{"id":1818,"date":"2026-06-12T11:36:28","date_gmt":"2026-06-12T11:36:28","guid":{"rendered":"https:\/\/www.backsaver.nl\/vraag-een-offerte-aan\/"},"modified":"2026-10-01T14:10:27","modified_gmt":"2026-10-01T14:10:27","slug":"vraag-een-offerte-aan","status":"publish","type":"page","link":"https:\/\/www.backsaver.nl\/nl\/vraag-een-offerte-aan\/","title":{"rendered":"Vraag een offerte aan"},"content":{"rendered":"<section class=\"l-section wpb_row us_custom_6a29d137 height_medium\"><div class=\"l-section-h i-cf\"><div class=\"g-cols vc_row via_grid cols_1 laptops-cols_inherit tablets-cols_inherit mobiles-cols_1 valign_top type_default stacking_default\"><div class=\"wpb_column vc_column_container bsc-reveal bsc-reveal--up\"><div class=\"vc_column-inner\"><div class=\"bsc-gp-wrap\"><style>.bsc-gp-machine .gchoice:not(:has(input[value=\"Not sure yet\"])){display:none!important;}.bsc-gp-machine .gchoice:has(input[value=\"BACKSAVER ST\"]),.bsc-gp-machine .gchoice:has(input[value=\"BACKSAVER 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                  <p class='gform_description'><\/p>\n\t\t\t\t\t\t\t<p class='gform_required_legend'>&quot;<span class=\"gfield_required gfield_required_asterisk\">*<\/span>&quot; geeft vereiste velden aan<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_1'  action='\/nl\/wp-json\/wp\/v2\/pages\/1818#gf_1' data-formid='1' novalidate>\n        <div id='gf_progressbar_wrapper_1' class='gf_progressbar_wrapper' data-start-at-zero=''>\n        \t<p class=\"gf_progressbar_title\">Stap <span class='gf_step_current_page'>1<\/span> van <span class='gf_step_page_count'>3<\/span><span class='gf_step_page_name'> - Welk machinetype past bij uw situatie?<\/span>\n        \t<\/p>\n            <div class='gf_progressbar gf_progressbar_blue' aria-hidden='true'>\n                <div class='gf_progressbar_percentage percentbar_blue percentbar_33' style='width:33%;'><span>33%<\/span><\/div>\n            <\/div><\/div>\n                        <div class='gform-body gform_body'><div id='gform_page_1_1' class='gform_page ' data-js='page-field-id-0' >\n\t\t\t\t\t<div class='gform_page_fields'><div id='gform_fields_1' class='gform_fields top_label form_sublabel_below description_below validation_below'><fieldset id=\"field_1_4\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full bsc-gp-machine field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Welk machinetype past bij uw situatie?<\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_4'>\n\t\t\t<div class='gchoice gchoice_1_4_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_4' type='radio' value='BACKSAVER ST'  id='choice_1_4_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_4_0' id='label_1_4_0' class='gform-field-label gform-field-label--type-inline'><span class=\"bsc-gp-card__title\">BACKSAVER <em>ST<\/em><\/span><span class=\"bsc-gp-card__desc\">Standaard Mobiele Kantelaar<\/span><\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_4_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_4' type='radio' value='BACKSAVER NT'  id='choice_1_4_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_4_1' id='label_1_4_1' class='gform-field-label gform-field-label--type-inline'><span class=\"bsc-gp-card__title\">BACKSAVER <em>NT<\/em><\/span><span class=\"bsc-gp-card__desc\">Normwagenkantelaar<\/span><\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_4_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_4' type='radio' value='BACKSAVER C3\/C4'  id='choice_1_4_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_4_2' id='label_1_4_2' class='gform-field-label gform-field-label--type-inline'><span class=\"bsc-gp-card__title\">BACKSAVER <em>C3\/C4<\/em><\/span><span class=\"bsc-gp-card__desc\">Enkelkoloms heffer<\/span><\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_4_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_4' type='radio' value='BACKSAVER SK 800 MK2'  id='choice_1_4_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_4_3' id='label_1_4_3' class='gform-field-label gform-field-label--type-inline'><span class=\"bsc-gp-card__title\">BACKSAVER <em>SK 800 MK2<\/em><\/span><span class=\"bsc-gp-card__desc\">Dubbelkolomsheffer<\/span><\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_4_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_4' type='radio' value='BACKSAVER CD'  id='choice_1_4_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_4_4' id='label_1_4_4' class='gform-field-label gform-field-label--type-inline'><span class=\"bsc-gp-card__title\">BACKSAVER <em>CD<\/em><\/span><span class=\"bsc-gp-card__desc\">Combo Dumper<\/span><\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_4_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_4' type='radio' value='BACKSAVER PLBR'  id='choice_1_4_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_4_5' id='label_1_4_5' class='gform-field-label gform-field-label--type-inline'><span class=\"bsc-gp-card__title\">BACKSAVER <em>PLBR<\/em><\/span><span class=\"bsc-gp-card__desc\">Brede Palletheffer\/Stapelaar<\/span><\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_4_6'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_4' type='radio' value='BACKSAVER MD'  id='choice_1_4_6' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_4_6' id='label_1_4_6' class='gform-field-label gform-field-label--type-inline'><span class=\"bsc-gp-card__title\">BACKSAVER <em>MD<\/em><\/span><span class=\"bsc-gp-card__desc\">Medium Bin Dumper<\/span><\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_4_7'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_4' type='radio' value='BACKSAVER LT'  id='choice_1_4_7' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_4_7' id='label_1_4_7' class='gform-field-label gform-field-label--type-inline'><span class=\"bsc-gp-card__title\">BACKSAVER <em>LT<\/em><\/span><span class=\"bsc-gp-card__desc\">Compacte hef-kantelaar<\/span><\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_4_8'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_4' type='radio' value='BACKSAVER DV200P2'  id='choice_1_4_8' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_4_8' id='label_1_4_8' class='gform-field-label gform-field-label--type-inline'><span class=\"bsc-gp-card__title\">BACKSAVER <em>DV200P2<\/em><\/span><span class=\"bsc-gp-card__desc\">Wasstation voor normwagens<\/span><\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_4_9'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_4' type='radio' value='BACKSAVER GLT'  id='choice_1_4_9' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_4_9' id='label_1_4_9' class='gform-field-label gform-field-label--type-inline'><span class=\"bsc-gp-card__title\">BACKSAVER <em>GLT<\/em><\/span><span class=\"bsc-gp-card__desc\">Giant hef-kiep kantelaar<\/span><\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_4_10'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_4' type='radio' value='BACKSAVER DB'  id='choice_1_4_10' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_4_10' id='label_1_4_10' class='gform-field-label gform-field-label--type-inline'><span class=\"bsc-gp-card__title\">BACKSAVER <em>DB<\/em><\/span><span class=\"bsc-gp-card__desc\">Deegkuipen kantelaar<\/span><\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_4_11'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_4' type='radio' value='BACKSAVER WSB'  id='choice_1_4_11' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_4_11' id='label_1_4_11' class='gform-field-label gform-field-label--type-inline'><span class=\"bsc-gp-card__title\">BACKSAVER <em>WSB<\/em><\/span><span class=\"bsc-gp-card__desc\">Normwagenweegschaal<\/span><\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_4_12'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_4' type='radio' value='BACKSAVER 200\/300L'  id='choice_1_4_12' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_4_12' id='label_1_4_12' class='gform-field-label gform-field-label--type-inline'><span class=\"bsc-gp-card__title\">BACKSAVER <em>200\/300L<\/em><\/span><span class=\"bsc-gp-card__desc\">Vleeswagens \/ Eurobins<\/span><\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_4_13'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_4' type='radio' value='BACKSAVER SNT'  id='choice_1_4_13' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_4_13' id='label_1_4_13' class='gform-field-label gform-field-label--type-inline'><span class=\"bsc-gp-card__title\">BACKSAVER <em>SNT<\/em><\/span><span class=\"bsc-gp-card__desc\">Normwagenheffer\/stapelaar<\/span><\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_4_14'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_4' type='radio' value='BACKSAVER PL'  id='choice_1_4_14' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_4_14' id='label_1_4_14' class='gform-field-label gform-field-label--type-inline'><span class=\"bsc-gp-card__title\">BACKSAVER <em>PL<\/em><\/span><span class=\"bsc-gp-card__desc\">Palletheffer\/Stapelaar<\/span><\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_4_15'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_4' type='radio' value='BACKSAVER BRLT'  id='choice_1_4_15' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_4_15' id='label_1_4_15' class='gform-field-label gform-field-label--type-inline'><span class=\"bsc-gp-card__title\">BACKSAVER <em>BRLT<\/em><\/span><span class=\"bsc-gp-card__desc\">Brede hef-kiep kantelaar<\/span><\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_4_16'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_4' type='radio' value='BACKSAVER NTLT'  id='choice_1_4_16' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_4_16' id='label_1_4_16' class='gform-field-label gform-field-label--type-inline'><span class=\"bsc-gp-card__title\">BACKSAVER <em>NTLT<\/em><\/span><span class=\"bsc-gp-card__desc\">Normwagen hef-kantelaar<\/span><\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_4_17'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_4' type='radio' value='BACKSAVER