{"id":360,"date":"2013-06-07T10:05:50","date_gmt":"2013-06-07T10:05:50","guid":{"rendered":"http:\/\/www.ka-tegelzetterbedrijf.nl\/?page_id=360"},"modified":"2013-06-07T10:55:37","modified_gmt":"2013-06-07T10:55:37","slug":"offerte-aanvragen","status":"publish","type":"page","link":"https:\/\/www.ka-tegelzetterbedrijf.nl\/?page_id=360","title":{"rendered":"Offerte aanvragen"},"content":{"rendered":"<div id=\"iphorm-outer-f2cce27598b5ce7087c3fb9351322d1d16ae9a2c9d50c0\" class=\"iphorm-outer iphorm-outer-1 iphorm-uniform-theme-default\" >\n    <script type=\"text\/javascript\">\n\t<!--\n\t\t    jQuery(document).ready(function($) {\n\t\t\t\n\t        \t        \t$('#iphorm-f2cce27598b5ce7087c3fb9351322d1d16ae9a2c9d50c0').iPhorm({\"id\":1,\"uniqueId\":\"f2cce27598b5ce7087c3fb9351322d1d16ae9a2c9d50c0\",\"PHPSESSID\":\"i0s0ahm3bpn4oiuu011tnvqh7l\",\"successMessageTimeout\":10,\"clElementIds\":[],\"clDependentElementIds\":[],\"centerFancybox\":true,\"centerFancyboxSpeed\":true});\n\t        \n\t        \t        if ($.isFunction($.fn.qtip)) {\n\t            $('.iphorm-tooltip-hover', iPhorm.instance.$form).qtip({\n\t                style: {\n\t                    classes: 'ui-tooltip-plain ui-tooltip-shadow'\n\t                },\n\t                position: {\n\t                    my: 'left center',\n\t                    at: 'right center'\n\t                }\n\t            });\n\t            $('.iphorm-tooltip-click', iPhorm.instance.$form).qtip({\n\t                style: {\n\t                    classes: 'ui-tooltip-plain ui-tooltip-shadow'\n\t                },\n\t                position: {\n\t                    my: 'left center',\n\t                    at: 'right center'\n\t                },\n\t                show: {\n\t                    event: 'focus'\n\t                },\n\t                hide: {\n\t                    event: 'unfocus'\n\t                }\n\t            });\n\t            $('.iphorm-tooltip-icon-hover', iPhorm.instance.$form).qtip({\n\t                style: {\n\t                    classes: 'ui-tooltip-plain ui-tooltip-shadow'\n\t                },\n\t                position: {\n\t                    my: 'left center',\n\t                    at: 'right center'\n\t                },\n\t                content: {\n\t                    text: function (api) {\n\t                        return $(this).find('.iphorm-tooltip-icon-content').html();\n\t                    }\n\t                }\n\t            });\n\t            $('.iphorm-tooltip-icon-click', iPhorm.instance.$form).qtip({\n\t                style: {\n\t                    classes: 'ui-tooltip-plain ui-tooltip-shadow'\n\t                },\n\t                position: {\n\t                    my: 'left center',\n\t                    at: 'right center'\n\t                },\n\t                show: {\n\t                    event: 'click'\n\t                },\n\t                hide: {\n\t                    event: 'unfocus'\n\t                },\n\t                content: {\n\t                    text: function (api) {\n\t                        return $(this).find('.iphorm-tooltip-icon-content').html();\n\t                    }\n\t                }\n\t            });\n\t            $('.iphorm-labels-inside > .iphorm-element-spacer > label').hover(function () {\n\t                $(this).siblings('.iphorm-input-wrap').find('.iphorm-tooltip-hover').qtip('show');\n\t            }, function () {\n\t            \t$(this).siblings('.iphorm-input-wrap').find('.iphorm-tooltip-hover').qtip('hide');\n\t            });\n\t        }\n\t        \n\t        \t        if ($.isFunction($.fn.uniform)) {\n\t            $('select, input:checkbox, input:radio', iPhorm.instance.$form).uniform({context: iPhorm.instance.$form});\n\t        }\n\t        \n\t        if ($.isFunction($.fn.inFieldLabels)) {\n\t            $('.iphorm-labels-inside:not(.iphorm-element-wrap-recaptcha) > .iphorm-element-spacer > label', iPhorm.instance.$form).inFieldLabels();\n\t        }\n\n\t        \t            if ($.isFunction($.fn.datepicker)) {\n\t            \t\t                    if (!$('#iphorm-jqueryui-theme').length) {\n\t                        var themeUrl = iphormL10n.plugin_url + '\/js\/jqueryui\/themes\/smoothness\/jquery-ui-1.8.16.custom.css';\n\t                        $('head').append('<link id=\"iphorm-jqueryui-theme\" rel=\"stylesheet\" href=\"' + themeUrl + '\" type=\"text\/css\" \/>');\n\t                    }\n\t                \t                \t            }\n\t        \n\t        $('.iphorm-group-row > div:last-child:not(:first-child)', iPhorm.instance.$form).add('.iphorm-group-row:last-child', iPhorm.instance.$form).addClass('last-child');\n\n\t        \t    }); \/\/ end document.ready()\n\t\/\/-->\n\t<\/script>\n    <form id=\"iphorm-f2cce27598b5ce7087c3fb9351322d1d16ae9a2c9d50c0\" class=\"iphorm\" action=\"\" method=\"post\" enctype=\"multipart\/form-data\">\n        <div class=\"iphorm-inner iphorm-inner-1\" >\n            <input type=\"hidden\" name=\"iphorm_id\" value=\"1\" \/>\n            <input type=\"hidden\" name=\"iphorm_uid\" value=\"f2cce27598b5ce7087c3fb9351322d1d16ae9a2c9d50c0\" \/>\n            <input type=\"hidden\" name=\"form_url\" value=\"https:\/\/www.ka-tegelzetterbedrijf.nl\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F360\" \/>\n            <input type=\"hidden\" name=\"referring_url\" value=\"\" \/>\n            <input type=\"hidden\" name=\"post_id\" value=\"\" \/>\n            <input type=\"hidden\" name=\"post_title\" value=\"\" \/>\n                                                            \t            \t\t<div class=\"iphorm-success-message iphorm-hidden\" ><\/div>\n            \t                        <div class=\"iphorm-elements iphorm-elements-1 iphorm-clearfix\" >\n                <div class=\"iphorm-element-wrap iphorm-element-wrap-radio iphorm_1_1-element-wrap iphorm-clearfix iphorm-labels-above iphorm-element-required\" >\n    <div class=\"iphorm-element-spacer iphorm-element-spacer-radio iphorm_1_1-element-spacer\">\n                    <label  class=\"iphorm_1_1-outer-label\">\n                Offerte voor:                                    <span class=\"iphorm-required\">(verplicht)<\/span>\n                                            <\/label>\n                <div class=\"iphorm-input-wrap iphorm-input-wrap-radio iphorm_1_1-input-wrap\" >\n            <div class=\"iphorm-input-ul iphorm-input-radio-ul iphorm_1_1-input-radio-ul iphorm-options-block iphorm-clearfix\" >\n                            <div class=\"iphorm-input-li iphorm-input-radio-li iphorm_1_1-input-li\" >\n                    <label for=\"iphorm_f2cce27598b5ce7087c3fb9351322d1d16ae9a2c9d50c0_1_0\" >\n                        <input class=\"iphorm-element-radio iphorm_1_1\" type=\"radio\" name=\"iphorm_1_1\" id=\"iphorm_f2cce27598b5ce7087c3fb9351322d1d16ae9a2c9d50c0_1_0\" value=\"Stukadoorwerk\"  \/>\n                        Stukadoorwerk                    <\/label>\n                <\/div>\n                            <div class=\"iphorm-input-li iphorm-input-radio-li iphorm_1_1-input-li\" >\n                    <label