{"id":168,"date":"2026-09-12T14:05:08","date_gmt":"2026-09-12T14:05:08","guid":{"rendered":"https:\/\/www.artivize.tr\/?page_id=168"},"modified":"2026-09-12T14:40:44","modified_gmt":"2026-09-12T14:40:44","slug":"randevu-talep-formu","status":"publish","type":"page","link":"https:\/\/www.artivize.tr\/index.php\/randevu-talep-formu\/","title":{"rendered":"RANDEVU TALEP FORMU"},"content":{"rendered":"<style id=\"wpforms-css-vars-180-block-411c140d-935a-4f15-aac2-eafac3a8c3a9\">\n\t\t\t\t#wpforms-180.wpforms-block-411c140d-935a-4f15-aac2-eafac3a8c3a9 {\n\t\t\t\t--wpforms-field-size-input-height: 43px;\n--wpforms-field-size-input-spacing: 15px;\n--wpforms-field-size-font-size: 16px;\n--wpforms-field-size-line-height: 19px;\n--wpforms-field-size-padding-h: 14px;\n--wpforms-field-size-checkbox-size: 16px;\n--wpforms-field-size-sublabel-spacing: 5px;\n--wpforms-field-size-icon-size: 1;\n--wpforms-label-size-font-size: 16px;\n--wpforms-label-size-line-height: 19px;\n--wpforms-label-size-sublabel-font-size: 14px;\n--wpforms-label-size-sublabel-line-height: 17px;\n--wpforms-button-size-font-size: 17px;\n--wpforms-button-size-height: 41px;\n--wpforms-button-size-padding-h: 15px;\n--wpforms-button-size-margin-top: 10px;\n\t\t\t}\n\t\t\t<\/style><div class=\"wpforms-container wpforms-container-full wpforms-block wpforms-block-411c140d-935a-4f15-aac2-eafac3a8c3a9 wpforms-render-modern\" id=\"wpforms-180\"><form id=\"wpforms-form-180\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"180\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/index.php\/wp-json\/wp\/v2\/pages\/168\" data-token=\"909bb4588f37bc8945af45f8004d9fa8\" data-token-time=\"1789242500\"><noscript class=\"wpforms-error-noscript\">Bu formu bitirebilmek i\u00e7in taray\u0131c\u0131n\u0131zda JavaScript&#039;i etkinle\u015ftirin.<\/noscript><div id=\"wpforms-error-noscript\" style=\"display: none;\">Bu formu bitirebilmek i\u00e7in taray\u0131c\u0131n\u0131zda JavaScript&#039;i etkinle\u015ftirin.<\/div><div class=\"wpforms-field-container\"><div id=\"wpforms-180-field_1-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"1\"><label class=\"wpforms-field-label\" for=\"wpforms-180-field_1\">ADI SOYADI <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-180-field_1\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][1]\" aria-errormessage=\"wpforms-180-field_1-error\" required><\/div><div id=\"wpforms-180-field_2-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"2\"><label class=\"wpforms-field-label\" for=\"wpforms-180-field_2\">E-POSTA ADRES\u0130 <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"email\" id=\"wpforms-180-field_2\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][2]\" spellcheck=\"false\" aria-errormessage=\"wpforms-180-field_2-error\" required><\/div><div id=\"wpforms-180-field_4-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"4\"><label class=\"wpforms-field-label\" for=\"wpforms-180-field_4\">TELEFON NUMARASI <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-180-field_4\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][4]\" aria-errormessage=\"wpforms-180-field_4-error\" required><\/div><div id=\"wpforms-180-field_9-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-modern\" data-field-id=\"9\"><label