{"id":11155,"date":"2025-02-06T17:06:35","date_gmt":"2025-02-06T16:06:35","guid":{"rendered":"https:\/\/gecko-fix.com\/word-gecko-installer\/"},"modified":"2025-02-06T17:06:35","modified_gmt":"2025-02-06T16:06:35","slug":"word-gecko-installer","status":"publish","type":"page","link":"https:\/\/gecko-fix.com\/fr\/word-gecko-installer\/","title":{"rendered":"Word Gecko-installer"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_row css_animation=\u00a0\u00bb\u00a0\u00bb row_type=\u00a0\u00bbrow\u00a0\u00bb use_row_as_full_screen_section=\u00a0\u00bbno\u00a0\u00bb type=\u00a0\u00bbgrid\u00a0\u00bb angled_section=\u00a0\u00bbno\u00a0\u00bb text_align=\u00a0\u00bbleft\u00a0\u00bb background_image_as_pattern=\u00a0\u00bbwithout_pattern\u00a0\u00bb css=\u00a0\u00bb.vc_custom_1739879076829{background-color: #c8d400 !important;}\u00a0\u00bb z_index=\u00a0\u00bb\u00a0\u00bb][vc_column][vc_empty_space height=\u00a0\u00bb50px\u00a0\u00bb][vc_column_text css=\u00a0\u00bb\u00a0\u00bb]<\/p>\n<h1 class=\"subpage-title\"><strong data-start=\"67\" data-end=\"115\">Word Gecko-installer en breid je aanbod uit!<\/strong><\/h1>\n<p>[\/vc_column_text][vc_empty_space height=\u00a0\u00bb40px\u00a0\u00bb][vc_row_inner row_type=\u00a0\u00bbrow\u00a0\u00bb type=\u00a0\u00bbfull_width\u00a0\u00bb text_align=\u00a0\u00bbleft\u00a0\u00bb css_animation=\u00a0\u00bb\u00a0\u00bb][vc_column_inner][vc_column_text css=\u00a0\u00bb\u00a0\u00bb]<\/p>\n<p data-start=\"119\" data-end=\"411\">Ben je actief in de bouwesector en wil je je diensten uitbreiden met de innovatieve oplossingen van Gecko-Fix? Sluit je aan als erkende Gecko-installer en bied je klanten een professionele en duurzame oplossing. Vul hieronder de informatiefiche in en we nemen zo snel mogelijk contact met je op!<\/p>\n<p>[\/vc_column_text][vc_empty_space height=\u00a0\u00bb40px\u00a0\u00bb][\/vc_column_inner][\/vc_row_inner][vc_empty_space height=\u00a0\u00bb40px\u00a0\u00bb][\/vc_column][\/vc_row][vc_row css_animation=\u00a0\u00bb\u00a0\u00bb row_type=\u00a0\u00bbrow\u00a0\u00bb use_row_as_full_screen_section=\u00a0\u00bbno\u00a0\u00bb type=\u00a0\u00bbgrid\u00a0\u00bb angled_section=\u00a0\u00bbno\u00a0\u00bb text_align=\u00a0\u00bbleft\u00a0\u00bb background_image_as_pattern=\u00a0\u00bbwithout_pattern\u00a0\u00bb z_index=\u00a0\u00bb\u00a0\u00bb][vc_column width=\u00a0\u00bb2\/3&Prime;][vc_empty_space height=\u00a0\u00bb80px\u00a0\u00bb]<script type=\"text\/javascript\">var gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});<\/script>\n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_10' style='display:none'><form method='post' enctype='multipart\/form-data'  id='gform_10'  action='\/fr\/wp-json\/wp\/v2\/pages\/11155' data-formid='10' novalidate> \r\n <input type='hidden' class='gforms-pum' value='{\"closepopup\":false,\"closedelay\":0,\"openpopup\":false,\"openpopup_id\":0}' \/>\n                        <div class='gform-body gform_body'><div id='gform_fields_10' class='gform_fields top_label form_sublabel_below description_above validation_below'><div id=\"field_10_3\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_10_3\" ><label class='gfield_label gform-field-label' for='input_10_3'>1. Naam bedrijf<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_10_3'>Vul de naam van het bedrijf in<\/div><div class='ginput_container ginput_container_text'><input name='input_3' id='input_10_3' type='text' value='' class='medium'  aria-describedby=\"gfield_description_10_3\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_10_1\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_10_1\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >2. Naam zaakvoerder:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_10_1'>Vul de naam van de zaakvoerder in<\/div><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_10_1'>\n                            \n                            <span id='input_10_1_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.3' id='input_10_1_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_10_1_3' class='gform-field-label gform-field-label--type-sub '>Pr\u00e9nom<\/label>\n                                                <\/span>\n                            \n                            <span id='input_10_1_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.6' id='input_10_1_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_10_1_6' class='gform-field-label gform-field-label--type-sub '>Nom<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><fieldset id=\"field_10_4\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_10_4\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >3. Adres<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_10_4'>Vul het adres in<\/div>    \n                    <div class='ginput_complex ginput_container has_street has_city has_zip has_country ginput_container_address gform-grid-row' id='input_10_4' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_10_4_1_container' >\n                                        <input type='text' name='input_4.1' id='input_10_4_1' value=''    aria-required='true'    \/>\n                                        <label for='input_10_4_1' id='input_10_4_1_label' class='gform-field-label gform-field-label--type-sub '>Adresse postale<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_10_4_3_container' >\n                                    <input type='text' name='input_4.3' id='input_10_4_3' value=''    aria-required='true'    \/>\n                                    <label for='input_10_4_3' id='input_10_4_3_label' class='gform-field-label gform-field-label--type-sub '>Ville<\/label>\n                                 <\/span><input type='hidden' class='gform_hidden' name='input_4.4' id='input_10_4_4' value=''\/><span class='ginput_right address_zip ginput_address_zip gform-grid-col' id='input_10_4_5_container' >\n                                    <input type='text' name='input_4.5' id='input_10_4_5' value=''    aria-required='true'    \/>\n                                    <label for='input_10_4_5' id='input_10_4_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP \/ Code postal<\/label>\n                                <\/span><span class='ginput_left address_country ginput_address_country gform-grid-col' id='input_10_4_6_container' >\n                                        <select name='input_4.6' id='input_10_4_6'   aria-required='true'    ><option value='' ><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Afrique du Sud' >Afrique du Sud<\/option><option value='Albanie' >Albanie<\/option><option value='Alg\u00e9rie' >Alg\u00e9rie<\/option><option value='Allemagne' >Allemagne<\/option><option value='Andorre' >Andorre<\/option><option value='Angola' >Angola<\/option><option value='Anguilla' >Anguilla<\/option><option value='Antarctique' >Antarctique<\/option><option value='Antigua-et-Barbuda' >Antigua-et-Barbuda<\/option><option value='Arabie Saoudite' >Arabie Saoudite<\/option><option value='Argentine' >Argentine<\/option><option value='Arm\u00e9nie' >Arm\u00e9nie<\/option><option value='Aruba' >Aruba<\/option><option value='Australie' >Australie<\/option><option value='Autriche' >Autriche<\/option><option value='Azerba\u00efdjan' >Azerba\u00efdjan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahre\u00efn' >Bahre\u00efn<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Belarus' >Belarus<\/option><option value='Belgique' >Belgique<\/option><option value='Belize' >Belize<\/option><option value='Bermudes' >Bermudes<\/option><option value='Bhoutan' >Bhoutan<\/option><option value='Bolivie' >Bolivie<\/option><option value='Bonaire, Saint-Eustache et Saba ' >Bonaire, Saint-Eustache et Saba <\/option><option value='Bosnie-Herz\u00e9govine' >Bosnie-Herz\u00e9govine<\/option><option value='Botswana' >Botswana<\/option><option value='Brunei Darussalam' >Brunei Darussalam<\/option><option value='Br\u00e9sil' >Br\u00e9sil<\/option><option value='Bulgarie' >Bulgarie<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='B\u00e9nin' >B\u00e9nin<\/option><option value='Cambodge' >Cambodge<\/option><option value='Cameroun' >Cameroun<\/option><option value='Canada' >Canada<\/option><option value='Cap-Vert' >Cap-Vert<\/option><option value='Chili' >Chili<\/option><option value='Chine' >Chine<\/option><option value='Chypre' >Chypre<\/option><option value='Colombie' >Colombie<\/option><option value='Comores' >Comores<\/option><option value='Congo' >Congo<\/option><option value='Cor\u00e9e (R\u00e9publique de)' >Cor\u00e9e (R\u00e9publique de)<\/option><option value='Cor\u00e9e (R\u00e9publique populaire d\u00e9mocratique de)' >Cor\u00e9e (R\u00e9publique populaire d\u00e9mocratique de)<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='Croatie' >Croatie<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='C\u00f4te d\u2019Ivoire' >C\u00f4te d\u2019Ivoire<\/option><option value='Danemark' >Danemark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominique' >Dominique<\/option><option value='Espagne' >Espagne<\/option><option value='Estonie' >Estonie<\/option><option value='Eswatini' >Eswatini<\/option><option value='Fidji' >Fidji<\/option><option value='Finlande' >Finlande<\/option><option value='France' >France<\/option><option value='F\u00e9d\u00e9ration Russe' >F\u00e9d\u00e9ration Russe<\/option><option value='Gabon' >Gabon<\/option><option value='Gambie' >Gambie<\/option><option value='Ghana' >Ghana<\/option><option value='Gibraltar' >Gibraltar<\/option><option value='Grenade' >Grenade<\/option><option value='Groenland' >Groenland<\/option><option value='Gr\u00e8ce' >Gr\u00e8ce<\/option><option value='Guadeloupe' >Guadeloupe<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guernsey' >Guernsey<\/option><option value='Guin\u00e9e' >Guin\u00e9e<\/option><option value='Guin\u00e9e \u00e9quatoriale' >Guin\u00e9e \u00e9quatoriale<\/option><option value='Guin\u00e9e-Bissau' >Guin\u00e9e-Bissau<\/option><option value='Guyane' >Guyane<\/option><option value='Guyane' >Guyane<\/option><option value='G\u00e9orgie' >G\u00e9orgie<\/option><option value='G\u00e9orgie du Sud et \u00celes Sandwich du Sud' >G\u00e9orgie du Sud et \u00celes Sandwich du Sud<\/option><option