<link href="//netdna.bootstrapcdn.com/bootstrap/3.0.0/css/bootstrap.min.css" rel="stylesheet" id="bootstrap-css">
<script src="//netdna.bootstrapcdn.com/bootstrap/3.0.0/js/bootstrap.min.js"></script>
<script src="//code.jquery.com/jquery-1.11.1.min.js"></script>
<div class="container">
<form class="form-horizontal" role="form">
<fieldset>
<legend>Ödeme</legend>
<div class="form-group">
<label class="col-sm-3 control-label" for="card-holder-name">Ad Soyad</label>
<div class="col-sm-9">
<input type="text" class="form-control" name="card-holder-name" id="card-holder-name" placeholder="Kart Sahibinin Adı Soyadı">
</div>
</div>
<div class="form-group">
<label class="col-sm-3 control-label" for="card-number">Kart Numarası</label>
<div class="col-sm-9">
<input type="text" class="form-control" name="card-number" id="card-number" placeholder="Debit/Kredi Kart Numarası">
</div>
</div>
<div class="form-group">
<label class="col-sm-3 control-label" for="expiry-month">Son Kullanım Tarihi</label>
<div class="col-sm-9">
<div class="row">
<div class="col-xs-3">
<select class="form-control col-sm-2" name="expiry-month" id="expiry-month">
<option>Ay</option>
<option value="01">Ocak (01)</option>
<option value="02">Şubat (02)</option>
<option value="03">Mart (03)</option>
<option value="04">Nisan (04)</option>
<option value="05">Mayıs (05)</option>
<option value="06">Haziran (06)</option>
<option value="07">Temmuz (07)</option>
<option value="08">Agustos (08)</option>
<option value="09">Eylül (09)</option>
