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payment.petkozbaku2023.org Open in urlscan Pro
85.95.240.188  Public Scan

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URL: https://payment.petkozbaku2023.org/
Submission: On February 17 via automatic, source certstream-suspicious — Scanned from DE

Form analysis 1 forms found in the DOM

POST 

<form method="post" id="online-kayit">
  <div class="first-step" style="display: ;">
    <div class="form-group">
      <label>İsim *</label>
      <input type="text" name="isim" id="isim" class="form-control" autocomplete="off" required="">
    </div>
    <div class="form-group">
      <label>Soyisim *</label>
      <input type="text" name="soyisim" id="soyisim" autocomplete="off" class="form-control" required="">
    </div>
    <div class="form-group">
      <label>E-posta *</label>
      <input type="email" name="email" id="email" autocomplete="off" class="form-control" required="">
    </div>
    <div class="form-group">
      <label>Telefon *</label>
      <input type="tel" name="cep" id="cep" autocomplete="off" maxlength="11" class="form-control" required="">
    </div>
    <div class="form-group">
      <label>Kurum <small>( Kurum veya şahıs firması değilseniz sadece adınızı soyadınızı tekrar yazın)</small> *</label>
      <input type="text" name="kurum" id="kurum" autocomplete="off" class="form-control" required="">
    </div>
    <div class="form-group" style="display: none;">
      <label>Fatura Bilgileri <small>(Fatura bilginiz yoksa sadece TC Kimlik No yazın)</small>*</label>
      <input type="text" name="fatura" id="fatura" autocomplete="off" class="form-control" value="-" required="">
    </div>
    <div class="form-group">
      <label>Adres *</label>
      <input type="text" name="adres" id="adres" autocomplete="off" class="form-control" required="">
    </div>
    <div class="form-group">
      <label>Şehir *</label>
      <input type="text" name="sehir" id="sehir" autocomplete="off" class="form-control" required="">
    </div>
    <div style="padding: 10px; background: #faf0fa; border-radius: 10px;">
      <div class="form-group"><input type="radio" id="ft1" checked="" data-text="İstemiyorum" name="registration_type4" value="1"> <label class="line" for="ft1">Fatura Adıma Düzenlensin</label></div>
      <div class="form-group"><input type="radio" id="ft2" data-text="İstemiyorum" name="registration_type4" value="2"> <label class="line" for="ft2">Fatura Firma Adına Düzenlensin</label></div>
      <div id="bireyself" class="">
        <div class="form-group">
          <label>İsim – Soyisim </label>
          <input type="text" name="b1" id="b1" class="form-control" autocomplete="off">
        </div>
        <div class="form-group">
          <label> TC Kimlik No *</label>
          <input type="text" name="b2" id="b2" class="form-control" autocomplete="off">
        </div>
        <div class="form-group">
          <label> İl / İlçe *</label>
          <input type="text" name="b3" id="b3" class="form-control" autocomplete="off">
        </div>
      </div>
      <div id="firmaf" class="d-none">
        <div class="form-group">
          <label>Firma Ünvanı *</label>
          <input type="text" name="f1" id="f1" class="form-control" autocomplete="off">
        </div>
        <div class="form-group">
          <label>Fatura Adresi *</label>
          <input type="text" name="f2" id="f2" class="form-control" autocomplete="off">
        </div>
        <div class="form-group">
          <label>Vergi Dairesi *</label>
          <input type="text" name="f3" id="f3" class="form-control" autocomplete="off">
        </div>
        <div class="form-group">
          <label>Vergi Kimlik Numarası *</label>
          <input type="text" name="f4" id="f4" class="form-control" autocomplete="off">
        </div>
      </div>
    </div>
    <button type="button" id="step2go" class="next-btn">İleri</button>
  </div>
  <div class="second-step" style="display:none ;">
    <div class="alert alert-info"> Euro ücretler TCMB efektif satış kuruna göre tl olarak çevrilecektir. https://www.tcmb.gov.tr/kurlar/today.xml<br> 1 Eur: 11.1621 TL </div>
    <table border="0" cellspacing="0" cellpadding="0" width="100%" class="table table-bordered">
      <tbody>
        <tr class="table-primary">
          <td colspan="2" valign="top" style="text-align: center;">Kayıt Bilgileri</td>
        </tr>
        <tr>
          <td width="50%"><strong>HƏKİM </strong></td>
          <td><input type="radio" id="reg1" name="registration_type" required="" data-total="400 " value="1"> 400 ₼</td>
        </tr>
        <tr>
          <td width="50%"><strong>HƏKİM </strong></td>
          <td><input type="radio" id="reg2" name="registration_type" required="" data-total="300 " value="1"> 300 ₼</td>
        </tr>
        <tr>
          <td width="50%"><strong>HƏKİM </strong></td>
          <td><input type="radio" id="reg3" name="registration_type" required="" data-total="300 " value="1"> 300 ₼</td>
        </tr>
      </tbody>
    </table>
    <table border="0" cellspacing="0" cellpadding="0" width="100%" class="table table-bordered">
      <tbody>
        <tr class="table-primary">
          <td colspan="2" valign="top" style="text-align: center;">Marriott Boulevard Bakı</td>
        </tr>
        <tr>
          <td width="50%"><strong>Tek Neferlik Oda </strong></td>
          <td><input type="radio" id="reg4" name="registration_type2" required="" data-total="160" value="4"> 160 ₼</td>
        </tr>
        <tr>
          <td width="50%"><strong>Çift Neferlik Oda</strong></td>
          <td><input type="radio" id="reg5" name="registration_type2" required="" data-total="180" value="4"> 180 ₼</td>
        </tr>
      </tbody>
    </table>
    <table border="0" cellspacing="0" cellpadding="0" width="100%" class="table table-bordered">
      <tbody>
        <tr class="table-primary">
          <td colspan="2" valign="top" style="text-align: center;">Transfer</td>
        </tr>
        <tr>
          <td width="50%"><strong>Transfer İstiyorum</strong></td>
          <td><input type="radio" id="reg6" name="registration_type3" required="" data-total="60" value="4"> 60 ₼</td>
        </tr>
        <tr>
          <td><strong>Transfer İstemiyorum</strong></td>
          <td><input type="radio" id="reg7" name="registration_type3" required="" data-total="0" value="6"> 0</td>
        </tr>
      </tbody>
    </table>
    <button type="button" id="step1back" class="prev-btn">Geri</button>
    <button type="button" id="step3go" class="next-btn">İleri</button>
  </div>
  <div class="third-step" style="display: none;">
    <div class="form-group">
      <label>Kayıt Ücreti: <span class="ka1"></span> TL (<span class="ka2"></span> TL + <span class="ka3"></span> TL )</label><br>
      <label>Konaklama Ücreti : <span class="ko1"></span> TL (<span class="ko2"></span> TL + <span class="ko3"></span> TL) </label><br>
      <label>Transfer Ücreti: <span class="t1"></span>TL (<span class="t2"></span> TL + <span class="t3"></span> TL ) </label><br>
      <label for="payment_method">Toplam Tutar: </label> <span class="payment_t">NAN TL</span>
      <input type="hidden" name="payment" id="payment" value="NAN">
      <input type="hidden" name="paymentreg1" id="payment1" value="NAN">
      <input type="hidden" name="paymentreg12" id="payment2" value="NAN">
    </div>
    <hr>
    <div class="form-group">
      <label for="payment_method">Ödeme Türü</label>
      <select name="payment_method" class="form-control" id="payment_method">
        <option value="">---</option>
        <option value="online">Online Ödeme</option>
      </select>
    </div>
    <button type="button" id="step2back" class="prev-btn">Geri</button>
    <button type="submit" class="next-btn mail-type">İleri</button>
  </div>
</form>