value='Ha\u00efti' >Ha\u00efti<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hongrie' >Hongrie<\/option><option value='Inde' >Inde<\/option><option value='Indon\u00e9sie' >Indon\u00e9sie<\/option><option value='Irak' >Irak<\/option><option value='Iran' >Iran<\/option><option value='Irlande' >Irlande<\/option><option value='Islande' >Islande<\/option><option value='Isra\u00ebl' >Isra\u00ebl<\/option><option value='Italie' >Italie<\/option><option value='Jama\u00efque' >Jama\u00efque<\/option><option value='Japon' >Japon<\/option><option value='Jersey' >Jersey<\/option><option value='Jordanie' >Jordanie<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kirghizistan' >Kirghizistan<\/option><option value='Kiribati' >Kiribati<\/option><option value='Kowe\u00eft' >Kowe\u00eft<\/option><option value='La Barbade' >La Barbade<\/option><option value='La R\u00e9union' >La R\u00e9union<\/option><option value='Lesotho' >Lesotho<\/option><option value='Lettonie' >Lettonie<\/option><option value='Liban' >Liban<\/option><option value='Liberia' >Liberia<\/option><option value='Libye' >Libye<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lituanie' >Lituanie<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Macao' >Macao<\/option><option value='Mac\u00e9doine du Nord' >Mac\u00e9doine du Nord<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malaisie' >Malaisie<\/option><option value='Malawi' >Malawi<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malte' >Malte<\/option><option value='Maroc' >Maroc<\/option><option value='Martinique' >Martinique<\/option><option value='Mauritanie' >Mauritanie<\/option><option value='Mayotte' >Mayotte<\/option><option value='Mexique' >Mexique<\/option><option value='Micron\u00e9sie' >Micron\u00e9sie<\/option><option value='Moldavie' >Moldavie<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolie' >Mongolie<\/option><option value='Montserrat' >Montserrat<\/option><option value='Mont\u00e9n\u00e9gro' >Mont\u00e9n\u00e9gro<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibie' >Namibie<\/option><option value='Nauru' >Nauru<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nig\u00e9ria' >Nig\u00e9ria<\/option><option value='Niu\u00e9' >Niu\u00e9<\/option><option value='Norv\u00e8ge' >Norv\u00e8ge<\/option><option value='Nouvelle-Cal\u00e9donie' >Nouvelle-Cal\u00e9donie<\/option><option value='Nouvelle-Z\u00e9lande' >Nouvelle-Z\u00e9lande<\/option><option value='N\u00e9pal' >N\u00e9pal<\/option><option value='Oman' >Oman<\/option><option value='Ouganda' >Ouganda<\/option><option value='Ouzb\u00e9kistan' >Ouzb\u00e9kistan<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='Panama' >Panama<\/option><option value='Papouasie-Nouvelle-Guin\u00e9e' >Papouasie-Nouvelle-Guin\u00e9e<\/option><option value='Paraguay' >Paraguay<\/option><option value='Pays-Bas' >Pays-Bas<\/option><option value='Philippines' >Philippines<\/option><option value='Pologne' >Pologne<\/option><option value='Polyn\u00e9sie fran\u00e7aise' >Polyn\u00e9sie fran\u00e7aise<\/option><option value='Porto Rico' >Porto Rico<\/option><option value='Portugal' >Portugal<\/option><option value='P\u00e9rou' >P\u00e9rou<\/option><option value='Qatar' >Qatar<\/option><option value='Roumanie' >Roumanie<\/option><option value='Royaume-Uni' >Royaume-Uni<\/option><option value='Rwanda' >Rwanda<\/option><option value='R\u00e9publique Dominicaine' >R\u00e9publique Dominicaine<\/option><option value='R\u00e9publique Tch\u00e8que' >R\u00e9publique Tch\u00e8que<\/option><option value='R\u00e9publique arabe syrienne' >R\u00e9publique arabe syrienne<\/option><option value='R\u00e9publique centrafricaine' >R\u00e9publique centrafricaine<\/option><option value='R\u00e9publique d\u00e9mocratique du Congo' >R\u00e9publique d\u00e9mocratique du Congo<\/option><option value='R\u00e9publique d\u00e9mocratique populaire du Laos' >R\u00e9publique d\u00e9mocratique populaire du Laos<\/option><option value='Sahara occidental' >Sahara occidental<\/option><option value='Saint Barth\u00e9lemy' >Saint Barth\u00e9lemy<\/option><option value='Saint Martin' >Saint Martin<\/option><option value='Saint Pierre et Miquelon' >Saint Pierre et Miquelon<\/option><option value='Saint-Christophe-et-Nevis' >Saint-Christophe-et-Nevis<\/option><option value='Saint-Marin' >Saint-Marin<\/option><option value='Saint-Si\u00e8ge' >Saint-Si\u00e8ge<\/option><option value='Saint-Vincent-et-les Grenadines' >Saint-Vincent-et-les Grenadines<\/option><option value='Sainte-H\u00e9l\u00e8ne, Ascension et Tristan da Cunha' >Sainte-H\u00e9l\u00e8ne, Ascension et Tristan da Cunha<\/option><option value='Sainte-Lucie' >Sainte-Lucie<\/option><option value='Salvador' >Salvador<\/option><option value='Samoa' >Samoa<\/option><option value='Samoa am\u00e9ricaines' >Samoa am\u00e9ricaines<\/option><option value='Sao Tom\u00e9 et Principe' >Sao Tom\u00e9 et Principe<\/option><option value='Serbie' >Serbie<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapour' >Singapour<\/option><option value='Sint Maarten' >Sint Maarten<\/option><option value='Slovaquie' >Slovaquie<\/option><option value='Slov\u00e9nie' >Slov\u00e9nie<\/option><option