document.write("	<script type='text/javascript' src='https://form.siparisyazilimi.com/jquery-1.10.2.js'></script>");
document.write("	<script type='text/javascript' src='https://cdnjs.cloudflare.com/ajax/libs/popper.js/1.12.9/umd/popper.min.js'></script>");
document.write("	<script type='text/javascript' src='https://cdnjs.cloudflare.com/ajax/libs/jquery.bootstrapvalidator/0.5.2/js/bootstrapValidator.min.js'></script>");
document.write("	<script type='text/javascript' src='https://form.siparisyazilimi.com/inputmask.js?v133'></script>");
document.write("	<script type='text/javascript' src='https://form.siparisyazilimi.com/jquery-select7.js'></script>");

document.write("	<link rel='stylesheet' href='https://maxcdn.bootstrapcdn.com/bootstrap/4.0.0/css/bootstrap.min.css'>");
document.write("	<link rel='stylesheet' href='https://form.siparisyazilimi.com/OrderForm.css?v=53241892024'>");
document.write("	<link rel='stylesheet' href='https://form.siparisyazilimi.com/selectbox.css?v=006'>");
document.write("	<link href='https://fonts.googleapis.com/css?family=Open+Sans:300,400,400i,600,600i,700,700i,800&amp;subset=latin-ext' rel='stylesheet'>");
document.write("    <form method='post' action='https://form.siparisyazilimi.com/FormPost' id='enableButtonForm' class='form384'>");
document.write("        <input name='FormCode' value='BMRQARM7' type='hidden'>");
document.write("        <div class='row pb-3 orderformdiv' style='background:#ffffff; margin-bottom:70px'>");
document.write("        <div class='col-md-12'>");
document.write("            <div class='row'>");
document.write("        <div class='col-md-12 card-header bg-dark font-weight-bold text-warning mb-3 '>Ürün Seçin</div>");
document.write("        <div class='col-md-12 ProductPiece id='ProductPiece'>");
document.write("            <div class='ProductPiece FiyatResimTrue' id='form384'>");
document.write("                <ul class='list-unstyled'>");
 

					
document.write("				<li class='ProductPieceBox4 ProductPieceImgBox4'><label>");
document.write("				<input class='priceinput' type='radio' style='float:left' onclick='optionquery(1,174,384,566);' required name='ProductPiece' value='566'/>");
document.write("				<div>");

document.write("       <div class='rows PriceImg'>");


document.write("				<img class='priceImgages' id='priceImg566' src='https://tr.siparisyazilimi.com/upload/price/0R1AW-5AAcs-1305827122022-bxB29-4KleB.jpg' class='mobile-hidden'>");
document.write("				<img class='priceImgagesSelect' style='display:none' id='priceImgSelect566' src='https://tr.siparisyazilimi.com/upload/price/EYM8D-3a5GY-eTAjt-dCsr1-q4XtT.jpg' class='mobile-hidden'>");


document.write("			<div class='col-md-12 col-xs-12 text-center' style='display:none'><span class='ImgPrice'>1 Adet Collagen Life Pro</span><h3  class='ImgPriceTxt'>180TL</h3><h4>&nbsp;Ücretsiz Kargo</h4></div>");
document.write("       </div>");

document.write("               </div></label></li>");

document.write("				<li class='ProductPieceBox4 ProductPieceImgBox4'><label>");
document.write("				<input class='priceinput' type='radio' style='float:left' onclick='optionquery(2,174,384,567);' required name='ProductPiece' value='567'/>");
document.write("				<div>");

document.write("       <div class='rows PriceImg'>");


document.write("				<img class='priceImgages' id='priceImg567' src='https://tr.siparisyazilimi.com/upload/price/E9B77-qjU2W-1311527122022-obsUt-Qx544.jpg' class='mobile-hidden'>");
document.write("				<img class='priceImgagesSelect' style='display:none' id='priceImgSelect567' src='https://tr.siparisyazilimi.com/upload/price/2R6X5-YGEdb-t8sDW-smalK-8gfQE.jpg' class='mobile-hidden'>");


document.write("			<div class='col-md-12 col-xs-12 text-center' style='display:none'><span class='ImgPrice'>2 Adet Collagen Life Pro</span><h3  class='ImgPriceTxt'>299TL</h3><h4>&nbsp;Ücretsiz Kargo</h4></div>");
document.write("       </div>");

document.write("               </div></label></li>");

