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<div class="wFormContainer" >
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    <style type="text/css">
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<div class="codesection" id="code-4959940"></div>
<form method="post" action="https://postnl.tfaforms.net/api_v2/rest/workflow/processor" class="hintsBelow labelsAbove" id="4959940">
<div class="oneField field-container-D    " id="tfa_63-D">
<label id="tfa_63-L" class="label preField " for="tfa_63">Onderwerp</label><br><div class="inputWrapper"><select id="tfa_63" name="tfa_63" title="Onderwerp" class=""><option value="">Maak een keuze</option>
<option value="tfa_64" id="tfa_64" class="">Offerte aanvragen</option>
<option value="tfa_65" id="tfa_65" class="">Vraag / opmerking</option></select></div>
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<div class="oneField field-container-D    " id="tfa_1-D">
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<div class="oneField field-container-D    " id="tfa_26-D">
<label id="tfa_26-L" class="label preField reqMark" for="tfa_26">Achternaam</label><br><div class="inputWrapper"><input aria-required="true" type="text" id="tfa_26" name="tfa_26" value="" autocomplete="off" title="Achternaam" class="required"></div>
</div>
<div class="oneField field-container-D    " id="tfa_58-D">
<label id="tfa_58-L" class="label preField reqMark" for="tfa_58">Telefoonnummer</label><br><div class="inputWrapper"><input aria-required="true" type="text" id="tfa_58" name="tfa_58" value="" autocomplete="off" title="Telefoonnummer" class="validate-integer required"></div>
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<div class="oneField field-container-D    " id="tfa_12-D">
<label id="tfa_12-L" class="label preField reqMark" for="tfa_12">E-mailadres</label><br><div class="inputWrapper"><input aria-required="true" type="text" id="tfa_12" name="tfa_12" value="" autocomplete="off" title="E-mailadres" class="validate-email required"></div>
</div>
<div class="oneField field-container-D   hintsBelow " id="tfa_44-D">
<label id="tfa_44-L" class="label preField " for="tfa_44">Wat is je vraag?</label><br><div class="inputWrapper"><textarea maxlength="400" id="tfa_44" name="tfa_44" title="Wat is je vraag?" class=""></textarea></div>
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<div class="oneField field-container-D     wf-acl-hidden" id="tfa_49-D">
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<div class="oneField field-container-D     wf-acl-hidden" id="tfa_56-D">
<label id="tfa_56-L" class="label preField " for="tfa_56">E-mail tekst</label><br><div class="inputWrapper"><textarea maxlength="300" id="tfa_56" name="tfa_56" title="E-mail tekst" class=""></textarea></div>
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<div class="oneField field-container-D     wf-acl-hidden" id="tfa_51-D">
<label id="tfa_51-L" class="label preField reqMark" for="tfa_51">Categorie</label><br><div class="inputWrapper"><input aria-required="true" type="text" id="tfa_51" name="tfa_51" value="Contact opnemen" default="Contact opnemen" maxlength="50" title="Categorie" class="required"></div>
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<div class="oneField field-container-D     wf-acl-hidden" id="tfa_60-D">
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<div class="oneField field-container-D     wf-acl-hidden" id="tfa_62-D">
<label id="tfa_62-L" class="label preField " for="tfa_62">Subjectline bevestigingsmail (bij leeg veld wordt default Marketing Cloud waarde gebruikt)</label><br><div class="inputWrapper"><textarea maxlength="300" id="tfa_62" name="tfa_62" title="Subjectline bevestigingsmail (bij leeg veld wordt default Marketing Cloud waarde gebruikt)" class=""></textarea></div>
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<div style="clear:both"></div>
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</form>
</div></div><div class="wFormFooter"><p class="supportInfo"><br></p></div>
  <p class="supportInfo" >
      </p>
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