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YENİ MÜŞTERİ KAYDI
Not: Gerekli alanlar kırmızı yıldız işaretiyle belirtilmiştir *.
Formu doldururken Türkçe karakter kullanmayınız. Örn. ı,ş,ç,ü,ğ,ö,İ
MÜŞTERİ GİRİŞ BİLGİLERİ
*
Kullanıcı Adı:
(min 4 max 12 harf ve rakam)
*
Password:
(min 4 max 12 harf ve rakam)
*
Şifre (tekrar):
(min 4 max 12 harf ve rakam)
*
Gizli sorunuz:
*
Gizli Sorunuzun cevabı:
(Şifrenizi unuttuğunuz zaman bu bilgiler kullanılacaktır)
Üyelik Seçenekleri
Tercih edilen Dil:
english
__turkish
turkish
_turkce
Mail listemize katılarak gelişmelerden haberdar olun
Not: Imaj Bilgisayar. üyeler ile acil durumlarda irtibat kurma hakkını gizli tutar.
MÜŞTERİ İLETİŞİM BİLGİLERİ
Lütfen girdiğiniz bilgilerin doğruluğunu kontrol ediniz.
Bu bilgiler fatura bilgilerinizde de kullanılacaktır.
*
Ad:
*
Soyad:
Firma/Şirket Adı:
İşyerindeki Ünvanınız:
*
Email Adresi:
İkinci Mail Adresiniz:
*
Adres 1:
Adres 2:
*
Şehir:
*
US Eyalet
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Fed. States of Micronesia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Is.
Ohio
Oklahoma
Oregon
Palau
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Virgin Islands
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces the Americas
Armed Forces Europe
Armed Forces Pacific
*
İlçe/Semt
*
Uygulanabilir değil
(size uygun seçenek yoksa burayı işaretleyiniz)
*
Posta Kodu:
*
Ülke:
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra, Principality of
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaidjan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia-Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia, Kingdom of
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo, The Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
Former Czechoslovakia
Former USSR
France
France (European Territory)
French Guyana
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Great Britain
Greece
Greenland
Grenada
Guadeloupe (French)
Guam (USA)
Guatemala
Guinea
Guinea Bissau
Guyana
Haiti
Heard and McDonald Islands
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Ivory Coast (Cote DIvoire)
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyz Republic (Kyrgyzstan)
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique (French)
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldavia
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia (French)
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Island
Poland
Polynesia (French)
Portugal
Puerto Rico
Qatar
Reunion (French)
Romania
Russian Federation
Rwanda
S. Georgia & S. Sandwich Isls.
Saint Helena
Saint Kitts & Nevis Anguilla
Saint Lucia
Saint Pierre and Miquelon
Saint Tome (Sao Tome) and Principe
Saint Vincent & Grenadines
Samoa
San Marino
Saudi Arabia
Senegal
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Slovak Republic
Slovenia
Solomon Islands
Somalia
South Africa
South Korea
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Tadjikistan
Taiwan
Tanzania
Thailand
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
USA Minor Outlying Islands
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands (British)
Virgin Islands (USA)
Wallis and Futuna Islands
Western Sahara
Yemen
Zaire
Zambia
Zimbabwe
*
Ülke Telefon Kodu:
US / Canada (+ 001)
Afghanistan (+ 093)
Albania (+ 355)
Algeria (+ 213)
American Somoa (+ 684)
Andorra (+ 376)
Angola (+ 244)
Antartica (+ 672)
Argentina (+ 054)
Armenia (+ 374)
Aruba (+ 297)
Australia (+ 061)
Austria (+ 043)
Azerbaijan (+ 994)
Bahrain (+ 973)
Bangladesh (+ 880)
Belarus (+ 375)
Belgium (+ 032)
Belize (+ 501)
Benin (+ 229)
Bhutan (+ 975)
Bolivia (+ 591)
Bosnia and Herzegovina (+ 387)
Botswana (+ 267)
Bouvet Islands (+ 047)
Brazil (+ 055)
