info.mijn-offertes.be
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Submitted URL: http://news.belgiumnewsletter.be/re?l=D0Ie5hglxI470mgb6I3ITlxpsaaf2&s=EOMMGGLPNDCACKBC&req=aff_sub5=855739221
Effective URL: https://info.mijn-offertes.be/chapewerken/?aff=110030&utm_source=119767_855739221&click_id=D-20989099-1720818452-34G173G61G30-...
Submission: On July 12 via api from BE — Scanned from DE
Effective URL: https://info.mijn-offertes.be/chapewerken/?aff=110030&utm_source=119767_855739221&click_id=D-20989099-1720818452-34G173G61G30-...
Submission: On July 12 via api from BE — Scanned from DE
Form analysis 1 forms found in the DOM
POST /fsg?pageId=9512e554-0a69-45c5-9a98-54c96c763479&variant=a
<form action="/fsg?pageId=9512e554-0a69-45c5-9a98-54c96c763479&variant=a" method="POST"><input type="hidden" name="pageId" value="9512e554-0a69-45c5-9a98-54c96c763479"><input type="hidden" name="pageVariant" value="a">
<div class="fields">
<div class="lp-pom-form-field radio-group multi-group" id="container_XML_extra_check" style="top: 0px;"><label class="main lp-form-label" for="XML_extra_check" id="label_XML_extra_check" style="height: auto;"><span class="label-style">Over welke
chapewerken gaat het? *</span></label>
<div class="ub-input-item input-wrap optionsList" id="group_XML_extra_check">
<div class="option" id="ub-option-XML_extra_check-item-0"><input type="radio" id="XML_extra_check_chapevloer_standaard" name="XML_extra_check" value="1" class="radio form-builder-radio-input form_elem_XML_extra_check" required=""><label
for="XML_extra_check_chapevloer_standaard" class="opt-label form-builder-radio-label"><span class="label-style">Chapevloer (standaard)</span></label></div>
<div class="option" id="ub-option-XML_extra_check-item-1"><input type="radio" id="XML_extra_check_isolatiechape" name="XML_extra_check" value="2" class="radio form-builder-radio-input form_elem_XML_extra_check" required=""><label
for="XML_extra_check_isolatiechape" class="opt-label form-builder-radio-label"><span class="label-style">Isolatiechape</span></label></div>
<div class="option" id="ub-option-XML_extra_check-item-2"><input type="radio" id="XML_extra_check_chape_met_vloerverwarming" name="XML_extra_check" value="3" class="radio form-builder-radio-input form_elem_XML_extra_check" required=""><label
for="XML_extra_check_chape_met_vloerverwarming" class="opt-label form-builder-radio-label"><span class="label-style">Chape met vloerverwarming</span></label></div>
<div class="option" id="ub-option-XML_extra_check-item-3"><input type="radio" id="XML_extra_check_ander_graag_advies" name="XML_extra_check" value="4" class="radio form-builder-radio-input form_elem_XML_extra_check" required=""><label
for="XML_extra_check_ander_graag_advies" class="opt-label form-builder-radio-label"><span class="label-style">Ander / Graag advies</span></label></div>
</div>
</div>
<div class="lp-pom-form-field radio-group multi-group hide" id="container_XML_extra_radio2" style="top: 0px;"><label class="main lp-form-label" for="XML_extra_radio2" id="label_XML_extra_radio2" style="height: auto;"><span
class="label-style">Over welke oppervlakte gaat het?</span></label>
<div class="ub-input-item input-wrap optionsList" id="group_XML_extra_radio2">
<div class="option" id="ub-option-XML_extra_radio2-item-0"><input type="radio" id="XML_extra_radio2_minder_dan_20_m" name="XML_extra_radio2" value="1" class="radio form-builder-radio-input form_elem_XML_extra_radio2"><label
for="XML_extra_radio2_minder_dan_20_m" class="opt-label form-builder-radio-label"><span class="label-style">Minder dan 20 m²</span></label></div>
<div class="option" id="ub-option-XML_extra_radio2-item-1"><input type="radio" id="XML_extra_radio2_21_tot_40_m" name="XML_extra_radio2" value="2" class="radio form-builder-radio-input form_elem_XML_extra_radio2"><label
for="XML_extra_radio2_21_tot_40_m" class="opt-label form-builder-radio-label"><span class="label-style">21 tot 40 m²</span></label></div>
<div class="option" id="ub-option-XML_extra_radio2-item-2"><input type="radio" id="XML_extra_radio2_41_tot_100_m" name="XML_extra_radio2" value="3" class="radio form-builder-radio-input form_elem_XML_extra_radio2"><label
for="XML_extra_radio2_41_tot_100_m" class="opt-label form-builder-radio-label"><span class="label-style">41 tot 100 m²</span></label></div>
<div class="option" id="ub-option-XML_extra_radio2-item-3"><input type="radio" id="XML_extra_radio2_meer_dan_100_m" name="XML_extra_radio2" value="4" class="radio form-builder-radio-input form_elem_XML_extra_radio2"><label
for="XML_extra_radio2_meer_dan_100_m" class="opt-label form-builder-radio-label"><span class="label-style">Meer dan 100 m²</span></label></div>
</div>
</div>
<div class="lp-pom-form-field single-line-text hide" id="container_firstName" style="top: 0px;"><label class="main lp-form-label" for="firstName" id="label_firstName" style="height: auto;"><span
class="label-style">Voornaam *</span></label><input id="firstName" name="firstName" type="text" class="ub-input-item single text form_elem_firstName" placeholder="Voornaam" required=""></div>
