www.pos.yukselyapi.com.tr Open in urlscan Pro
185.216.114.5  Public Scan

Form analysis
1 forms found in the DOM

POST javascript:odemeyap();

<form action="javascript:odemeyap();" class="form-horizontal row-border" id="sepetform" method="POST">
  <div class="form-group">
    <label class="col-md-2 col-sm-2 control-label  col-xs-12">Para Birimi / Tutar</label>
    <div class="col-md-3 col-sm-3 col-xs-3 ">
      <div class="input-group">
        <input type="number" name="txnamount" id="txnamount" value="" class="form-control" placeholder="Tutarı giriniz ">
        <span class="input-group-addon" name="" value="" id="basic-Sdon2"></span>
      </div>
    </div>
    <div class="col-md-2 col-sm-2 col-xs-3 ">
      <div class="input-group">
        <input type="number" name="txnamounttwo" id="txnamounttwo" value="00" class="form-control" placeholder="Kuruş Tutarını Giriniz "> Taksit Sayısı(Bonus):<input type="number" name="taksit" id="taksit" value="00" class="form-control"
          placeholder="Taksit Tutarını Giriniz min=" 0"="" max="9" "="">
                               
								   

                                 </div>				  
                              </div>  
							     <div class=" col-md-5 col-sm-5 col-xs-6 ">
							   
       <select name=" txncurrencycode" id="txncurrencycode" class="form-control" required="">
        <option name="doviz" value="949">TRL</option>
        <option id="USD" name="doviz" value="840">USD </option>
        <option name="doviz" value="978">EUR</option>
        <option name="doviz" value="826">GBP</option>
        </select>
      </div>
    </div>
    <div class="form-group">
      <label class="col-md-2 col-sm-2 control-label  col-xs-12">Adınız Soyadınız</label>
      <div class="col-md-5 col-sm-5 col-xs-6">
        <input name="k_ad" type="text" id="k_ad" maxlength="30" value="" class="form-control" placeholder="Adınız">
      </div>
      <div class="col-md-5 col-sm-5 col-xs-6">
        <input name="k_soyad" class="form-control" placeholder="Soyadınız" type="text" id="k_soyad" maxlength="30" value="">
      </div>
    </div>
    <div class="form-group">
      <label class="col-md-2 col-sm-2 control-label col-xs-12">Telefon Numaranız</label>
      <div class="col-md-5 col-sm-5 col-xs-6">
        <input type="text" name="telno" class="form-control" placeholder="Cep Numaranız (5xxxxxxxxx)" id="telno" onblur="return SadeceRakam(this, event)" onkeypress="return SadeceRakam(this, event)" maxlength="10" value="">
      </div>
      <div class="col-md-5 col-sm-5 col-xs-6">
        <input type="text" class="form-control" placeholder="İş Telefonunuz (3xxxxxxxxx)" name="istelno" id="istelno" onblur="return SadeceRakam(this, event)" onkeypress="return SadeceRakam(this, event)" maxlength="10" value="">
      </div>
    </div>
    <div class="form-group">
      <label class="col-md-2 col-sm-2 control-label col-xs-12">E-mail / Adres</label>
      <div class="col-md-5 col-sm-5 col-xs-6">
        <input name="email" type="text" id="email" maxlength="30" value="" class="form-control" placeholder="E-mail">
      </div>
      <div class="col-md-5 col-sm-5 col-xs-6">
        <textarea name="padres" id="padres" cols="45" rows="2" maxlength="160" class="form-control" placeholder="Posta Adres Bilginiz"></textarea>
      </div>
    </div>
    <div class="form-group">
      <label class="col-md-2 col-sm-2 control-label">Açıklama</label>
      <div class="col-md-10 col-sm-10">
        <input name="aciklama" type="text" id="aciklama" value="" size="30" maxlength="60" class="form-control" placeholder="Kullanıcı Adınızı veya Firma Bilginizi belirtiniz">
      </div>
    </div>
    <div class="form-group">
      <label class="col-md-2 col-sm-2 control-label">Fatura Adresi</label>
      <div class="col-md-10 col-sm-10">
        <textarea name="fadres" id="fadres" cols="45" rows="2" maxlength="160" class="form-control" placeholder="Fatura Adres Bilginiz"></textarea>
      </div>
    </div>
    <div class="form-group">
      <label class="col-md-2 col-sm-2 control-label col-xs-12">Fatura Bilgileri</label>
      <div class="col-md-5 col-sm-5 col-xs-6">
        <input name="vd" type="text" id="vd" maxlength="30" value="" class="form-control" placeholder="Vergi Dairesi">
      </div>
      <div class="col-md-5 col-sm-5 col-xs-6">
        <input name="vn" type="text" id="vn" maxlength="30" value="" class="form-control" placeholder="Vergi Numarası">
      </div>
    </div>
    <div class="form-group">
      <label class="col-md-2 col-sm-2 "> </label>
      <div class="col-md-10 col-sm-10" align="left"> Diğer Bilgileri Görmek ve Ödeme Yapmak için " Devam " butonuna tıklayınız </div>
      <label class="col-md-2 col-sm-2 control-label"> </label>
      <div class="col-md-10 col-sm-10" align="right">
        <button class="btn btn-lg btn-warning" style="color:#fff"><span class="fa fa-chevron-right"></span> Devam</button>
      </div>
    </div>
</form>

Text Content

Para Birimi / Tutar

Taksit Sayısı(Bonus):
TRL USD EUR GBP
Adınız Soyadınız


Telefon Numaranız


E-mail / Adres


Açıklama

Fatura Adresi

Fatura Bilgileri


Diğer Bilgileri Görmek ve Ödeme Yapmak için " Devam " butonuna tıklayınız
Devam


×

 


Kapat