document.write("				<li class='ProductPieceBox4 ProductPieceImgBox4'><label>");
document.write("				<input class='priceinput' type='radio' style='float:left' onclick='optionquery(3,174,384,568);' required name='ProductPiece' value='568'/>");
document.write("				<div>");

document.write("       <div class='rows PriceImg'>");


document.write("				<img class='priceImgages' id='priceImg568' src='https://tr.siparisyazilimi.com/upload/price/Tr4UC-xBDKo-1312427122022-6xWB7-xlmMg.jpg' class='mobile-hidden'>");
document.write("				<img class='priceImgagesSelect' style='display:none' id='priceImgSelect568' src='https://tr.siparisyazilimi.com/upload/price/AQUYA-Xb8XG-8RW4U-7DRdX-E41as.jpg' class='mobile-hidden'>");


document.write("			<div class='col-md-12 col-xs-12 text-center' style='display:none'><span class='ImgPrice'>3 Adet Collagen Life Pro</span><h3  class='ImgPriceTxt'>400TL</h3><h4>&nbsp;Ücretsiz Kargo</h4></div>");
document.write("       </div>");

document.write("               </div></label></li>");

document.write("				<li class='ProductPieceBox4 ProductPieceImgBox4'><label>");
document.write("				<input class='priceinput' type='radio' style='float:left' onclick='optionquery(5,174,384,569);' required name='ProductPiece' value='569'/>");
document.write("				<div>");

document.write("       <div class='rows PriceImg'>");


document.write("				<img class='priceImgages' id='priceImg569' src='https://tr.siparisyazilimi.com/upload/price/2XKW7-732fD-1313027122022-dq35t-6eeB4.jpg' class='mobile-hidden'>");
document.write("				<img class='priceImgagesSelect' style='display:none' id='priceImgSelect569' src='https://tr.siparisyazilimi.com/upload/price/Xbgc5-5rmqa-fG3oW-e6D0K-lmYrE.jpg' class='mobile-hidden'>");


document.write("			<div class='col-md-12 col-xs-12 text-center' style='display:none'><span class='ImgPrice'>5 Adet Collagen Life Pro</span><h3  class='ImgPriceTxt'>600TL</h3><h4>&nbsp;Ücretsiz Kargo</h4></div>");
document.write("       </div>");

document.write("               </div></label></li>");

document.write("               </ul>");
document.write("            </div>");
document.write("       </div>");
document.write("             <div class='col-md-12 mb-2' id='ProductOption'></div>");
document.write("        </div>");
document.write("        </div>");
document.write("        <div class='col-md-12 mt-3'>");
document.write("       <div class='col-md-12 card-header font-weight-bold text-warning mb-2'>İletişim Bilgileri</div>");
document.write("            <div class='row mr-2 ml-2'>");
document.write("                <div class='col-md-12 mb-2'>");
document.write("                   <input name='NameSurname' class='form-control' placeholder='Adınız Soyadınız' required value='' />");
document.write("                </div>");
document.write("                <div class='col-md-12 mb-2'>");

document.write("                   <div class='input-group'>");
document.write("                   				<span class='input-group-text' id='basic-addon1'>+90</span>");
document.write("								<input name='Telephone' onkeyup='numarator(this);' id='Telephone' minlength='11' class='form-control' placeholder='Cep Telefonunuz' required value='' />");
document.write("                   </div>");


document.write("                </div>");




document.write("               <div class='col-md-12 mb-2' style='display:none'>");
document.write("                    <select name='Country' class ='form-control country-select' data-city-element='.city-select' onchange='cityselect(this.options[this.selectedIndex].value)' required>");
document.write("                        <option value=''>Ülke Seç</option>");

document.write("                        <option selected value='228'>Türkiye</option>");

 document.write("                   </select>");
document.write("                </div>");