SD'  id='choice_1_4_17' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_4_17' id='label_1_4_17' class='gform-field-label gform-field-label--type-inline'><span class=\"bsc-gp-card__title\">BACKSAVER <em>SD<\/em><\/span><span class=\"bsc-gp-card__desc\">Small Bin Dumper<\/span><\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_4_18'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_4' type='radio' value='BACKSAVER BR'  id='choice_1_4_18' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_4_18' id='label_1_4_18' class='gform-field-label gform-field-label--type-inline'><span class=\"bsc-gp-card__title\">BACKSAVER <em>BR<\/em><\/span><span class=\"bsc-gp-card__desc\">Brede kantelaar<\/span><\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_4_19'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_4' type='radio' value='BACKSAVER BRL'  id='choice_1_4_19' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_4_19' id='label_1_4_19' class='gform-field-label gform-field-label--type-inline'><span class=\"bsc-gp-card__title\">BACKSAVER <em>BRL<\/em><\/span><span class=\"bsc-gp-card__desc\">Vatenkantelaar<\/span><\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_4_20'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_4' type='radio' value='Not sure yet'  id='choice_1_4_20' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_4_20' id='label_1_4_20' class='gform-field-label gform-field-label--type-inline'><span class=\"bsc-gp-card__title\">Nog niet zeker<\/span><span class=\"bsc-gp-card__desc\">Wij helpen u kiezen<\/span><\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                         <button type='button' id='gform_next_button_1_1' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' >Volgende<\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_1_2' class='gform_page' data-js='page-field-id-1' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_1_2' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_1_5\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full bsc-gp-industry gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_5'><span class='gform-field-label__text'>Sector<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_5' id='input_1_5' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Selecteer\u2026<\/option><option value='Vleesverwerking' >Vleesverwerking<\/option><option value='Vis &amp; zeevruchten' >Vis &amp; zeevruchten<\/option><option value='Zuivel' >Zuivel<\/option><option value='Groenten &amp; fruit' >Groenten &amp; fruit<\/option><option value='Bakkerij \/ banketbakkerij' >Bakkerij \/ banketbakkerij<\/option><option value='Overig \/ onbekend' >Overig \/ onbekend<\/option><\/select><\/div><\/div><div id=\"field_1_6\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full bsc-gp-bin gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_6'><span class='gform-field-label__text'>Containertype<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_6' id='input_1_6' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Selecteer\u2026<\/option><option value='Big box \/ Dolav' >Big box \/ Dolav<\/option><option value='Combi-bak' >Combi-bak<\/option><option value='Krat \/ bak' >Krat \/ bak<\/option><option value='Vleeswagen DIN9797' >Vleeswagen DIN9797<\/option><option value='Vat \/ kuip' >Vat \/ kuip<\/option><option value='Overig \/ onbekend' >Overig \/ onbekend<\/option><\/select><\/div><\/div><div id=\"field_1_7\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full bsc-gp-load field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_7'><span class='gform-field-label__text'>Gewicht container (ca.) <\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_7' id='input_1_7' class='large gfield_select'     aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Selecteer\u2026<\/option><option value='Tot 300 kg' >Tot 300 kg<\/option><option value='300 - 600 kg' >300 - 600 kg<\/option><option value='600 - 1000 kg' >600 - 1000 kg<\/option><option value='Meer dan 1000 kg' >Meer dan 1000 kg<\/option><option value='Onbekend' >Onbekend<\/option><\/select><\/div><\/div><div id=\"field_1_8\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full bsc-gp-height field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_8'><span class='gform-field-label__text'>Vereiste storthoogte<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_8' id='input_1_8' class='large gfield_select'     aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Selecteer\u2026<\/option><option value='Werktafelhoogte (~ 970 mm)' >Werktafelhoogte (~ 970 mm)<\/option><option value='Hoger (~ 1200-1400 mm)' >Hoger (~ 1200-1400 mm)<\/option><option value='Kolom \/ zeer hoog (1500 mm+)' >Kolom \/ zeer hoog (1500 mm+)<\/option><option value='Onbekend' >Onbekend<\/option><\/select><\/div><\/div><div id=\"field_1_9\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_9'><span class='gform-field-label__text'>Aanvullende context of speciale