class=\"wpforms-field-label\" for=\"wpforms-180-field_9\">HANG\u0130 \u015eEH\u0130RDE YA\u015eAMAKTASINIZ? (B\u00f6lge Sebebiyle Gereklidir) <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><select id=\"wpforms-180-field_9\" class=\"wpforms-field-large wpforms-field-required choicesjs-select\" data-size-class=\"wpforms-field-row wpforms-field-large\" data-search-enabled=\"1\" name=\"wpforms[fields][9]\" required=\"required\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'>L\u00dcTFEN SE\u00c7\u0130N\u0130Z<\/option><option value=\"Adana\"  class=\"choice-1 depth-1\"  >Adana<\/option><option value=\"Ad\u0131yaman\"  class=\"choice-2 depth-1\"  >Ad\u0131yaman<\/option><option value=\"Afyonkarahisar\"  class=\"choice-3 depth-1\"  >Afyonkarahisar<\/option><option value=\"A\u011fr\u0131\"  class=\"choice-4 depth-1\"  >A\u011fr\u0131<\/option><option value=\"Aksaray\"  class=\"choice-5 depth-1\"  >Aksaray<\/option><option value=\"Amasya\"  class=\"choice-6 depth-1\"  >Amasya<\/option><option value=\"Ankara\"  class=\"choice-7 depth-1\"  >Ankara<\/option><option value=\"Antalya\"  class=\"choice-8 depth-1\"  >Antalya<\/option><option value=\"Ardahan\"  class=\"choice-9 depth-1\"  >Ardahan<\/option><option value=\"Artvin\"  class=\"choice-10 depth-1\"  >Artvin<\/option><option value=\"Ayd\u0131n\"  class=\"choice-11 depth-1\"  >Ayd\u0131n<\/option><option value=\"Bal\u0131kesir\"  class=\"choice-12 depth-1\"  >Bal\u0131kesir<\/option><option value=\"Bart\u0131n\"  class=\"choice-13 depth-1\"  >Bart\u0131n<\/option><option value=\"Batman\"  class=\"choice-14 depth-1\"  >Batman<\/option><option value=\"Bayburt\"  class=\"choice-15 depth-1\"  >Bayburt<\/option><option value=\"Bilecik\"  class=\"choice-16 depth-1\"  >Bilecik<\/option><option value=\"Bing\u00f6l\"  class=\"choice-17 depth-1\"  >Bing\u00f6l<\/option><option value=\"Bitlis\"  class=\"choice-18 depth-1\"  >Bitlis<\/option><option value=\"Bolu\"  class=\"choice-19 depth-1\"  >Bolu<\/option><option value=\"Burdur\"  class=\"choice-20 depth-1\"  >Burdur<\/option><option value=\"Bursa\"  class=\"choice-21 depth-1\"  >Bursa<\/option><option value=\"\u00c7anakkale\"  class=\"choice-22 depth-1\"  >\u00c7anakkale<\/option><option value=\"\u00c7ank\u0131r\u0131\"  class=\"choice-23 depth-1\"  >\u00c7ank\u0131r\u0131<\/option><option value=\"\u00c7orum\"  class=\"choice-24 depth-1\"  >\u00c7orum<\/option><option value=\"Denizli\"  class=\"choice-25 depth-1\"  >Denizli<\/option><option value=\"Diyarbak\u0131r\"  class=\"choice-26 depth-1\"  >Diyarbak\u0131r<\/option><option value=\"D\u00fczce\"  class=\"choice-27 depth-1\"  >D\u00fczce<\/option><option value=\"Edirne\"  class=\"choice-28 depth-1\"  >Edirne<\/option><option value=\"Elaz\u0131\u011f\"  class=\"choice-29 depth-1\"  >Elaz\u0131\u011f<\/option><option value=\"Erzincan\"  class=\"choice-30 depth-1\"  >Erzincan<\/option><option value=\"Erzurum\"  class=\"choice-31 depth-1\"  >Erzurum<\/option><option value=\"Eski\u015fehir\"  class=\"choice-32 depth-1\"  >Eski\u015fehir<\/option><option value=\"Gaziantep\"  class=\"choice-33 depth-1\"  >Gaziantep<\/option><option value=\"Giresun\"  class=\"choice-34 depth-1\"  >Giresun<\/option><option value=\"G\u00fcm\u00fc\u015fhane\"  class=\"choice-35 depth-1\"  >G\u00fcm\u00fc\u015fhane<\/option><option