Bilal Membran Kapak | Sipariţ Formu

<table border="0" width="500" id="table2" cellspacing="0" cellpadding="0" style="font-family: Arial; font-size: 8pt">
					<tr>
						<td height="25" colspan="7">
						<img border="0" src="images/aparat/siparis.jpg" width="500" height="80"></td>
					</tr>
					<tr>
						<td height="10" colspan="7"></td>
					</tr>
					<tr>
						<td height="25" colspan="3"><b>Sipariţi veren kiţi</b></td>
						<td height="25" colspan="4">
						<input class="iyinput" name="ozellik0" size="28"></td>
					</tr>
					<tr>
						<td height="25" colspan="3"><b>Mail Adresi</b></td>
						<td height="25" colspan="4">
						<input class="iyinput" name="ozellik1" size="28"></td>
					</tr>
					<tr>
						<td height="25" colspan="3"><b>Telefon</b></td>
						<td height="25" colspan="4">
						<input class="iyinput" name="ozellik2" size="28"></td>
					</tr>
					<tr>
						<td height="25" colspan="3"><b>Fax</b></td>
						<td height="25" colspan="4">
						<input class="iyinput" name="ozellik3" size="28"></td>
					</tr>
					<tr>
						<td height="25" colspan="3"><b>Sipariţ Tarihi</b></td>
						<td height="25" colspan="4">
						<input class="iyinput" name="ozellik4" size="28" value="5/20/2012 7:26:10 PM"></td>
					</tr>
					<tr>
						<td height="25" colspan="3"><b>Teslim Tarihi</b></td>
						<td height="25" colspan="4">
						<input class="iyinput" name="ozellik5" size="28"></td>
					</tr>
					<tr>
						<td height="10" colspan="7"></td>
					</tr>
					<tr>
						<td height="25" bgcolor="#EBEBEB"><b>Sýra</b></td>
						<td height="25" bgcolor="#EBEBEB"><b>Boy</b></td>
						<td height="25" bgcolor="#EBEBEB"><b>En</b></td>
						<td height="25" bgcolor="#EBEBEB"><b>Adet</b></td>
						<td height="25" bgcolor="#EBEBEB"><b>Renk</b></td>
						<td height="25" bgcolor="#EBEBEB"><b>Özellik</b></td>
						<td width="60" height="25" bgcolor="#EBEBEB"><b>M2</b></td>
					</tr>
					
					<tr>
						<td width="50" height="25"><input class="iyinput_b" name="sira" size="1" value="1"></td>
						<td width="50">
						<input class="iyinput" name="boy" size="1"></td>
						<td width="50">
						<input class="iyinput" name="en" size="1"></td>
						<td width="50">
						<input class="iyinput" name="adet" size="1"></td>
						<td width="50">
						<input class="iyinput" name="renk" size="1"></td>
						<td width="150">
						<input class="iyinput" name="ozellik" size="28"></td>
						<td width="50">
						<input class="iyinput" name="mk" size="1"></td>
					</tr>
					
					<tr>
						<td width="50" height="25"><input class="iyinput_b" name="sira" size="1" value="2"></td>
						<td width="50">
						<input class="iyinput" name="boy" size="1"></td>
						<td width="50">
						<input class="iyinput" name="en" size="1"></td>
						<td width="50">
						<input class="iyinput" name="adet" size="1"></td>
						<td width="50">
						<input class="iyinput" name="renk" size="1"></td>
						<td width="150">
						<input class="iyinput" name="ozellik" size="28"></td>
						<td width="50">
						<input class="iyinput" name="mk" size="1"></td>
					</tr>
					
					<tr>
						<td width="50" height="25"><input class="iyinput_b" name="sira" size="1" value="3"></td>
						<td width="50">
						<input class="iyinput" name="boy" size="1"></td>
						<td width="50">
						<input class="iyinput" name="en" size="1"></td>
						<td width="50">
						<input class="iyinput" name="adet" size="1"></td>
						<td width="50">
						<input class="iyinput" name="renk" size="1"></td>
						<td width="150">
						<input class="iyinput" name="ozellik" size="28"></td>
						<td width="50">
						<input class="iyinput" name="mk" size="1"></td>
					</tr>
					
					<tr>
						<td width="50" height="25"><input class="iyinput_b" name="sira" size="1" value="4"></td>
						<td width="50">
						<input class="iyinput" name="boy" size="1"></td>
						<td width="50">
						<input class="iyinput" name="en" size="1"></td>
						<td width="50">
						<input class="iyinput" name="adet" size="1"></td>
						<td width="50">
						<input class="iyinput" name="renk" size="1"></td>
						<td width="150">
						<input class="iyinput" name="ozellik" size="28"></td>
						<td width="50">
						<input class="iyinput" name="mk" size="1"></td>
					</tr>
					
