Beyler Küçük Bir Üyelik Alımı Formu Oluşturdum Sizce Nasıl Resim
http://www.jotform.com/form/20494649984
[/code]<script src="http://max.jotfor.ms/min/g=jotform?3.0.2578" type="text/javascript"></script>
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<link href="http://max.jotfor.ms/min/g=formCss?3.0.2578" rel="stylesheet" type="text/css" />
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width:650px;
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font-family:Verdana;
font-size:12px;
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<form class="jotform-form" action="http://submit.jotform.net/submit.php" method="post" name="form_20494649984" id="20494649984" accept-charset="utf-8">
<input type="hidden" name="formID" value="20494649984" />
<div class="form-all">
<ul class="form-section">
<li class="form-line" id="id_5">
<label class="form-label-left" id="label_5" for="input_5">
Tam İsim Girişi<span class="form-required">*</span>
</label>
<div id="cid_5" class="form-input"><span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="10" name="q5_tamIsim5[first]" id="first_5" />
<label class="form-sub-label" for="first_5" id="sublabel_first"> Adınız </label></span><span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="15" name="q5_tamIsim5[last]" id="last_5" />
<label class="form-sub-label" for="last_5" id="sublabel_last"> Soy Adınız </label></span>
</div>
</li>
<li class="form-line" id="id_1">
<label class="form-label-left" id="label_1" for="input_1">
Kullanıcı Adı<span class="form-required">*</span>
</label>
<div id="cid_1" class="form-input">
<input type="text" class="form-textbox validate[required]" id="input_1" name="q1_kullaniciAdi" size="20" />
</div>
</li>
<li class="form-line" id="id_3">
<label class="form-label-left" id="label_3" for="input_3">
Şifreniz<span class="form-required">*</span>
</label>
<div id="cid_3" class="form-input">
<input type="password" class="form-textbox validate[required]" id="input_3" name="q3_sifreniz" size="20" />
</div>
</li>
<li class="form-line" id="id_7">
<label class="form-label-left" id="label_7" for="input_7">
Doğum Tarihi<span class="form-required">*</span>
</label>
<div id="cid_7" class="form-input"><span class="form-sub-label-container"><select class="form-dropdown validate[required]" name="q7_dogumTarihi7[month]" id="input_7_month">
<option> </option>
<option value="Ocak"> Ocak </option>
<option value="Şubat"> Şubat </option>
<option value="Mart"> Mart </option>
<option value="Nisan"> Nisan </option>
<option value="Mayıs"> Mayıs </option>
<option value="Haziran"> Haziran </option>
<option value="Temmuz"> Temmuz </option>
<option value="Ağustos"> Ağustos </option>
<option value="Eylül"> Eylül </option>
<option value="Ekim"> Ekim </option>
<option value="Kasım"> Kasım </option>
<option value="Aralık"> Aralık </option>
</select>
<label class="form-sub-label" for="input_7_month" id="sublabel_month"> Ay </label></span><span class="form-sub-label-container"><select class="form-dropdown validate[required]" name="q7_dogumTarihi7[day]" id="input_7_day">
<option> </option>
<option value="1"> 1 </option>
<option value="2"> 2 </option>
<option value="3"> 3 </option>
<option value="4"> 4 </option>
<option value="5"> 5 </option>
<option value="6"> 6 </option>
<option value="7"> 7 </option>
<option value="8"> 8 </option>
<option value="9"> 9 </option>
<option value="10"> 10 </option>
<option value="11"> 11 </option>
<option value="12"> 12 </option>
<option value="13"> 13 </option>
<option value="14"> 14 </option>
<option value="15"> 15 </option>
<option value="16"> 16 </option>
<option value="17"> 17 </option>
<option value="18"> 18 </option>
<option value="19"> 19 </option>
<option value="20"> 20 </option>
<option value="21"> 21 </option>
<option value="22"> 22 </option>
<option value="23"> 23 </option>
<option value="24"> 24 </option>
<option value="25"> 25 </option>
<option value="26"> 26 </option>
<option value="27"> 27 </option>
<option value="28"> 28 </option>
<option value="29"> 29 </option>
<option value="30"> 30 </option>
<option value="31"> 31 </option>
</select>
<label class="form-sub-label" for="input_7_day" id="sublabel_day"> Gün </label></span><span class="form-sub-label-container"><select class="form-dropdown validate[required]" name="q7_dogumTarihi7[year]" id="input_7_year">
<option> </option>
<option value="2016"> 2016 </option>
<option value="2015"> 2015 </option>
<option value="2014"> 2014 </option>
<option value="2013"> 2013 </option>
<option value="2012"> 2012 </option>
<option value="2011"> 2011 </option>
<option value="2010"> 2010 </option>
<option value="2009"> 2009 </option>
<option value="2008"> 2008 </option>
<option value="2007"> 2007 </option>
<option value="2006"> 2006 </option>
<option value="2005"> 2005 </option>
<option value="2004"> 2004 </option>
<option value="2003"> 2003 </option>
<option value="2002"> 2002 </option>
<option value="2001"> 2001 </option>
<option value="2000"> 2000 </option>
<option value="1999"> 1999 </option>
<option value="1998"> 1998 </option>
<option value="1997"> 1997 </option>