value='Somalie' >Somalie<\/option><option value='Soudan' >Soudan<\/option><option value='Soudan du Sud' >Soudan du Sud<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Suisse' >Suisse<\/option><option value='Suriname' >Suriname<\/option><option value='Su\u00e8de' >Su\u00e8de<\/option><option value='S\u00e9n\u00e9gal' >S\u00e9n\u00e9gal<\/option><option value='Tadjikistan' >Tadjikistan<\/option><option value='Tanzanie (R\u00e9publique-Unie de)' >Tanzanie (R\u00e9publique-Unie de)<\/option><option value='Ta\u00efwan' >Ta\u00efwan<\/option><option value='Tchad' >Tchad<\/option><option value='Terres Australes Fran\u00e7aises' >Terres Australes Fran\u00e7aises<\/option><option value='Territoire britannique de l\u2019oc\u00e9an Indien' >Territoire britannique de l\u2019oc\u00e9an Indien<\/option><option value='Tha\u00eflande' >Tha\u00eflande<\/option><option value='Timor oriental' >Timor oriental<\/option><option value='Togo' >Togo<\/option><option value='Tokelau' >Tokelau<\/option><option value='Tonga' >Tonga<\/option><option value='Trinit\u00e9 et Tobago' >Trinit\u00e9 et Tobago<\/option><option value='Tunisie' >Tunisie<\/option><option value='Turkm\u00e9nistan' >Turkm\u00e9nistan<\/option><option value='Turquie' >Turquie<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='Ukraine' >Ukraine<\/option><option value='Uruguay' >Uruguay<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Venezuela' >Venezuela<\/option><option value='Vietnam' >Vietnam<\/option><option value='Wallis et Futuna' >Wallis et Futuna<\/option><option value='Y\u00e9men' >Y\u00e9men<\/option><option value='Zambie' >Zambie<\/option><option value='Zimbabwe' >Zimbabwe<\/option><option value='\u00c9gypte' >\u00c9gypte<\/option><option value='\u00c9mirats arabes unis' >\u00c9mirats arabes unis<\/option><option value='\u00c9quateur' >\u00c9quateur<\/option><option value='\u00c9rythr\u00e9e' >\u00c9rythr\u00e9e<\/option><option value='\u00c9tat palestinien' >\u00c9tat palestinien<\/option><option value='\u00c9tats-Unis' >\u00c9tats-Unis<\/option><option value='\u00c9thiopie' >\u00c9thiopie<\/option><option value='\u00cele Bouvet' >\u00cele Bouvet<\/option><option value='\u00cele Christmas' >\u00cele Christmas<\/option><option value='\u00cele Maurice' >\u00cele Maurice<\/option><option value='\u00cele Norfolk' >\u00cele Norfolk<\/option><option value='\u00cele de Man' >\u00cele de Man<\/option><option value='\u00celes Cayman' >\u00celes Cayman<\/option><option value='\u00celes Cocos' >\u00celes Cocos<\/option><option value='\u00celes Cook' >\u00celes Cook<\/option><option value='\u00celes Falkland' >\u00celes Falkland<\/option><option value='\u00celes F\u00e9ro\u00e9' >\u00celes F\u00e9ro\u00e9<\/option><option value='\u00celes Heard et McDonald' >\u00celes Heard et McDonald<\/option><option value='\u00celes Mariannes du Nord' >\u00celes Mariannes du Nord<\/option><option value='\u00celes Marshall' >\u00celes Marshall<\/option><option value='\u00celes Pitcairn' >\u00celes Pitcairn<\/option><option value='\u00celes Salomon' >\u00celes Salomon<\/option><option value='\u00celes Turques et Ca\u00efques' >\u00celes Turques et Ca\u00efques<\/option><option value='\u00celes Vierges am\u00e9ricaines' >\u00celes Vierges am\u00e9ricaines<\/option><option value='\u00celes Vierges britanniques' >\u00celes Vierges britanniques<\/option><option value='\u00celes de Svalbard et Jan Mayen' >\u00celes de Svalbard et Jan Mayen<\/option><option value='\u00celes mineures am\u00e9ricaines' >\u00celes mineures am\u00e9ricaines<\/option><option value='\u00celes \u00c5land' >\u00celes \u00c5land<\/option><\/select>\n                                        <label for='input_10_4_6' id='input_10_4_6_label' class='gform-field-label gform-field-label--type-sub '>Pays<\/label>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><div id=\"field_10_5\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_10_5\" ><label class='gfield_label gform-field-label' for='input_10_5'>4. BTW Nummer<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_10_5'>Vul het BTW-nummer in<\/div><div class='ginput_container ginput_container_text'><input name='input_5' id='input_10_5' type='text' value='' class='medium'  aria-describedby=\"gfield_description_10_5\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_10_15\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_10_15\" ><label class='gfield_label gform-field-label' for='input_10_15'>5. E-mailadres<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_10_15'>Vul het e-mail adres in<\/div><div class='ginput_container ginput_container_email'>\n                            <input name='input_15' id='input_10_15' type='email' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_10_15\" \/>\n                        <\/div><\/div><div id=\"field_10_6\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_10_6\" ><label class='gfield_label gform-field-label' for='input_10_6'>6. GSM<\/label><div class='gfield_description' id='gfield_description_10_6'>Vul het mobiele nummer in<\/div><div class='ginput_container ginput_container_phone'><input