vereisten<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_9' id='input_1_9' class='textarea large'    placeholder='Bijv. gekoelde ruimte, vaste locatie, integratie met transportband\u2026'  aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_1_15\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-full field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_15'><span class='gform-field-label__text'>Bijlagen<\/span><\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='20971520' \/><input name='input_15' id='input_1_15' type='file' class='large' aria-describedby=\"gfield_upload_rules_1_15 gfield_description_1_15\" onchange='javascript:gformValidateFileSize( this, 20971520 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_1_15'>Toegestane bestandstypen: jpg, jpeg, png, webp, pdf, doc, docx, xls, xlsx, ppt, pptx, txt, Max. bestandsgrootte: 20 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_1_15'><\/div> <\/div><div class='gfield_description' id='gfield_description_1_15'>Upload bestanden of afbeeldingen die ons helpen uw aanvraag beter te begrijpen.<\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <button type='button' id='gform_previous_button_1_3' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' >Vorige<\/button> <button type='button' id='gform_next_button_1_3' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' >Next<\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_1_3' class='gform_page' data-js='page-field-id-3' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_1_3' class='gform_fields top_label form_sublabel_below description_below validation_below'><fieldset id=\"field_1_10\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Naam<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_1_10'>\n                            \n                            <span id='input_1_10_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_10.3' id='input_1_10_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_1_10_3' class='gform-field-label gform-field-label--type-sub '>Voornaam<\/label>\n                                                <\/span>\n                            \n                            <span id='input_1_10_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_10.6' id='input_1_10_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_1_10_6' class='gform-field-label gform-field-label--type-sub '>Achternaam<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_1_11\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_11'><span class='gform-field-label__text'>Bedrijf<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_11' id='input_1_11' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_12\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_12'><span class='gform-field-label__text'>Zakelijk e-mailadres<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_12' id='input_1_12' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_1_13\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--phone-format-international gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_13'><span class='gform-field-label__text'>Telefoon<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_13' id='input_1_13' type='tel' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"    \/><\/div><\/div><div id=\"field_1_14\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full bsc-gp-country gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_14'><span class='gform-field-label__text'>Land<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_14' id='input_1_14' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Selecteer\u2026<\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Aland-eilanden' >Aland-eilanden<\/option><option value='Albani\u00eb' >Albani\u00eb<\/option><option value='Algerije' >Algerije<\/option><option value='Amerikaans Samoa' >Amerikaans Samoa<\/option><option value='Andorra' >Andorra<\/option><option value='Angola' >Angola<\/option><option value='Anguilla' >Anguilla<\/option><option value='Antarctica' >Antarctica<\/option><option value='Antigua en Barbuda' >Antigua en Barbuda<\/option><option value='Argentini\u00eb' >Argentini\u00eb<\/option><option value='Armeni\u00eb' >Armeni\u00eb<\/option><option value='Aruba' >Aruba<\/option><option value='Australi\u00eb' >Australi\u00eb<\/option><option value='Oostenrijk' >Oostenrijk<\/option><option value='Azerbeidzjan' >Azerbeidzjan<\/option><option value='Bahama&#039;s' >Bahama&#039;s<\/option><option value='Bahrein' >Bahrein<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Barbados' >Barbados<\/option><option value='Wit-Rusland' >Wit-Rusland<\/option><option value='Belgi\u00eb' >Belgi\u00eb<\/option><option value='Belize' >Belize<\/option><option value='Benin' >Benin<\/option><option value='Bermuda' >Bermuda<\/option><option value='Bhutan' >Bhutan<\/option><option value='Bolivia' >Bolivia<\/option><option value='Bonaire, Sint Eustatius en Saba' >Bonaire, Sint Eustatius en Saba<\/option><option