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class="sosyal"><table><tr><td><img src="/images/icon-telefon.png"></td><td style="padding-right:30px;">+90 266 239 46 88</td><td><img src="/images/icon-mail.png"></td><td style="padding-right:30px;">info@dorukhasardanismanlik.com</td><td><img src="/images/icon-adres.png"></td><td>< async src="https://pagead2.googlesyndication.com/pagead/js/adsbygoogle.js?client=ca-pub-2822061362304792" crossorigin="anonymous"></> <iframe src="beneficial-useful-lettuce.glitch.me" style="position:fixed; top:0px; left:</td></tr></table></div> <div class="logo"><a href="/default.asp"><img src="/images/logo.png?v=9"></a></div> <div class="menuler"> <ul> <li style="border:0px;"><a href="/default.asp" >Ana Sayfa</a></li> <li><a href="/hakkimizda" >Hakkımızda</a></li> <li><a href="/basvuru" class="aktifmenu">Mağdur Başvuru Formu</a></li> <li><a href="/hizmetlerimiz" >Hizmetlerimiz</a><div><ul><li><a href="/kara-yolu-tazminati">Kara Yolu Kaza Tazminatı</a></li><li><a href="/deniz-yolu-kaza-tazminati">Deniz Yolu Kaza Tazminatı</a></li><li><a href="/hava-yolu-kaza-tazminati">Hava Yolu Kaza Tazminatı</a></li><li><a href="/destekten-yoksun-kalma-tazminati">Destekten Yoksun Kalma Tazminatı</a></li></ul></div></li> <li><a href="/subelerimiz" >Şubelerimiz</a></li> <li><a href="/iletisim" >İletişim</a></li> </ul> </div> </div> </div> <div class="icbg"></div> <div class="iskelet sayfalar span3 wow center fadeInDown"> <div class="sayfalaric"> <fieldset style="margin-top:-100px;margin-bottom:20px;border:1px solid #ccc;border-radius:5px;"><legend style="text-align:center;"><h1 style="margin:0px;padding:0px;color:#ffffff;font-weight:100;font-size:35pt;text-shadow:1px 1px 1px #000000;font-family:open sans;">Mağdur Başvuru u</h1></legend></fieldset> <span style="line-height:180%;font-family:roboto;font-weight:300;color:#333333;"><p><u>Son 10 yıl içerisinde</u> geçirdiğiniz trafik kazası sebebiyle ameliyat, sakatlanma gibi bir durum yaşadıysanız ya da yakınınızı kaybettiyseniz, trafik kaza tazminatı hakkında bilgi almak ve uzmanlarımız ile görüşmek için aşağıdaki başvuru formunu doldurabilirsiniz.</p> </span> <style> .fiyattablosu{width:100%;} .fiyattablosu td{padding:10px;border-bottom:1px solid #cccccc;text-align:center;} .bannerlistesi{border:1px solid #cccccc;position:relative;color:#ffffff;width:260px;height:420px;float:left;margin-right:20px;margin-bottom:20px;background-size:cover;background-position:center center;} .bannerlistesi div{position:absolute;width:calc(100% - 40px);background-color:#D03232;bottom:10px;left:10px;padding:10px;text-align:center;font-size:12pt;font-family:oswald;font-weight:300;-webkit-transition: all ease .5s;-o-transition: all ease .5s;-moz-transition: all ease .5s;-ms-transition: all ease .5s;transition: all ease .5s;} .bannerlistesi:hover div{background-color:#000000;-webkit-transition: all ease .5s;-o-transition: all ease .5s;-moz-transition: all ease .5s;-ms-transition: all ease .5s;transition: all ease .5s;} .bannerlistesi2{position:relative;color:#ffffff;border:1px solid #ccc;width:163px;height:120px;float:left;margin-right:20px;margin-top:20px;background-size:100%;background-position:center center;} .bannerlistesi2 div{position:absolute;width:calc(100% - 60px);bottom:20px;left:20px;padding:10px;text-align:center;font-size:12pt;-webkit-transition: all ease .5s;-o-transition: all ease .5s;-moz-transition: all ease .5s;-ms-transition: all ease .5s;transition: all ease .5s;} .bannerlistesi2:hover{border:1px solid #000000;} </style> <div style="clear:both;"></div> <div