value=\"Hakkari\"  class=\"choice-36 depth-1\"  >Hakkari<\/option><option value=\"Hatay\"  class=\"choice-37 depth-1\"  >Hatay<\/option><option value=\"I\u011fd\u0131r\"  class=\"choice-38 depth-1\"  >I\u011fd\u0131r<\/option><option value=\"Isparta\"  class=\"choice-39 depth-1\"  >Isparta<\/option><option value=\"\u0130stanbul\"  class=\"choice-40 depth-1\"  >\u0130stanbul<\/option><option value=\"\u0130zmir\"  class=\"choice-41 depth-1\"  >\u0130zmir<\/option><option value=\"Kahramanmara\u015f\"  class=\"choice-42 depth-1\"  >Kahramanmara\u015f<\/option><option value=\"Karab\u00fck\"  class=\"choice-43 depth-1\"  >Karab\u00fck<\/option><option value=\"Karaman\"  class=\"choice-44 depth-1\"  >Karaman<\/option><option value=\"Kars\"  class=\"choice-45 depth-1\"  >Kars<\/option><option value=\"Kastamonu\"  class=\"choice-46 depth-1\"  >Kastamonu<\/option><option value=\"Kayseri\"  class=\"choice-47 depth-1\"  >Kayseri<\/option><option value=\"Kilis\"  class=\"choice-48 depth-1\"  >Kilis<\/option><option value=\"K\u0131r\u0131klareli\"  class=\"choice-49 depth-1\"  >K\u0131r\u0131klareli<\/option><option value=\"K\u0131r\u015fehir\"  class=\"choice-50 depth-1\"  >K\u0131r\u015fehir<\/option><option value=\"Kocaeli\"  class=\"choice-51 depth-1\"  >Kocaeli<\/option><option value=\"Konya\"  class=\"choice-52 depth-1\"  >Konya<\/option><option value=\"K\u00fctahya\"  class=\"choice-53 depth-1\"  >K\u00fctahya<\/option><option value=\"Malatya\"  class=\"choice-54 depth-1\"  >Malatya<\/option><option value=\"Manisa\"  class=\"choice-55 depth-1\"  >Manisa<\/option><option value=\"Mardin\"  class=\"choice-56 depth-1\"  >Mardin<\/option><option value=\"Mersin\"  class=\"choice-57 depth-1\"  >Mersin<\/option><option value=\"Mu\u011fla\"  class=\"choice-58 depth-1\"  >Mu\u011fla<\/option><option value=\"Mustafa Kemalpa\u015fa\"  class=\"choice-59 depth-1\"  >Mustafa Kemalpa\u015fa<\/option><option value=\"Nev\u015fehir\"  class=\"choice-60 depth-1\"  >Nev\u015fehir<\/option><option value=\"Ni\u011fde\"  class=\"choice-61 depth-1\"  >Ni\u011fde<\/option><option value=\"Ordu\"  class=\"choice-62 depth-1\"  >Ordu<\/option><option value=\"Osmaniye\"  class=\"choice-63 depth-1\"  >Osmaniye<\/option><option value=\"Rize\"  class=\"choice-64 depth-1\"  >Rize<\/option><option value=\"Sakarya\"  class=\"choice-65 depth-1\"  >Sakarya<\/option><option value=\"Samsun\"  class=\"choice-66 depth-1\"  >Samsun<\/option><option value=\"Siirt\"  class=\"choice-67 depth-1\"  >Siirt<\/option><option value=\"Sinop\"  class=\"choice-68 depth-1\"  >Sinop<\/option><option value=\"Sivas\"  class=\"choice-69 depth-1\"  >Sivas<\/option><option value=\"\u015eanl\u0131urfa\"  class=\"choice-70 depth-1\"  >\u015eanl\u0131urfa<\/option><option value=\"\u015e\u0131rnak\"  class=\"choice-71 depth-1\"  >\u015e\u0131rnak<\/option><option value=\"Tekirda\u011f\"  class=\"choice-72 depth-1\"  >Tekirda\u011f<\/option><option value=\"Tokat\"  class=\"choice-73 depth-1\"  >Tokat<\/option><option value=\"Trabzon\"  class=\"choice-74 depth-1\"  >Trabzon<\/option><option value=\"Tunceli\"  class=\"choice-75 depth-1\"  >Tunceli<\/option><option value=\"U\u015fak\"  class=\"choice-76 depth-1\"  >U\u015fak<\/option><option value=\"Van\"  class=\"choice-77 depth-1\"  >Van<\/option><option