<option value="1996"> 1996 </option>
<option value="1995"> 1995 </option>
<option value="1994"> 1994 </option>
<option value="1993"> 1993 </option>
<option value="1992"> 1992 </option>
<option value="1991"> 1991 </option>
<option value="1990"> 1990 </option>
<option value="1989"> 1989 </option>
<option value="1988"> 1988 </option>
<option value="1987"> 1987 </option>
<option value="1986"> 1986 </option>
<option value="1985"> 1985 </option>
<option value="1984"> 1984 </option>
<option value="1983"> 1983 </option>
<option value="1982"> 1982 </option>
<option value="1981"> 1981 </option>
<option value="1980"> 1980 </option>
<option value="1979"> 1979 </option>
<option value="1978"> 1978 </option>
<option value="1977"> 1977 </option>
<option value="1976"> 1976 </option>
<option value="1975"> 1975 </option>
<option value="1974"> 1974 </option>
<option value="1973"> 1973 </option>
<option value="1972"> 1972 </option>
<option value="1971"> 1971 </option>
<option value="1970"> 1970 </option>
<option value="1969"> 1969 </option>
<option value="1968"> 1968 </option>
<option value="1967"> 1967 </option>
<option value="1966"> 1966 </option>
<option value="1965"> 1965 </option>
<option value="1964"> 1964 </option>
<option value="1963"> 1963 </option>
<option value="1962"> 1962 </option>
<option value="1961"> 1961 </option>
<option value="1960"> 1960 </option>
<option value="1959"> 1959 </option>
<option value="1958"> 1958 </option>
<option value="1957"> 1957 </option>
<option value="1956"> 1956 </option>
<option value="1955"> 1955 </option>
<option value="1954"> 1954 </option>
<option value="1953"> 1953 </option>
<option value="1952"> 1952 </option>
<option value="1951"> 1951 </option>
<option value="1950"> 1950 </option>
<option value="1949"> 1949 </option>
<option value="1948"> 1948 </option>
<option value="1947"> 1947 </option>
<option value="1946"> 1946 </option>
<option value="1945"> 1945 </option>
<option value="1944"> 1944 </option>
<option value="1943"> 1943 </option>
<option value="1942"> 1942 </option>
<option value="1941"> 1941 </option>
<option value="1940"> 1940 </option>
<option value="1939"> 1939 </option>
<option value="1938"> 1938 </option>
<option value="1937"> 1937 </option>
<option value="1936"> 1936 </option>
<option value="1935"> 1935 </option>
<option value="1934"> 1934 </option>
<option value="1933"> 1933 </option>
<option value="1932"> 1932 </option>
<option value="1931"> 1931 </option>
<option value="1930"> 1930 </option>
<option value="1929"> 1929 </option>
<option value="1928"> 1928 </option>
<option value="1927"> 1927 </option>
<option value="1926"> 1926 </option>
<option value="1925"> 1925 </option>
<option value="1924"> 1924 </option>
<option value="1923"> 1923 </option>
<option value="1922"> 1922 </option>
<option value="1921"> 1921 </option>
<option value="1920"> 1920 </option>
</select>
<label class="form-sub-label" for="input_7_year" id="sublabel_year"> Yıl </label></span>
</div>
</li>
<li class="form-line" id="id_8">
<label class="form-label-left" id="label_8" for="input_8"> Telefon Numarası </label>
<div id="cid_8" class="form-input"><span class="form-sub-label-container"><input class="form-textbox" type="tel" name="q8_telefonNumarasi8[area]" id="input_8_area" size="3">
-
<label class="form-sub-label" for="input_8_area" id="sublabel_area"> Posta Kodu </label></span><span class="form-sub-label-container"><input class="form-textbox" type="tel" name="q8_telefonNumarasi8[phone]" id="input_8_phone" size="8">
<label class="form-sub-label" for="input_8_phone" id="sublabel_phone"> Telefon Numarası </label></span>
</div>
</li>
<li class="form-line" id="id_4">
<label class="form-label-left" id="label_4" for="input_4">
Güvenlik Kodu<span class="form-required">*</span>
</label>
<div id="cid_4" class="form-input">
<div class="form-captcha">
<label for="input_4"> <img alt="Captcha - Reload if it's not displayed" id="input_4_captcha" class="form-captcha-image" style="background:url(http://www.jotform.com/images/loader-big.gif) no-repeat center;" src="http://www.jotform.com/images/blank.gif" width="150" height="41" /> </label>
<div style="white-space:nowrap;">
<input type="text" id="input_4" class="form-textbox validate[required]" name="captcha" style="width:130px;" />
<img src="http://www.jotform.com/images/reload.png" alt="Reload" align="absmiddle" style="cursor:pointer" onclick="JotForm.reloadCaptcha('input_4');" />
<input type="hidden" name="captcha_id" id="input_4_captcha_id" value="0">
</div>
</div>
</div>
</li>
<li class="form-line" id="id_6">
<div id="cid_6" class="form-input-wide">
<div style="margin-left:156px" class="form-buttons-wrapper">
<button id="input_6" type="submit" class="form-submit-button">
Formu Gönder
</button>
</div>
</div>
</li>
<li style="display:none">
Should be Empty:
<input type="text" name="website" value="" />
</li>
</ul>
</div>
<input type="hidden" id="simple_spc" name="simple_spc" value="20494649984" />
<script type="text/javascript">
document.getElementById("si" + "mple" + "_spc").value = "20494649984-20494649984";
</script>
</form>[/quote]
