"HIZMET TALEP FORMU"
Bootstrap 3.3.0 Snippet by mddemir

<link href="//maxcdn.bootstrapcdn.com/bootstrap/3.3.0/css/bootstrap.min.css" rel="stylesheet" id="bootstrap-css"> <script src="//maxcdn.bootstrapcdn.com/bootstrap/3.3.0/js/bootstrap.min.js"></script> <script src="//code.jquery.com/jquery-1.11.1.min.js"></script> <!------ Include the above in your HEAD tag ----------> <div class="container"> <form class="form-horizontal"> <fieldset> <!-- Form Name --> <legend>Hizmet talep Formu</legend> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="requesterID">Talep eden:</label> <div class="col-md-4"> <input id="requesterID" name="requesterID" type="text" placeholder="autoFill(id)" class="form-control input-md" required=""> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="projectName">Proje Adı:</label> <div class="col-md-4"> <input id="projectName" name="projectName" type="text" placeholder="Proje Adı" class="form-control input-md" required=""> </div> </div> <!-- Button Drop Down --> <div class="form-group"> <label class="col-md-4 control-label" for="projecttype">Proje tipi</label> <div class="col-md-4"> <div class="input-group"> <input id="projecttype" name="projecttype" class="form-control" placeholder="Proje tipini seçiniz" type="text" required=""> <div class="input-group-btn"> <button type="button" class="btn btn-default dropdown-toggle" data-toggle="dropdown"> Seçiniz <span class="caret"></span> </button> <ul class="dropdown-menu pull-right"> <li><a href="#">Yazılım uygulama geliştirme</a></li> <li><a href="#">Danışmanlık</a></li> <li><a href="#">Sistem entegrasyonu/API</a></li> <li><a href="#">Co-location/Backup/DR</a></li> <li><a href="#">Hosting hizmeti</a></li> <li><a href="#">Web tasarımı</a></li> <li><a href="#">iş akış otomasyonu</a></li> <li><a href="#">Diğer</a></li> </ul> </div> </div> </div> </div> <!-- Textarea --> <div class="form-group"> <label class="col-md-4 control-label" for="projectdefinition">Proje Detayları</label> <div class="col-md-4"> <textarea class="form-control" id="projectdefinition" name="projectdefinition">Talep ettiğiniz işi açıklayınız</textarea> </div> </div> <!-- File Button --> <div class="form-group"> <label class="col-md-4 control-label" for="filebutton">Gereksinim Dosyası:</label> <div class="col-md-4"> <input id="filebutton" name="filebutton" class="input-file" type="file"> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="target">Hedeflenen teslim süresi:</label> <div class="col-md-4"> <input id="target" name="target" type="text" placeholder="" class="form-control input-md"> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="contact">Kurum & Yetkili kişinin adı:</label> <div class="col-md-4"> <input id="contact" name="contact" type="text" placeholder="placeholder" class="form-control input-md"> <span class="help-block">Talep Kurum dışından gelmesi durumda doldurulacak alanlar)</span> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="email">E-posta adresi:</label> <div class="col-md-4"> <input id="email" name="email" type="text" placeholder="@" class="form-control input-md"> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="phone">Telefon:</label> <div class="col-md-4"> <input id="phone" name="phone" type="text" placeholder="" class="form-control input-md"> </div> </div> <!-- Button (Double) --> <div class="form-group"> <label class="col-md-4 control-label" for="button1id"></label> <div class="col-md-8"> <button id="button1id" name="button1id" class="btn btn-success">vazgeç</button> <button id="button2id" name="button2id" class="btn btn-danger">gönder</button> </div> </div> </fieldset> </form> </div>

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