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		<title>BE Parfüm Sipariş Paneli</title>
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    <body class="authentication-bg">
        <div class="account-pages my-5 pt-sm-5">
            <div class="container">
                <div class="row">
                    <div class="col-lg-12">
                        <div class="text-center">
                            <a href="/" class="mb-5 d-block auth-logo">
                                <img src="Upload/Logo/Siparis-2.11.2023-LFO0F03IW2.png" alt="" height="75px" class="logo logo-dark">
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                <div class="row align-items-center justify-content-center">
                    <div class="col-md-8 col-lg-6 col-xl-5">
                        <div class="card">
                           
                            <div class="card-body p-4"> 
                                <div class="text-center mt-2">
                                    <h5 class="text-primary">Bayi Kayıt</h5>
                                </div>
                                <div class="p-2 mt-4">
									<form method="post" action="UyeKayit">
        
                                        <div class="mb-3">
                                            <label class="form-label">Firmanız</label>
                                            <input type="text" class="form-control" name="subeadi" placeholder="Firmanız" required>
                                        </div>
                                        <div class="mb-3">
                                            <label class="form-label">Adınız Soyadınız</label>
                                            <input type="text" class="form-control" name="adsoyad" placeholder="Adınız Soyadınız" required>
                                        </div>
                                        <div class="mb-3">
                                            <label class="form-label">Telefon Numaranız</label>
                                            <input id="input-mask" class="form-control input-mask" name="gsm" data-inputmask="'mask': '999 999 99 99'" required>
											<p style="color:#FF0000;"><b>* Yazılan Numara Kullanıcı Adı Olarak Geçerlidir</b></p>
                                        </div>
                                        <div class="mb-3">
                                            <label class="form-label">EPosta Adresiniz</label>
                                            <input type="email" class="form-control" name="email" placeholder="EPosta Adresiniz" required>
                                        </div>
                                        <div class="mb-3">
                                            <label class="form-label">Adresiniz</label>
                                            <input type="email" class="form-control" name="adres" placeholder="Adresiniz" required>
                                        </div>
                                        <div class="mb-3">
                                            <label class="form-label">Vergi Dairesi</label>
                                            <input type="email" class="form-control" name="vergidairesi" placeholder="Vergi Dairesi" required>
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                                            <label class="form-label">Vergi Numarası</label>
                                            <input type="email" class="form-control" name="vergino" placeholder="Vergi Numarası" required>
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                                        <div class="mb-3">
                                            <label class="form-label">Şifreniz</label>
                                            <input type="password" class="form-control" name="sifre" placeholder="Şifreniz" required>
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                                        <div class="mb-3">
                                        <div class="form-check">
                                        <input class="form-check-input" type="checkbox" name="kvkk" required>            
                                        <a data-bs-toggle="collapse" data-bs-target="#sozlesme"
                                            aria-expanded="false" aria-controls="sozlesme">
                                            <b style="color:#482CF2;">KVKK Sözleşmesi 'ni</b>
                                        </a>
										Okudum ve Onaylıyorum
										<div style="min-height: 110px;">
											<div class="collapse collapse-horizontal" id="sozlesme">
												<div class="card border shadow-none card-body text-muted mb-0" style="width: 100%;">
													KVKK Sözleşme Bilgileri
												</div>
											</div>
										</div>
                                        </div>
                                        </div>
                                        <div class="mt-3 text-end">
                                            <button class="btn btn-primary w-sm waves-effect waves-light" type="submit">Bayi Ol</button>
                                        </div>
                                    </form>
									<br />
                                        <div width="100%">
                                            <a href="/"><button class="btn btn-primary w-sm waves-effect waves-light" style="width:100%;">Giriş</button></a>
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                            <p>BE Parfüm Bayi Paneli 2023 © Tüm Hakları Saklıdır. Script By : <a href="https://www.yerelteknoloji.com/" target="_blank"><img src="assets/YerelTeknoloji/Favicon.png" width="25px" height="25px"/></a></p>
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