for=\"iphorm_f2cce27598b5ce7087c3fb9351322d1d16ae9a2c9d50c0_1_1\" >\n                        <input class=\"iphorm-element-radio iphorm_1_1\" type=\"radio\" name=\"iphorm_1_1\" id=\"iphorm_f2cce27598b5ce7087c3fb9351322d1d16ae9a2c9d50c0_1_1\" value=\"Tegelwerk\"  \/>\n                        Tegelwerk                    <\/label>\n                <\/div>\n                            <div class=\"iphorm-input-li iphorm-input-radio-li iphorm_1_1-input-li\" >\n                    <label for=\"iphorm_f2cce27598b5ce7087c3fb9351322d1d16ae9a2c9d50c0_1_2\" >\n                        <input class=\"iphorm-element-radio iphorm_1_1\" type=\"radio\" name=\"iphorm_1_1\" id=\"iphorm_f2cce27598b5ce7087c3fb9351322d1d16ae9a2c9d50c0_1_2\" value=\"Natuursteen\"  \/>\n                        Natuursteen                    <\/label>\n                <\/div>\n                            <div class=\"iphorm-input-li iphorm-input-radio-li iphorm_1_1-input-li\" >\n                    <label for=\"iphorm_f2cce27598b5ce7087c3fb9351322d1d16ae9a2c9d50c0_1_3\" >\n                        <input class=\"iphorm-element-radio iphorm_1_1\" type=\"radio\" name=\"iphorm_1_1\" id=\"iphorm_f2cce27598b5ce7087c3fb9351322d1d16ae9a2c9d50c0_1_3\" value=\"Anders\"  \/>\n                        Anders                    <\/label>\n                <\/div>\n                        <\/div>\n                <p class=\"iphorm-description\" >Kies een project<\/p>\n        <\/div>\n        <div class=\"iphorm-errors-wrap iphorm-hidden\" >\r\n    <\/div>    <\/div>\n<\/div><div class=\"iphorm-element-wrap iphorm-element-wrap-text iphorm_1_2-element-wrap iphorm-clearfix iphorm-labels-above iphorm-element-required\" >\n    <div class=\"iphorm-element-spacer iphorm-element-spacer-text iphorm_1_2-element-spacer\">\n                    <label for=\"iphorm_f2cce27598b5ce7087c3fb9351322d1d16ae9a2c9d50c0_2\" >\n                Postcode                                    <span class=\"iphorm-required\">(verplicht)<\/span>\n                                            <\/label>\n                <div class=\"iphorm-input-wrap iphorm-input-wrap-text iphorm_1_2-input-wrap\" >\n            <input class=\"iphorm-element-text  iphorm_1_2\" id=\"iphorm_f2cce27598b5ce7087c3fb9351322d1d16ae9a2c9d50c0_2\" type=\"text\" name=\"iphorm_1_2\"  value=\"\"  \/>\n                    <\/div>\n        <div class=\"iphorm-errors-wrap iphorm-hidden\" >\r\n    <\/div>    <\/div>\n    <\/div><div class=\"iphorm-element-wrap iphorm-element-wrap-text iphorm_1_3-element-wrap iphorm-clearfix iphorm-labels-above iphorm-element-required\" >\n    <div class=\"iphorm-element-spacer iphorm-element-spacer-text iphorm_1_3-element-spacer\">\n                    <label for=\"iphorm_f2cce27598b5ce7087c3fb9351322d1d16ae9a2c9d50c0_3\" >\n                Plaats                                    <span class=\"iphorm-required\">(verplicht)<\/span>\n                                            <\/label>\n                <div class=\"iphorm-input-wrap iphorm-input-wrap-text iphorm_1_3-input-wrap\" >\n            <input class=\"iphorm-element-text  iphorm_1_3\" id=\"iphorm_f2cce27598b5ce7087c3fb9351322d1d16ae9a2c9d50c0_3\" type=\"text\" name=\"iphorm_1_3\"  value=\"\"  \/>\n                    <\/div>\n        <div class=\"iphorm-errors-wrap iphorm-hidden\" >\r\n    <\/div>    <\/div>\n    <\/div><div class=\"iphorm-element-wrap iphorm-element-wrap-text iphorm_1_4-element-wrap iphorm-clearfix iphorm-labels-above iphorm-element-required\" >\n    <div class=\"iphorm-element-spacer iphorm-element-spacer-text iphorm_1_4-element-spacer\">\n                    <label for=\"iphorm_f2cce27598b5ce7087c3fb9351322d1d16ae9a2c9d50c0_4\" >\n                Straatnaam                                    <span class=\"iphorm-required\">(verplicht)<\/span>\n                                            <\/label>\n                <div class=\"iphorm-input-wrap iphorm-input-wrap-text iphorm_1_4-input-wrap\" >\n            <input class=\"iphorm-element-text  iphorm_1_4\" id=\"iphorm_f2cce27598b5ce7087c3fb9351322d1d16ae9a2c9d50c0_4\" type=\"text\" name=\"iphorm_1_4\"  value=\"\"  \/>\n                    <\/div>\n        <div class=\"iphorm-errors-wrap iphorm-hidden\" >\r\n    <\/div>    <\/div>\n    <\/div><div class=\"iphorm-element-wrap iphorm-element-wrap-text iphorm_1_5-element-wrap iphorm-clearfix iphorm-labels-above iphorm-element-required\" >\n    <div class=\"iphorm-element-spacer iphorm-element-spacer-text iphorm_1_5-element-spacer\">\n                    <label for=\"iphorm_f2cce27598b5ce7087c3fb9351322d1d16ae9a2c9d50c0_5\" >\n                Huisnummer                                    <span class=\"iphorm-required\">(verplicht)<\/span>\n                                            <\/label>\n                <div class=\"iphorm-input-wrap iphorm-input-wrap-text iphorm_1_5-input-wrap\" >\n            <input class=\"iphorm-element-text  iphorm_1_5\" id=\"iphorm_f2cce27598b5ce7087c3fb9351322d1d16ae9a2c9d50c0_5\" type=\"text\" name=\"iphorm_1_5\"  value=\"\"  \/>\n                    <\/div>\n        <div class=\"iphorm-errors-wrap iphorm-hidden\" >\r\n    <\/div>    <\/div>\n    <\/div><div class=\"iphorm-element-wrap iphorm-element-wrap-radio iphorm_1_6-element-wrap iphorm-clearfix iphorm-labels-above iphorm-element-required\" >\n    <div class=\"iphorm-element-spacer iphorm-element-spacer-radio iphorm_1_6-element-spacer\">\n                    <label  class=\"iphorm_1_6-outer-label\">\n                Type opdracht:                                    <span class=\"iphorm-required\">(verplicht)<\/span>\n                                            <\/label>\n                <div class=\"iphorm-input-wrap iphorm-input-wrap-radio iphorm_1_6-input-wrap\" >\n            <div class=\"iphorm-input-ul iphorm-input-radio-ul iphorm_1_6-input-radio-ul iphorm-options-block iphorm-clearfix\" >\n                            <div class=\"iphorm-input-li iphorm-input-radio-li iphorm_1_6-input-li\" >\n                    <label for=\"iphorm_f2cce27598b5ce7087c3fb9351322d1d16ae9a2c9d50c0_6_0\" >\n                        <input class=\"iphorm-element-radio iphorm_1_6\" type=\"radio\" name=\"iphorm_1_6\" id=\"iphorm_f2cce27598b5ce7087c3fb9351322d1d16ae9a2c9d50c0_6_0\" value=\"Particulier\" checked=\"checked\" \/>\n                        Particulier                    <\/label>\n                <\/div>\n                            <div class=\"iphorm-input-li iphorm-input-radio-li iphorm_1_6-input-li\" >\n                    <label for=\"iphorm_f2cce27598b5ce7087c3fb9351322d1d16ae9a2c9d50c0_6_1\" >\n                        <input class=\"iphorm-element-radio iphorm_1_6\" type=\"radio\" name=\"iphorm_1_6\" id=\"iphorm_f2cce27598b5ce7087c3fb9351322d1d16ae9a2c9d50c0_6_1\" value=\"Zakelijk\"  \/>\n                        Zakelijk                    <\/label>\n                <\/div>\n                        <\/div>\n                    <\/div>\n        <div class=\"iphorm-errors-wrap iphorm-hidden\" >\r\n    <\/div>    <\/div>\n<\/div><div class=\"iphorm-element-wrap iphorm-element-wrap-radio iphorm_1_7-element-wrap iphorm-clearfix iphorm-labels-above iphorm-element-optional\" >\n    <div class=\"iphorm-element-spacer iphorm-element-spacer-radio