document.write("               <div class='col-md-12 mb-2' id='citydiv'>");
document.write("                    <select name='City' id='City' class ='form-control' onchange='townselect(this.options[this.selectedIndex].value)' required>");
document.write("                        <option value=''>Şehir Seçin</option>");
document.write("                        <option value='1'>Adana</option>");
document.write("                        <option value='2'>Adıyaman</option>");
document.write("                        <option value='3'>Afyonkarahisar</option>");
document.write("                        <option value='4'>Ağrı</option>");
document.write("                        <option value='68'>Aksaray</option>");
document.write("                        <option value='5'>Amasya</option>");
document.write("                        <option value='6'>Ankara</option>");
document.write("                        <option value='7'>Antalya</option>");
document.write("                        <option value='75'>Ardahan</option>");
document.write("                        <option value='8'>Artvin</option>");
document.write("                        <option value='9'>Aydın</option>");
document.write("                        <option value='10'>Balıkesir</option>");
document.write("                        <option value='74'>Bartın</option>");
document.write("                        <option value='72'>Batman</option>");
document.write("                        <option value='69'>Bayburt</option>");
document.write("                        <option value='11'>Bilecik</option>");
document.write("                        <option value='12'>Bingöl</option>");
document.write("                        <option value='13'>Bitlis</option>");
document.write("                        <option value='14'>Bolu</option>");
document.write("                        <option value='15'>Burdur</option>");
document.write("                        <option value='16'>Bursa</option>");
document.write("                        <option value='17'>Çanakkale</option>");
document.write("                        <option value='18'>Çankırı</option>");
document.write("                        <option value='19'>Çorum</option>");
document.write("                        <option value='20'>Denizli</option>");
document.write("                        <option value='21'>Diyarbakır</option>");
document.write("                        <option value='81'>Düzce</option>");
document.write("                        <option value='22'>Edirne</option>");
document.write("                        <option value='23'>Elazığ</option>");
document.write("                        <option value='24'>Erzincan</option>");
document.write("                        <option value='25'>Erzurum</option>");
document.write("                        <option value='26'>Eskişehir</option>");
document.write("                        <option value='27'>Gaziantep</option>");
document.write("                        <option value='28'>Giresun</option>");
document.write("                        <option value='29'>Gümüşhane</option>");
document.write("                        <option value='30'>Hakkari</option>");
document.write("                        <option value='31'>Hatay</option>");
document.write("                        <option value='76'>Iğdır</option>");
document.write("                        <option value='32'>Isparta</option>");
document.write("                        <option value='34'>İstanbul</option>");
document.write("                        <option value='35'>İzmir</option>");
document.write("                        <option value='42'>Kahramanmaraş</option>");
document.write("                        <option value='78'>Karabük</option>");
document.write("                        <option value='70'>Karaman</option>");
document.write("                        <option value='36'>Kars</option>");
document.write("                        <option value='37'>Kastamonu</option>");
document.write("                        <option value='38'>Kayseri</option>");
document.write("                        <option value='71'>Kırıkkale</option>");
document.write("                        <option value='39'>Kırklareli</option>");
document.write("                        <option value='40'>Kırşehir</option>");
document.write("                        <option value='79'>Kilis</option>");
document.write("                        <option value='41'>Kocaeli</option>");
document.write("                        <option value='43'>Konya</option>");
document.write("                        <option value='44'>Kütahya</option>");
document.write("                        <option value='45'>Malatya</option>");
document.write("                        <option value='46'>Manisa</option>");
document.write("                        <option value='47'>Mardin</option>");
document.write("                        <option value='33'>Mersin(İçel)</option>");
document.write("                        <option value='48'>Muğla</option>");
document.write("                        <option value='49'>Muş</option>");
document.write("                        <option value='50'>Nevşehir</option>");
document.write("                        <option value='51'>Niğde</option>");
document.write("                        <option value='52'>Ordu</option>");
document.write("                        <option value='80'>Osmaniye</option>");
document.write("                        <option value='53'>Rize</option>");
document.write("                        <option value='54'>Sakarya</option>");
document.write("                        <option value='55'>Samsun</option>");
document.write("                        <option value='56'>Siirt</option>");
document.write("                        <option value='57'>Sinop</option>");
document.write("                        <option value='58'>Sivas</option>");
document.write("                        <option value='63'>Şanlıurfa</option>");
document.write("                        <option value='73'>Şırnak</option>");
document.write("                        <option value='59'>Tekirdağ</option>");
document.write("                        <option value='60'>Tokat</option>");
document.write("                        <option value='61'>Trabzon</option>");
document.write("                        <option value='62'>Tunceli</option>");
document.write("                        <option value='64'>Uşak</option>");
document.write("                        <option value='65'>Van</option>");
document.write("                        <option value='77'>Yalova</option>");
document.write("                        <option value='66'>Yozgat</option>");
document.write("                        <option value='67'>Zonguldak</option>");
document.write("                    </select>");
document.write("                </div>");


document.write("			   <div class='col-md-12 mb-2' id='towndiv'>");
document.write("					<select name='town' id='input-town' class='form-control town-select' required disabled>");
document.write("					<option value=''>Önce Şehir Seçin</option>");
document.write("					</select>");
document.write("				</div>");