value=\"Yalova\"  class=\"choice-78 depth-1\"  >Yalova<\/option><option value=\"Yozgat\"  class=\"choice-79 depth-1\"  >Yozgat<\/option><option value=\"Zonguldak\"  class=\"choice-80 depth-1\"  >Zonguldak<\/option><\/select><\/div>\t\t<div id=\"wpforms-180-field_5-container\"\n\t\t\tclass=\"wpforms-field wpforms-field-text\"\n\t\t\tdata-field-type=\"text\"\n\t\t\tdata-field-id=\"5\"\n\t\t\t>\n\t\t\t<label class=\"wpforms-field-label\" for=\"wpforms-180-field_5\" >\u015eEH\u0130RDE SOYADI HANG\u0130<\/label>\n\t\t\t<input type=\"text\" id=\"wpforms-180-field_5\" class=\"wpforms-field-medium\" name=\"wpforms[fields][5]\" >\n\t\t<\/div>\n\t\t<div id=\"wpforms-180-field_8-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-modern\" data-field-id=\"8\"><label class=\"wpforms-field-label\" for=\"wpforms-180-field_8\">HANG\u0130 \u00dcLKEDEN RANDEVU ALMAK \u0130ST\u0130YORSUNUZ?<\/label><select id=\"wpforms-180-field_8\" class=\"wpforms-field-large choicesjs-select\" data-size-class=\"wpforms-field-row wpforms-field-large\" data-search-enabled=\"1\" name=\"wpforms[fields][8]\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'>L\u00dcTFEN SE\u00c7\u0130N\u0130Z<\/option><option value=\"Almanya\"  class=\"choice-1 depth-1\"  >Almanya<\/option><option value=\"Avusturya\"  class=\"choice-2 depth-1\"  >Avusturya<\/option><option value=\"Bel\u00e7ika\"  class=\"choice-3 depth-1\"  >Bel\u00e7ika<\/option><option value=\"Bulgaristan\"  class=\"choice-24 depth-1\"  >Bulgaristan<\/option><option value=\"\u00c7ek Cumhuriyeti\"  class=\"choice-25 depth-1\"  >\u00c7ek Cumhuriyeti<\/option><option value=\"Danimarka\"  class=\"choice-4 depth-1\"  >Danimarka<\/option><option value=\"Finlandiya\"  class=\"choice-5 depth-1\"  >Finlandiya<\/option><option value=\"Fransa\"  class=\"choice-6 depth-1\"  >Fransa<\/option><option value=\"H\u0131rvatistan\"  class=\"choice-27 depth-1\"  >H\u0131rvatistan<\/option><option value=\"Hollanda\"  class=\"choice-28 depth-1\"  >Hollanda<\/option><option value=\"\u0130ngiltere\"  class=\"choice-7 depth-1\"  >\u0130ngiltere<\/option><option value=\"\u0130spanya\"  class=\"choice-8 depth-1\"  >\u0130spanya<\/option><option value=\"\u0130sve\u00e7\"  class=\"choice-9 depth-1\"  >\u0130sve\u00e7<\/option><option value=\"\u0130svi\u00e7re\"  class=\"choice-10 depth-1\"  >\u0130svi\u00e7re<\/option><option value=\"\u0130talya\"  class=\"choice-11 depth-1\"  >\u0130talya<\/option><option value=\"Letonya\"  class=\"choice-13 depth-1\"  >Letonya<\/option><option value=\"Litvanya\"  class=\"choice-14 depth-1\"  >Litvanya<\/option><option value=\"L\u00fcksemburg\"  class=\"choice-15 depth-1\"  >L\u00fcksemburg<\/option><option value=\"Malta\"  class=\"choice-16 depth-1\"  >Malta<\/option><option value=\"Macaristan\"  class=\"choice-17 depth-1\"  >Macaristan<\/option><option value=\"Norve\u00e7\"  class=\"choice-18 depth-1\"  >Norve\u00e7<\/option><option value=\"Polonya\"  class=\"choice-19 depth-1\"  >Polonya<\/option><option value=\"Portekiz\"  class=\"choice-20 depth-1\"  >Portekiz<\/option><option value=\"Romanya\"  class=\"choice-26 depth-1\"  >Romanya<\/option><option value=\"Slovakya\"  class=\"choice-21 depth-1\"  >Slovakya<\/option><option value=\"Slovenya\" 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