iphorm_1_7-element-spacer\">\n                    <label  class=\"iphorm_1_7-outer-label\">\n                Type woning (particulier)                                            <\/label>\n                <div class=\"iphorm-input-wrap iphorm-input-wrap-radio iphorm_1_7-input-wrap\" >\n            <div class=\"iphorm-input-ul iphorm-input-radio-ul iphorm_1_7-input-radio-ul iphorm-options-block iphorm-clearfix\" >\n                            <div class=\"iphorm-input-li iphorm-input-radio-li iphorm_1_7-input-li\" >\n                    <label for=\"iphorm_f2cce27598b5ce7087c3fb9351322d1d16ae9a2c9d50c0_7_0\" >\n                        <input class=\"iphorm-element-radio iphorm_1_7\" type=\"radio\" name=\"iphorm_1_7\" id=\"iphorm_f2cce27598b5ce7087c3fb9351322d1d16ae9a2c9d50c0_7_0\" value=\"Rijtjeshuis\"  \/>\n                        Rijtjeshuis                    <\/label>\n                <\/div>\n                            <div class=\"iphorm-input-li iphorm-input-radio-li iphorm_1_7-input-li\" >\n                    <label for=\"iphorm_f2cce27598b5ce7087c3fb9351322d1d16ae9a2c9d50c0_7_1\" >\n                        <input class=\"iphorm-element-radio iphorm_1_7\" type=\"radio\" name=\"iphorm_1_7\" id=\"iphorm_f2cce27598b5ce7087c3fb9351322d1d16ae9a2c9d50c0_7_1\" value=\"Rijtjeshuis - Hoekwoning\"  \/>\n                        Rijtjeshuis - Hoekwoning                    <\/label>\n                <\/div>\n                            <div class=\"iphorm-input-li iphorm-input-radio-li iphorm_1_7-input-li\" >\n                    <label for=\"iphorm_f2cce27598b5ce7087c3fb9351322d1d16ae9a2c9d50c0_7_2\" >\n                        <input class=\"iphorm-element-radio iphorm_1_7\" type=\"radio\" name=\"iphorm_1_7\" id=\"iphorm_f2cce27598b5ce7087c3fb9351322d1d16ae9a2c9d50c0_7_2\" value=\"2 onder 1 kap\"  \/>\n                        2 onder 1 kap                    <\/label>\n                <\/div>\n                            <div class=\"iphorm-input-li iphorm-input-radio-li iphorm_1_7-input-li\" >\n                    <label for=\"iphorm_f2cce27598b5ce7087c3fb9351322d1d16ae9a2c9d50c0_7_3\" >\n                        <input class=\"iphorm-element-radio iphorm_1_7\" type=\"radio\" name=\"iphorm_1_7\" id=\"iphorm_f2cce27598b5ce7087c3fb9351322d1d16ae9a2c9d50c0_7_3\" value=\"Vrijstaande woning\"  \/>\n                        Vrijstaande woning                    <\/label>\n                <\/div>\n                            <div class=\"iphorm-input-li iphorm-input-radio-li iphorm_1_7-input-li\" >\n                    <label for=\"iphorm_f2cce27598b5ce7087c3fb9351322d1d16ae9a2c9d50c0_7_4\" >\n                        <input class=\"iphorm-element-radio iphorm_1_7\" type=\"radio\" name=\"iphorm_1_7\" id=\"iphorm_f2cce27598b5ce7087c3fb9351322d1d16ae9a2c9d50c0_7_4\" value=\"Flat \/ Appartement\"  \/>\n                        Flat \/ Appartement                    <\/label>\n                <\/div>\n                        <\/div>\n                <p class=\"iphorm-description\" >Dit geld alleen voor particulieren. <\/p>\n        <\/div>\n        <div class=\"iphorm-errors-wrap iphorm-hidden\" >\r\n    <\/div>    <\/div>\n<\/div><div class=\"iphorm-element-wrap iphorm-element-wrap-checkbox iphorm_1_8-element-wrap iphorm-clearfix iphorm-labels-above iphorm-element-required\" >\n    <div class=\"iphorm-element-spacer iphorm-element-spacer-checkbox iphorm_1_8-element-spacer\">\n                    <label  class=\"iphorm_1_8-outer-label\">\n                Betegelen van:                                    <span class=\"iphorm-required\">(verplicht)<\/span>\n                                            <\/label>\n                <div class=\"iphorm-input-wrap iphorm-input-wrap-checkbox iphorm_1_8-input-wrap\" >\n            <div class=\"iphorm-input-ul iphorm-input-checkbox-ul iphorm_1_8-input-ul iphorm-options-block iphorm-clearfix\" >\n                            <div class=\"iphorm-input-li iphorm-input-checkbox-li iphorm_1_8-input-li\" >\n                    <label for=\"iphorm_f2cce27598b5ce7087c3fb9351322d1d16ae9a2c9d50c0_8_0\" >\n                        <input class=\"iphorm-element-checkbox iphorm_1_8\" type=\"checkbox\" name=\"iphorm_1_8[]\" id=\"iphorm_f2cce27598b5ce7087c3fb9351322d1d16ae9a2c9d50c0_8_0\" value=\"Douche\"  \/>\n                        Douche                    <\/label>\n                <\/div>\n                            <div class=\"iphorm-input-li iphorm-input-checkbox-li iphorm_1_8-input-li\" >\n                    <label for=\"iphorm_f2cce27598b5ce7087c3fb9351322d1d16ae9a2c9d50c0_8_1\" >\n                        <input class=\"iphorm-element-checkbox iphorm_1_8\" type=\"checkbox\" name=\"iphorm_1_8[]\" id=\"iphorm_f2cce27598b5ce7087c3fb9351322d1d16ae9a2c9d50c0_8_1\" value=\"Toilet\"  \/>\n                        Toilet                    <\/label>\n                <\/div>\n                            <div class=\"iphorm-input-li iphorm-input-checkbox-li iphorm_1_8-input-li\" >\n                    <label for=\"iphorm_f2cce27598b5ce7087c3fb9351322d1d16ae9a2c9d50c0_8_2\" >\n                        <input class=\"iphorm-element-checkbox iphorm_1_8\" type=\"checkbox\" name=\"iphorm_1_8[]\" id=\"iphorm_f2cce27598b5ce7087c3fb9351322d1d16ae9a2c9d50c0_8_2\" value=\"Keuken\"  \/>\n                        Keuken                    <\/label>\n                <\/div>\n                            <div class=\"iphorm-input-li iphorm-input-checkbox-li iphorm_1_8-input-li\" >\n                    <label for=\"iphorm_f2cce27598b5ce7087c3fb9351322d1d16ae9a2c9d50c0_8_3\" >\n                        <input class=\"iphorm-element-checkbox iphorm_1_8\" type=\"checkbox\" name=\"iphorm_1_8[]\" id=\"iphorm_f2cce27598b5ce7087c3fb9351322d1d16ae9a2c9d50c0_8_3\" value=\"Woonkamer\"  \/>\n                        Woonkamer                    <\/label>\n                <\/div>\n                            <div class=\"iphorm-input-li iphorm-input-checkbox-li iphorm_1_8-input-li\" >\n                    <label for=\"iphorm_f2cce27598b5ce7087c3fb9351322d1d16ae9a2c9d50c0_8_4\" >\n                        <input class=\"iphorm-element-checkbox iphorm_1_8\" type=\"checkbox\" name=\"iphorm_1_8[]\" id=\"iphorm_f2cce27598b5ce7087c3fb9351322d1d16ae9a2c9d50c0_8_4\" value=\"Anders\"  \/>\n                        Anders                    <\/label>\n                <\/div>\n                        <\/div>\n                    <\/div>\n        <div class=\"iphorm-errors-wrap iphorm-hidden\" >\r\n    <\/div>    <\/div>\n<\/div><div class=\"iphorm-element-wrap iphorm-element-wrap-text iphorm_1_9-element-wrap iphorm-clearfix iphorm-labels-above iphorm-element-optional\" >\n    <div class=\"iphorm-element-spacer iphorm-element-spacer-text iphorm_1_9-element-spacer\">\n                    <label for=\"iphorm_f2cce27598b5ce7087c3fb9351322d1d16ae9a2c9d50c0_9\" >\n                Oppervlakte:                                            <\/label>\n                <div class=\"iphorm-input-wrap iphorm-input-wrap-text iphorm_1_9-input-wrap\" >\n            <input class=\"iphorm-element-text  iphorm_1_9\" id=\"iphorm_f2cce27598b5ce7087c3fb9351322d1d16ae9a2c9d50c0_9\" type=\"text\" name=\"iphorm_1_9\"  