document.write("                <div class='col-md-12 mb-2'>");
document.write("                    <textarea name='Address' class='form-control' placeholder='Tam Adresinizi Yazınız' required></textarea>");
document.write("                </div>");
document.write("            </div>");
document.write("        <div class='col-md-12 card-header bg-dark font-weight-bold text-warning mb-2'>Ödeme Bilgisi</div>");
document.write("        <div class='col-md-12  mb-2'>");
document.write("            <div class='row'>");
document.write("                <div class='col-md-12 norow'>");
document.write("					<ul class='payment-options row'>");
document.write("						<li><label><input checked type='radio'  name='PaymentType' value='3' required/><i>Kapıda Kredi Kartı</i></label></li>");
document.write("						<li><label><input checked type='radio'  name='PaymentType' value='2' required/><i> Kapıda Nakit Ödeme</i></label></li>");
document.write("					</ul>");
document.write("                </div>");
//document.write("               <div class='col-md-12 small text-info'>");
//document.write("                    <label>");
//document.write("                        <input name='Terms' value='Terms' required checked='checked' type='checkbox'> <a data-toggle='modal1' href='#Gizlilik' class='smart-link' style='color:black'>Okudum ve sözleşme mesafesi satış kabul ediyorum. Bu bilgileri göndererek, yukarıda verilen bilgiler benimle temas kurmaya güçlenmiş. Bu web sayfasının Gizli Politikası'nı kabul edin.</a>");
//document.write("                    </label>");
//document.write("                </div>");
document.write("            </div>");
document.write("        </div>");
document.write("        <div class='col-md-12 mb-2 pb-3 text-center'>");
document.write("			<input name='cmd' value='save' type='hidden'>");
document.write("            <button class='btn btn-success w-100 btn-lg font-weight-bold col-md-12' type='submit'>Siparişi Tamamla</button>");
document.write("        </div>");
document.write("        </div>");
document.write("    </form>");
document.write("  </div>");




document.write("<div class='modal fade' id='Gizlilik' tabindex='-1' role='dialog' aria-labelledby='myGizlilikLabel'>");
document.write("  <div class='modal-dialog' role='document'>");
document.write("    <div class='modal-content'>");
document.write("      <div class='modal-header'>");
document.write("        <button type='button' class='close' data-dismiss='modal' aria-label='Close'><span aria-hidden='true'>&times;</span></button>");
document.write("        <h4 class='modal-title' id='myGizlilikLabel'>Gizlilik Sözleşmesi</h4>");
document.write("      </div>");
//document.write("     <div class='modal-body'>");
//document.write("      </div>");
document.write("      <div class='modal-footer'>");
document.write("        <button type='button' class='btn btn-default' data-dismiss='modal'>Kapat</button>");
document.write("      </div>");
document.write("    </div>");
document.write("  </div>");
document.write("</div>");






window.onload = radioclean;
function radioclean(){


$('.ProductPiece').find('input').removeAttr('checked');
$('#Telephone').inputmask({"mask": "99999999999"},{'autoUnmask' : true});

}

function optionquery(piece,product,web,fid)
{	$.post("https://form.siparisyazilimi.com/FormApi",
	{piece: piece, product: product, web: web, cmd: 'check'},
	function(kod) {
	$('#ProductOption').html(kod);


	$(".priceImgagesSelect").fadeOut(0);
	$(".priceImgages").fadeIn(0);
	$("#priceImg"+ fid).fadeOut(0);
	$("#priceImgSelect"+ fid).fadeIn(0);



	});


} 


function VariantSelected(v,s)
{

$('.variantselect'+s).attr('disabled', 'disabled');
$('#VariantSelected' + v +''+ s).removeAttr('disabled');
$('.VaryantSelect' + s).fadeOut(0);
$('#VariantSelect' + v +''+ s).fadeIn(0);

        }

function cityselect(country)
{	$.post("https://form.siparisyazilimi.com/FormApi",
	{country: country, command: 'city'},
	function(kod) {
	$('#citydiv').html(kod);
	});
$("#City").find('option:selected').removeAttr("selected");

} 

function townselect(city)
{	$.post('https://form.siparisyazilimi.com/FormApi',
	{city: city, command: 'TownSelect'},
	function(kod) {
	$('#towndiv').html(kod);
	});

} 



function numarator(deger) {
var yaz = new String();
var numaralar = "0123456789";
var chars = deger.value.split("");
for (i = 0; i < chars.length; i++) {
if (numaralar.indexOf(chars[i]) != -1) yaz += chars[i];
}
if (deger.value != yaz) deger.value = yaz;
}

var SelectCityText = "Şehir Seçin";