{"id":22161,"date":"2020-06-27T21:08:40","date_gmt":"2020-06-27T19:08:40","guid":{"rendered":"https:\/\/serviclean.be\/schoonmaak-offerte\/"},"modified":"2025-11-15T21:38:54","modified_gmt":"2025-11-15T20:38:54","slug":"schoonmaak-offerte","status":"publish","type":"page","link":"https:\/\/serviclean.be\/nl\/schoonmaak-offerte\/","title":{"rendered":"Schoonmaak offerte"},"content":{"rendered":"<h1>Gratis offerte<\/h1>\n<script type=\"text\/javascript\">if(!gform){document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0});var gform={domLoaded:!1,scriptsLoaded:!1,initializeOnLoaded:function(o){gform.domLoaded&&gform.scriptsLoaded?o():!gform.domLoaded&&gform.scriptsLoaded?window.addEventListener(\"DOMContentLoaded\",o):document.addEventListener(\"gform_main_scripts_loaded\",o)},hooks:{action:{},filter:{}},addAction:function(o,n,r,t){gform.addHook(\"action\",o,n,r,t)},addFilter:function(o,n,r,t){gform.addHook(\"filter\",o,n,r,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,n){gform.removeHook(\"action\",o,n)},removeFilter:function(o,n,r){gform.removeHook(\"filter\",o,n,r)},addHook:function(o,n,r,t,i){null==gform.hooks[o][n]&&(gform.hooks[o][n]=[]);var e=gform.hooks[o][n];null==i&&(i=n+\"_\"+e.length),null==t&&(t=10),gform.hooks[o][n].push({tag:i,callable:r,priority:t})},doHook:function(o,n,r){if(r=Array.prototype.slice.call(r,1),null!=gform.hooks[o][n]){var t,i=gform.hooks[o][n];i.sort(function(o,n){return o.priority-n.priority});for(var e=0;e<i.length;e++)\"function\"!=typeof(t=i[e].callable)&&(t=window[t]),\"action\"==o?t.apply(null,r):r[0]=t.apply(null,r)}if(\"filter\"==o)return r[0]},removeHook:function(o,n,r,t){if(null!=gform.hooks[o][n])for(var i=gform.hooks[o][n],e=i.length-1;0<=e;e--)null!=t&&t!=i[e].tag||null!=r&&r!=i[e].priority||i.splice(e,1)}}}<\/script>\n                <div class='gf_browser_gecko gform_wrapper gform_legacy_markup_wrapper' id='gform_wrapper_12' ><div id='gf_12' class='gform_anchor' tabindex='-1'><\/div><form method='post' enctype='multipart\/form-data'  id='gform_12'  action='\/nl\/wp-json\/wp\/v2\/pages\/22161#gf_12' novalidate>\n        <div id='gf_progressbar_wrapper_12' class='gf_progressbar_wrapper'>\n        \t<h3 class=\"gf_progressbar_title\">Stap <span class='gf_step_current_page'>1<\/span> van <span class='gf_step_page_count'>5<\/span> - Keuze van diensten\n        \t<\/h3>\n            <div class='gf_progressbar gf_progressbar_green' aria-hidden='true'>\n                <div class='gf_progressbar_percentage percentbar_green percentbar_20' style='width:20%;'><span>20%<\/span><\/div>\n            <\/div><\/div>\n                        <div class='gform_body gform-body'><div id='gform_page_12_1' class='gform_page' >\n                                    <div class='gform_page_fields'><ul id='gform_fields_12' class='gform_fields top_label form_sublabel_below description_below'><li id=\"field_12_12\" class=\"gfield gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible\" >Indien u een offerte wenst voor een van onze diensten, gelieve onderstaand formulier in te vullen.<\/li><li id=\"field_12_13\" class=\"gfield gf_list_2col gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><label class='gfield_label'  >Voor welke schoonmaakdienst wilt u een offerte?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_12_13'>\n\t\t\t<li class='gchoice gchoice_12_13_0'>\n\t\t\t\t<input name='input_13' type='radio' value='Kantoorschoonmaak'  id='choice_12_13_0'    \/>\n\t\t\t\t<label for='choice_12_13_0' id='label_12_13_0'>Kantoorschoonmaak<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_12_13_1'>\n\t\t\t\t<input name='input_13' type='radio' value='Commerci\u00eble schoonmaak'  id='choice_12_13_1'    \/>\n\t\t\t\t<label for='choice_12_13_1' id='label_12_13_1'>Commerci\u00eble schoonmaak<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_12_13_2'>\n\t\t\t\t<input name='input_13' type='radio' value='HORECA schoonmaak'  id='choice_12_13_2'    \/>\n\t\t\t\t<label for='choice_12_13_2' id='label_12_13_2'>HORECA schoonmaak<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_12_13_3'>\n\t\t\t\t<input name='input_13' type='radio' value='Reiniging zonnepanelen'  id='choice_12_13_3'    \/>\n\t\t\t\t<label for='choice_12_13_3' id='label_12_13_3'>Reiniging zonnepanelen<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_12_13_4'>\n\t\t\t\t<input name='input_13' type='radio' value='Ramen wassen'  id='choice_12_13_4'    \/>\n\t\t\t\t<label for='choice_12_13_4' id='label_12_13_4'>Ramen wassen<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_12_13_5'>\n\t\t\t\t<input name='input_13' type='radio' value='Schoonmaak appartementen \/ huizen'  id='choice_12_13_5'    \/>\n\t\t\t\t<label for='choice_12_13_5' id='label_12_13_5'>Schoonmaak appartementen \/ huizen<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_12_13_6'>\n\t\t\t\t<input name='input_13' type='radio' value='Einde bouw schoonmaak'  id='choice_12_13_6'    \/>\n\t\t\t\t<label for='choice_12_13_6' id='label_12_13_6'>Einde bouw