					<tr>
						<td width="50" height="25"><input class="iyinput_b" name="sira" size="1" value="5"></td>
						<td width="50">
						<input class="iyinput" name="boy" size="1"></td>
						<td width="50">
						<input class="iyinput" name="en" size="1"></td>
						<td width="50">
						<input class="iyinput" name="adet" size="1"></td>
						<td width="50">
						<input class="iyinput" name="renk" size="1"></td>
						<td width="150">
						<input class="iyinput" name="ozellik" size="28"></td>
						<td width="50">
						<input class="iyinput" name="mk" size="1"></td>
					</tr>
					
					<tr>
						<td width="50" height="25"><input class="iyinput_b" name="sira" size="1" value="6"></td>
						<td width="50">
						<input class="iyinput" name="boy" size="1"></td>
						<td width="50">
						<input class="iyinput" name="en" size="1"></td>
						<td width="50">
						<input class="iyinput" name="adet" size="1"></td>
						<td width="50">
						<input class="iyinput" name="renk" size="1"></td>
						<td width="150">
						<input class="iyinput" name="ozellik" size="28"></td>
						<td width="50">
						<input class="iyinput" name="mk" size="1"></td>
					</tr>
					
					<tr>
						<td width="50" height="25"><input class="iyinput_b" name="sira" size="1" value="7"></td>
						<td width="50">
						<input class="iyinput" name="boy" size="1"></td>
						<td width="50">
						<input class="iyinput" name="en" size="1"></td>
						<td width="50">
						<input class="iyinput" name="adet" size="1"></td>
						<td width="50">
						<input class="iyinput" name="renk" size="1"></td>
						<td width="150">
						<input class="iyinput" name="ozellik" size="28"></td>
						<td width="50">
						<input class="iyinput" name="mk" size="1"></td>
					</tr>
					
					<tr>
						<td width="50" height="25"><input class="iyinput_b" name="sira" size="1" value="8"></td>
						<td width="50">
						<input class="iyinput" name="boy" size="1"></td>
						<td width="50">
						<input class="iyinput" name="en" size="1"></td>
						<td width="50">
						<input class="iyinput" name="adet" size="1"></td>
						<td width="50">
						<input class="iyinput" name="renk" size="1"></td>
						<td width="150">
						<input class="iyinput" name="ozellik" size="28"></td>
						<td width="50">
						<input class="iyinput" name="mk" size="1"></td>
					</tr>
					
					<tr>
						<td width="50" height="25"><input class="iyinput_b" name="sira" size="1" value="9"></td>
						<td width="50">
						<input class="iyinput" name="boy" size="1"></td>
						<td width="50">
						<input class="iyinput" name="en" size="1"></td>
						<td width="50">
						<input class="iyinput" name="adet" size="1"></td>
						<td width="50">
						<input class="iyinput" name="renk" size="1"></td>
						<td width="150">
						<input class="iyinput" name="ozellik" size="28"></td>
						<td width="50">
						<input class="iyinput" name="mk" size="1"></td>
					</tr>
					
					<tr>
						<td width="50" height="25"><input class="iyinput_b" name="sira" size="1" value="10"></td>
						<td width="50">
						<input class="iyinput" name="boy" size="1"></td>
						<td width="50">
						<input class="iyinput" name="en" size="1"></td>
						<td width="50">
						<input class="iyinput" name="adet" size="1"></td>
						<td width="50">
						<input class="iyinput" name="renk" size="1"></td>
						<td width="150">
						<input class="iyinput" name="ozellik" size="28"></td>
						<td width="50">
						<input class="iyinput" name="mk" size="1"></td>
					</tr>
					
					<tr>
						<td width="50" height="25"><input class="iyinput_b" name="sira" size="1" value="11"></td>
						<td width="50">
						<input class="iyinput" name="boy" size="1"></td>
						<td width="50">
						<input class="iyinput" name="en" size="1"></td>
						<td width="50">
						<input class="iyinput" name="adet" size="1"></td>
						<td width="50">
						<input class="iyinput" name="renk" size="1"></td>
						<td width="150">
						<input class="iyinput" name="ozellik" size="28"></td>
						<td width="50">
						<input class="iyinput" name="mk" size="1"></td>
					</tr>
					