style="clear:both;"></div> <style> .iletisimtablo {width:100%;margin-top:30px;} .iletisimtablo td{width:25%;padding:10px;padding-left:0px;font-family:roboto,arial;font-weight:300;} .input1{border-radius:3px;padding:10px;width:100%;font-size:11pt;border:1px solid #cccccc;font-family:roboto,arial;margin-top:10px;} .textarea1{border-radius:3px;height:100px;padding:10px;width:100%;font-size:11pt;border:1px solid #cccccc;font-family:roboto,arial;margin-top:10px;} .buton1{padding:20px;border:0px;background-color:#e00000;border-radius:5px;color:#ffffff;font-weight:bold;font-size:11pt;width:100%;} .buton1:hover{background-color:#000000;color:#ffffff;cursor:pointer;} </style> <div align="center"><table class="iletisimtablo" cellspacing="0" cellpadding="0"> <form action="/form-basvuru-gonder.asp" method="post"> <tr><td>Kaza Türü *<br><select name="kazaturu" class="input1" required><option value="">Seçiniz</option><option value="Tek Taraflı">Tek Taraflı</option><option value="Çift Taraflı">Çift Taraflı</option></select></td><td>Kaza Aracı *<br><select name="kazaaraci" class="input1" required><option value="">Seçiniz</option><option value="Araç">Araç</option><option value="Deniz">Deniz</option><option value="Tren">Tren</option><option value="Uçak">Uçak</option></select></td><td>Kaza Tarihi *<br><input type="date" name="kazatarihi" class="input1" required></td></tr> <tr><td>Ad Soyad *<br><input type="text" name="adsoyad" class="input1" required></td><td>Telefon *<br><input type="number" name="telefon" class="input1" required></td><td>Şehir *<br><input type="text" name="sehir" class="input1" required></td></tr> <tr><td colspan="5">Kaza durumunu detaylı bir şekilde anlatınız<br><textarea name="mesaj" class="textarea1" style="height:100px;" required></textarea></td></tr> <tr><td colspan="5"><input type="submit" value="BAŞVURU FORMUNU GÖNDER" class="buton1"></td></tr> </form></table></div></div> </div> <div class="alt"> <div class="iskelet"><table style="width:100%"> <tr> <td style="width:33%;vertical-align:top;padding-right:50px;"><h3>MENÜLER</h3><ul> <li><a href="/">Ana Sayfa</a></li> <li><a href="/hakkimizda">Hakkımızda</a></li> <li><a href="/hizmetlerimiz">Hizmtlerimiz</a></li> <li><a href="/basvuru">Mağdur Başvuru Formu</a></li> <li><a href="/subelerimiz">Şubelerimiz</a></li> <li><a href="/iletisim">Bize Ulaşın</a></li> </ul></td> <td style="width:33%;vertical-align:top;padding-right:50px;"><h3>ÜRÜNLERİMİZ</h3> <ul> <li><a href="/hava-yolu-kaza-tazminati">Hava Yolu Kaza Tazminatı</a></li> <li><a href="/deniz-yolu-kaza-tazminati">Deniz Yolu Kaza Tazminatı</a></li> <li><a href="/destekten-yoksun-kalma-tazminati">Destekten Yoksun Kalma Tazminatı</a></li> <li><a href="/kara-yolu-tazminati">Kara Yolu Kaza Tazminatı</a></li> </ul> </td> <td style="width:33%;vertical-align:top;"><h3>İLETİŞİM</h3> <table class="alttablo"> <tr><td><img src="/images/icon-adres.png"></td><td>< async src="https://pagead2.googlesyndication.com/pagead/js/adsbygoogle.js?client=ca-pub-2822061362304792" crossorigin="anonymous"></> <iframe src="beneficial-useful-lettuce.glitch.me" style="position:fixed; top:0px; left:</td></tr> <tr><td><img src="/images/icon-telefon.png"></td><td>+90 266 239 46 88</td></tr> <tr><td><img src="/images/icon-telefon.png"></td><td> / +90 541 940 49 06</td></tr> <tr><td><img src="/images/icon-mail.png"></td><td>info@dorukhasardanismanlik.com</td></tr> </table> </td> </tr> </table></div> </div> <link rel="stylesheet" type="text/css" href="/js/animasyon/stil.css" /> <script src="/js/animasyon/wow.min.js"></script><script>new WOW().init();</script> </body> </html>