semsiyearb.bizdeindirim.com
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URL:
https://semsiyearb.bizdeindirim.com/
Submission: On August 13 via api from US — Scanned from DE
Submission: On August 13 via api from US — Scanned from DE
Form analysis
1 forms found in the DOMPOST tesekkurler.php
<form class="form-horizontal siparisf" method="post" action="tesekkurler.php" data-ajax="false" id="formID" novalidate="novalidate">
<div class="form-group">
<div class="col-sm-10">
<div class="radio">
<div class="ui-radio"><label class="ui-btn ui-corner-all ui-btn-inherit ui-btn-icon-left ui-radio-on"> 1 Adet ŞEMSİYE GÜNEŞLİK - <b> 599 TL</b> <b style="background:#94c327">ÜCRETSİZ KARGO</b>
</label><input type="radio" name="adet" class="optionsRadios" data-id="12" id="optionsRadios1" value="1" checked=""></div>
<div class="ui-radio"><label class="ui-btn ui-corner-all ui-btn-inherit ui-btn-icon-left ui-radio-off"> 2 Adet ŞEMSİYE GÜNEŞLİK - <b>1099 TL</b> <b style="background:#94c327">ÜCRETSİZ KARGO</b>
</label><input type="radio" name="adet" class="optionsRadios" data-id="12" id="optionsRadios2" value="2"></div>
<div class="ui-radio"><label class="ui-btn ui-corner-all ui-btn-inherit ui-btn-icon-left ui-radio-off"> 3 Adet ŞEMSİYE GÜNEŞLİK - <b>1499 TL</b> <b style="background:#94c327">ÜCRETSİZ KARGO</b>
</label><input type="radio" name="adet" class="optionsRadios" data-id="12" id="optionsRadios3" value="3"></div>
</div>
</div>
</div>
<fieldset data-role="controlgroup" class="ui-controlgroup ui-controlgroup-vertical ui-corner-all">
<div role="heading" class="ui-controlgroup-label">
<legend>Ödeme Şekli</legend>
</div>
<div class="ui-controlgroup-controls ">
<div class="ui-radio"><label for="radio-choice-1" class="ui-btn ui-corner-all ui-btn-inherit ui-btn-icon-left ui-radio-on ui-first-child">Kapıda Nakit Ödeme</label><input type="radio" name="odeme" id="radio-choice-1" value="Kapida Nakit"
checked="checked"></div>
<div class="ui-radio"><label for="radio-choice-2" class="ui-btn ui-corner-all ui-btn-inherit ui-btn-icon-left ui-radio-off ui-last-child">Kapıda Kredi Kartı ile Ödeme</label><input type="radio" name="odeme" id="radio-choice-2"
value="Kapida Kredi Kartı"></div>
</div>
</fieldset>
<label for="name">Adınız Soyadınız</label>
<div class="ui-input-text ui-body-inherit ui-corner-all ui-shadow-inset"><input type="text" name="name" required="" id="name"></div>
<label for="telefon">Telefon Numaranız</label>
<div class="ui-input-text ui-body-inherit ui-corner-all ui-shadow-inset"><input type="tel" onpaste="return false;" name="telefon" minlength="10" maxlength="11" required="" id="telefon"></div>
<label for="textarea-1">Teslimat Adresi</label>
<textarea cols="40" rows="8" name="adres" required="" id="textarea-1" class="ui-input-text ui-shadow-inset ui-body-inherit ui-corner-all ui-textinput-autogrow" style="height: 52px;"></textarea>
<label for="il" class="select">Şehir Seçiniz</label>
<div class="ui-select">
<div id="il-button" class="ui-btn ui-icon-carat-d ui-btn-icon-right ui-corner-all ui-shadow"><span class="validate[required] line-one il">Şehir Seçiniz</span><select id="il" required="" name="il" class="validate[required] line-one il">
<option value="">Şehir Seçiniz</option>
<option>ADANA</option>
<option>ADIYAMAN</option>
<option>AFYONKARAHİSAR</option>
<option>AĞRI</option>
<option>AKSARAY</option>
<option>AMASYA</option>
<option>ANKARA</option>
<option>ANTALYA</option>
<option>ARDAHAN</option>
<option>ARTVİN</option>
<option>AYDIN</option>
<option>BALIKESİR</option>
<option>BARTIN</option>
<option>BATMAN</option>
<option>BAYBURT</option>
<option>BİLECİK</option>
<option>BİNGÖL</option>
<option>BİTLİS</option>
<option>BOLU</option>
<option>BURDUR</option>
<option>BURSA</option>
<option>ÇANAKKALE</option>
<option>ÇANKIRI</option>
<option>ÇORUM</option>
<option>DENİZLİ</option>
<option>DİYARBAKIR</option>
<option>DÜZCE</option>
<option>EDİRNE</option>
<option>ELAZIĞ</option>
<option>ERZİNCAN</option>
<option>ERZURUM</option>
<option>ESKİŞEHİR</option>
<option>GAZİANTEP</option>
<option>GİRESUN</option>
<option>GÜMÜŞHANE</option>
