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De Nieuwe Versnelling

De Nieuwe Versnelling

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<!-- Note : - You can modify the font style and form style to suit your website. - Code lines with comments ���Do not remove this code��� are required for the form to work properly, make sure that you do not remove these lines of code. - The Mandatory check script can modified as to suit your business needs. - It is important that you test the modified form before going live.--> <div id='crmWebToEntityForm' style='width:600px;margin:auto;'> <META HTTP-EQUIV ='content-type' CONTENT='text/html;charset=UTF-8'> <form action='https://crm.zoho.com/crm/WebToLeadForm' name=WebToLeads2451370000033157208 method='POST' onSubmit='javascript:document.charset="UTF-8"; return checkMandatory2451370000033157208()' accept-charset='UTF-8'> <input type='text' style='display:none;' name='xnQsjsdp' value='b5099af9819805731f3141a5edab42fa0dc0aacc19f27a046a0d81e6849cc4cd'> </input> <input type='hidden' name='zc_gad' id='zc_gad' value=''> </input> <input type='text' style='display:none;' name='xmIwtLD' value='89476bdd56ee0970ea62bd4c534b3cfa4b0dac0c064a6a63503aa0262dd09507'> </input> <input type='text' style='display:none;' name='actionType' value='TGVhZHM='> </input> <input type='text' style='display:none;' name='returnURL' value='https://denieuwedokken.be/succes' > </input> <br> </br> <!-- Do not remove this code. --> <style> #crmWebToEntityForm tr , #crmWebToEntityForm td { padding:6px; border-spacing:0px; border-width:0px; } </style> <table style='width:600px;background-color:#ffffff;background-color:white;color:black'> <tr> <td colspan='2' align='left' style='color:black;font-family:Arial;font-size:14px;word-break: break-word;'><strong>Webform DND</strong></td> </tr> <br> </br> <tr> <td style='word-break: break-word;text-align:left;font-size:12px;font-family:Arial;width:30%;'>Voornaam<span style='color:red;'>*</span></td> <td style='width:40%;' ><input type='text' style='width:100%;box-sizing:border-box;' maxlength='40' name='First Name' /></td> <td style='width:30%;'></td> </tr> <tr> <td style='word-break: break-word;text-align:left;font-size:12px;font-family:Arial;width:30%;'>Naam<span style='color:red;'>*</span></td> <td style='width:40%;' ><input type='text' style='width:100%;box-sizing:border-box;' maxlength='80' name='Last Name' /></td> <td style='width:30%;'></td> </tr> <tr> <td style='word-break: break-word;text-align:left;font-size:12px;font-family:Arial;width:30%;'>E-mailadres<span style='color:red;'>*</span></td> <td style='width:40%;' ><input type='text' style='width:100%;box-sizing:border-box;' maxlength='100' name='Email' /></td> <td style='width:30%;'></td> </tr> <tr> <td style='word-break: break-word;text-align:left;font-size:12px;font-family:Arial;width:30%;'>Telefoonnummer<span style='color:red;'>*</span></td> <td style='width:40%;' ><input type='text' style='width:100%;box-sizing:border-box;' maxlength='30' name='Phone' /></td> <td style='width:30%;'></td> </tr> <tr> <td style='word-break: break-word;text-align:left;font-size:12px;font-family:Arial;width:30%;'>Ik heb interesse</td> <td style='width:40%;'><select style='width:100%;box-sizing:border-box;' name='LEADCF15' multiple> <option value='Buy&#x20;residential'>in de residentiele woningen</option> <option value='Buy&#x20;commercial'>in de commerciële ruimtes</option> <option value='Buy&#x20;budget'>in de budgetwoningen</option> <option value='Investeren'>om te investeren</option> <option value='Stay&#x20;informed'>om verder geïnformeerd te worden</option> </select></td> <td style='width:30%;'></td> </tr> <tr style='display:none;' > <td style='word-break: break-word;text-align:left;font-size:12px;font-family:Arial;width:30%'>Gebouw</td> <td style='width:40%;'><select style='width:100%;box-sizing:border-box;' name='LEADCF5'> <option value='-None-'>-None-</option> <option value='Bijoux&#x20;&#x2D;&#x20;DNDG'>Bijoux</option> <option value='Pergola&#x20;&#x2D;&#x20;DNDG'>Pergola</option> <option value='Faar&#x20;&#x2D;&#x20;DNDG'>Faar</option> <option value='Dubbeltuupe&#x20;&#x2D;&#x20;DNDG'>Dubbeltuupe</option> <option value='Dames&#x20;&#x26;&#x20;heren&#x20;&#x2D;&#x20;DNDG'>Dames en heren</option> </select></td> <td style='width:30%;'></td> </tr> <tr style='display:none;' > <td style='word-break: break-word;text-align:left;font-size:12px;font-family:Arial;width:30%'>Lead Source</td> <td style='width:40%;'><select style='width:100%;box-sizing:border-box;' name='Lead Source'> <option value='-None-'>-None-</option> <option value='Adwords'>Adwords</option> <option value='brochure&#x20;download'>brochure download</option> <option value='CAAAP&#x20;web&#x20;form'>CAAAP web form</option> <option value='Email'>Email</option> <option value='Event'>Event</option> <option value='Eventbrite'>Eventbrite</option> <option value='Facebook'>Facebook</option> <option value='Facebook&#x20;Form'>Facebook Form</option> <option value='Folders&#x20;&amp;&#x20;Flyers'>Folders &amp; 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