<div class="lp-pom-form-field single-line-text hide" id="container_lastName" style="top: 0px;"><label class="main lp-form-label" for="lastName" id="label_lastName" style="height: auto;"><span
class="label-style">Achternaam *</span></label><input id="lastName" name="lastName" type="text" class="ub-input-item single text form_elem_lastName" placeholder="Achternaam" required=""></div>
<div class="lp-pom-form-field single-line-text hide" id="container_address1" style="top: 0px;"><label class="main lp-form-label" for="address1" id="label_address1" style="height: auto;"><span class="label-style">Adres *</span></label><input
id="address1" name="address1" type="text" class="ub-input-item single text form_elem_address1" placeholder="Adres" required=""></div>
<div class="lp-pom-form-field single-line-text hide" id="container_XML_postcode" style="top: 0px;"><label class="main lp-form-label" for="XML_postcode" id="label_XML_postcode" style="height: auto;"><span
class="label-style">Postcode *</span></label><input id="XML_postcode" name="XML_postcode" type="text" class="ub-input-item single text form_elem_XML_postcode" placeholder="Postcode" required=""></div>
<div class="lp-pom-form-field single-line-text hide" id="container_XML_email" style="top: 0px;"><label class="main lp-form-label" for="XML_email" id="label_XML_email" style="height: auto;"><span
class="label-style">E-mail *</span></label><input id="XML_email" name="XML_email" type="text" class="ub-input-item single text form_elem_XML_email" placeholder="E-mail" required=""></div>
<div class="lp-pom-form-field single-line-text hide" id="container_XML_telephone" style="top: 0px;"><label class="main lp-form-label" for="XML_telephone" id="label_XML_telephone" style="height: auto;"><span
class="label-style">Telefoonnummer *</span></label><input id="XML_telephone" name="XML_telephone" type="tel" class="ub-input-item single text form_elem_XML_telephone" placeholder="Telefoonnummer" required=""
pattern="^\+?( ?[\(]?[\-]?[0-9][\)]?){6,13}$"></div>
<div class="lp-pom-form-field checkbox-group multi-group hide" id="container_terms" style="top: 0px;"><label class="main lp-form-label" for="terms" id="label_terms" style="height: auto;"><span class="label-style">Bevestiging *</span></label>
<div class="ub-input-item input-wrap optionsList" id="group_terms">
<div class="option" id="ub-option-terms-item-0"><input type="checkbox" id="terms_ja_ik_wens_gratis_offertes_van_chapewerkers_te_vergelijken" name="terms" value="Ja, ik wens gratis offertes van chapewerkers te vergelijken."
class="checkbox form-builder-checkbox-input form_elem_terms" data-required=""><label for="terms_ja_ik_wens_gratis_offertes_van_chapewerkers_te_vergelijken" class="opt-label form-builder-checkbox-label"><span class="label-style">Ja, ik
wens gratis offertes van chapewerkers te vergelijken.</span></label></div>
</div>
</div><input id="aff" name="aff" type="hidden" class="hidden" value="110030"><input id="utm_source" name="utm_source" type="hidden" class="hidden" value="119767_855739221"><input id="utm_medium" name="utm_medium" type="hidden" class="hidden"
value=""><input id="utm_campaign" name="utm_campaign" type="hidden" class="hidden" value=""><input id="type_id" name="type_id" type="hidden" class="hidden" value="100008"><input id="rem_id" name="rem_id" type="hidden" class="hidden"
value="20240712210733127"><input id="rem_source" name="rem_source" type="hidden" class="hidden" value="Mijn-Offertes.be"><input id="pixel_id" name="pixel_id" type="hidden" class="hidden" value="844"><input id="click_id" name="click_id"
type="hidden" class="hidden" value="D-20989099-1720818452-34G173G61G30-ERMDF5481"><input id="language" name="language" type="hidden" class="hidden" value="nl"><input id="promoOptin" name="promoOptin" type="hidden" class="hidden"
value="true"><input id="bobx" name="bobx" type="hidden" class="hidden" value=""><input id="companyCity" name="companyCity" type="hidden" class="hidden" value=""><input id="XML_remarks" name="XML_remarks" type="hidden" class="hidden"
value="Ik wens gratis offertes van chapewerkers te vergelijken">
</div><button class="lp-element lp-pom-button hide" id="lp-pom-button-44" type="submit"><span class="label">Verzenden</span></button>
</form>Text Content
Chapewerker nodig? Ontvang 3 gratis offertes op maat in 2 minuten! VolgendeVorige Bespaar tijd & geld Vraag offertes op maat van betrouwbare chapewerkers uit uw buurt. Uw aanvraag is gratis en volledig vrijblijvend! Over welke chapewerken gaat het? * Chapevloer (standaard) Isolatiechape Chape met vloerverwarming Ander / Graag advies Over welke oppervlakte gaat het? Minder dan 20 m² 21 tot 40 m² 41 tot 100 m² Meer dan 100 m² Voornaam * Achternaam * Adres * Postcode * E-mail * Telefoonnummer * Bevestiging * Ja, ik wens gratis offertes van chapewerkers te vergelijken. Verzenden 1 of 9 Gratis offertes Erkende dakwerkers Slechts 6% btw Copyright 2024 Mijn-Offertes.be Privacybeleid | Gegevensbescherming (GDPR)