<option>HAKKARİ</option>
<option>HATAY</option>
<option>IĞDIR</option>
<option>ISPARTA</option>
<option>İSTANBUL</option>
<option>İZMİR</option>
<option>KAHRAMANMARAŞ</option>
<option>KARABÜK</option>
<option>KARAMAN</option>
<option>KARS</option>
<option>KASTAMONU</option>
<option>KAYSERİ</option>
<option>KIRIKKALE</option>
<option>KIRKLARELİ</option>
<option>KIRŞEHİR</option>
<option>KİLİS</option>
<option>KOCAELİ</option>
<option>KONYA</option>
<option>KÜTAHYA</option>
<option>MALATYA</option>
<option>MANİSA</option>
<option>MARDİN</option>
<option>MERSİN</option>
<option>MUĞLA</option>
<option>MUŞ</option>
<option>NEVŞEHİR</option>
<option>NİĞDE</option>
<option>ORDU</option>
<option>OSMANİYE</option>
<option>RİZE</option>
<option>SAKARYA</option>
<option>SAMSUN</option>
<option>SİİRT</option>
<option>SİNOP</option>
<option>SİVAS</option>
<option>ŞANLIURFA</option>
<option>ŞIRNAK</option>
<option>TEKİRDAĞ</option>
<option>TOKAT</option>
<option>TRABZON</option>
<option>TUNCELİ</option>
<option>UŞAK</option>
<option>VAN</option>
<option>YALOVA</option>
<option>YOZGAT</option>
<option>ZONGULDAK</option>
</select></div>
</div>
<label for="ilce" class="select">İlçe Seçiniz</label>
<div class="ui-select">
<div id="ilce-button" class="ui-btn ui-icon-carat-d ui-btn-icon-right ui-corner-all ui-shadow"><span class="validate[required] line-one ilce">İlçe Seçiniz</span><select id="ilce" required="" name="ilce" class="validate[required] line-one ilce">
<option value="">İlçe Seçiniz</option>
</select></div>
</div>
<input type="hidden" name="ip_adres" value="217.114.218.23">
<div class="policy">
<div class=" ui-checkbox"><input checked="" class="policyCheck" type="checkbox" value="1" required="" name="policy"></div>
<div style="margin-left: 4%;">
<a data-fancybox="" data-type="iframe" data-src="policy/txt.php?a=5" href="javascript:;" class="ui-link" rel="external"> Mesafeli Satış Sözleşme</a>'sini okudum ve kabul ediyorum.
</div>
</div>
<div class="ui-btn ui-input-btn ui-btn-b ui-corner-all ui-shadow">Siparişi Gönder<input type="submit" value="Siparişi Gönder" data-theme="b"></div>
<div class="policies">
<a data-fancybox="" data-type="iframe" data-src="policy/txt.php?a=1" href="javascript:;" class="ui-link" rel="external">
Gizlilik ve Güvenlik Politikası </a> | <a data-fancybox="" data-type="iframe" data-src="policy/txt.php?a=2" href="javascript:;" class="ui-link" rel="external">
Ön Bilgilendirme Formu </a> | <a data-fancybox="" data-type="iframe" data-src="policy/txt.php?a=3" href="javascript:;" class="ui-link" rel="external">
İptal ve İade Politikası </a> | <a data-fancybox="" data-type="iframe" data-src="policy/txt.php?a=4" href="javascript:;" class="ui-link" rel="external">
Site Kullanım Bilgilendirmesi </a> | <a data-fancybox="" data-type="iframe" data-src="policy/txt.php?a=6" href="javascript:;" class="ui-link" rel="external">
İletişim </a> |
</div>
</form>
Text Content
LÜTFEN AŞAĞIDAKI FORMU EKSIKSIZ DOLDURUNUZ. 1 Adet ŞEMSİYE GÜNEŞLİK - 599 TL ÜCRETSİZ KARGO 2 Adet ŞEMSİYE GÜNEŞLİK - 1099 TL ÜCRETSİZ KARGO 3 Adet ŞEMSİYE GÜNEŞLİK - 1499 TL ÜCRETSİZ KARGO Ödeme Şekli Kapıda Nakit Ödeme Kapıda Kredi Kartı ile Ödeme Adınız Soyadınız Telefon Numaranız Teslimat Adresi Şehir Seçiniz Şehir Seçiniz Şehir Seçiniz ADANAADIYAMANAFYONKARAHİSARAĞRIAKSARAYAMASYAANKARAANTALYAARDAHANARTVİNAYDINBALIKESİRBARTINBATMANBAYBURTBİLECİKBİNGÖLBİTLİSBOLUBURDURBURSAÇANAKKALEÇANKIRIÇORUMDENİZLİDİYARBAKIRDÜZCEEDİRNEELAZIĞERZİNCANERZURUMESKİŞEHİRGAZİANTEPGİRESUNGÜMÜŞHANEHAKKARİHATAYIĞDIRISPARTAİSTANBULİZMİRKAHRAMANMARAŞKARABÜKKARAMANKARSKASTAMONUKAYSERİKIRIKKALEKIRKLARELİKIRŞEHİRKİLİSKOCAELİKONYAKÜTAHYAMALATYAMANİSAMARDİNMERSİNMUĞLAMUŞNEVŞEHİRNİĞDEORDUOSMANİYERİZESAKARYASAMSUNSİİRTSİNOPSİVASŞANLIURFAŞIRNAKTEKİRDAĞTOKATTRABZONTUNCELİUŞAKVANYALOVAYOZGATZONGULDAK İlçe Seçiniz İlçe Seçiniz İlçe Seçiniz Mesafeli Satış Sözleşme'sini okudum ve kabul ediyorum. Siparişi Gönder Gizlilik ve Güvenlik Politikası | Ön Bilgilendirme Formu | İptal ve İade Politikası | Site Kullanım Bilgilendirmesi | İletişim | LOADING Close PreviousNext PreviousMaximize Next