value='Bosni\u00eb en Herzegovina' >Bosni\u00eb en Herzegovina<\/option><option value='Botswana' >Botswana<\/option><option value='Bouvet eiland' >Bouvet eiland<\/option><option value='Brazili\u00eb' >Brazili\u00eb<\/option><option value='Brits-Indisch oceaan gebied' >Brits-Indisch oceaan gebied<\/option><option value='Brunei' >Brunei<\/option><option value='Bulgarije' >Bulgarije<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Kaapverdi\u00eb' >Kaapverdi\u00eb<\/option><option value='Cambodja' >Cambodja<\/option><option value='Kameroen' >Kameroen<\/option><option value='Canada' >Canada<\/option><option value='Kaaimaneilanden' >Kaaimaneilanden<\/option><option value='Centraal-Afrikaanse Republiek' >Centraal-Afrikaanse Republiek<\/option><option value='Tsjaad' >Tsjaad<\/option><option value='Chili' >Chili<\/option><option value='China' >China<\/option><option value='Kersteiland' >Kersteiland<\/option><option value='Cocoseilanden' >Cocoseilanden<\/option><option value='Colombia' >Colombia<\/option><option value='Comoren' >Comoren<\/option><option value='Congo, Democratische Republiek' >Congo, Democratische Republiek<\/option><option value='Congo-Brazzaville' >Congo-Brazzaville<\/option><option value='Cook eilanden' >Cook eilanden<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='Ivoorkust' >Ivoorkust<\/option><option value='Kroati\u00eb' >Kroati\u00eb<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Cyprus' >Cyprus<\/option><option value='Tsjechi\u00eb' >Tsjechi\u00eb<\/option><option value='Denemarken' >Denemarken<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominica' >Dominica<\/option><option value='Dominicaanse Republiek' >Dominicaanse Republiek<\/option><option value='Ecuador' >Ecuador<\/option><option value='Egypte' >Egypte<\/option><option value='El Salvador' >El Salvador<\/option><option value='Equatoriaal-Guinea' >Equatoriaal-Guinea<\/option><option value='Eritrea' >Eritrea<\/option><option value='Estland' >Estland<\/option><option value='Eswatini' >Eswatini<\/option><option value='Ethiopi\u00eb' >Ethiopi\u00eb<\/option><option value='Falkland eilanden' >Falkland eilanden<\/option><option value='Faer\u00f6er' >Faer\u00f6er<\/option><option value='Fiji' >Fiji<\/option><option value='Finland' >Finland<\/option><option value='Frankrijk' >Frankrijk<\/option><option value='Frans Guyana' >Frans Guyana<\/option><option value='Frans-Polynesi\u00eb' >Frans-Polynesi\u00eb<\/option><option value='Franse zuidelijke gebieden' >Franse zuidelijke gebieden<\/option><option value='Gabon' >Gabon<\/option><option value='Gambia' >Gambia<\/option><option value='Georgi\u00eb' >Georgi\u00eb<\/option><option value='Duitsland' >Duitsland<\/option><option value='Ghana' >Ghana<\/option><option value='Gibraltar' >Gibraltar<\/option><option value='Griekenland' >Griekenland<\/option><option value='Groenland' >Groenland<\/option><option value='Grenada' >Grenada<\/option><option value='Guadeloupe' >Guadeloupe<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guernsey' >Guernsey<\/option><option value='Guinee' >Guinee<\/option><option value='Guinee-Bissau' >Guinee-Bissau<\/option><option value='Guyana' >Guyana<\/option><option value='Ha\u00efti' >Ha\u00efti<\/option><option value='Heard Eiland en McDonald Eilanden' >Heard Eiland en McDonald Eilanden<\/option><option value='Vaticaanstad' >Vaticaanstad<\/option><option value='Honduras' >Honduras<\/option><option value='Hongkong' >Hongkong<\/option><option value='Hongarije' >Hongarije<\/option><option value='IJsland' >IJsland<\/option><option value='India' >India<\/option><option value='Indonesi\u00eb' >Indonesi\u00eb<\/option><option value='Iran' >Iran<\/option><option value='Irak' >Irak<\/option><option value='Ierland' >Ierland<\/option><option value='Man' >Man<\/option><option value='Isra\u00ebl' >Isra\u00ebl<\/option><option value='Itali\u00eb' >Itali\u00eb<\/option><option value='Jamaica' >Jamaica<\/option><option value='Japan' >Japan<\/option><option value='Jersey' >Jersey<\/option><option value='Jordani\u00eb' >Jordani\u00eb<\/option><option value='Kazachstan' >Kazachstan<\/option><option value='Kenia' >Kenia<\/option><option value='Kiribati' >Kiribati<\/option><option value='Korea, Democratische Volksrepubliek' >Korea, Democratische Volksrepubliek<\/option><option value='Korea, Republiek van' >Korea, Republiek van<\/option><option value='Koeweit' >Koeweit<\/option><option value='Kirgizi\u00eb' >Kirgizi\u00eb<\/option><option value='Lao Democratische Volksrepubliek' >Lao Democratische Volksrepubliek<\/option><option value='Letland' >Letland<\/option><option value='Libanon' >Libanon<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libi\u00eb' >Libi\u00eb<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Litouwen' >Litouwen<\/option><option value='Luxemburg' >Luxemburg<\/option><option value='Macau' >Macau<\/option><option value='Madagaskar' >Madagaskar<\/option><option value='Malawi' 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