gercekcaksirhapi.site Open in urlscan Pro
2606:4700:3037::ac43:8087  Public Scan

URL: https://gercekcaksirhapi.site/
Submission: On November 06 via api from BE — Scanned from DE

Form analysis 1 forms found in the DOM

POST

<form action="" method="POST" id="myform">
  <div class="col-12 col-sm-12 col-lg-12" style="padding-left: 0; padding-right: 0;">
    <label>Ürün Seçiniz:</label><br>
    <div style="background: #f1f1f1; margin-bottom: -11px; padding: 12px; border-radius: 5px;border: 1px solid #000;box-shadow: 1px 2px 9px 3px #ff0000;">
      <input type="radio" checked="" id="urun64" name="urun" value="1 KUTU 299 + 51 ₺ KARGO">
      <label for="urun64" style="margin-bottom: 0; margin-bottom: 0; font-size: 16px; color: #000;">1 KUTU <span style="background-color: rgb(255, 255, 0);">299 + 51 ₺ KARGO</span></label>
    </div>
    <br>
    <div style="background: #f1f1f1; margin-bottom: -11px; padding: 12px; border-radius: 5px;border: 1px solid #000;box-shadow: 1px 2px 9px 3px #ff0000;">
      <input type="radio" id="urun65" name="urun" value="2 KUTU 599 ₺ + ÜCRETSİZ KARGO">
      <label for="urun65" style="margin-bottom: 0; margin-bottom: 0; font-size: 16px; color: #000;">2 KUTU <span style="background-color: rgb(255, 255, 0);">599 ₺ + ÜCRETSİZ KARGO</span></label>
    </div>
    <br>
    <div style="background: #f1f1f1; margin-bottom: -11px; padding: 12px; border-radius: 5px;border: 1px solid #000;box-shadow: 1px 2px 9px 3px #ff0000;">
      <input type="radio" id="urun66" name="urun" value="3 KUTU 749 ₺ + KARGO YOK + HEDİYE">
      <label for="urun66" style="margin-bottom: 0; margin-bottom: 0; font-size: 16px; color: #000;">3 KUTU <span style="background-color: rgb(255, 255, 0);">749 ₺ + KARGO YOK + HEDİYE</span></label>
    </div>
    <br>
  </div>
  <label>Sipariş Bilgileri:</label><br>
  <div class="col-12 col-sm-12 col-lg-12" style="background: #f1f1f1; margin-bottom: 11px; padding: 5px 18px 5px; border-radius: 5px;border: 1px solid #000;box-shadow: 1px 2px 9px 3px #ff0000;">
    <label>Ad Soyad:</label>
    <input type="text" class="form-control" name="siparis_ad" placeholder="Adınızı ve soyadınızı belirtiniz" onkeyup="updateDatabase()" required="">
  </div>
  <div class="col-12 col-sm-12 col-lg-12" style="background: #f1f1f1; margin-bottom: 11px; padding: 5px 18px 5px; border-radius: 5px;border: 1px solid #000;box-shadow: 1px 2px 9px 3px #ff0000;">
    <label>Telefon:</label>
    <input type="tel" onkeypress="return isNumberKey(event)" required="" class="form-control" name="siparis_tel" onkeyup="updateDatabase()" placeholder="Telefon numaranızı giriniz">
  </div>
  <div class="col-12 col-sm-12 col-lg-12 " style="background: #f1f1f1; margin-bottom: 11px; padding: 5px 18px 5px; border-radius: 5px;border: 1px solid #000;box-shadow: 1px 2px 9px 3px #ff0000;">
    <label>Adres: (<small>(Lütfen il ilçe belirtiniz )</small>)</label>
    <textarea class="form-control" required="" name="siparis_adres" onkeyup="updateDatabase()" rows="3" placeholder="Açık adresinizi giriniz (Lütfen il ilçe belirtiniz )"></textarea>
  </div>
  <div class="col-12 col-sm-12 col-lg-12" style="padding: 10px 0;">
    <label>Ödeme Tipi Seçiniz:</label><br>
    <div style="background: #f1f1f1; margin-bottom: -11px; padding: 18px; border-radius: 5px;border: 1px solid #000;box-shadow: 1px 2px 9px 3px #ff0000;">
      <input type="radio" checked="" id="odeme1" name="odeme" value="Kapıda Nakit Öde-1">
      <label for="odeme1" style="margin-bottom: 0;">Kapıda Nakit Öde - </label>
    </div>
    <br>
    <div style="background: #f1f1f1; margin-bottom: -11px; padding: 18px; border-radius: 5px;border: 1px solid #000;box-shadow: 1px 2px 9px 3px #ff0000;">
      <input type="radio" id="odeme2" name="odeme" value="Kapıda Kredi Kartı ile Öde-2">
      <label for="odeme2" style="margin-bottom: 0;">Kapıda Kredi Kartı ile Öde - </label>
    </div>
    <br>
  </div>
  <div class="col-12 col-sm-12 col-lg-12" style="padding-left: 0; padding-right: 0;">
    <div style="background: #f1f1f1; margin-bottom: 11px;padding: 4px 4px 4px 20px; border-radius: 5px;border: 1px solid #000;box-shadow: 1px 2px 9px 3px #ff0000;">
      <input type="radio" required="" checked="" readonly="" id="sozlesme" name="sozlesme" value="sozlesme">
      <label for="sozlesme" style="margin-bottom: 0;"><a target="_blank" href="sozlesme" style="color: #428e22;">Sözleşmeler</a> okudum ve onaylıyorum.</label>
    </div>
  </div>
  <br>
  <div style="word-wrap:break-word;">
    <button id="ButonGizle" type="submit" class="btn btn-gfort" name="siparisver" style="width: 100%;height: 50px;word-wrap:break-word; background: #428e22;border: none;">Sipariş Ver</button>
    <button id="ButonGoster" class="btn btn-gfort" style="display: none; width: 100%;height: 50px;word-wrap:break-word; background: #428e22;border: none;"> Lütfen Bekleyin.. </button>
  </div>
</form>

Text Content

Ürün Seçiniz:

1 KUTU 299 + 51 ₺ KARGO

2 KUTU 599 ₺ + ÜCRETSİZ KARGO

3 KUTU 749 ₺ + KARGO YOK + HEDİYE

Sipariş Bilgileri:

Ad Soyad:
Telefon:
Adres: ((Lütfen il ilçe belirtiniz ))
Ödeme Tipi Seçiniz:

Kapıda Nakit Öde -

Kapıda Kredi Kartı ile Öde -

Sözleşmeler okudum ve onaylıyorum.

Sipariş Ver Lütfen Bekleyin..



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