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"Trafik Sigortası Teklif Formu"
Bootstrap 4.1.1 Snippet by
ozan07
4.1.1
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<link href="//maxcdn.bootstrapcdn.com/bootstrap/4.1.1/css/bootstrap.min.css" rel="stylesheet" id="bootstrap-css"> <script src="//maxcdn.bootstrapcdn.com/bootstrap/4.1.1/js/bootstrap.min.js"></script> <script src="//cdnjs.cloudflare.com/ajax/libs/jquery/3.2.1/jquery.min.js"></script> <!------ Include the above in your HEAD tag ----------> <form class="form-horizontal"> <fieldset> <!-- Form Name --> <legend>Trafik Sigortası Teklif Formu</legend> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="textinput">Ad Soyad;</label> <div class="col-md-4"> <input id="textinput" name="textinput" type="text" placeholder="Ad Soyad" class="form-control input-md"> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="textinput">Tc Kimlik No:</label> <div class="col-md-4"> <input id="textinput" name="textinput" type="text" placeholder="T.C. kimlik numaranız" class="form-control input-md"> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="textinput">Belge Seri No:</label> <div class="col-md-6"> <input id="textinput" name="textinput" type="text" placeholder="Ruhsatın sağ alt köşesinde yer alır" class="form-control input-md"> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="textinput">Gsm No:</label> <div class="col-md-4"> <input id="textinput" name="textinput" type="text" placeholder="5xx xxx xx xx" class="form-control input-md"> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="textinput">Plakanız;</label> <div class="col-md-5"> <input id="textinput" name="textinput" type="text" placeholder="Plakanız yok ise boş bırakınız." class="form-control input-md"> </div> </div> <!-- Button --> <div class="form-group"> <label class="col-md-4 control-label" for="singlebutton"></label> <div class="col-md-4"> <button id="singlebutton" name="singlebutton" class="btn btn-primary">Teklif İste</button> </div> </div> </fieldset> </form>
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