<?php include 'header.php'; ?>
<div align="center">
<form method="post" action="odemebildirildi.php">
<b>Ödeme Yaptýðýnýz Banka:</b><br />
<select name="banka">
<?php
include 'ayar.php';
$listeisl = mysql_query("SELECT bankaadi FROM bankabilgi");
while($listele = mysql_fetch_array($listeisl))
{
$bhad = $listele['bankaadi'];
echo "<option value=\"$bhad\">$bhad</option>";
}
?>
</select><br />
<b>Ödeme Yaptýðýnýz Tarih:</b><br />
<input name="odemetarih" type="text" class="text" size="60" /><br />
<b>Ödediðiniz Tutar:</b><br />
<input name="odemetutar" type="text" class="text" size="60" /><br />
<b>Ödeme Yolu:</b><br />
<select name="odemeyolu">
<option value="Havale">Havale</option>
<option value="EFT">EFT</option>
</select><br />
<b>Alan Adý:</b><br />
<input name="odemedomain" type="text" class="text" size="60" /><br />
<b>Varsa Notunuz:</b><br />
<textarea name="mnot" cols="50" rows="6"></textarea><br />
<input type="submit" value="Bildirimi Gönder" />
</form>
</div>
<?php include 'footer.php'; ?>