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<title>Sipariþ Formu</title>
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<form action="?I=gonder" method="post" name="olcutalep" id="olcutalep">
  <table width="100%" border="0" cellspacing="3" cellpadding="3">
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      <td><div style="background:#EEE;padding:7px;font-size:15px;font-family:Arial, Helvetica, sans-serif;font-weight:bold;color:#333;border-bottom:1px dashed #333;">&raquo; Sipariþ Ver</div></td>
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      <td bgcolor="#EEE" style="background:#EEE;"><table width="100%" border="0" align="center" cellpadding="2" cellspacing="2">
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          <td width="26%" style="border-bottom:1px dashed #CCC;background:#EEEEEE;color:#333;font-size:12px;font-weight:bold;padding:5px;">&Uuml;r&uuml;n Kodu</td>
          <td width="74%" style="border-bottom:1px dashed #CCC;background:#EEEEEE;color:#333;font-size:12px;font-weight:bold;padding:5px;font-weight:normal"><input name="urunkod" type="text" class="quickregister" id="urunkod" value="Y-1005">
            *</td>
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          <td style="border-bottom:1px dashed #CCC;background:#EEEEEE;color:#333;font-size:12px;font-weight:bold;padding:5px;">&Uuml;r&uuml;n Adý</td>
          <td style="border-bottom:1px dashed #CCC;background:#EEEEEE;color:#333;font-size:12px;font-weight:bold;padding:5px;font-weight:normal"><input name="urunad" type="text" class="quickregister" id="urunad" value="DÃ¼z Åžok DuÅŸ 145 x 30">
            *</td>
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          <td style="border-bottom:1px dashed #CCC;background:#EEEEEE;color:#333;font-size:12px;font-weight:bold;padding:5px;">Ad-Soyad</td>
          <td style="border-bottom:1px dashed #CCC;background:#EEEEEE;color:#333;font-size:12px;font-weight:bold;padding:5px;"><input name="adsoyad" type="text" class="quickregister" id="adsoyad">
            * </td>
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          <td style="border-bottom:1px dashed #CCC;background:#EEEEEE;color:#333;font-size:12px;font-weight:bold;padding:5px;">Telefon</td>
          <td style="border-bottom:1px dashed #CCC;background:#EEEEEE;color:#333;font-size:12px;font-weight:bold;padding:5px;"><input name="telefon" type="text" class="quickregister" id="telefon">
            * </td>
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          <td style="border-bottom:1px dashed #CCC;background:#EEEEEE;color:#333;font-size:12px;font-weight:bold;padding:5px;">E-Posta</td>
          <td style="border-bottom:1px dashed #CCC;background:#EEEEEE;color:#333;font-size:12px;font-weight:bold;padding:5px;"><input name="eposta" type="text" class="quickregister" id="eposta">
            * </td>
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          <td style="border-bottom:1px dashed #CCC;background:#EEEEEE;color:#333;font-size:12px;font-weight:bold;padding:5px;">Þehir</td>
          <td style="border-bottom:1px dashed #CCC;background:#EEEEEE;color:#333;font-size:12px;font-weight:bold;padding:5px;"><input name="sehir" type="text" class="quickregister" id="sehir">
            * </td>
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          <td style="border-bottom:1px dashed #CCC;background:#EEEEEE;color:#333;font-size:12px;font-weight:bold;padding:5px;">Mesaj</td>
          <td style="border-bottom:1px dashed #CCC;background:#EEEEEE;color:#333;font-size:12px;font-weight:bold;padding:5px;"><textarea name="mesaj" rows="5" class="quickregister" id="mesaj"></textarea></td>
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          <td style="border-bottom:1px dashed #CCC;background:#EEEEEE;color:#333;font-size:12px;font-weight:bold;padding:5px;">&nbsp;</td>
          <td style="border-bottom:1px dashed #CCC;background:#EEEEEE;color:#333;font-size:12px;font-weight:bold;padding:5px;"><input name="button" type="submit" class="quickregister" id="button" value="G&ouml;nder"></td>
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          <td colspan="2" class="blogbaslik" style="width:100%">NOT : Sizinle Daha Hýzlý Ýletiþime Ge&ccedil;memiz Ý&ccedil;in L&uuml;tfen T&uuml;m Alanlarý Eksiksiz Doldurunuz.</td>
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      <td class="catlink">&nbsp;</td>
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</form>
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