name='input_6' id='input_10_6' type='tel' value='' class='medium'    aria-invalid=\"false\" aria-describedby=\"gfield_description_10_6\"  \/><\/div><\/div><div id=\"field_10_7\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_10_7\" ><label class='gfield_label gform-field-label' for='input_10_7'>7. Telefoonnummer<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_10_7'>Vul het vaste telefoonnummer in<\/div><div class='ginput_container ginput_container_phone'><input name='input_7' id='input_10_7' type='tel' value='' class='medium'   aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_10_7\"  \/><\/div><\/div><fieldset id=\"field_10_8\" class=\"gfield gfield--type-post_image gfield--input-type-post_image gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_10_8\" ><legend class='gfield_label gform-field-label' >8. Bedrijfslogo opladen<\/legend><div class='gfield_description' id='gfield_description_10_8'>Laadt hier je bedrijfslogo op<\/div><div class='ginput_complex ginput_container ginput_container_post_image gform-grid-row'><span class='ginput_full gform-grid-col'><input name='input_8' id='input_10_8' type='file' class='large'   aria-invalid=\"false\" aria-describedby=\"extensions_message_10_8 gfield_description_10_8\" \/><span id='extensions_message_10_8' class='gfield_description gform_fileupload_rules'>Types de fichiers accept\u00e9s : jpg, jpeg, png, gif.<\/span><\/span><\/div><\/fieldset><div id=\"field_10_9\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_10_9\" ><label class='gfield_label gform-field-label' for='input_10_9'>9. Waar koopt u aan?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_9' id='input_10_9' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Maak een keuze' >Maak een keuze<\/option><option value='Al-Boreno BVBA' >Al-Boreno BVBA<\/option><option value='Altena Steenhandel BV' >Altena Steenhandel BV<\/option><option value='Alu-Coating bv' >Alu-Coating bv<\/option><option value='Alumasa' >Alumasa<\/option><option value='Badhoevese Bouwmaterialenhandel B.V.' >Badhoevese Bouwmaterialenhandel B.V.<\/option><option value='Bakker Tegels en Badkamers B.V.' >Bakker Tegels en Badkamers B.V.<\/option><option value='Benx Ltd' >Benx Ltd<\/option><option value='BMB Bouwmaterialen' >BMB Bouwmaterialen<\/option><option value='Bouwmaterialen Jos Ari\u00ebs VOF' >Bouwmaterialen Jos Ari\u00ebs VOF<\/option><option value='Bouwmaterialen Muris &amp; Zoon B.V.' >Bouwmaterialen Muris &amp; Zoon B.V.<\/option><option value='Bouwmaterialenhandel de Bedijking B.V.' >Bouwmaterialenhandel de Bedijking B.V.<\/option><option value='Bouwmaterialenhandel Overkamp Meddo NV' >Bouwmaterialenhandel Overkamp Meddo NV<\/option><option value='BPG' >BPG<\/option><option value='B\u00fcller Bouwmaterialen B.V.' >B\u00fcller Bouwmaterialen B.V.<\/option><option value='BV Roermondse Bouwmaterialenhandel R.B.H' >BV Roermondse Bouwmaterialenhandel R.B.H<\/option><option value='Carlens Houthandel' >Carlens Houthandel<\/option><option value='Chris Mayer VOF' >Chris Mayer VOF<\/option><option value='Copex' >Copex<\/option><option value='De Eerste Wassenaarse' >De Eerste Wassenaarse<\/option><option value='De Hillegomse en Hillegomsche Houthandel' >De Hillegomse en Hillegomsche Houthandel<\/option><option value='de Hilver Bouwmaterialen BV' >de Hilver Bouwmaterialen BV<\/option><option value='De Koninck' >De Koninck<\/option><option value='De Pannenloods Bouwmaterialen B.V.' >De Pannenloods Bouwmaterialen B.V.<\/option><option value='Den Helder' >Den Helder<\/option><option value='DHK' >DHK<\/option><option value='Diederen Hout- en Bouwmaterialen B.V.' >Diederen Hout- en Bouwmaterialen B.V.<\/option><option value='Fa\u00e7opro' >Fa\u00e7opro<\/option><option value='FZ' >FZ<\/option><option value='G. Wijnands Bouwmaterialen B.V.' >G. Wijnands Bouwmaterialen B.V.<\/option><option value='Gebr. Verkoelen B.V.' >Gebr. Verkoelen B.V.<\/option><option value='Gecko bv' >Gecko bv<\/option><option value='Geurts van Bergen BV' >Geurts van Bergen BV<\/option><option value='Govers Bouwmaterialen Oss B.V.' >Govers Bouwmaterialen Oss B.V.<\/option><option value='Hermans-Vermeulen' >Hermans-Vermeulen<\/option><option value='Heurkens Bouwmaterialen B.V.' >Heurkens Bouwmaterialen B.V.<\/option><option value='Hormes Bouwmaterialen' >Hormes Bouwmaterialen<\/option><option value='Hout- en Bouwmaterialenhandel Mendel' >Hout- en Bouwmaterialenhandel Mendel<\/option><option value='Hout- en Bouwmaterialenhandel van Erp BV' >Hout- en Bouwmaterialenhandel van Erp BV<\/option><option value='Hout- en Bouwproducten van Drimmelen BV' >Hout- en Bouwproducten van Drimmelen BV<\/option><option value='Houthandel De Graafschap' >Houthandel De Graafschap<\/option><option value='Houthandel de Vechtstreek' >Houthandel de Vechtstreek<\/option><option value='J&amp;W Bouwpartners' >J&amp;W Bouwpartners<\/option><option value='Jansen' >Jansen<\/option><option value='Jansen Riemst' >Jansen Riemst<\/option><option value='Jon Toebast Tegels en Sanitair' >Jon Toebast Tegels en Sanitair<\/option><option value='Jules Frans' >Jules Frans<\/option><option value='Jules Frans Willebroek' >Jules Frans Willebroek<\/option><option value='Knapen' >Knapen<\/option><option value='Kombi Bouwmaterialen Uden BV' >Kombi Bouwmaterialen Uden BV<\/option><option value='Kwabo-Techniek BV' >Kwabo-Techniek BV<\/option><option value='Lempens Bouwmaterialen VOF' >Lempens Bouwmaterialen VOF<\/option><option value='Limburgse Bouwmaterialen BV' >Limburgse Bouwmaterialen BV<\/option><option value='Marcel Segers &amp; Zn' >Marcel Segers &amp; Zn<\/option><option value='Marchand De Fer' >Marchand De Fer<\/option><option value='MB Daisera' >MB Daisera<\/option><option value='Metaalhandel Delrue' >Metaalhandel Delrue<\/option><option value='Mierlose Bouwmaterialen' >Mierlose Bouwmaterialen<\/option><option value='Morssink Bouwmaterialen B.V.' >Morssink Bouwmaterialen B.V.