<h1>Offerte-aanvraag</h1><!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><p>Vul in onderstaand formulier uw gegevens in en klik op de knop "Verstuur", voor het afronden van uw prijsaanvraag.</p><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><p> </p><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><form name="calculator" id="calculator" action="/offerte-aanvraag-verzonden" method="post"><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><style><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->td {<!-- [et_pb_line_break_holder] --> background-color: #c8c8c8;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --></style><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><table style="text-align: left; width: 100%;"><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><tbody><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><tr><!-- [et_pb_line_break_holder] --><td width="25%">Locatie*:</td><!-- [et_pb_line_break_holder] --><td width="75%"><select id="locatie" name="locatie" style="width: 100%;"><!-- [et_pb_line_break_holder] --> <option value="hollebolle@hollebollebox.nl" selected>Leeuwarden</option><!-- [et_pb_line_break_holder] --></select></td><!-- [et_pb_line_break_holder] --></tr><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><tr><!-- [et_pb_line_break_holder] --><td>Voornaam*:</td><!-- [et_pb_line_break_holder] --><td><input id="voornaam" name="voornaam" type="text" style="width: 100%;"></td><!-- [et_pb_line_break_holder] --></tr><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><tr><!-- [et_pb_line_break_holder] --><td>Achternaam*:</td><!-- [et_pb_line_break_holder] --><td><input id="achternaam" name="achternaam" type="text" style="width: 100%;"></td><!-- [et_pb_line_break_holder] --></tr><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><tr><!-- [et_pb_line_break_holder] --><td>Adres:</td><!-- [et_pb_line_break_holder] --><td><input id="adres" name="adres" type="text" style="width: 100%;"></td><!-- [et_pb_line_break_holder] --></tr><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><tr><!-- [et_pb_line_break_holder] --><td>Postcode:</td><!-- [et_pb_line_break_holder] --><td><input id="postcode" name="postcode" type="text" style="width: 100%;"></td><!-- [et_pb_line_break_holder] --></tr><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><tr><!-- [et_pb_line_break_holder] --><td>Woonplaats*:</td><!-- [et_pb_line_break_holder] --><td><input id="woonplaats" name="woonplaats" type="text" style="width: 100%;"></td><!-- [et_pb_line_break_holder] --></tr><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><tr><!-- [et_pb_line_break_holder] --><td>E-mail*:</td><!-- [et_pb_line_break_holder] --><td><input id="emailx" name="emailx" type="text" style="width: 100%;"></td><!-- [et_pb_line_break_holder] --></tr><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><tr><!-- [et_pb_line_break_holder] --><td>Telefoon*:</td><!-- [et_pb_line_break_holder] --><td><input id="telefoon" name="telefoon" type="text" style="width: 100%;"></td><!-- [et_pb_line_break_holder] --></tr><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><tr><!-- [et_pb_line_break_holder] --><td>Hoeveel m³ heeft u nodig?</td><!-- [et_pb_line_break_holder] --><td><input id="m3" name="m3" type="text" style="width: 100%;" value=""></td><!-- [et_pb_line_break_holder] --></tr><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><script><!-- [et_pb_line_break_holder] -->document.getElementById("m3").value = volume;<!-- [et_pb_line_break_holder] --></script><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><tr><!-- [et_pb_line_break_holder] --><td>Periode*:</td><!-- [et_pb_line_break_holder] --><td><select id="periode" name="periode" style="width: 100%;"><!-- [et_pb_line_break_holder] --> <option value="Niet opgegeven" selected>Maak een keuze</option><!-- [et_pb_line_break_holder] --> <option value="1 maand">1 maand</option><!-- [et_pb_line_break_holder] --> <option value="2 maanden">2 maanden</option><!-- [et_pb_line_break_holder] --> <option value="3 maanden">3 maanden</option><!-- [et_pb_line_break_holder] --> <option value="6 maanden">6 maanden</option><!-- [et_pb_line_break_holder] --> <option value="12 maanden of langer">12 maanden of langer</option><!-- [et_pb_line_break_holder] --></select></td><!-- [et_pb_line_break_holder] --></tr><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><tr><!-- [et_pb_line_break_holder] --><td>Ingangsdatum:</td><!-- [et_pb_line_break_holder] --><td><input id="ingangsdatum" name="ingangsdatum" type="text" style="width: 100%;"></td><!-- [et_pb_line_break_holder] --></tr><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><tr><!-- [et_pb_line_break_holder] --><td style="vertical-align: top;">Vraag / opmerkingen:</td><!-- [et_pb_line_break_holder] --><td><textarea id="vragen" name="vragen" style="width: 100%; height: 150px;"></textarea></td><!-- [et_pb_line_break_holder] --></tr><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><tr><!-- [et_pb_line_break_holder] --><td> </td><!-- [et_pb_line_break_holder] --><td style="text-align: left;"><input value="Verstuur" type="submit" class="et_pb_contact_submit et_pb_button"></td><!-- [et_pb_line_break_holder] --></tr><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><tr><!-- [et_pb_line_break_holder] --><td> </td><!-- [et_pb_line_break_holder] --><td>* Verplichte velden</td><!-- [et_pb_line_break_holder] --></tr><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --></tbody><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --></table><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --></form>