value="ANKARA">ANKARA</option> 
                          <option  
              value="ANTALYA">ANTALYA</option> 
                          <option  
              value="ARDAHAN">ARDAHAN</option> 
                          <option  
              value="ARTVİN">ARTVİN</option> 
                          <option  
              value="AYDIN">AYDIN</option> 
                          <option  
              value="BALIKESİR">BALIKESİR</option> 
                          <option  
              value="BARTIN">BARTIN</option> 
                          <option  
              value="BATMAN">BATMAN</option> 
                          <option  
              value="BAYBURT">BAYBURT</option> 
                          <option  
              value="BİLECİK">BİLECİK</option> 
                          <option  
              value="BİNGÖL">BİNGÖL</option> 
                          <option  
              value="BİTLİS">BİTLİS</option> 
                          <option  
              value="BOLU">BOLU</option> 
                          <option  
              value="BURDUR">BURDUR</option> 
                          <option  
              value="BURSA">BURSA</option> 
                          <option  
              value="ÇANAKKALE">ÇANAKKALE</option> 
                          <option  
              value="ÇANKIRI">ÇANKIRI</option> 
                          <option  
              value="ÇORUM">ÇORUM</option> 
                          <option  
              value="DENİZLİ">DENİZLİ</option> 
                          <option  
              value="DİYARBAKIR">DİYARBAKIR</option> 
                          <option  
              value="EDİRNE">EDİRNE</option> 
                          <option  
              value="ELAZIĞ">ELAZIĞ</option> 
                          <option  
              value="ERZİNCAN">ERZİNCAN</option> 
                          <option  
              value="ERZURUM">ERZURUM</option> 
                          <option  
              value="ESKİŞEHİR">ESKİŞEHİR</option> 
                          <option  
              value="GAZİANTEP">GAZİANTEP</option> 
                          <option  
              value="GİRESUN">GİRESUN</option> 
                          <option  
              value="GÜMÜŞHANE">GÜMÜŞHANE</option> 
                          <option  
              value="HAKKARİ">HAKKARİ</option> 
                          <option  
              value="HATAY">HATAY</option> 
                          <option  
              value="IĞDIR">IĞDIR</option> 
                          <option  
              value="ISPARTA">ISPARTA</option> 
                          <option  
              value="İÇEL">İÇEL</option> 
                          <option value="İZMİR">İZMİR</option> 
                          <option  
              value="KARABÜK">KARABÜK</option> 
                          <option  
              value="KARAMAN">KARAMAN</option> 
                          <option  
              value="KARS">KARS</option> 
                          <option  
              value="KASTAMONU">KASTAMONU</option> 
                          <option  
              value="KAYSERİ">KAYSERİ</option> 
                          <option  
              value="KIRIKKALE">KIRIKKALE</option> 
                          <option  
              value="KIRKLARELİ">KIRKLARELİ</option> 
                          <option  
              value="KIRŞEHİR">KIRŞEHİR</option> 
                          <option  
              value="KİLİS">KİLİS</option> 
                          <option  
              value="K.MARAŞ">K.MARAŞ</option> 
                          <option  
              value="KOCAELİ">KOCAELİ</option> 
                          <option  
              value="KONYA">KONYA</option> 
                          <option  
              value="KÜTAHYA">KÜTAHYA</option> 
                          <option  
              value="MALATYA">MALATYA</option> 
                          <option  
              value="MANİSA">MANİSA</option> 
                          <option  
              value="MARDİN">MARDİN</option> 
                          <option  
              value="MUĞLA">MUĞLA</option> 
                          <option value="MUŞ">MUŞ</option> 
                          <option  
              value="NEVŞEHİR">NEVŞEHİR</option> 
                          <option  
              value="NİĞDE">NİĞDE</option> 
                          <option value="ORDU">ORDU</option> 
                          <option  
              value="OSMANİYE">OSMANİYE</option> 
                          <option  
              value="RİZE">RİZE</option> 
                          <option  
              value="SAKARYA">SAKARYA</option> 
                          <option  
              value="SAMSUN">SAMSUN</option> 
                          <option  
              value="SİİRT">SİİRT</option> 
                          <option  
              value="SİNOP">SİNOP</option> 
                          <option  
              value="SİVAS">SİVAS</option> 
                          <option  
              value="ŞANLIURFA">ŞANLIURFA</option> 
                          <option  
              value="ŞIRNAK">ŞIRNAK</option> 
                          <option  
              value="TEKİRDAĞ">TEKİRDAĞ</option> 
                          <option  
              value="TOKAT">TOKAT</option> 
                          <option  
              value="TRABZON">TRABZON</option> 
                          <option  
              value="TUNCELİ">TUNCELİ</option> 
                          <option  
              value="UŞAK">UŞAK</option> 
                          <option value="VAN">VAN</option> 
                          <option  
              value="YALOVA">YALOVA</option> 
                          <option  
              value="YOZGAT">YOZGAT</option> 
                          <option  
              value="ZONGULDAK">ZONGULDAK</option> 
                        </select> 
                      </span></td> 
                      <td><input  
            name=f7  
            id=f08-ADSL_BAGLANTITEL2  
            onKeyPress="if (event.keyCode < 48 || event.keyCode > 57) event.returnValue = false;" size=16 maxlength=20 #invalid_attr_id="100%"></td> 
                    </tr> 
                    <tr bgcolor=#ededed> 
                      <td align=right><div align="left"><span class="style4">E-postanız :</span></div></td> 
                      <td colspan=2><input  
            name=f8 id=f09-FROMEMAIL2 size=25 #invalid_attr_id="100%"> 
                      </td> 
                    </tr> 
                    <tr bgcolor=#ededed> 
                      <td align=right><div align="left"><span class="style4"><font color=#ff0000>*</font> Adresiniz : </span></div></td> 
                      <td colspan=2><textarea name=f9 cols=25 rows=3 class=style2 id=textarea></textarea> 
                      </td> 
                    </tr> 
                    <tr bgcolor=#ededed> 
                      <td align=right><div align="left"><span class="style4"><font color=#ff0000>*</font> T.C. Kimlik Numaranız ( <a  
            title="Kimlik numaranızı bilmiyorsanız bu adresten öğrenebilirsiniz."  