<\/option><option value='Nieuw Leven' >Nieuw Leven<\/option><option value='Paul Roefs' >Paul Roefs<\/option><option value='Peter\u2019s Hout BV' >Peter\u2019s Hout BV<\/option><option value='Peters Hout &amp; Bouwmaterialen' >Peters Hout &amp; Bouwmaterialen<\/option><option value='Regts BV' >Regts BV<\/option><option value='Reynaers Aluminium' >Reynaers Aluminium<\/option><option value='Rijvo Tegelhandel BV' >Rijvo Tegelhandel BV<\/option><option value='Schoute Bouwmaterialen B.V.' >Schoute Bouwmaterialen B.V.<\/option><option value='Schutboom Bouwmaterialen' >Schutboom Bouwmaterialen<\/option><option value='Sieben B.V.' >Sieben B.V.<\/option><option value='Snel BV' >Snel BV<\/option><option value='ST. Middelkoop en Zn. B.V.' >ST. Middelkoop en Zn. B.V.<\/option><option value='Thiessens BV' >Thiessens BV<\/option><option value='Tulp-Bijl Hout en Bouwstoffen Import' >Tulp-Bijl Hout en Bouwstoffen Import<\/option><option value='Uniconstruct' >Uniconstruct<\/option><option value='Van den Oetelaar B.V.' >Van den Oetelaar B.V.<\/option><option value='Van der Meulen Hout- en Bouwmaterialen B.V.' >Van der Meulen Hout- en Bouwmaterialen B.V.<\/option><option value='Van der Pol Bouwmaterialen &amp; Tegelhandel' >Van der Pol Bouwmaterialen &amp; Tegelhandel<\/option><option value='Veldhovense Bouwmaterialen B.V.' >Veldhovense Bouwmaterialen B.V.<\/option><option value='W. Pieper Bouwmaterialenhandel B.V.' >W. Pieper Bouwmaterialenhandel B.V.<\/option><option value='Wiecherink Bouwmaterialen B.V.' >Wiecherink Bouwmaterialen B.V.<\/option><option value='Wijnen Bouwmaterialen BV' >Wijnen Bouwmaterialen BV<\/option><option value='Witmix B.V.' >Witmix B.V.<\/option><option value='XL Panel' >XL Panel<\/option><option value='XLWood B.V.' >XLWood B.V.<\/option><option value='Zierikzeesche Houthandel' >Zierikzeesche Houthandel<\/option><\/select><\/div><\/div><div id=\"field_10_10\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_10_10\" ><label class='gfield_label gform-field-label' for='input_10_10'>10. Aantal personeelsleden<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_10_10'>Vul het aantal personeelsleden in<\/div><div class='ginput_container ginput_container_number'><input name='input_10' id='input_10_10' type='number' step='any'   value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_10_10\" \/><\/div><\/div><div id=\"field_10_11\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_10_11\" ><label class='gfield_label gform-field-label' for='input_10_11'>11. Grootte van de werven<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_11' id='input_10_11' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Kies een oppervlakte' >Kies een oppervlakte<\/option><option value='tot 150m\u00b2' >tot 150m\u00b2<\/option><option value='150m\u00b2 tot 350m\u00b2' >150m\u00b2 tot 350m\u00b2<\/option><option value='350m\u00b2 tot 500m\u00b2' >350m\u00b2 tot 500m\u00b2<\/option><option value='500m\u00b2 tot 1.000m\u00b2' >500m\u00b2 tot 1.000m\u00b2<\/option><option value='1.000m\u00b2 tot 2.500m' >1.000m\u00b2 tot 2.500m<\/option><option value='2.500m\u00b2 en meer' >2.500m\u00b2 en meer<\/option><\/select><\/div><\/div><fieldset id=\"field_10_12\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_10_12\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >12. Type gevelmaterialen:<\/legend><div class='gfield_description' id='gfield_description_10_12'>Vul in welke materialen er worden gebruikt voor gevels<\/div><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_10_12'><div class='gchoice gchoice_10_12_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_12.1' type='checkbox'  value='Hout'  id='choice_10_12_1'   aria-describedby=\"gfield_description_10_12\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_10_12_1' id='label_10_12_1' class='gform-field-label gform-field-label--type-inline'>Hout<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_10_12_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_12.2' type='checkbox'  value='Aluminium'  id='choice_10_12_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_12_2' id='label_10_12_2' class='gform-field-label gform-field-label--type-inline'>Aluminium<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_10_12_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_12.3' type='checkbox'  value='Gevelpanelen'  