Text Content

ONLINE KAYIT

Adım 1 Kişisel Bilgiler Adım 2 Kayıt Adım 3 Ödeme Bilgileri Adım 4 Ödeme

İsim *
Soyisim *
E-posta *
Telefon *
Kurum ( Kurum veya şahıs firması değilseniz sadece adınızı soyadınızı tekrar
yazın) *
Fatura Bilgileri (Fatura bilginiz yoksa sadece TC Kimlik No yazın)*
Adres *
Şehir *
Fatura Adıma Düzenlensin
Fatura Firma Adına Düzenlensin
İsim – Soyisim
TC Kimlik No *
İl / İlçe *
Firma Ünvanı *
Fatura Adresi *
Vergi Dairesi *
Vergi Kimlik Numarası *
İleri
Euro ücretler TCMB efektif satış kuruna göre tl olarak çevrilecektir.
https://www.tcmb.gov.tr/kurlar/today.xml
1 Eur: 11.1621 TL

Kayıt Bilgileri HƏKİM 400 ₼ HƏKİM 300 ₼ HƏKİM 300 ₼

Marriott Boulevard Bakı Tek Neferlik Oda 160 ₼ Çift Neferlik Oda 180 ₼

Transfer Transfer İstiyorum 60 ₼ Transfer İstemiyorum 0

Geri İleri
Kayıt Ücreti: TL ( TL + TL )
Konaklama Ücreti : TL ( TL + TL)
Transfer Ücreti: TL ( TL + TL )
Toplam Tutar: NAN TL

--------------------------------------------------------------------------------

Ödeme Türü --- Online Ödeme
Geri İleri