					<tr>
						<td width="50" height="25"><input class="iyinput_b" name="sira" size="1" value="12"></td>
						<td width="50">
						<input class="iyinput" name="boy" size="1"></td>
						<td width="50">
						<input class="iyinput" name="en" size="1"></td>
						<td width="50">
						<input class="iyinput" name="adet" size="1"></td>
						<td width="50">
						<input class="iyinput" name="renk" size="1"></td>
						<td width="150">
						<input class="iyinput" name="ozellik" size="28"></td>
						<td width="50">
						<input class="iyinput" name="mk" size="1"></td>
					</tr>
					
					<tr>
						<td width="50" height="25"><input class="iyinput_b" name="sira" size="1" value="13"></td>
						<td width="50">
						<input class="iyinput" name="boy" size="1"></td>
						<td width="50">
						<input class="iyinput" name="en" size="1"></td>
						<td width="50">
						<input class="iyinput" name="adet" size="1"></td>
						<td width="50">
						<input class="iyinput" name="renk" size="1"></td>
						<td width="150">
						<input class="iyinput" name="ozellik" size="28"></td>
						<td width="50">
						<input class="iyinput" name="mk" size="1"></td>
					</tr>
					
					<tr>
						<td width="50" height="25"><input class="iyinput_b" name="sira" size="1" value="14"></td>
						<td width="50">
						<input class="iyinput" name="boy" size="1"></td>
						<td width="50">
						<input class="iyinput" name="en" size="1"></td>
						<td width="50">
						<input class="iyinput" name="adet" size="1"></td>
						<td width="50">
						<input class="iyinput" name="renk" size="1"></td>
						<td width="150">
						<input class="iyinput" name="ozellik" size="28"></td>
						<td width="50">
						<input class="iyinput" name="mk" size="1"></td>
					</tr>
					
					<tr>
						<td width="50" height="25"><input class="iyinput_b" name="sira" size="1" value="15"></td>
						<td width="50">
						<input class="iyinput" name="boy" size="1"></td>
						<td width="50">
						<input class="iyinput" name="en" size="1"></td>
						<td width="50">
						<input class="iyinput" name="adet" size="1"></td>
						<td width="50">
						<input class="iyinput" name="renk" size="1"></td>
						<td width="150">
						<input class="iyinput" name="ozellik" size="28"></td>
						<td width="50">
						<input class="iyinput" name="mk" size="1"></td>
					</tr>
					
					<tr>
						<td width="50" height="25"><input class="iyinput_b" name="sira" size="1" value="16"></td>
						<td width="50">
						<input class="iyinput" name="boy" size="1"></td>
						<td width="50">
						<input class="iyinput" name="en" size="1"></td>
						<td width="50">
						<input class="iyinput" name="adet" size="1"></td>
						<td width="50">
						<input class="iyinput" name="renk" size="1"></td>
						<td width="150">
						<input class="iyinput" name="ozellik" size="28"></td>
						<td width="50">
						<input class="iyinput" name="mk" size="1"></td>
					</tr>
					
					<tr>
						<td width="50" height="25"><input class="iyinput_b" name="sira" size="1" value="17"></td>
						<td width="50">
						<input class="iyinput" name="boy" size="1"></td>
						<td width="50">
						<input class="iyinput" name="en" size="1"></td>
						<td width="50">
						<input class="iyinput" name="adet" size="1"></td>
						<td width="50">
						<input class="iyinput" name="renk" size="1"></td>
						<td width="150">
						<input class="iyinput" name="ozellik" size="28"></td>
						<td width="50">
						<input class="iyinput" name="mk" size="1"></td>
					</tr>
					
					<tr>
						<td width="50" height="25"><input class="iyinput_b" name="sira" size="1" value="18"></td>
						<td width="50">
						<input class="iyinput" name="boy" size="1"></td>
						<td width="50">
						<input class="iyinput" name="en" size="1"></td>
						<td width="50">
						<input class="iyinput" name="adet" size="1"></td>
						<td width="50">
						<input class="iyinput" name="renk" size="1"></td>
						<td width="150">
						<input class="iyinput" name="ozellik" size="28"></td>
						<td width="50">
						<input class="iyinput" name="mk" size="1"></td>
					</tr>
					