id='choice_10_12_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_12_3' id='label_10_12_3' class='gform-field-label gform-field-label--type-inline'>Gevelpanelen<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_10_12_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_12.4' type='checkbox'  value='Andere'  id='choice_10_12_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_12_4' id='label_10_12_4' class='gform-field-label gform-field-label--type-inline'>Andere<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_10_13\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_10_13\" ><label class='gfield_label gform-field-label' for='input_10_13'>Indien andere, geef hier aan welke<\/label><div class='ginput_container ginput_container_text'><input name='input_13' id='input_10_13' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_10_22\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_10_22\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >13. Regio&#039;s<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_10_22'><div class='gchoice gchoice_10_22_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_22.1' type='checkbox'  value='West-Vlaanderen'  id='choice_10_22_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_22_1' id='label_10_22_1' class='gform-field-label gform-field-label--type-inline'>West-Vlaanderen<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_10_22_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_22.2' type='checkbox'  value='Oost-Vlaanderen'  id='choice_10_22_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_22_2' id='label_10_22_2' class='gform-field-label gform-field-label--type-inline'>Oost-Vlaanderen<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_10_22_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_22.3' type='checkbox'  value='Antwerpen'  id='choice_10_22_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_22_3' id='label_10_22_3' class='gform-field-label gform-field-label--type-inline'>Antwerpen<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_10_22_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_22.4' type='checkbox'  value='Vlaams-Brabant'  id='choice_10_22_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_22_4' id='label_10_22_4' class='gform-field-label gform-field-label--type-inline'>Vlaams-Brabant<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_10_22_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_22.5' type='checkbox'  value='Limburg'  id='choice_10_22_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_22_5' id='label_10_22_5' class='gform-field-label gform-field-label--type-inline'>Limburg<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_10_22_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_22.6' type='checkbox'  value='Henegouwen'  id='choice_10_22_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_22_6' id='label_10_22_6' class='gform-field-label gform-field-label--type-inline'>Henegouwen<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_10_22_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_22.7' type='checkbox'  value='Waals-Brabant'  id='choice_10_22_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_22_7' id='label_10_22_7' class='gform-field-label gform-field-label--type-inline'>Waals-Brabant<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_10_22_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_22.8' type='checkbox'  value='Namen'  id='choice_10_22_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_22_8' id='label_10_22_8' class='gform-field-label gform-field-label--type-inline'>Namen<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_10_22_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_22.9' type='checkbox'  value='Luik'  id='choice_10_22_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_22_9' id='label_10_22_9' class='gform-field-label gform-field-label--type-inline'>Luik<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_10_22_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_22.11' type='checkbox'  value='Luxemburg'  id='choice_10_22_11'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_22_11' id='label_10_22_11' class='gform-field-label gform-field-label--type-inline'>Luxemburg<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_10_16\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_10_16\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >14. Andere diensten?