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bagis.ihsangaziferah.com Open in urlscan Pro
185.85.206.126  Public Scan

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URL: https://bagis.ihsangaziferah.com/
Submission: On March 21 via api from US — Scanned from US

Form analysis 1 forms found in the DOM

POST https://api.winekol.net/v1/odeme

<form action="https://api.winekol.net/v1/odeme" class="panel-body" method="POST" id="odemeform">
  <input type="hidden" name="url_basarili" value="https://bagis.ihsangaziferah.com/index.php?i=1">
  <input type="hidden" name="url_hata" value="https://bagis.ihsangaziferah.com/index.php?i=0">
  <input type="hidden" name="taksit" value="1">
  <input type="hidden" name="doviz" value="TRY">
  <input type="hidden" name="kart_adi" value="">
  <input type="hidden" name="kart_ay" value="">
  <input type="hidden" name="kart_yil" value="">
  <input type="hidden" name="tutar" value="">
  <input type="hidden" name="marka_id" value="237">
  <input type="hidden" name="banka_kod" value="nkly2">
  <input type="hidden" name="metod" value="0">
  <input type="hidden" name="teknoloji" value="NKolay">
  <!--input type="hidden" name="tekrar_periyot" value="M"-->
  <input type="hidden" name="tekrar_frekans" value="1">
  <input type="hidden" name="il_adi" value="">
  <input type="hidden" name="mail" value="">
  <div class="row">
    <!-- Fatura bilgileri-->
    <div class="col-md-6">
      <div>
        <select name="odeme_tip" id="odeme_tip" onchange="odeme_tip_degisti(this.value)">
          <option selected="" value="1">Tek Seferlik Bağış</option>
          <option value="2">Düzenli Bağış</option>
        </select>
      </div>
      <div>
        <br>
      </div>
      <div class="row" id="div_tekrar_adet" style="display:none;  visibility: hidden;  ">
        <div class="col-sm-611" style="position: relative; min-height: 1px; padding-left: 15px; padding-right: 15px;">
          <div class="form-group">
            <label for="tekrar_periyot">Tekrarlama Periyotu</label>
            <select name="tekrar_periyot" class="form-control" style="width:133px;">
              <option selected="" value="M">Aylık</option>
              <!--option value="W">Haftalık</option>
								  <option value="D">Günlük</option-->
            </select>
          </div>
        </div>
        <div class="col-sm-611" style="position: relative; min-height: 1px; padding-left: 15px; padding-right: 15px;">
          <div class="form-group">
            <label for="tekrar_adet">Tekrar Adedi</label>
            <select name="tekrar_adet" class="form-control" style="width:133px;">
              <option selected="" value="0">Sürekli</option>
              <option value="36">36</option>
              <option value="24">34</option>
              <option value="24">32</option>
              <option value="24">30</option>
              <option value="24">28</option>
              <option value="24">26</option>
              <option value="24">24</option>
              <option value="12">22</option>
              <option value="12">20</option>
              <option value="12">18</option>
              <option value="12">16</option>
              <option value="12">14</option>
              <option value="12">12</option>
              <option value="10">10</option>
              <option value="8">8</option>
              <option value="6">6</option>
              <option value="4">4</option>
              <option value="2">2</option>
            </select>
            <label for="" style="color:red;">( Tutara Girdiğiniz Meblağı Seçtiğiniz Periyotta 1 Tahsil Eder.) <br> ( İlk Çekim Hemen Yapılır ) <br> ( Toplam Tutar Kartınızın Limitini Bloke etmez. ) </label>
          </div>
        </div>
      </div>
      <h4 class="text-info">Bağışçı Bilgileri</h4>
      <hr>
      <div class="row">
        <div class="col-xs-6">
          <div class="form-group">
            <label for="">Tutar</label>
            <div class="input-group">
              <input type="text" value="100" id="tutar1" name="tutar1" class="form-control text-center">
              <div class="input-group-addon"><i class="fa fa-turkish-lira fa-fw"></i></div>
            </div>
          </div>
        </div>
        <!--div class="col-xs-6">
                      <div class="form-group">
                        <label for="">Sipariş NO</label>
                        <input type="text" id="siparis_no" name="siparis_no" class="form-control">
                      </div>
                    </div-->
      </div>
      <hr>
      <div class="form-group">
        <label for="">Ad Soyad veya Ünvan</label>
        <input type="text" id="adi" name="adi" class="form-control">
      </div>
      <!--div class="form-group">
                    <label for="">Adres</label>
                    <textarea name="" id="adres" name="adres" rows="2" class="form-control"></textarea>
                  </div-->
      <div class="form-group">
        <label for="">Not</label>
        <textarea name="" id="aciklama" rows="2" class="form-control"></textarea>
      </div>
      <!--div class="row">
                    <div class="col-sm-6">
                      <div class="form-group">
                        <label for="">Vergi Dairesi</label>
                        <input type="text" id="fatura_vd" name="fatura_vd" class="form-control">
                      </div>
                    </div>
                    <div class="col-sm-6">
                      <div class="form-group">
                        <label for="">TC Kimlik NO veya Vergi NO</label>
                        <input type="text" id="fatura_vn" name="fatura_vn" class="form-control">
                      </div>
                    </div>
                  </div-->
      <div class="row">
        <div class="col-sm-6">
          <div class="form-group">
            <label for="">Telefon</label>
            <input type="text" id="tel" name="tel" class="form-control">
          </div>
        </div>
        <!--div class="col-sm-6">
                      <div class="form-group">
                        <label for="">E-Posta Adresi</label>
                        <input type="text" id="mail11" name="mail11" class="form-control">
                      </div>
                    </div-->
      </div>
      <div class="row">
        <div class="col-xs-6">
          <div class="form-group">
            <!--label for="">Sözleşmeyi okuyup kabul ettim.</label-->
            <!--a href="https://bagis.ihsangaziferah.com/sozlesme/sozlesme.pdf" target="_blank">Sözleşme için tıklayın.</a--><!--input type="checkbox" id="sozlesme" name="sozlesme" class="form-control"-->
          </div>
        </div>
        <!--div class="col-sm-6">
                      <div class="form-group">
                        <label for="">E-Posta Adresi</label>
                        <input type="text" id="mail11" name="mail11" class="form-control">
                      </div>
                    </div-->
      </div>
      <!--div class="row">
                    <div class="col-sm-6">
                      <div class="form-group">
                        <label for="">Adres</label>
						  <br />
                        <select id="Iller" name="il" style="margin-bottom:10px;">
						  <option value="0">Lütfen Bir İl Seçiniz</option>
					  </select>
						  