British Indian Ocean Territory (+ 246)
Brunei (+ 673)
Bulgaria (+ 359)
Burkina Faso (+ 226)
Burundi (+ 257)
Cambodia (+ 855)
Cameroon (+ 237)
Cape Verde (+ 238)
Central African Republic (+ 236)
Chad (+ 235)
Chile (+ 056)
China (+ 086)
Christmas Islands (+ 618)
Colombia (+ 057)
Comoros (+ 269)
Congo (+ 242)
Congo, Democratic Republic of (+ 243)
Cook Island (+ 682)
Costa Rica (+ 506)
Cote Divoire (+ 225)
Croatia (+ 385)
Cyprus (+ 357)
Czech Republic (+ 420)
Denmark (+ 045)
Djibouti (+ 253)
East Timor (+ 670)
Egypt (+ 020)
El Salvador (+ 503)
Equador (+ 593)
Equatorial Guinea (+ 240)
Eritrea (+ 291)
Estonia (+ 372)
Ethiopia (+ 251)
Falkland Islands (+ 500)
Faroe Islands (+ 298)
Federated States of Micronesia (+ 691)
Fiji (+ 679)
Finland (+ 358)
France (+ 033)
French Guiana (+ 594)
French Polynesia (+ 689)
French Southern Territories (+ 596)
Gabon (+ 241)
Gambia (+ 220)
Georgia (+ 995)
Germany (+ 049)
Ghana (+ 233)
Gibraltar (+ 350)
Greece (+ 030)
Greenland (+ 299)
Guadeloupe (+ 590)
Guatemala (+ 502)
Guinea (+ 224)
Guinea-Bissau (+ 245)
Guyana (+ 592)
Haiti (+ 509)
Honduras (+ 504)
Hong Kong (+ 852)
Hungary (+ 036)
Iceland (+ 354)
India (+ 091)
Indonesia (+ 062)
Iran (+ 098)
Ireland (+ 353)
Israel (+ 972)
Italy (+ 039)
Japan (+ 081)
Jordan (+ 962)
Kazakhstan (+ 007)
Kenya (+ 254)
Kiribati (+ 686)
Korea, North (+ 850)
Korea, South (+ 082)
Kuwait (+ 965)
Kyrgyzstan (+ 996)
Laos (+ 856)
Latvia (+ 371)
Lebanon (+ 961)
Lesotho (+ 266)
Liberia (+ 231)
Liechtenstein (+ 423)
Lithuania (+ 370)
Luxembourg (+ 352)
Macau (+ 853)
Macedonia (+ 381)
Madagascar (+ 261)
Malawi (+ 265)
Malaysia (+ 060)
Maldives (+ 960)
Mali (+ 269)
Malta (+ 356)
Marshall Islands (+ 692)
Martinique (+ 596)
Mauritania (+ 222)
Mauritius (+ 230)
Mayotte (+ 269)
Metropolitan France (+ 033)
Mexico (+ 052)
Moldova (+ 373)
Monaco (+ 377)
Mongolia (+ 976)
Morocco (+ 212)
Mozambique (+ 258)
Myanmar (+ 095)
Namibia (+ 264)
Nauru (+ 674)
Nepal (+ 977)
Netherlands (+ 031)
Netherlands Antilles (+ 599)
New Caledonia (+ 687)
New Zealand (+ 064)
Nicaragua (+ 505)
Nieu (+ 683)
Niger (+ 227)
Nigeria (+ 234)
Norfolk Island (+ 672)
Norway (+ 047)
Oman (+ 968)
Pakistan (+ 092)
Palau (+ 680)
Palestinian Territory, Occupied (+ 970)
Panama (+ 507)
Papua New Guinea (+ 675)
Paraguay (+ 595)
Peru (+ 051)
Philippines (+ 063)
Pitcairn (+ 872)
Poland (+ 048)
Portugal (+ 351)
Qatar (+ 974)
Reunion (+ 262)
Romania (+ 040)
Russia (+ 007)
Rwanda (+ 250)
Samoa (+ 684)
San Marino (+ 378)
Sao Tome and Principe (+ 239)
Saudi Arabia (+ 966)
Senegal (+ 221)
Serbia and Montenegro (+ 381)
Seychelles (+ 248)
Sierra Leone (+ 232)
Singapore (+ 065)
Slovakia (+ 421)
Slovenia (+ 386)
Solomon Islands (+ 677)
Somalia (+ 252)
South Africa (+ 027)
S. Georgia/S. Sandwich Islands (+ 995)
Spain (+ 034)
Sri Lanka (+ 094)
St Helena (+ 290)
St Pierre and Miquelon (+ 508)
Sudan (+ 249)
Suriname (+ 597)
Swaziland (+ 268)
Sweden (+ 046)
Switzerland (+ 041)
Syria (+ 963)
Taiwan (+ 886)
Tajikistan (+ 992)
Tanzania (+ 255)
Thailand (+ 066)
Togo (+ 228)
Tokelau (+ 690)
Tonga (+ 676)
Tunisia (+ 216)
Turkey (+ 090)
Turkmenistan (+ 993)
Tuvalu (+ 688)
Uganda (+ 256)
Ukraine (+ 380)
United Arab Emirates (+ 971)
United Kingdom (+ 044)
Uruguay (+ 598)
Uzbekistan (+ 998)
Vanuatu (+ 678)
Venezuela (+ 058)
Vietnam (+ 084)
Virgin Islands - US (+ 340)
Wallis and Futuna Islands (+ 681)
Western Sahura (+ 212)
Yemen (+ 967)
Zaire (+ 243)
Zambia (+ 260)
Zimbabwe (+ 263)
*
Telefon:
(sadece numara girilmelidir.Lütfen dahili hat girmeyiniz
Örnek: 3582131115)
Faks:
(sadece numara girilmelidir.Lütfen dahili hat girmeyiniz
Örnek: 3582131115)
FATURA BİLGİLERİ
Firma veya Mükellef Adı:
Vergi Dairesi:
Vergi Numarası:
Fatura Adresi:
Copyright © 2005 Imaj Bilgisayar.. Her Hakkı Saklıdır. v2.6.3