					<tr>
						<td width="50" height="25"><input class="iyinput_b" name="sira" size="1" value="19"></td>
						<td width="50">
						<input class="iyinput" name="boy" size="1"></td>
						<td width="50">
						<input class="iyinput" name="en" size="1"></td>
						<td width="50">
						<input class="iyinput" name="adet" size="1"></td>
						<td width="50">
						<input class="iyinput" name="renk" size="1"></td>
						<td width="150">
						<input class="iyinput" name="ozellik" size="28"></td>
						<td width="50">
						<input class="iyinput" name="mk" size="1"></td>
					</tr>
					
					<tr>
						<td width="50" height="25"><input class="iyinput_b" name="sira" size="1" value="20"></td>
						<td width="50">
						<input class="iyinput" name="boy" size="1"></td>
						<td width="50">
						<input class="iyinput" name="en" size="1"></td>
						<td width="50">
						<input class="iyinput" name="adet" size="1"></td>
						<td width="50">
						<input class="iyinput" name="renk" size="1"></td>
						<td width="150">
						<input class="iyinput" name="ozellik" size="28"></td>
						<td width="50">
						<input class="iyinput" name="mk" size="1"></td>
					</tr>
					
					<tr>
						<td width="50" height="25"><input class="iyinput_b" name="sira" size="1" value="21"></td>
						<td width="50">
						<input class="iyinput" name="boy" size="1"></td>
						<td width="50">
						<input class="iyinput" name="en" size="1"></td>
						<td width="50">
						<input class="iyinput" name="adet" size="1"></td>
						<td width="50">
						<input class="iyinput" name="renk" size="1"></td>
						<td width="150">
						<input class="iyinput" name="ozellik" size="28"></td>
						<td width="50">
						<input class="iyinput" name="mk" size="1"></td>
					</tr>
					
					<tr>
						<td width="50" height="25"><input class="iyinput_b" name="sira" size="1" value="22"></td>
						<td width="50">
						<input class="iyinput" name="boy" size="1"></td>
						<td width="50">
						<input class="iyinput" name="en" size="1"></td>
						<td width="50">
						<input class="iyinput" name="adet" size="1"></td>
						<td width="50">
						<input class="iyinput" name="renk" size="1"></td>
						<td width="150">
						<input class="iyinput" name="ozellik" size="28"></td>
						<td width="50">
						<input class="iyinput" name="mk" size="1"></td>
					</tr>
					
					<tr>
						<td width="50" height="25"><input class="iyinput_b" name="sira" size="1" value="23"></td>
						<td width="50">
						<input class="iyinput" name="boy" size="1"></td>
						<td width="50">
						<input class="iyinput" name="en" size="1"></td>
						<td width="50">
						<input class="iyinput" name="adet" size="1"></td>
						<td width="50">
						<input class="iyinput" name="renk" size="1"></td>
						<td width="150">
						<input class="iyinput" name="ozellik" size="28"></td>
						<td width="50">
						<input class="iyinput" name="mk" size="1"></td>
					</tr>
					
					<tr>
						<td width="50" height="25"><input class="iyinput_b" name="sira" size="1" value="24"></td>
						<td width="50">
						<input class="iyinput" name="boy" size="1"></td>
						<td width="50">
						<input class="iyinput" name="en" size="1"></td>
						<td width="50">
						<input class="iyinput" name="adet" size="1"></td>
						<td width="50">
						<input class="iyinput" name="renk" size="1"></td>
						<td width="150">
						<input class="iyinput" name="ozellik" size="28"></td>
						<td width="50">
						<input class="iyinput" name="mk" size="1"></td>
					</tr>
					
					<tr>
						<td width="50" height="25"><input class="iyinput_b" name="sira" size="1" value="25"></td>
						<td width="50">
						<input class="iyinput" name="boy" size="1"></td>
						<td width="50">
						<input class="iyinput" name="en" size="1"></td>
						<td width="50">
						<input class="iyinput" name="adet" size="1"></td>
						<td width="50">
						<input class="iyinput" name="renk" size="1"></td>
						<td width="150">
						<input class="iyinput" name="ozellik" size="28"></td>
						<td width="50">
						<input class="iyinput" name="mk" size="1"></td>
					</tr>
					
					<tr>
						<td width="50"> </td>
						<td width="50"> </td>
						<td width="50"> </td>
						<td width="50"> </td>
						<td width="50"> </td>
						<td width="150">
						 </td>
						<td width="50"> </td>
					</tr>
					<tr>
						<td width="450" colspan="7"></td>
					</tr>
					<tr>
						<td width="50"> </td>
						<td width="50"> </td>
						<td width="50"> </td>
						<td width="50"> </td>
						<td width="50"> </td>
						<td width="150">
						 </td>
						<td width="50"> </td>
					</tr>
				</table>


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