buraqq
Profesör
- Katılım
- 13 Mart 2008
- Mesajlar
- 1,549
- Reaksiyon puanı
- 6
- Puanları
- 218
eğer daha güzel formlar istiyorsanız www.jotform.com u ziyaret edin. ben bu formu da oradan yaptım.
HTML:
<script src="http://www.jotform.com/js/form.js?v2.0.727" type="text/javascript"></script>
<style type="text/css">html,body{height:100%; margin:0;}
.tbmain{
/* Changes on the form */
background: url(http://www.jotform.com/images/styles/style3_bg.gif) #f8e400 bottom right no-repeat !important;
}
.left{
/* Changes on the form */
color: #333333 !important;
font-family: Verdana !important;
font-size: 14px !important;
}
td.left {
font-family: "Comic Sans MS";
font-size: 14px;
font-weight: bold;
color:#333333;
vertical-align: top;
text-align: right;
}
.pagebreak{
font-family: "Comic Sans MS";
font-size: 14px;
font-weight:bold;
color:black;
}
td.right {
font-family: "Comic Sans MS";
font-size: 14px;
font-weight:normal;
color:#333333;
vertical-align: top;
text-align: left;
}
.tbmain{
height:100%;
color:#333333;
background:url(http://www.jotform.com/images/styles/style3_bg.gif) #f8e400 bottom right no-repeat;
}
.head{
font-family: "Comic Sans MS";
font-size: large;
font-weight: bold;
color:#333333;
vertical-align: top;
text-align: center;
}
.notvalid{
border:2px red solid;
font-family:"Trebuchet MS";
}
.text{
font-family: "Comic Sans MS";
font-size: 14px;
font-weight:normal;
color:#333333;
border:0px;
background:url(http://www.jotform.com/images/styles/style2_txt_bg.gif) bottom repeat-x;
}
select.other{
font-family: "Comic Sans MS";
font-size: 14px;
font-weight:normal;
color:#333333;
border:1px #333333 dotted;
background: #f8e400;
}
.btn{
font-family: "Comic Sans MS";
font-size: 14px;
font-weight:normal;
color:#333333;
border:1px #333333 dotted;
background: #f8e400;
}
span.required{
font-size: 13px !important;
color: red !important;
}
</style>
</head>
<body>
<table width="100%" cellpadding="2" cellspacing="0" class="tbmain">
<tr><td class="topleft" width="10" height="10"> </td>
<td class="topmid"> </td>
<td class="topright" width="10" height="10"> </td>
</tr>
<tr>
<td class="midleft" width="10"> </td>
<td class="midmid" valign="top">
<form enctype="multipart/form-data" action="http://www.jotform.com/submit.php" method="post" name="q_form_82001204249">
<input type="hidden" name="formID" value="82001204249" />
<div id="main">
<table width="520" cellpadding="5" cellspacing="0">
<tr >
<td colspan="2" class="left" >
* İşareti ile gösterilen yerlerin doldurulması zorunludur
</td>
</tr>
<tr >
<td width="150" class="left" >
<label >*Ad</label>
</td>
<td class="right" >
<input type="text" size="20" name="q9_Ad" class="text" value="" id="q9" maxlength="100" maxsize="100" />
</td>
</tr>
<tr >
<td width="150" class="left" >
<label >*Soyad</label>
</td>
<td class="right" >
<input type="text" size="20" name="q10_Soyad" class="text" value="" id="q10" maxlength="100" maxsize="100" />
</td>
</tr>
<tr >
<td width="150" class="left" >
<label >*Kullanıcı Adı</label>
</td>
<td class="right" >
<input type="text" size="20" name="q11_KullancAd" class="text" value="" id="q11" maxlength="100" maxsize="100" />
</td>
</tr>
<tr >
<td width="150" class="left" >
<label>*Şifre</label>
</td>
<td class="right">
<input type="password" class="text" size="20" name="q13_ifre" id="q13" />
</td>
</tr>
<tr >
<td width="150" class="left" >
<label >*E-mail</label>
</td>
<td class="right" >
<input type="text" size="20" name="q17_Email" class="text" value="" id="q17" maxlength="100" maxsize="100" />
</td>
</tr>
<tr >
<td width="150" class="left" >
<label>Doğum Tarihiniz</label>
</td>
<td class="right" >
<select class="other" id="month_q14" onchange="getdate(this)">
<option value="0">Month</option>
<option value="Jan">Jan</option>
<option value="Feb">Feb</option>
<option value="Mar">Mar</option>
<option value="Apr">Apr</option>
<option value="May">May</option>
<option value="Jun">Jun</option>
<option value="Jul">Jul</option>
<option value="Aug">Aug</option>
<option value="Sep">Sep</option>
<option value="Oct">Oct</option>
<option value="Nov">Nov</option>
<option value="Dec">Dec</option>
</select>
<select class="other" id="day_q14" onchange="getdate(this)">
<option value="0">Day</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>
<select class="other" id="year_q14" onchange="getdate(this)">
<option value="0">Year</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>
</select><br />
<input type="hidden" name="q14_DoumTarihiniz" id="date_q14" />
</td>
</tr>
<tr >
<td width="150" class="left" >
<label>Profil Resmi Upload/max200kb</label>
</td>
<td class="right">
<input type="file" class="text" size="20" name="q20_ProfilResmiUploadmax" id="q20" />
</td>
</tr>
<tr >
<td width="150" class="left" valign="top" >
<label>Notunuz</label>
</td>
<td class="right" >
<textarea cols="30" rows="2" name="q19_Notunuz" class="text" id="q19" ></textarea>
</td>
</tr>
<tr >
<td width="150" class="left" valign="top" >
<label>*Captcha yı Doğrulayın</label>
</td>
<td valign="top">
<script type="text/javascript" src="http://www.jotform.com/captcha.php"></script> <input type="text" name="qCap" class="text" id="uword" />
</td>
</tr>
<tr >
<td width="150" class="left" valign="top" >
<label>Sayfayı Derecelendir</label>
</td>
<td valign="top">
<input type="hidden" name="q15_SayfayDerecelendir" id="q15" />
<table id="starTable_q15" width="75" border="0" cellpadding="0" cellspacing="0" style="background:url(http://www.jotform.com/images/star0.gif)" onmouseout="resetRate(this,'q15')">
<tr>
<td width="15" height="15" onmouseover="changeColor('1','starTable_q15')" onclick="rate(this,'1','q15')"></td>
<td width="15" onmouseover="changeColor('2','starTable_q15')" onclick="rate(this,'2','q15')"></td>
<td width="15" onmouseover="changeColor('3','starTable_q15')" onclick="rate(this,'3','q15')"></td>
<td width="15" onmouseover="changeColor('4','starTable_q15')" onclick="rate(this,'4','q15')"></td>
<td width="15" onmouseover="changeColor('5','starTable_q15')" onclick="rate(this,'5','q15')"></td>
</tr>
</table>
</td>
</tr>
<tr >
<td width="150" class="left" >
</td>
<td class="right">
<input type="submit" class="btn" value="Submit" />
</td>
</tr>
</table>
</div>
</form>
</td>
<td class="midright" width="10"> </td>
</tr>
<tr>
<td class="bottomleft" width="10" height="10"> </td>
<td class="bottommid"> </td>
<td class="bottomright" width="10" height="10"> </td>
</tr>
</table>
<script type="text/javascript">
validate("q_form_82001204249");
</script>