Rezervasyon Formu

Kod demoya eklenip kontrol edilecek!

<form action="/tr/form/5/6" method="post" name="form2">
<div class="row">
<div class="col-md-6">
<div class="row">
<div class="col-md-12"><input class="form-control" name="form_1" placeholder="Adınız Soyadınız :" required="" type="text" /></div>

<div class="col-md-12"><input class="form-control" name="form_2" placeholder="Kişi Sayısı :" required="" type="text" /></div>

<div class="col-md-12"><input class="form-control" name="mail" placeholder="Email :" required="" type="email" /></div>

<div class="col-md-12"><input class="form-control" name="form_3" placeholder="Telefon :" required="" type="tel" /></div>

<div class="col-md-12"><input class="form-control" name="form_4" placeholder="Şehir :" required="" type="text" /></div>

<div class="col-md-12"><input class="form-control" name="form_5" placeholder="Ülke :" required="" type="text" /></div>
</div>
</div>

<div class="col-md-6">
<div class="row">
<div class="col-md-12"><textarea class="form-control" cols="15" name="form_6" placeholder="Açıklama" required="" rows="5"></textarea></div>

<div class="col-md-12"><strong>Güvenlik Sorusu : (2+3=?)</strong></div>
<input class="form-control" name="security1" type="hidden" value="5" /> <input class="form-control" name="security2" placeholder="2+3=?" type="text" value="" /></div>

<div class="row"><button class="form-control btn btn-primary text-center" name="submit" type="submit">GÖNDER</button></div>
</div>
</div>
</form>