schoonmaak<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_12_13_7'>\n\t\t\t\t<input name='input_13' type='radio' value='Stoomkamer &amp; apparatuur desinfectie'  id='choice_12_13_7'    \/>\n\t\t\t\t<label for='choice_12_13_7' id='label_12_13_7'>Stoomkamer &amp; apparatuur desinfectie<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_12_13_8'>\n\t\t\t\t<input name='input_13' type='radio' value='Reiniging van gemeenschappelijke ruimtes van gebouwen'  id='choice_12_13_8'    \/>\n\t\t\t\t<label for='choice_12_13_8' id='label_12_13_8'>Reiniging van gemeenschappelijke ruimtes van gebouwen<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_12_13_9'>\n\t\t\t\t<input name='input_13' type='radio' value='Parkeerplaats schoonmaak'  id='choice_12_13_9'    \/>\n\t\t\t\t<label for='choice_12_13_9' id='label_12_13_9'>Parkeerplaats schoonmaak<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_12_13_10'>\n\t\t\t\t<input name='input_13' type='radio' value='Schoonmaak voor\/na verhuizing'  id='choice_12_13_10'    \/>\n\t\t\t\t<label for='choice_12_13_10' id='label_12_13_10'>Schoonmaak voor\/na verhuizing<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                         <input type='button' id='gform_next_button_12_2' class='gform_next_button button' value='volgend'  onclick='jQuery(\"#gform_target_page_number_12\").val(\"2\");  jQuery(\"#gform_12\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_12\").val(\"2\");  jQuery(\"#gform_12\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_12_2' class='gform_page' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_12_2' class='gform_fields top_label form_sublabel_below description_below'><li id=\"field_12_14\" class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><label class='gfield_label'  >Hoe vaak wil je schoonmaken?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_12_14'>\n\t\t\t<li class='gchoice gchoice_12_14_0'>\n\t\t\t\t<input name='input_14' type='radio' value='Dagelijks'  id='choice_12_14_0'    \/>\n\t\t\t\t<label for='choice_12_14_0' id='label_12_14_0'>Dagelijks<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_12_14_1'>\n\t\t\t\t<input name='input_14' type='radio' value='Meerdere keren per week'  id='choice_12_14_1'    \/>\n\t\t\t\t<label for='choice_12_14_1' id='label_12_14_1'>Meerdere keren per week<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_12_14_2'>\n\t\t\t\t<input name='input_14' type='radio' value='Een keer per week'  id='choice_12_14_2'    \/>\n\t\t\t\t<label for='choice_12_14_2' id='label_12_14_2'>Een keer per week<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_12_14_3'>\n\t\t\t\t<input name='input_14' type='radio' value='Een of meerdere keren per maand'  id='choice_12_14_3'    \/>\n\t\t\t\t<label for='choice_12_14_3' id='label_12_14_3'>Een of meerdere keren per maand<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_12_14_4'>\n\t\t\t\t<input name='input_14' type='radio' value='Af en toe'  id='choice_12_14_4'    \/>\n\t\t\t\t<label for='choice_12_14_4' id='label_12_14_4'>Af en toe<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_12_6' class='gform_previous_button button' value='vorig'  onclick='jQuery(\"#gform_target_page_number_12\").val(\"1\");  jQuery(\"#gform_12\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_12\").val(\"1\");  jQuery(\"#gform_12\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_12_6' class='gform_next_button button' value='volgend'  onclick='jQuery(\"#gform_target_page_number_12\").val(\"3\");  jQuery(\"#gform_12\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_12\").val(\"3\");  jQuery(\"#gform_12\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_12_3' class='gform_page' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_12_3' class='gform_fields top_label form_sublabel_below description_below'><li id=\"field_12_8\" class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><label class='gfield_label gfield_label_before_complex'  >Wat is de oppervlakte van het betreffende pand?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_12_8'><li class='gchoice gchoice_12_8_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_8.1' type='checkbox'  value='Minder dan 100 m\u00b2'  id='choice_12_8_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_12_8_1' id='label_12_8_1'>Minder dan 100 m\u00b2<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_12_8_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_8.2' type='checkbox'  value='Van 100 m\u00b2 tot 200 m\u00b2'  id='choice_12_8_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_12_8_2' id='label_12_8_2'>Van 100 m\u00b2 tot 200 m\u00b2<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_12_8_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_8.3' type='checkbox'  value='Van 200 m\u00b2 tot 500 m\u00b2'  id='choice_12_8_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_12_8_3' id='label_12_8_3'>Van 200 m\u00b2 tot 500 m\u00b2<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_12_8_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_8.4' type='checkbox'  