value=\"\"  \/>\n                <p class=\"iphorm-description\" >Hoeveel m2<\/p>\n        <\/div>\n        <div class=\"iphorm-errors-wrap iphorm-hidden\" >\r\n    <\/div>    <\/div>\n    <\/div><div class=\"iphorm-element-wrap iphorm-element-wrap-radio iphorm_1_10-element-wrap iphorm-clearfix iphorm-labels-above iphorm-element-required\" >\n    <div class=\"iphorm-element-spacer iphorm-element-spacer-radio iphorm_1_10-element-spacer\">\n                    <label  class=\"iphorm_1_10-outer-label\">\n                Huidige tegels verwijderen:                                    <span class=\"iphorm-required\">(verplicht)<\/span>\n                                            <\/label>\n                <div class=\"iphorm-input-wrap iphorm-input-wrap-radio iphorm_1_10-input-wrap\" >\n            <div class=\"iphorm-input-ul iphorm-input-radio-ul iphorm_1_10-input-radio-ul iphorm-options-block iphorm-clearfix\" >\n                            <div class=\"iphorm-input-li iphorm-input-radio-li iphorm_1_10-input-li\" >\n                    <label for=\"iphorm_f2cce27598b5ce7087c3fb9351322d1d16ae9a2c9d50c0_10_0\" >\n                        <input class=\"iphorm-element-radio iphorm_1_10\" type=\"radio\" name=\"iphorm_1_10\" id=\"iphorm_f2cce27598b5ce7087c3fb9351322d1d16ae9a2c9d50c0_10_0\" value=\"Door tegelzetter\"  \/>\n                        Door tegelzetter                    <\/label>\n                <\/div>\n                            <div class=\"iphorm-input-li iphorm-input-radio-li iphorm_1_10-input-li\" >\n                    <label for=\"iphorm_f2cce27598b5ce7087c3fb9351322d1d16ae9a2c9d50c0_10_1\" >\n                        <input class=\"iphorm-element-radio iphorm_1_10\" type=\"radio\" name=\"iphorm_1_10\" id=\"iphorm_f2cce27598b5ce7087c3fb9351322d1d16ae9a2c9d50c0_10_1\" value=\"Gedeeltelijk door tegelzetter\"  \/>\n                        Gedeeltelijk door tegelzetter                    <\/label>\n                <\/div>\n                            <div class=\"iphorm-input-li iphorm-input-radio-li iphorm_1_10-input-li\" >\n                    <label for=\"iphorm_f2cce27598b5ce7087c3fb9351322d1d16ae9a2c9d50c0_10_2\" >\n                        <input class=\"iphorm-element-radio iphorm_1_10\" type=\"radio\" name=\"iphorm_1_10\" id=\"iphorm_f2cce27598b5ce7087c3fb9351322d1d16ae9a2c9d50c0_10_2\" value=\"Niet door tegelzetter\"  \/>\n                        Niet door tegelzetter                    <\/label>\n                <\/div>\n                            <div class=\"iphorm-input-li iphorm-input-radio-li iphorm_1_10-input-li\" >\n                    <label for=\"iphorm_f2cce27598b5ce7087c3fb9351322d1d16ae9a2c9d50c0_10_3\" >\n                        <input class=\"iphorm-element-radio iphorm_1_10\" type=\"radio\" name=\"iphorm_1_10\" id=\"iphorm_f2cce27598b5ce7087c3fb9351322d1d16ae9a2c9d50c0_10_3\" value=\"Weet ik niet\"  \/>\n                        Weet ik niet                    <\/label>\n                <\/div>\n                        <\/div>\n                    <\/div>\n        <div class=\"iphorm-errors-wrap iphorm-hidden\" >\r\n    <\/div>    <\/div>\n<\/div><div class=\"iphorm-element-wrap iphorm-element-wrap-radio iphorm_1_11-element-wrap iphorm-clearfix iphorm-labels-above iphorm-element-required\" >\n    <div class=\"iphorm-element-spacer iphorm-element-spacer-radio iphorm_1_11-element-spacer\">\n                    <label  class=\"iphorm_1_11-outer-label\">\n                Huidige tegels afvoeren:                                    <span class=\"iphorm-required\">(verplicht)<\/span>\n                                            <\/label>\n                <div class=\"iphorm-input-wrap iphorm-input-wrap-radio iphorm_1_11-input-wrap\" >\n            <div class=\"iphorm-input-ul iphorm-input-radio-ul iphorm_1_11-input-radio-ul iphorm-options-block iphorm-clearfix\" >\n                            <div class=\"iphorm-input-li iphorm-input-radio-li iphorm_1_11-input-li\" >\n                    <label for=\"iphorm_f2cce27598b5ce7087c3fb9351322d1d16ae9a2c9d50c0_11_0\" >\n                        <input class=\"iphorm-element-radio iphorm_1_11\" type=\"radio\" name=\"iphorm_1_11\" id=\"iphorm_f2cce27598b5ce7087c3fb9351322d1d16ae9a2c9d50c0_11_0\" value=\"Door tegelzetter\"  \/>\n                        Door tegelzetter                    <\/label>\n                <\/div>\n                            <div class=\"iphorm-input-li iphorm-input-radio-li iphorm_1_11-input-li\" >\n                    <label for=\"iphorm_f2cce27598b5ce7087c3fb9351322d1d16ae9a2c9d50c0_11_1\" >\n                        <input class=\"iphorm-element-radio iphorm_1_11\" type=\"radio\" name=\"iphorm_1_11\" id=\"iphorm_f2cce27598b5ce7087c3fb9351322d1d16ae9a2c9d50c0_11_1\" value=\"Gedeeltelijk door tegelzetter\"  \/>\n                        Gedeeltelijk door tegelzetter                    <\/label>\n                <\/div>\n                            <div class=\"iphorm-input-li iphorm-input-radio-li iphorm_1_11-input-li\" >\n                    <label for=\"iphorm_f2cce27598b5ce7087c3fb9351322d1d16ae9a2c9d50c0_11_2\" >\n                        <input class=\"iphorm-element-radio iphorm_1_11\" type=\"radio\" name=\"iphorm_1_11\" id=\"iphorm_f2cce27598b5ce7087c3fb9351322d1d16ae9a2c9d50c0_11_2\" value=\"Niet door tegelzetter\"  \/>\n                        Niet door tegelzetter                    <\/label>\n                <\/div>\n                            <div class=\"iphorm-input-li iphorm-input-radio-li iphorm_1_11-input-li\" >\n                    <label for=\"iphorm_f2cce27598b5ce7087c3fb9351322d1d16ae9a2c9d50c0_11_3\" >\n                        <input class=\"iphorm-element-radio iphorm_1_11\" type=\"radio\" name=\"iphorm_1_11\" id=\"iphorm_f2cce27598b5ce7087c3fb9351322d1d16ae9a2c9d50c0_11_3\" value=\"Weet ik niet\"  \/>\n                        Weet ik niet                    <\/label>\n                <\/div>\n                        <\/div>\n                    <\/div>\n        <div class=\"iphorm-errors-wrap iphorm-hidden\" >\r\n    <\/div>    <\/div>\n<\/div><div class=\"iphorm-element-wrap iphorm-element-wrap-radio iphorm_1_12-element-wrap iphorm-clearfix iphorm-labels-above iphorm-element-required\" >\n    <div class=\"iphorm-element-spacer iphorm-element-spacer-radio iphorm_1_12-element-spacer\">\n                    <label  class=\"iphorm_1_12-outer-label\">\n                Wie zorgt er voor tegels?                                    <span class=\"iphorm-required\">(verplicht)<\/span>\n                                            <\/label>\n                <div class=\"iphorm-input-wrap iphorm-input-wrap-radio iphorm_1_12-input-wrap\" >\n            <div class=\"iphorm-input-ul iphorm-input-radio-ul iphorm_1_12-input-radio-ul iphorm-options-block iphorm-clearfix\" >\n                            <div class=\"iphorm-input-li iphorm-input-radio-li iphorm_1_12-input-li\" >\n                    <label for=\"iphorm_f2cce27598b5ce7087c3fb9351322d1d16ae9a2c9d50c0_12_0\" >\n                        <input class=\"iphorm-element-radio iphorm_1_12\" type=\"radio\" name=\"iphorm_1_12\" id=\"iphorm_f2cce27598b5ce7087c3fb9351322d1d16ae9a2c9d50c0_12_0\" value=\"Ik zorg zelf voor tegels\"  \/>\n                        Ik zorg zelf voor tegels                    <\/label>\n                <\/div>\n                            <div class=\"iphorm-input-li iphorm-input-radio-li iphorm_1_12-input-li\" >\n                    <label for=\"iphorm_f2cce27598b5ce7087c3fb9351322d1d16ae9a2c9d50c0_12_1\" >\n                        <input class=\"iphorm-element-radio iphorm_1_12\" type=\"radio\" name=\"iphorm_1_12\" id=\"iphorm_f2cce27598b5ce7087c3fb9351322d1d16ae9a2c9d50c0_12_1\" value=\"Dit doe ik in overleg met de tegelzetter\"  \/>\n                        Dit doe ik in overleg met de tegelzetter                    <\/label>\n                <\/div>\n                            <div class=\"iphorm-input-li iphorm-input-radio-li iphorm_1_12-input-li\" >\n                    <label for=\"iphorm_f2cce27598b5ce7087c3fb9351322d1d16ae9a2c9d50c0_12_2\" >\n                        <input class=\"iphorm-element-radio iphorm_1_12\" type=\"radio\" name=\"iphorm_1_12\" id=\"iphorm_f2cce27598b5ce7087c3fb9351322d1d16ae9a2c9d50c0_12_2\" value=\"Weet ik niet\"  \/>\n                        Weet ik niet                    <\/label>\n                <\/div>\n                        <\/div>\n                    <\/div>\n        <div class=\"iphorm-errors-wrap iphorm-hidden\" >\r\n    <\/div>    <\/div>\n<\/div><div class=\"iphorm-element-wrap iphorm-element-wrap-date iphorm_1_13-element-wrap iphorm-clearfix iphorm-labels-above iphorm-element-optional\" >\r\n    <div class=\"iphorm-element-spacer iphorm-element-spacer-date iphorm_1_13-element-spacer\">\r\n                    <label >\r\n                Uitvoerdatum:                                            <\/label>\r\n                <div id=\"iphorm_f2cce27598b5ce7087c3fb9351322d1d16ae9a2c9d50c0_13\" class=\"iphorm-input-wrap iphorm-input-wrap-date iphorm_1_13-input-wrap\" >\r\n        \t<div class=\"iphorm-clearfix\">\r\n                <div class=\"iphorm-input-wrap-date-select-wrap\">\r\n                                                                                <select id=\"iphorm_f2cce27598b5ce7087c3fb9351322d1d16ae9a2c9d50c0_13_day\" name=\"iphorm_1_13[day]\" class=\"iphorm_1_13-input-day\" >\r\n                        <option value=\"\">Dag<\/option>                                                    <option value=\"1\" >1<\/option>\r\n                                                    <option value=\"2\" >2<\/option>\r\n                                                    <option value=\"3\" >3<\/option>\r\n                                                    <option value=\"4\" >4<\/option>\r\n                                                    <option value=\"5\" >5<\/option>\r\n                                                    <option value=\"6\" >6<\/option>\r\n                                                    <option value=\"7\" >7<\/option>\r\n                                                    <option value=\"8\" >8<\/option>\r\n                                                    <option value=\"9\" >9<\/option>\r\n                                                    <option value=\"10\" >10<\/option>\r\n                                                    <option value=\"11\" >11<\/option>\r\n                                                    <option value=\"12\" >12<\/option>\r\n                                                    <option value=\"13\" >13<\/option>\r\n                                                    <option value=\"14\" >14<\/option>\r\n                                                    <option value=\"15\" >15<\/option>\r\n                                                    <option value=\"16\" >16<\/option>\r\n                                                    <option value=\"17\" >17<\/option>\r\n                                                    <option value=\"18\" >18<\/option>\r\n                                                    <option value=\"19\" >19<\/option>\r\n                                                    <option value=\"20\" >20<\/option>\r\n                                                    <option value=\"21\" >21<\/option>\r\n                                                    <option value=\"22\" >22<\/option>\r\n                                                    <option value=\"23\" >23<\/option>\r\n                                                    <option value=\"24\" >24<\/option>\r\n                                                    <option value=\"25\" >25<\/option>\r\n                                                    <option value=\"26\" >26<\/option>\r\n                                                    <option value=\"27\" >27<\/option>\r\n                                                    <option value=\"28\" >28<\/option>\r\n                                                    <option value=\"29\" >29<\/option>\r\n                                                    <option value=\"30\" >30<\/option>\r\n                                                    <option value=\"31\" >31<\/option>\r\n                                            <\/select>\r\n                                        <select id=\"iphorm_f2cce27598b5ce7087c3fb9351322d1d16ae9a2c9d50c0_13_month\" name=\"iphorm_1_13[month]\" class=\"iphorm_1_13-input-month\" >\r\n                        <option value=\"\">Maand<\/option>                                                    <option value=\"1\" >januari<\/option>\r\n                                                    <option value=\"2\" >februari<\/option>\r\n                                                    <option value=\"3\" >maart<\/option>\r\n                                                    <option value=\"4\" >april<\/option>\r\n                                                    <option value=\"5\" >mei<\/option>\r\n                                                    <option value=\"6\" >juni<\/option>\r\n                                                    <option value=\"7\" >juli<\/option>\r\n                                                    <option value=\"8\" >augustus<\/option>\r\n                                                    <option value=\"9\" >september<\/option>\r\n                                                    <option value=\"10\" >oktober<\/option>\r\n                                                    <option value=\"11\" >november<\/option>\r\n                                                    <option value=\"12\" >december<\/option>\r\n                                            <\/select>\r\n                                        <select id=\"iphorm_f2cce27598b5ce7087c3fb9351322d1d16ae9a2c9d50c0_13_year\" name=\"iphorm_1_13[year]\" class=\"iphorm_1_13-input-year\" >\r\n                        <option value=\"\">Jaar<\/option>                                                                                    <option value=\"2030\" >2030<\/option>\r\n                                                            <option value=\"2029\" >2029<\/option>\r\n                                                            <option value=\"2028\" >2028<\/option>\r\n                                                            <option value=\"2027\" >2027<\/option>\r\n                                                            <option value=\"2026\" >2026<\/option>\r\n                                                            <option value=\"2025\" >2025<\/option>\r\n                                                            <option value=\"2024\" >2024<\/option>\r\n                                                            <option value=\"2023\" >2023<\/option>\r\n                                                            <option value=\"2022\" >2022<\/option>\r\n                                                            <option value=\"2021\" >2021<\/option>\r\n                                                            <option value=\"2020\" >2020<\/option>\r\n                                                            <option value=\"2019\" >2019<\/option>\r\n                                                            <option value=\"2018\" >2018<\/option>\r\n                                                            <option value=\"2017\" >2017<\/option>\r\n                                                            <option value=\"2016\" >2016<\/option>\r\n                                                            <option value=\"2015\" >2015<\/option>\r\n                                                            <option value=\"2014\" >2014<\/option>\r\n                                                            <option value=\"2013\" >2013<\/option>\r\n                                                            <option value=\"2012\" >2012<\/option>\r\n                                                            <option value=\"2011\" >2011<\/option>\r\n                                                            <option value=\"2010\" >2010<\/option>\r\n                                                            <option value=\"2009\" >2009<\/option>\r\n                                                            <option value=\"2008\" >2008<\/option>\r\n                                                            <option value=\"2007\" >2007<\/option>\r\n                                                            <option value=\"2006\" >2006<\/option>\r\n                                                            <option value=\"2005\" >2005<\/option>\r\n                                                            <option value=\"2004\" >2004<\/option>\r\n                                                            <option value=\"2003\" >2003<\/option>\r\n                                                            <option value=\"2002\" >2002<\/option>\r\n                                                            <option value=\"2001\" >2001<\/option>\r\n                                                            <option value=\"2000\" >2000<\/option>\r\n                                                            <option value=\"1999\" >1999<\/option>\r\n                                                            <option value=\"1998\" >1998<\/option>\r\n                                                            <option value=\"1997\" >1997<\/option>\r\n                                                            <option value=\"1996\" >1996<\/option>\r\n                                                            <option value=\"1995\" >1995<\/option>\r\n                                                            <option value=\"1994\" >1994<\/option>\r\n                                                            <option value=\"1993\" >1993<\/option>\r\n                                                            <option value=\"1992\" >1992<\/option>\r\n                                                            <option value=\"1991\" >1991<\/option>\r\n                                                            <option value=\"1990\" >1990<\/option>\r\n                                                            <option value=\"1989\" >1989<\/option>\r\n                                                            <option value=\"1988\" >1988<\/option>\r\n                                                            <option value=\"1987\" >1987<\/option>\r\n                                                            <option value=\"1986\" >1986<\/option>\r\n                                                            <option value=\"1985\" >1985<\/option>\r\n                                                            <option value=\"1984\" >1984<\/option>\r\n                                                            <option value=\"1983\" >1983<\/option>\r\n                                                            <option value=\"1982\" >1982<\/option>\r\n                                                            <option value=\"1981\" >1981<\/option>\r\n                                                            <option value=\"1980\" >1980<\/option>\r\n                                                            <option value=\"1979\" >1979<\/option>\r\n                                                            <option value=\"1978\" >1978<\/option>\r\n                                                            <option value=\"1977\" >1977<\/option>\r\n                                                            <option value=\"1976\" >1976<\/option>\r\n                                                            <option value=\"1975\" >1975<\/option>\r\n                                                            <option value=\"1974\" >1974<\/option>\r\n                                                            <option value=\"1973\" >1973<\/option>\r\n                                                            <option value=\"1972\" >1972<\/option>\r\n                                                            <option value=\"1971\" >1971<\/option>\r\n                                                            <option value=\"1970\" >1970<\/option>\r\n                                                            <option value=\"1969\" >1969<\/option>\r\n                                                            <option value=\"1968\" >1968<\/option>\r\n                                                            <option value=\"1967\" >1967<\/option>\r\n                                                            <option value=\"1966\" >1966<\/option>\r\n                                                            <option value=\"1965\" >1965<\/option>\r\n                                                            <option value=\"1964\" >1964<\/option>\r\n                                                            <option value=\"1963\" >1963<\/option>\r\n                                                            <option value=\"1962\" >1962<\/option>\r\n                                                            <option value=\"1961\" >1961<\/option>\r\n                                                            <option value=\"1960\" >1960<\/option>\r\n                                                            <option value=\"1959\" >1959<\/option>\r\n                                                            <option value=\"1958\" >1958<\/option>\r\n                                                            <option value=\"1957\" >1957<\/option>\r\n                                                            <option