<div class="black-window"></div>
<span class="button-bayilik">Bayilik Başvurusu</span>
    <!-- Popup div starts here -->
    <div id="popupContact">
        <!-- contact us form -->
        <form action="mail.php" method="post" id="form" >
            <img src="images/3.png" id="close"/>
            <h2>Bayilik Basvurusu</h2><hr/>
			<form action="mail.php" method="post">
            <input type="text" name="firma" id="name" placeholder="Firma ismi"/>
            <input type="text" name="yetkili" id="name" placeholder="Yetkili ismi"/>
            <input type="text" name="tel" id="name" placeholder="Telefon"/>
            <input type="text" name="webs" id="name" placeholder="İnternet sitesi"/>
            <input type="text" style="width: 89%" name="email" id="email" placeholder="E-mail Adresiniz"/>
            <textarea name="message"  style="width: 89%" placeholder="Notunuz" id="msg"></textarea>
            <span style="font-size:15px; color: #333; font-family: arial, sans-serif">Satış Kanalları :</span>
            <ul>
                <li>
                    <label>
                        <input type="radio" name="same"/>
                        <span>Mağaza</span>
                    </label>
                </li>
                <li>
                    <label>
                        <input type="radio" name="same"/>
                        <span>İnternet</span>
                    </label>
                </li>
                <li>
                    <label>
                        <input type="radio" name="same"/>
                        <span>Call Center</span>
                    </label>
                </li>
                <li>
                    <label>
                        <input type="radio" name="same"/>
                        <span>Radyo/TV</span>
                    </label>
                </li>
                <li>
                    <label>
                        <input type="radio" name="same"/>
                        <span>Diğer</span>
                    </label>
                </li>
            </ul>

            <input value="Gönder" name="send" type="submit" id="submit" href="javascript: check_empty()">

        </form>
    <!-- Popup div ends here -->
</div>
<script type="text/javascript">
    $(document).ready(function() {
        $('.button-bayilik').click(function(){
           $('#popupContact').fadeIn(200);
            $('.black-window').fadeIn(100);
        });
        $('#close, #submit').click(function(){
            $('#popupContact').fadeOut(200);
            $('.black-window').fadeOut(200);
        });

    });

</script>