<?php
include 'header.php';
?>
<div class="banner">
    <div class="container">
        <h1 class="adi">Üye Ol</h1>
        <ul class="map">
            <li><a href="#">Ana Sayfa</a></li> <i>/</i>
            <li><a href="#">Üye Ol</a></li> 
        </ul>
        <div class="paylas">
            <ul>
                <li><a href="#" target="_blank"><i class="fa fa-facebook" aria-hidden="true"></i></a></li>
                <li><a href="#" target="_blank"><i class="fa fa-twitter" aria-hidden="true"></i></a></li>
                <li><a href="#" target="_blank"><i class="fa fa-linkedin" aria-hidden="true"></i></a></li>
				<li><a href="#" target="_blank"><i class="fa fa-pinterest" aria-hidden="true"></i></a></li>
            </ul>
        </div>
    </div>
</div>
<div class="sayfa">
    <div class="container">
        <div class="tam">

            <div class="uye-form">
                <div class="adi">
                Üye Ol
                </div>
                <div class="aciklama">
                <p>Lütfen aşağıdaki alanları lütfen eksiksiz doldurunuz.</p>
                </div>
                <form id="form5" method="POST" action="">
                <input type="hidden" name="proc" value="gonderr">
                    <input type="text" class="form-control" placeholder="Firma Ünvanı" name="titlee">
                    <input type="text" class="form-control" placeholder="Adres" name="titlee">
                    <input type="text" class="form-control" placeholder="Vergi Dairesi" name="titlee">
                    <input type="text" class="form-control" placeholder="Vergi No" name="titlee">
                    <input type="text" class="form-control" placeholder="Yetkili" name="titlee">
                    <input type="text" class="form-control" placeholder="Telefon" name="titlee">
                    <input type="text" class="form-control" placeholder="Mobil" name="titlee">
                    <input type="text" class="form-control" placeholder="E-Posta" name="titlee">
                    <input type="password" class="form-control" placeholder="Şifre" name="userpass">                  
                    <button class="buton" type="submit" name="mesajyolla">GÖNDER</button>
                </form>
            </div>
        </div>
    </div>
</div>
<?php
include 'footer.php';
?>
