Aşağıda Formdur...
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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>
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<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>
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<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>
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