info.mijn-offertes.be
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Submitted URL: https://links.iahnet.com/c/cwJ/uk/C5itNBV6LIc2BOJEeb-roa/F/Fqg1/F/63ea303f
Effective URL: https://info.mijn-offertes.be/dak-ontmossen/?aff=ibiza_nl&utm_source=ontmossen_daken&pixel_id=383
Submission: On January 21 via api from BE — Scanned from PL
Effective URL: https://info.mijn-offertes.be/dak-ontmossen/?aff=ibiza_nl&utm_source=ontmossen_daken&pixel_id=383
Submission: On January 21 via api from BE — Scanned from PL
Form analysis 1 forms found in the DOM
POST /fsg?pageId=bdf049c9-7cb8-4c11-8596-5ada189811bd&variant=a
<form action="/fsg?pageId=bdf049c9-7cb8-4c11-8596-5ada189811bd&variant=a" method="POST"><input type="hidden" name="pageId" value="bdf049c9-7cb8-4c11-8596-5ada189811bd"><input type="hidden" name="pageVariant" value="a">
<div class="fields">
<div class="lp-pom-form-field radio-group multi-group" id="container_XML_extra_radio" style="top: 0px;"><label class="main lp-form-label" for="XML_extra_radio" id="label_XML_extra_radio" style="height: auto;"><span class="label-style">Welk type
dak heeft u?</span></label>
<div class="ub-input-item input-wrap optionsList" id="group_XML_extra_radio">
<div class="option" id="ub-option-XML_extra_radio-item-0"><input type="radio" id="XML_extra_radio_hellend_dak" name="XML_extra_radio" value="Hellend dak" class="radio form-builder-radio-input form_elem_XML_extra_radio"><label
for="XML_extra_radio_hellend_dak" class="opt-label form-builder-radio-label"><span class="label-style">Hellend dak</span></label></div>
<div class="option" id="ub-option-XML_extra_radio-item-1"><input type="radio" id="XML_extra_radio_plat_dak" name="XML_extra_radio" value="Plat dak" class="radio form-builder-radio-input form_elem_XML_extra_radio"><label
for="XML_extra_radio_plat_dak" class="opt-label form-builder-radio-label"><span class="label-style">Plat dak</span></label></div>
<div class="option" id="ub-option-XML_extra_radio-item-2"><input type="radio" id="XML_extra_radio_ander_type_dak" name="XML_extra_radio" value="Ander type dak" class="radio form-builder-radio-input form_elem_XML_extra_radio"><label
for="XML_extra_radio_ander_type_dak" class="opt-label form-builder-radio-label"><span class="label-style">Ander type dak</span></label></div>
</div>
</div>
<div class="lp-pom-form-field radio-group multi-group hide" id="container_XML_extra_radio4" style="top: 0px;"><label class="main lp-form-label" for="XML_extra_radio4" id="label_XML_extra_radio4" style="height: auto;"><span class="label-style">Hoe
groot is uw dak?</span></label>
<div class="ub-input-item input-wrap optionsList" id="group_XML_extra_radio4">
<div class="option" id="ub-option-XML_extra_radio4-item-0"><input type="radio" id="XML_extra_radio4_minder_dan_30_m" name="XML_extra_radio4" value="Minder dan 30 m²" class="radio form-builder-radio-input form_elem_XML_extra_radio4"><label
for="XML_extra_radio4_minder_dan_30_m" class="opt-label form-builder-radio-label"><span class="label-style">Minder dan 30 m²</span></label></div>
<div class="option" id="ub-option-XML_extra_radio4-item-1"><input type="radio" id="XML_extra_radio4_tussen_30_en_100_m" name="XML_extra_radio4" value="Tussen 30 en 100 m²"
class="radio form-builder-radio-input form_elem_XML_extra_radio4"><label for="XML_extra_radio4_tussen_30_en_100_m" class="opt-label form-builder-radio-label"><span class="label-style">Tussen 30 en 100 m²</span></label></div>
<div class="option" id="ub-option-XML_extra_radio4-item-2"><input type="radio" id="XML_extra_radio4_tussen_100_en_500_m" name="XML_extra_radio4" value="Tussen 100 en 500 m²"
class="radio form-builder-radio-input form_elem_XML_extra_radio4"><label for="XML_extra_radio4_tussen_100_en_500_m" class="opt-label form-builder-radio-label"><span class="label-style">Tussen 100 en 500 m²</span></label></div>
<div class="option" id="ub-option-XML_extra_radio4-item-3"><input type="radio" id="XML_extra_radio4_meer_dan_500_m" name="XML_extra_radio4" value="Meer dan 500 m²" class="radio form-builder-radio-input form_elem_XML_extra_radio4"><label
for="XML_extra_radio4_meer_dan_500_m" class="opt-label form-builder-radio-label"><span class="label-style">Meer dan 500 m²</span></label></div>
</div>
</div>
<div class="lp-pom-form-field multi-line-text multi-group hide" id="container_XML_remarks" style="top: 0px;"><label class="main lp-form-label" for="XML_remarks" id="label_XML_remarks" style="height: auto;"><span class="label-style">Vragen /
opmerkingen:</span></label><textarea id="XML_remarks" name="XML_remarks" class="ub-input-item single text form_elem_XML_remarks"></textarea></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="^\+?( ?\(?-?\d\)?){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_dakreiniging_offertes_te_vergelijken" name="terms" value="Ja, ik wens gratis dakreiniging offertes te vergelijken."
class="checkbox form-builder-checkbox-input form_elem_terms" data-required=""><label for="terms_ja_ik_wens_gratis_dakreiniging_offertes_te_vergelijken" class="opt-label form-builder-checkbox-label"><span class="label-style">Ja, ik wens
gratis dakreiniging offertes te vergelijken.</span></label></div>
</div>
</div><input id="aff" name="aff" type="hidden" class="hidden" value="ibiza_nl"><input id="utm_source" name="utm_source" type="hidden" class="hidden" value="ontmossen_daken"><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="30154"><input id="rem_id" name="rem_id" type="hidden" class="hidden"
value="20240121190156046"><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="383"><input id="click_id" name="click_id"
type="hidden" class="hidden" value=""><input id="language" name="language" type="hidden" class="hidden" value="nl"><input id="promoOptin" name="promoOptin" type="hidden" class="hidden" value="false"><input id="bobx" name="bobx" type="hidden"
class="hidden" value="">
</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
Dakreiniging Offertes Vraag 3 gratis offertes op maat in 2 minuten! VolgendeVorige Bespaar tijd & geld Vraag offertes op maat van betrouwbare dakreiniging specialisten. Uw aanvraag is gratis en volledig vrijblijvend! Welk type dak heeft u? Hellend dak Plat dak Ander type dak Hoe groot is uw dak? Minder dan 30 m² Tussen 30 en 100 m² Tussen 100 en 500 m² Meer dan 500 m² Vragen / opmerkingen: Voornaam * Achternaam * Adres * Postcode * E-mail * Telefoonnummer * Bevestiging * Ja, ik wens gratis dakreiniging offertes te vergelijken. Verzenden 1 of 10 Gratis offertes Erkende dakwerkers Slechts 6% btw Copyright 2020 Mijn-Offertes.be Privacybeleid | Gegevensbescherming (GDPR)