value=\"1956\" >1956<\/option>\r\n                                                            <option value=\"1955\" >1955<\/option>\r\n                                                            <option value=\"1954\" >1954<\/option>\r\n                                                            <option value=\"1953\" >1953<\/option>\r\n                                                            <option value=\"1952\" >1952<\/option>\r\n                                                            <option value=\"1951\" >1951<\/option>\r\n                                                            <option value=\"1950\" >1950<\/option>\r\n                                                            <option value=\"1949\" >1949<\/option>\r\n                                                            <option value=\"1948\" >1948<\/option>\r\n                                                            <option value=\"1947\" >1947<\/option>\r\n                                                            <option value=\"1946\" >1946<\/option>\r\n                                                            <option value=\"1945\" >1945<\/option>\r\n                                                            <option value=\"1944\" >1944<\/option>\r\n                                                            <option value=\"1943\" >1943<\/option>\r\n                                                            <option value=\"1942\" >1942<\/option>\r\n                                                            <option value=\"1941\" >1941<\/option>\r\n                                                            <option value=\"1940\" >1940<\/option>\r\n                                                            <option value=\"1939\" >1939<\/option>\r\n                                                            <option value=\"1938\" >1938<\/option>\r\n                                                            <option value=\"1937\" >1937<\/option>\r\n                                                            <option value=\"1936\" >1936<\/option>\r\n                                                            <option value=\"1935\" >1935<\/option>\r\n                                                            <option value=\"1934\" >1934<\/option>\r\n                                                            <option value=\"1933\" >1933<\/option>\r\n                                                            <option value=\"1932\" >1932<\/option>\r\n                                                            <option value=\"1931\" >1931<\/option>\r\n                                                            <option value=\"1930\" >1930<\/option>\r\n                                                            <option value=\"1929\" >1929<\/option>\r\n                                                            <option value=\"1928\" >1928<\/option>\r\n                                                            <option value=\"1927\" >1927<\/option>\r\n                                                            <option value=\"1926\" >1926<\/option>\r\n                                                            <option value=\"1925\" >1925<\/option>\r\n                                                            <option value=\"1924\" >1924<\/option>\r\n                                                            <option value=\"1923\" >1923<\/option>\r\n                                                            <option value=\"1922\" >1922<\/option>\r\n                                                            <option value=\"1921\" >1921<\/option>\r\n                                                            <option value=\"1920\" >1920<\/option>\r\n                                                            <option value=\"1919\" >1919<\/option>\r\n                                                            <option value=\"1918\" >1918<\/option>\r\n                                                            <option value=\"1917\" >1917<\/option>\r\n                                                            <option value=\"1916\" >1916<\/option>\r\n                                                            <option value=\"1915\" >1915<\/option>\r\n                                                            <option value=\"1914\" >1914<\/option>\r\n                                                            <option value=\"1913\" >1913<\/option>\r\n                                                            <option value=\"1912\" >1912<\/option>\r\n                                                            <option value=\"1911\" >1911<\/option>\r\n                                                            <option value=\"1910\" >1910<\/option>\r\n                                                            <option value=\"1909\" >1909<\/option>\r\n                                                            <option value=\"1908\" >1908<\/option>\r\n                                                            <option value=\"1907\" >1907<\/option>\r\n                                                            <option value=\"1906\" >1906<\/option>\r\n                                                            <option value=\"1905\" >1905<\/option>\r\n                                                            <option value=\"1904\" >1904<\/option>\r\n                                                            <option value=\"1903\" >1903<\/option>\r\n                                                            <option value=\"1902\" >1902<\/option>\r\n                                                            <option value=\"1901\" >1901<\/option>\r\n                                                            <option value=\"1900\" >1900<\/option>\r\n                                                                        <\/select>\r\n                <\/div>\r\n                                    <input type=\"hidden\" class=\"iphorm-datepicker\" name=\"iphorm_datepicker_iphorm_f2cce27598b5ce7087c3fb9351322d1d16ae9a2c9d50c0_13\" value=\"\" \/>\r\n                    <div class=\"iphorm-datepicker-icon\"><\/div>\r\n                    <script type=\"text\/javascript\">\r\n                    <!