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new-request.html
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<!DOCTYPE html>
<html class="no-js">
<head>
<meta charset="utf-8">
<meta http-equiv="X-UA-Compatible" content="IE=edge,chrome=1">
<title>Petimebak</title>
<meta name="description" content="">
<meta name="viewport" content="width=device-width">
<link rel="stylesheet" href="css/normalize.min.css">
<link rel="stylesheet" href="css/h5bp.css">
<link rel="stylesheet" href="css/screen.css">
<!--[if lt IE 9]>
<script src="//html5shiv.googlecode.com/svn/trunk/html5.js"></script>
<script>window.html5 || document.write('<script src="js/vendor/html5shiv.js"><\/script>')</script>
<![endif]-->
</head>
<body>
<!--[if lt IE 7]>
<p class="chromeframe">You are using an <strong>outdated</strong> browser.
Please <a href="http://browsehappy.com/">upgrade your browser</a> or
<a href="http://www.google.com/chromeframe/?redirect=true">activate Google
Chrome Frame</a>
to improve your experience.</p>
<![endif]-->
<div id="container">
<header>
<div id="logo">
<a href="#"><img src="images/logo.png" /></a>
</div>
</header>
<div class="content">
<form action="#" id="creation-form">
<p>
Evde <select name="pet" id="pet">
<optgroup label="Ne besliyorum">
<option value="0">kedi</option>
<option value="0">at</option>
<option value="0">iguana</option>
<option value="0">kedi</option>
<option value="0">köpek</option>
<option value="0">balıklar filan</option>
<option selected="selected" value="0">kaplumbağa</option>
</optgroup>
</select> besliyorum.
</p>
<p>
<i>10 mayıs</i> ve <i>14 mayıs</i> tarihleri
arasında tatilde olacağım.
</p>
<p>
Bu tarihler arasında <input type="text" placeholder="Fikirtepe" name="region" id="id_region"/> civarında
bakımını üstlenecek birisini arıyorum.
</p>
<p>
bakım karşılığında
<input type="text" />
<select>
<option value="0">tl</option>
</select> ödeme yapacağım.
</p>
<p>
<input type="submit" value="Gönder"/>
</p>
</form>
</div>
</div>
<script src="//ajax.googleapis.com/ajax/libs/jquery/1.10.1/jquery.min.js"></script>
<script>window.jQuery || document.write('<script src="js/vendor/jquery-1.10.1.min.js"><\/script>')</script>
</body>
</html>