						  <select id="Ilceler" disabled="disabled" name="ilce_adi">
						  <option value="0">Lütfen Önce bir İl seçiniz</option>
					  </select>
						  
                      </div>
                    </div>
                    <!--div class="col-sm-6">
                      <div class="form-group">
                        <!--label for="">E-Posta Adresi</label- ->
                        <select id="Ilceler1" disabled="disabled">
						  <option value="0">Lütfen Önce bir İl seçiniz</option>
					  </select>
                      </div>
                    </div- ->
                  </div-->
      <!--div class="form-group">
                    <label for="">Adres</label>
                    <textarea name="" id="adres" name="adres" rows="2" class="form-control"></textarea>
                  </div-->
      <div class="text-right">
        <!--button class="btn btn-success"> <span>Ödeme yap</span><i class="fa fa-angle-right fa-fw"></i></button-->
        <input class="btn btn-success" type="button" onclick="gonder()" value="Bağış Yap">
      </div>
    </div>
    <!-- Kredi Kartı bilgileri-->
    <!--div class="col-md-6">
                  <h4 class="text-info">Kredi Kartı Bilgileri</h4>
                  <hr>
                  <div class="hidden-xs">
                    <div class="card-wrapper"></div>
                    <hr>
                  </div>
                  <!-- Kredi kartı formu- ->
                  <div class="row">
                    <div class="col-xs-6">
                      <div class="form-group">
                        <label for="name">İsim</label>
                        <input type="text" name="firstname" id="firstname" class="form-control">
                      </div>
                    </div>
                    <div class="col-xs-6">
                      <div class="form-group">
                        <label for="name">Soyisim</label>
                        <input type="text" name="lastname" id="lastname" class="form-control">
                      </div>
                    </div>
                  </div>
                  <div class="form-group">
                    <label for="number">Kredi Kartı Numarası</label>
                    <input type="text" name="number" id="number" class="form-control">
                  </div>
                  <div class="row">
                    <div class="col-sm-6">
                      <div class="form-group">
                        <label for="expiry">Son Kullanma Tarihi</label>
                        <input type="text" name="expiry" id="expiry" placeholder="Ay / Yıl" class="form-control">
                      </div>
                    </div>
                    <div class="col-sm-6">
                      <div class="form-group">
                        <label for="cvc">CCV</label>
                        <input type="text" name="cvc" id="cvc" class="form-control">
                      </div>
                    </div>
                  </div>
                  <div class="text-right">
                    <!--button class="btn btn-success"> <span>Ödeme yap</span><i class="fa fa-angle-right fa-fw"></i></button- ->
                    <input class="btn btn-success" type="button"   onclick="gonder()" value="Ödeme Yap"/>
                  </div>
                </div-->
  </div>
</form>

Text Content

Tek Seferlik Bağış Düzenli Bağış


Tekrarlama Periyotu Aylık
Tekrar Adedi Sürekli 36 34 32 30 28 26 24 22 20 18 16 14 12 10 8 6 4 2 ( Tutara
Girdiğiniz Meblağı Seçtiğiniz Periyotta 1 Tahsil Eder.)
( İlk Çekim Hemen Yapılır )
( Toplam Tutar Kartınızın Limitini Bloke etmez. )

BAĞIŞÇI BILGILERI

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

Tutar


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

Ad Soyad veya Ünvan
Not
Telefon



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