--\r\n                    jQuery(document).ready(function ($) {\r\n                        iPhorm.instance.addDatepicker('iphorm_f2cce27598b5ce7087c3fb9351322d1d16ae9a2c9d50c0_13', {\r\n                            minDate: new Date(1900, 1 - 1, 1),\r\n                            maxDate: new Date(2030, 12 - 1, 31)\r\n                        });\r\n                    });\r\n                    \/\/-->\r\n                    <\/script>\r\n                            <\/div>\r\n                    <\/div>\r\n        <div class=\"iphorm-errors-wrap iphorm-hidden\" >\r\n    <\/div>    <\/div>\r\n<\/div><div class=\"iphorm-element-wrap iphorm-element-wrap-textarea iphorm_1_14-element-wrap iphorm-clearfix iphorm-labels-above iphorm-element-optional\" >\n    <div class=\"iphorm-element-spacer iphorm-element-spacer-textarea iphorm_1_14-element-spacer\">\n                    <label for=\"iphorm_f2cce27598b5ce7087c3fb9351322d1d16ae9a2c9d50c0_14\" >\n                Opmerkingen                                            <\/label>\n                <div class=\"iphorm-input-wrap iphorm-input-wrap-textarea iphorm_1_14-input-wrap\" >\n            <textarea class=\"iphorm-element-textarea  iphorm_1_14\" id=\"iphorm_f2cce27598b5ce7087c3fb9351322d1d16ae9a2c9d50c0_14\" name=\"iphorm_1_14\"   rows=\"5\" cols=\"25\"><\/textarea>\n                <p class=\"iphorm-description\" >Eventuele extra informatie<\/p>\n        <\/div>\n        <div class=\"iphorm-errors-wrap iphorm-hidden\" >\r\n    <\/div>    <\/div>\n    <\/div><div class=\"iphorm-element-wrap iphorm-element-wrap-text iphorm_1_15-element-wrap iphorm-clearfix iphorm-labels-above iphorm-element-required\" >\n    <div class=\"iphorm-element-spacer iphorm-element-spacer-text iphorm_1_15-element-spacer\">\n                    <label for=\"iphorm_f2cce27598b5ce7087c3fb9351322d1d16ae9a2c9d50c0_15\" >\n                Emailadres                                    <span class=\"iphorm-required\">(verplicht)<\/span>\n                                            <\/label>\n                <div class=\"iphorm-input-wrap iphorm-input-wrap-text iphorm_1_15-input-wrap\" >\n            <input class=\"iphorm-element-text  iphorm_1_15\" id=\"iphorm_f2cce27598b5ce7087c3fb9351322d1d16ae9a2c9d50c0_15\" type=\"text\" name=\"iphorm_1_15\"  value=\"\"  \/>\n                    <\/div>\n        <div class=\"iphorm-errors-wrap iphorm-hidden\" >\r\n    <\/div>    <\/div>\n    <\/div><div class=\"iphorm-element-wrap iphorm-element-wrap-text iphorm_1_16-element-wrap iphorm-clearfix iphorm-labels-above iphorm-element-required\" >\n    <div class=\"iphorm-element-spacer iphorm-element-spacer-text iphorm_1_16-element-spacer\">\n                    <label for=\"iphorm_f2cce27598b5ce7087c3fb9351322d1d16ae9a2c9d50c0_16\" >\n                Voornaam                                    <span class=\"iphorm-required\">(verplicht)<\/span>\n                                            <\/label>\n                <div class=\"iphorm-input-wrap iphorm-input-wrap-text iphorm_1_16-input-wrap\" >\n            <input class=\"iphorm-element-text  iphorm_1_16\" id=\"iphorm_f2cce27598b5ce7087c3fb9351322d1d16ae9a2c9d50c0_16\" type=\"text\" name=\"iphorm_1_16\"  value=\"\"  \/>\n                    <\/div>\n        <div class=\"iphorm-errors-wrap iphorm-hidden\" >\r\n    <\/div>    <\/div>\n    <\/div><div class=\"iphorm-element-wrap iphorm-element-wrap-text iphorm_1_17-element-wrap iphorm-clearfix iphorm-labels-above iphorm-element-required\" >\n    <div class=\"iphorm-element-spacer iphorm-element-spacer-text iphorm_1_17-element-spacer\">\n                    <label for=\"iphorm_f2cce27598b5ce7087c3fb9351322d1d16ae9a2c9d50c0_17\" >\n                Achternaam                                    <span class=\"iphorm-required\">(verplicht)<\/span>\n                                            <\/label>\n                <div class=\"iphorm-input-wrap iphorm-input-wrap-text iphorm_1_17-input-wrap\" >\n            <input class=\"iphorm-element-text  iphorm_1_17\" id=\"iphorm_f2cce27598b5ce7087c3fb9351322d1d16ae9a2c9d50c0_17\" type=\"text\" name=\"iphorm_1_17\"  value=\"\"  \/>\n                    <\/div>\n        <div class=\"iphorm-errors-wrap iphorm-hidden\" >\r\n    <\/div>    <\/div>\n    <\/div><div class=\"iphorm-element-wrap iphorm-element-wrap-select iphorm_1_18-element-wrap iphorm-clearfix iphorm-labels-above iphorm-element-required\" >\n    <div class=\"iphorm-element-spacer iphorm-element-spacer-select iphorm_1_18-element-spacer\">\n                    <label for=\"iphorm_f2cce27598b5ce7087c3fb9351322d1d16ae9a2c9d50c0_18\" >\n                Aanhef                                    <span class=\"iphorm-required\">(verplicht)<\/span>\n                                            <\/label>\n                <div class=\"iphorm-input-wrap iphorm-input-wrap-select iphorm_1_18-input-wrap\" >\n            <select class=\"iphorm-element-select  iphorm_1_18\" name=\"iphorm_1_18\" id=\"iphorm_f2cce27598b5ce7087c3fb9351322d1d16ae9a2c9d50c0_18\"  >\n                                    <option value=\"Dhr.\" >Dhr.<\/option>\n                                    <option value=\"Mevr.\" >Mevr.<\/option>\n                            <\/select>\n                    <\/div>\n        <div class=\"iphorm-errors-wrap iphorm-hidden\" >\r\n    <\/div>    <\/div>\n<\/div><div class=\"iphorm-element-wrap iphorm-element-wrap-text iphorm_1_19-element-wrap iphorm-clearfix iphorm-labels-above iphorm-element-required\" >\n    <div class=\"iphorm-element-spacer iphorm-element-spacer-text iphorm_1_19-element-spacer\">\n                    <label for=\"iphorm_f2cce27598b5ce7087c3fb9351322d1d16ae9a2c9d50c0_19\" >\n                Telefoon nummer                                    <span class=\"iphorm-required\">(verplicht)<\/span>\n                                            <\/label>\n                <div class=\"iphorm-input-wrap iphorm-input-wrap-text iphorm_1_19-input-wrap\" >\n            <input class=\"iphorm-element-text  iphorm_1_19\" id=\"iphorm_f2cce27598b5ce7087c3fb9351322d1d16ae9a2c9d50c0_19\" type=\"text\" name=\"iphorm_1_19\"  value=\"\"  \/>\n                <p class=\"iphorm-description\" >Hier op zullen wij u bellen.<\/p>\n        <\/div>\n        <div class=\"iphorm-errors-wrap iphorm-hidden\" >\r\n    <\/div>    <\/div>\n    <\/div><div class=\"iphorm-hidden\">\n    <label>Dit veld moet leeg blijven<input type=\"text\" name=\"iphorm_1_0\" \/><\/label>\n<\/div>                <div class=\"iphorm-submit-wrap iphorm-submit-wrap-1 iphorm-clearfix\" >\n                \t<div class=\"iphorm-submit-input-wrap iphorm-submit-input-wrap-1\" >\n                        <button class=\"iphorm-submit-element\" type=\"submit\" name=\"iphorm_submit\" ><span ><em >Verzend<\/em><\/span><\/button>\n                    <\/div>\n                    <div class=\"iphorm-loading-wrap\"><span class=\"iphorm-loading\">Een moment geduld aub.<\/span><\/div>\n                <\/div>\n            <\/div>\n                                <\/div>\n            <\/form>\n    <script type=\"text\/javascript\">\n\t<!--\n\tjQuery('#iphorm-outer-f2cce27598b5ce7087c3fb9351322d1d16ae9a2c9d50c0 script').remove();\n\t\/\/-->\n\t<\/script>\n<\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"_links":{"self":[{"href":"https:\/\/www.ka-tegelzetterbedrijf.nl\/index.php?rest_route=\/wp\/v2\/pages\/360"}],"collection":[{"href":"https:\/\/www.ka-tegelzetterbedrijf.nl\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.ka-tegelzetterbedrijf.nl\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.ka-tegelzetterbedrijf.nl\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.ka-tegelzetterbedrijf.nl\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=360"}],"version-history":[{"count":8,"href":"https:\/\/www.ka-tegelzetterbedrijf.nl\/index.php?rest_route=\/wp\/v2\/pages\/360\/revisions"}],"predecessor-version":[{"id":370,"href":"https:\/\/www.ka-tegelzetterbedrijf.nl\/index.php?rest_route=\/wp\/v2\/pages\/360\/revisions\/370"}],"wp:attachment":[{"href":"https:\/\/www.ka-tegelzetterbedrijf.nl\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=360"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}