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185.108.112.54  Public Scan

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Submitted URL: http://news.hollandfantaticpromo.nl/re?l=D0Ie59ke8I4co3l8dI4ITlqp6jl0s&s=BGKBEKDMGELBGLBN&req=aff_sub5%3D855370880
Effective URL: https://www.kozijnoffertes.net/?aff_id=1130
Submission: On December 28 via manual from BE — Scanned from NL

Form analysis 1 forms found in the DOM

POST 

<form class="form form--multi-step" id="form-offerte" method="post" action="" role="form">
  <fieldset>
    <div class="c-heading">
      <h1>Vergelijk &amp; bespaar nu</h1>
    </div>
    <div class="form-group row">
      <label for="postalcode" class="col-md-4 col-form-label">Postcode <span class="required">*</span></label>
      <div class="col-md-4">
        <input class="form-control" name="postalcode" id="postalcode" type="text" value="" maxlength="7" placeholder="1234AA">
      </div>
    </div>
    <div class="form-group row">
      <div class="col-md-8 offset-md-4">
        <div class="btn-container">
          <button type="button" class="btn btn-success btn-next" id="next-button-1">Volgende</button>
        </div>
      </div>
    </div>
  </fieldset>
  <fieldset>
    <div class="c-heading">
      <h1>Vergelijk &amp; bespaar nu</h1>
    </div>
    <div class="form-group row mb-4" id="owner-of-house">
      <label for="type_of_roof" class="col-md-4 col-form-label">Ben je eigenaar van de woning? <span class="required">*</span></label>
      <div class="col-md-8 form-input">
        <div class="custom-control custom-radio">
          <input class="custom-control-input" id="owner-yes" name="owner_of_building" type="radio" value="yes">
          <label class="custom-control-label" for="owner-yes">Ja, ik ben eigenaar</label>
        </div>
        <div class="custom-control custom-radio">
          <input class="custom-control-input" id="owner-no-within-6weeks" name="owner_of_building" type="radio" value="short-term">
          <label class="custom-control-label" for="owner-no-within-6weeks">Nee, ik word binnen 6 weken eigenaar</label>
        </div>
        <div class="custom-control custom-radio">
          <input class="custom-control-input" id="owner-no-more-6weeks" name="owner_of_building" type="radio" value="long-term">
          <label class="custom-control-label" for="owner-no-more-6weeks">Nee, ik word over meer dan 6 weken eigenaar</label>
        </div>
        <div class="custom-control custom-radio">
          <input class="custom-control-input" id="owner-no-consider" name="owner_of_building" type="radio" value="no-consider">
          <label class="custom-control-label" for="owner-no-consider">Nee, ik overweeg te gaan kopen</label>
        </div>
        <div class="custom-control custom-radio">
          <input class="custom-control-input" id="owner-no-rent" name="owner_of_building" type="radio" value="no-rent">
          <label class="custom-control-label" for="owner-no-rent">Nee, ik huur</label>
        </div>
        <label class="help-block" for="owner_of_building"></label>
      </div>
    </div>
    <div class="form-group row mb-4" id="frame-type">
      <label for="frame_type" class="col-md-4 col-form-label">In welke kozijnen ben je geïnteresseerd? <span class="required">*</span></label>
      <div class="col-md-8 form-input">
        <div class="custom-control custom-radio">
          <input class="custom-control-input" id="frame-type-plastic" name="frame_type" type="radio" value="plastic">
          <label class="custom-control-label" for="frame-type-plastic">Kunststof kozijnen</label>
        </div>
        <div class="custom-control custom-radio">
          <input class="custom-control-input" id="frame-type-plastic-wood" name="frame_type" type="radio" value="plastic-wood">
          <label class="custom-control-label" for="frame-type-plastic-wood">Kunststof kozijnen met houtlook</label>
        </div>
        <div class="custom-control custom-radio">
          <input class="custom-control-input" id="frame-type-aluminium" name="frame_type" type="radio" value="aluminium">
          <label class="custom-control-label" for="frame-type-aluminium">Aluminium kozijnen</label>
        </div>
        <div class="custom-control custom-radio">
          <input class="custom-control-input" id="frame-type-wood" name="frame_type" type="radio" value="wood">
          <label class="custom-control-label" for="frame-type-wood">Houten kozijnen</label>
        </div>
        <label class="help-block" for="frame_type"></label>
      </div>
    </div>
    <div class="form-group row mb-4">
      <label for="number_of_frames" class="col-md-4 col-form-label">Aantal kozijnen <span class="required">*</span></label>
      <div class="col-md-8">
        <div class="custom-control custom-radio">
          <input class="custom-control-input" id="customRadioInline-5-or-more" name="number_of_frames" type="radio" value="5">
          <label class="custom-control-label" for="customRadioInline-5-or-more">5 of meer</label>
        </div>
        <div class="custom-control custom-radio">
          <input class="custom-control-input" id="customRadioInline-number-frames-4" name="number_of_frames" type="radio" value="4">
          <label class="custom-control-label" for="customRadioInline-number-frames-4">4</label>
        </div>
        <div class="custom-control custom-radio">
          <input class="custom-control-input" id="customRadioInline-number-frames-3" name="number_of_frames" type="radio" value="3">
          <label class="custom-control-label" for="customRadioInline-number-frames-3">3</label>
        </div>
        <div class="custom-control custom-radio">
          <input class="custom-control-input" id="customRadioInline-number-frames-2" name="number_of_frames" type="radio" value="2">
          <label class="custom-control-label" for="customRadioInline-number-frames-2">2</label>
        </div>
        <div class="custom-control custom-radio">