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_10_16'>Vul in welke andere diensten het bedrijf aanbiedt<\/div><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_10_16'><div class='gchoice gchoice_10_16_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_16.1' type='checkbox'  value='Renoveren'  id='choice_10_16_1'   aria-describedby=\"gfield_description_10_16\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_10_16_1' id='label_10_16_1' class='gform-field-label gform-field-label--type-inline'>Renoveren<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_10_16_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_16.2' type='checkbox'  value='Nieuwbouw'  id='choice_10_16_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_16_2' id='label_10_16_2' class='gform-field-label gform-field-label--type-inline'>Nieuwbouw<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_10_16_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_16.3' type='checkbox'  value='Dakwerken'  id='choice_10_16_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_16_3' id='label_10_16_3' class='gform-field-label gform-field-label--type-inline'>Dakwerken<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_10_16_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_16.4' type='checkbox'  value='Vloerinstallaties'  id='choice_10_16_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_16_4' id='label_10_16_4' class='gform-field-label gform-field-label--type-inline'>Vloerinstallaties<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_10_16_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_16.5' type='checkbox'  value='Andere'  id='choice_10_16_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_16_5' id='label_10_16_5' class='gform-field-label gform-field-label--type-inline'>Andere<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_10_17\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_10_17\" ><label class='gfield_label gform-field-label' for='input_10_17'>Indien andere, geef hier aan welke<\/label><div class='ginput_container ginput_container_text'><input name='input_17' id='input_10_17' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_10_19\" class=\"gfield gfield--type-website gfield--input-type-website gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_10_19\" ><label class='gfield_label gform-field-label' for='input_10_19'>15. Link naar website<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_10_19'>Vul de URL van de bedrijfswebsite in<\/div><div class='ginput_container ginput_container_website'>\n                    <input name='input_19' id='input_10_19' type='url' value='https:\/\/' class='medium'  aria-describedby=\"gfield_description_10_19\"  placeholder='https:\/\/' aria-required=\"true\" aria-invalid=\"false\"\/>\n                <\/div><\/div><fieldset id=\"field_10_18\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_10_18\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >16. Soorten klanten<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_10_18'>Vul in welke andere diensten het bedrijf aanbiedt<\/div><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_10_18'><div class='gchoice gchoice_10_18_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_18.1' type='checkbox'  value='Particulier'  id='choice_10_18_1'   aria-describedby=\"gfield_description_10_18\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_10_18_1' id='label_10_18_1' class='gform-field-label gform-field-label--type-inline'>Particulier<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_10_18_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_18.2' type='checkbox'  value='Aannemers'  id='choice_10_18_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_18_2' id='label_10_18_2' class='gform-field-label gform-field-label--type-inline'>Aannemers<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_10_18_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_18.3' type='checkbox'  value='Architecten'  id='choice_10_18_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_18_3' id='label_10_18_3' class='gform-field-label gform-field-label--type-inline'>Architecten<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_10_18_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_18.4' type='checkbox'  value='Overheid'  id='choice_10_18_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_18_4' id='label_10_18_4' class='gform-field-label gform-field-label--type-inline'>Overheid<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_10_18_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_18.5' type='checkbox'  value='Andere'  id='choice_10_18_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_18_5' id='label_10_18_5' class='gform-field-label gform-field-label--type-inline'>Andere<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_10_23\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_10_23\" ><label class='gfield_label gform-field-label' for='input_10_23'>Indien andere, geef hier aan welke<\/label><div class='ginput_container ginput_container_text'><input name='input_23' id='input_10_23' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/div><\/div><\/div>\n        <div class='gform-footer gform_footer top_label'> <input type='submit' id='gform_submit_button_10' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' value='Envoyer'  \/> \n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_10' value='postback' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_10' id='gform_theme_10' value='gravity-theme' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_10' id='gform_style_settings_10' value='' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_10' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='10' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_10' 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