            href="http://tckimlik.nvi.gov.tr/" target=_blank>?</a> ) :</span></div></td> 
                      <td colspan=2><input name=f10  
            id=f11-TCKIMLIK2  
            onKeyPress="if (event.keyCode < 48 || event.keyCode > 57) event.returnValue = false;" size=25 #invalid_attr_id="100%"></td> 
                    </tr> 
                    <tr bgcolor=#ededed> 
                      <td align=right><div align="left"><span class="style4">Vergi Daireniz : </span></div></td> 
                      <td colspan=2><input  
            name=f11 id=f12-VERGI_DAIRE2 size=25 #invalid_attr_id="100%"></td> 
                    </tr> 
                    <tr bgcolor=#ededed> 
                      <td align=right><div align="left"><span class="style4">Vergi Numaranız ( <a  
            title="Vergi numaranızı unuttuysanız, öğrenmek için tıklayınız"  
            href="http://vedop.mb-ggm.gov.tr/vkn_sorgu/" target=_blank>?</a> ) :</span></div></td> 
                      <td colspan=2><input  
            name=f12 id=f13-VERGI_NO2 size=25 #invalid_attr_id="100%"></td> 
                    </tr> 
                    <tr bgcolor=#ededed> 
                      <td align=right><div align="left"><span class="style4"><font color=#ff0000>*</font> İstediğiniz bağlantı hızı : </span></div></td> 
                      <td valign=center bordercolor=#ffffff colspan=2><span style="font-family: Verdana, Arial, Helvetica, sans-serif; font-size: 13px;"> 
                        <select  
            id=select2 style="WIDTH: 100%" name=f13> 
                          <option selected>--Lütfen Seçiniz--</option> 
                          <option  
              value="1024/256 - 4Gb Limitli / 29Ytl">1024/256 - 4Gb Limitli / 29Ytl</option> 
                          <option  
              value="1024/256 - 6Gb Limitli / 39Ytl">1024/256 - 6Gb Limitli / 39Ytl</option> 
                          <option  
              value="2048/512 - 6Gb Limitli / 49Ytl">2048/512 - 6Gb Limitli / 49Ytl</option> 
                          <option value="1024/256  Sınırsız / 49Ytl">1024/256 Sınırsız / 49Ytl</option> 
                          <option  
              value="2048/512  Sınırsız / 69Ytl">2048/512 Sınırsız / 69Ytl</option> 
                          <option value="4096/1024 Sınırsız / 89Ytl">4096/1024 Sınırsız / 89Ytl</option> 
                        </select> 
                      </span></td> 
                    </tr> 
                    <tr bgcolor=#ededed> 
                      <td align=right><div align="left"><span class="style4"><font color=#ff0000>*</font> Abonelik ücreti ödeme şekli : </span></div></td> 
                      <td align=left colspan=2><span style="font-family: Verdana, Arial, Helvetica, sans-serif; font-size: 13px;"> 
                        <select id=select3  
            style="WIDTH: 100%" name=f14> 
                          <option selected>--Lütfen Seçiniz--</option> 
                          <option value="12 Ay Taksitle - (3ytl x 12 )">12 Ay Taksitle - (3ytl x 12 )</option> 
                          <option  
              value="İlk Faturada Tamamını - (29 YTL)">İlk Faturada Tamamını - (29 YTL)</option> 
                        </select> 
                      </span></td> 
                    </tr> 
                    <tr bgcolor=#ededed> 
                      <td align=right><div align="left"><span class="style4"><strong><font color=#ff0000>*</font> Kampanya Seçeneği : </strong></span></div></td> 
                      <td align=left colspan=2> 
                        <p class="style1 style5"> 
                          <select id=select4 style="WIDTH: 100%" name=f15> 
                            <option selected>--Lütfen Seçiniz--</option> 
                            <option  
              value="Kablosuz Modem 1 ay sınırsız ücretsiz kullanım">Kablosuz Modem 1 ay sınırsız ücretsiz kullanım</option> 
                            <option  
              value="Kablolu  Modem 2 ay sınırsız ücretsiz kullanım">Kablolu Modem 2 ay sınırsız ücretsiz kullanım</option> 
                            <option  
              value="Modem hediyesiz 3 ay sınırsız ücretsiz kullanım">Modem hediyesiz 3 ay sınırsız ücretsiz kullanım</option> 
                          </select> 
                      </p></td> 
                    </tr> 
                    <tr bgcolor=#ededed> 
                      <td> 
                        <p align="left" class="style4"><font color=#ff0000>* İşaretli alanları boş bırakmayınız!</font></p></td> 
                      <td colspan=2><input name="submit" type="submit" class="inpt" style="FONT-WEIGHT: bold; COLOR: #000000;" value=GÖNDER></td> 
                    </tr> 
                  </tbody> 
              </table></TD> 
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