          <input class="custom-control-input" id="customRadioInline-number-frames-1" name="number_of_frames" type="radio" value="1">
          <label class="custom-control-label" for="customRadioInline-number-frames-1">1</label>
        </div>
        <label class="help-block" for="number_of_frames"></label>
      </div>
    </div>
    <div class="form-group row mb-4">
      <label class="col-md-4 col-form-label" for="extra_note">Opmerking</label>
      <div class="col-md-8 form-input">
        <textarea rows="5" placeholder="Geef hier meer informatie over de klus (optioneel)" class="form-control" name="extra_note"></textarea>
      </div>
    </div>
    <div class="form-group row u-margin--top-50">
      <div class="col-md-6 order-md-2">
        <div class="btn-container js-custom-validation align-end">
          <button type="button" class="btn btn-success btn-next" id="next-button-2">Volgende</button>
        </div>
      </div>
      <div class="col-md-6">
        <div class="c-progress">
          <div class="c-progress__bar completed-25"></div>
          <div class="c-progress__content">25% gereed</div>
        </div>
      </div>
    </div>
  </fieldset>
  <fieldset>
    <div class="c-heading">
      <h1>Vergelijk &amp; bespaar nu</h1>
    </div>
    <div class="form-group row">
      <label for="customer_first_name" class="col-md-4 col-form-label">Voornaam <span class="required">*</span></label>
      <div class="col-md-8">
        <input class="form-control" name="customer_first_name" id="customer_first_name" type="text" value="">
      </div>
    </div>
    <div class="form-group row">
      <label for="customer_last_name" class="col-md-4 col-form-label">Achternaam <span class="required">*</span></label>
      <div class="col-md-8">
        <input class="form-control" name="customer_last_name" id="customer_last_name" type="text" value="">
      </div>
    </div>
    <div class="form-group row">
      <label for="customer_postal_code" class="col-md-4 col-form-label">Postcode <span class="required">*</span></label>
      <div class="col-md-4">
        <input class="form-control postal-code-api-input" name="customer_postal_code" id="customer_postal_code" type="text" value="" maxlength="7" placeholder="1234AA">
      </div>
    </div>
    <div class="form-group row">
      <label for="customer_house_number" class="col-md-4 col-form-label">Huisnummer <span class="required">*</span></label>
      <div class="col-md-4">
        <input class="form-control house-number-api-input" name="customer_house_number" id="customer_house_number" type="text" value="">
      </div>
    </div>
    <div class="form-group row">
      <label for="customer_street" class="col-md-4 col-form-label">Straat <span class="required">*</span></label>
      <div class="col-md-8">
        <input class="form-control report-field-street-postal-code-api" name="customer_street" id="customer_street" type="text" value="">
      </div>
    </div>
    <div class="form-group row">
      <label for="customer_city" class="col-md-4 col-form-label">Plaats <span class="required">*</span></label>
      <div class="col-md-8">
        <input class="form-control report-field-city-postal-code-api" name="customer_city" id="customer_city" type="text" value="">
      </div>
    </div>
    <div class="form-group row u-margin--top-50">
      <div class="col-md-6 order-md-2">
        <div class="btn-container js-custom-validation align-end">
          <button type="button" class="btn btn-success btn-next" id="next-button-3">Volgende</button>
        </div>
      </div>
      <div class="col-md-6">
        <div class="c-progress">
          <div class="c-progress__bar completed-50"></div>
          <div class="c-progress__content">50% gereed</div>
        </div>
      </div>
    </div>
  </fieldset>
  <fieldset>
    <div class="c-heading">
      <h1>Vergelijk &amp; bespaar nu</h1>
    </div>
    <div class="form-group row">
      <label for="customer_email_address" class="col-md-4 col-form-label">E-mail <span class="required">*</span></label>
      <div class="col-md-8">
        <input class="form-control" name="customer_email_address" id="customer_email_address" type="Email" value="">
      </div>
    </div>
    <div class="form-group row">
      <label for="customer_phone" class="col-md-4 col-form-label">Telefoon <span class="required">*</span></label>
      <div class="col-md-8">
        <input class="form-control" name="customer_phone" id="customer_phone" type="text" value="">
      </div>
    </div>
    <div class="form-group row u-margin--top-50">
      <div class="col-md-6 order-md-2">
        <div class="btn-container js-custom-validation align-end">
          <button type="button" class="btn btn-success btn-next latest-step" id="next-button-4">Volgende</button>
        </div>
      </div>
      <div class="col-md-6">
        <div class="c-progress">
          <div class="c-progress__bar completed-75"></div>
          <div class="c-progress__content">75% gereed</div>
        </div>
      </div>
    </div>
  </fieldset>
</form>

Text Content

Kozijnoffertes.net
Vergelijk kozijnspecialisten in jouw regio
Vergelijk kozijnspecialisten in jouw regio


VERGELIJK & BESPAAR NU

Postcode *

Volgende


VERGELIJK & BESPAAR NU

Ben je eigenaar van de woning? *
Ja, ik ben eigenaar
Nee, ik word binnen 6 weken eigenaar
Nee, ik word over meer dan 6 weken eigenaar
Nee, ik overweeg te gaan kopen
Nee, ik huur
In welke kozijnen ben je geïnteresseerd? *
Kunststof kozijnen
Kunststof kozijnen met houtlook
Aluminium kozijnen
Houten kozijnen
Aantal kozijnen *
5 of meer
4
3
2
1
Opmerking

Volgende
25% gereed


VERGELIJK & BESPAAR NU

Voornaam *

Achternaam *

Postcode *

Huisnummer *

Straat *

Plaats *

Volgende
50% gereed


VERGELIJK & BESPAAR NU

E-mail *

Telefoon *

Volgende
75% gereed


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 * Over ons
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