value='Van 500 m\u00b2 tot 2500 m\u00b2'  id='choice_12_8_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_12_8_4' id='label_12_8_4'>Van 500 m\u00b2 tot 2500 m\u00b2<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_12_8_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_8.5' type='checkbox'  value='2500 m\u00b2 meer'  id='choice_12_8_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_12_8_5' id='label_12_8_5'>2500 m\u00b2 meer<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_12_15' class='gform_previous_button button' value='vorig'  onclick='jQuery(\"#gform_target_page_number_12\").val(\"2\");  jQuery(\"#gform_12\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_12\").val(\"2\");  jQuery(\"#gform_12\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_12_15' class='gform_next_button button' value='volgend'  onclick='jQuery(\"#gform_target_page_number_12\").val(\"4\");  jQuery(\"#gform_12\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_12\").val(\"4\");  jQuery(\"#gform_12\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_12_4' class='gform_page' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_12_4' class='gform_fields top_label form_sublabel_below description_below'><li id=\"field_12_26\" class=\"gfield gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible\" >Kies de datum en tijd zodat onze vertegenwoordiger de locatie kan bezoeken en de werkzaamheden kan beoordelen\nom een offerte op maat te maken. U ontvangt binnen 24 uur na ons bezoek een reactie op uw offerte.<\/li><li id=\"field_12_22\" class=\"gfield gf_left_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><label class='gfield_label' for='input_12_22' >Bezoekdatum<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_22' id='input_12_22' type='text' value='' class='datepicker dmy datepicker_with_icon gdatepicker_with_icon'   placeholder='dd\/mm\/jjjj' aria-describedby=\"input_12_22_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_12_22_date_format' class='screen-reader-text'>DD slash MM slash JJJJ<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_12_22' class='gform_hidden' value='https:\/\/serviclean.be\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_12_23\" class=\"gfield gf_right_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><label class='gfield_label gfield_label_before_complex'  >bezoektijd<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class=\"ginput_complex\"><div class=\"clear-multi\">\n                        <div class='gfield_time_hour ginput_container ginput_container_time' id='input_12_23'>\n                            <input type='number' maxlength='2' name='input_23[]' id='input_12_23_1' value=''  min='0' max='24' step='1'  placeholder='UU' aria-required='true'   \/> <i>:<\/i>\n                            <label class='hour_label screen-reader-text' for='input_12_23_1' >Uren<\/label>\n                        <\/div>\n                        \n                        <div class='gfield_time_minute ginput_container ginput_container_time'>\n                            <input type='number' maxlength='2' name='input_23[]' id='input_12_23_2' value=''  min='0' max='59' step='1'  placeholder='MM' aria-required='true'  \/>\n                            <label class='minute_label screen-reader-text' for='input_12_23_2' >Minuten<\/label>\n                        <\/div>\n                        \n                    <\/div><\/div><\/li><li id=\"field_12_16\" class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><label class='gfield_label gfield_label_before_complex'  >Naam van projectmanager<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name' id='input_12_16'>\n                            \n                            <span id='input_12_16_3_container' class='name_first' >\n                                                    <input type='text' name='input_16.3' id='input_12_16_3' value='' aria-label='First name'   aria-required='true'     \/>\n                                                    <label for='input_12_16_3' >Voornaam<\/label>\n                                                <\/span>\n                            \n                            <span id='input_12_16_6_container' class='name_last' >\n                                                    <input type='text' name='input_16.6' id='input_12_16_6' value='' aria-label='Last name'   aria-required='true'     \/>\n                                                    <label for='input_12_16_6' >Achternaam<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_12_18\" class=\"gfield gf_left_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><label class='gfield_label' for='input_12_18' >Telefoon<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_18' id='input_12_18' type='tel' value='' class='medium'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_12_17\" class=\"gfield gf_right_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><label