<p>En kısa sürede size dönmemiz için, aşağıdaki formumuzu doldurunuz.</p>
<form style="margin:0px;">
<table id="onkayit_formu" cellpadding="2" cellspacing="2">
<tr>
<td>
<table cellpadding="0" cellspacing="0">
<tr>
<td>Ad Soyad <span style="color: red;">(*)</span></td>
<td> : </td>
<td><input type="text" name="ad" id="ad" maxlength="60" style="width:120px;" /></td>
</tr>
<tr>
<td>E-posta <span style="color: red;">(*)</span></td>
<td> : </td>
<td><input type="text" name="email" id="email" maxlength="80" style="width:120px;" /></td>
</tr>
<tr>
<td>Tel 1 <span style="color: red;">(*)</span></td>
<td> : </td>
<td><input type="text" name="tel1" id="tel1" maxlength="60" style="width:120px;" /></td>
</tr>
<tr>
<td>Tel 2</td>
<td> :</td>
<td><input type="text" name="tel2" id="tel2" maxlength="60" style="width:120px;" /></td>
</tr>
</table>
</td>
<td valign="top"><textarea id="mesaj" name="mesaj" rows="4" cols="20" onblur="if(/^ *$/.test(this.value)) this.value = 'Bize mesajınız';" onfocus="if(this.value == 'Bize mesajınız') this.value = '';" style="color:gray;">Bize mesajınız</textarea></td>
</tr>
<tr>
<td colspan="3">
<table cellpadding="0" cellspacing="0" width="100%">
<tr>
<td align="left">Uygun ders saatleri</td>
<td align="right">
10-13 <input type="checkbox" name="saat1" id="saat1" />
13-16 <input type="checkbox" name="saat2" id="saat2" />
16-19 <input type="checkbox" name="saat3" id="saat3" />
19-22 <input type="checkbox" name="saat4" id="saat4" />
</td>
</tr>
</table>
</td>
</tr>
<input type="hidden" id="egitim" name="egitim" value="Etkili İletişim Eğitimi">
<tr>
<td colspan="2" align="right">
<input name="button" id="onkayitSubmit" type="button" onclick="gonder();" value="Kayıt Ol" />
</td>
</tr>
</table>
</form>