class='gfield_label' for='input_12_17' >E-mail<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_17' id='input_12_17' type='email' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_12_20' class='gform_previous_button button' value='vorig'  onclick='jQuery(\"#gform_target_page_number_12\").val(\"3\");  jQuery(\"#gform_12\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_12\").val(\"3\");  jQuery(\"#gform_12\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_12_20' class='gform_next_button button' value='volgend'  onclick='jQuery(\"#gform_target_page_number_12\").val(\"5\");  jQuery(\"#gform_12\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_12\").val(\"5\");  jQuery(\"#gform_12\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_12_5' class='gform_page' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_12_5' class='gform_fields top_label form_sublabel_below description_below'><li id=\"field_12_19\" class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><label class='gfield_label gfield_label_before_complex'  >Adres van uw pand waar de diensten worden geleverd<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_street has_city has_zip ginput_container_address' id='input_12_19' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1' id='input_12_19_1_container' >\n                                        <input type='text' name='input_19.1' id='input_12_19_1' value=''    aria-required='true'    \/>\n                                        <label for='input_12_19_1' id='input_12_19_1_label' >Adres<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city' id='input_12_19_3_container' >\n                                    <input type='text' name='input_19.3' id='input_12_19_3' value=''    aria-required='true'    \/>\n                                    <label for='input_12_19_3' id='input_12_19_3_label' >Stad<\/label>\n                                 <\/span><input type='hidden' class='gform_hidden' name='input_19.4' id='input_12_19_4' value=''\/><span class='ginput_right address_zip ginput_address_zip' id='input_12_19_5_container' >\n                                    <input type='text' name='input_19.5' id='input_12_19_5' value=''    aria-required='true'    \/>\n                                    <label for='input_12_19_5' id='input_12_19_5_label' >Postcode<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_19.6' id='input_12_19_6' value='Belgique' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_12_27\" class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\" ><label class='gfield_label' for='input_12_27' >Aanvullende informatie (Optioneel)<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_27' id='input_12_27' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_12_28\" class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\" ><label class='gfield_label screen-reader-text' for='input_12_28' ><\/label><div id='input_12_28' class='ginput_container ginput_recaptcha' data-sitekey='6LfcNqoZAAAAACz8VvFGU_ChyOKG3Hp9GEmkifDX'  data-theme='light' data-tabindex='0'  data-badge=''><\/div><\/li><\/ul><\/div>\n        <div class='gform_page_footer top_label'><input type='submit' id='gform_previous_button_12' class='gform_previous_button button' value='vorig'  onclick='if(window[\"gf_submitting_12\"]){return false;}  if( !jQuery(\"#gform_12\")[0].checkValidity || jQuery(\"#gform_12\")[0].checkValidity()){window[\"gf_submitting_12\"]=true;}  ' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_12\"]){return false;} if( !jQuery(\"#gform_12\")[0].checkValidity || jQuery(\"#gform_12\")[0].checkValidity()){window[\"gf_submitting_12\"]=true;}  jQuery(\"#gform_12\").trigger(\"submit\",[true]); }' \/> <input type='submit' id='gform_submit_button_12' class='gform_button button' value='sturen'  onclick='if(window[\"gf_submitting_12\"]){return false;}  if( !jQuery(\"#gform_12\")[0].checkValidity || jQuery(\"#gform_12\")[0].checkValidity()){window[\"gf_submitting_12\"]=true;}  ' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_12\"]){return false;} if( !jQuery(\"#gform_12\")[0].checkValidity || jQuery(\"#gform_12\")[0].checkValidity()){window[\"gf_submitting_12\"]=true;}  jQuery(\"#gform_12\").trigger(\"submit\",[true]); }' \/> \n            <input type='hidden' class='gform_hidden' name='is_submit_12' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='12' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_12' value='WyJbXSIsIjgwODY4YWNlNmRhZjUyZjU3ZmY1ZGIzZTVjMDBkM2EwIl0=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_target_page_number_12' id='gform_target_page_number_12' value='2' \/>\n            <input type='hidden' class='gform_hidden' name='gform_source_page_number_12' id='gform_source_page_number_12' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            \n        <\/div>\n                        <\/div><\/div>\n                        <\/form>\n                        <\/div>\n","protected":false},"excerpt":{"rendered":"<p>Gratis 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