{"id":8110,"date":"2018-10-24T15:41:34","date_gmt":"2018-10-24T13:41:34","guid":{"rendered":"https:\/\/testmijnbloed.be\/for-companies\/"},"modified":"2025-02-21T19:19:18","modified_gmt":"2025-02-21T18:19:18","slug":"for-companies","status":"publish","type":"page","link":"https:\/\/testmijnbloed.be\/en\/for-companies\/","title":{"rendered":"For companies"},"content":{"rendered":"<p><div class=\"fusion-bg-parallax\" data-bg-align=\"left center\" data-direction=\"left\" data-mute=\"false\" data-opacity=\"100\" data-velocity=\"-0.4\" data-mobile-enabled=\"false\" data-break_parents=\"0\" data-bg-image=\"https:\/\/testmijnbloed.be\/wp-content\/uploads\/2018\/10\/homepage-small.jpg\" data-bg-repeat=\"false\" data-bg-color=\"rgba(255,255,255,0.5)\" data-blend-mode=\"overlay\" ><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 fusion-parallax-left nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"background-color: rgba(255,255,255,0.5);background-image: url(&quot;https:\/\/testmijnbloed.be\/wp-content\/uploads\/2018\/10\/homepage-small.jpg&quot;);background-position: left center;background-repeat: no-repeat;background-blend-mode: overlay;padding-top:4%;padding-right:5%;padding-bottom:4%;padding-left:5%;margin-bottom: 0px;margin-top: 0px;border-width: 0px 0px 0px 0px;border-color:#ffffff;border-style:solid;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;\" ><div class=\"fusion-builder-row fusion-row\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_1 1_1 fusion-one-full fusion-column-first fusion-column-last\" style=\"margin-top:0px;margin-bottom:30px;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"margin-left: auto;margin-right: auto;margin-bottom:30px;width:100%;\"><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-text fusion-text-1\"><h2 style=\"text-align: center;\"><span style=\"color: #ffffff;\">Invest in employee health for optimal productivity in your organization.<\/span><\/h2>\n<\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"margin-left: auto;margin-right: auto;margin-bottom:10px;width:100%;\"><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><\/div>\n<div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-2 nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"background-color: #ffffff;background-position: center center;background-repeat: no-repeat;padding-top:100px;padding-right:0px;padding-bottom:100px;padding-left:0px;margin-bottom: 0px;margin-top: 0px;border-width: 0px 0px 0px 0px;border-color:#ffffff;border-style:solid;\" ><div class=\"fusion-builder-row fusion-row\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-1 fusion_builder_column_1_1 1_1 fusion-one-full fusion-column-first fusion-column-last\" style=\"margin-top:0px;margin-bottom:0px;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;background-color:rgba(255,255,255,0);padding: 0px 0px 0px 0px;\"><div class=\"fusion-text fusion-text-2\"><h2 style=\"text-align: center;\">As an employer, do you want to help ensure the healthy lifestyle of your employees?<\/h2>\n<h3 style=\"text-align: center;\">Then get their blood drawn anonymously on a regular basis.<\/h3>\n<p style=\"text-align: center;\">In addition to the extra services you offer them, you can at the same time use the legal budget for prevention, protection and health to reduce the costs of sick leave in a targeted way.<br \/>\n<strong>Good health among your employees starts with a preventive and stimulating approach.<br \/>\n<\/strong>You can come to us at the lancing center itself or we can come on site with a qualified lab assistant, the choice is yours.<\/p>\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-3 fusion-parallax-none nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"background-color: #f7f7f7;background-image: url(&quot;https:\/\/testmijnbloed.be\/wp-content\/uploads\/2018\/10\/bloedafname-small2.jpg&quot;);background-position: center center;background-repeat: no-repeat;padding-top:100px;padding-right:0px;padding-bottom:100px;padding-left:0px;margin-bottom: 0px;margin-top: 0px;border-width: 0px 0px 0px 0px;border-color:#ffffff;border-style:solid;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;\" ><div class=\"fusion-builder-row fusion-row\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-2 fusion_builder_column_1_4 1_4 fusion-one-fourth fusion-column-first fusion-no-small-visibility\" style=\"width:22%; margin-right: 4%;margin-top:0px;margin-bottom:30px;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"margin-left: auto;margin-right: auto;width:100%;\"><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-3 fusion_builder_column_1_2 1_2 fusion-one-half\" style=\"width:48%; margin-right: 4%;margin-top:0px;margin-bottom:30px;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"margin-left: auto;margin-right: auto;margin-top:20px;width:100%;\"><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-4 fusion_builder_column_1_4 1_4 fusion-one-fourth fusion-column-last fusion-no-small-visibility\" style=\"width:22%;margin-top:0px;margin-bottom:30px;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"margin-left: auto;margin-right: auto;width:100%;\"><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-4 nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"background-color: #ffffff;background-position: center center;background-repeat: no-repeat;padding-top:100px;padding-right:0px;padding-bottom:100px;padding-left:0px;margin-bottom: 0px;margin-top: 0px;border-width: 0px 0px 0px 0px;border-color:#ffffff;border-style:solid;\" ><div class=\"fusion-builder-row fusion-row\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-5 fusion_builder_column_1_3 1_3 fusion-one-third fusion-column-first\" style=\"width:30.6666%; margin-right: 4%;margin-top:0px;margin-bottom:0px;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;background-color:rgba(255,255,255,0);padding: 0px 0px 0px 0px;\"><div class=\"fusion-text fusion-text-3\"><h2 style=\"text-align: left;\">Satisfied employees<\/h2>\n<p style=\"text-align: left;\">Through preventive medical examinations, you will gain insight into the health of your employees. This also allows employees to adopt a healthier lifestyle and this only brings as a result that your team can perform even better. A team that performs well therefore also results in satisfied employees and employers.  <\/p>\n<\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"margin-left: auto;margin-right: auto;margin-top:30px;width:100%;\"><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-6 fusion_builder_column_1_3 1_3 fusion-one-third\" style=\"width:30.6666%; margin-right: 4%;margin-top:0px;margin-bottom:0px;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;background-color:rgba(255,255,255,0);padding: 0px 0px 0px 0px;\"><div class=\"fusion-text fusion-text-4\"><h2 class=\"justifyleft\" style=\"text-align: left;\">Why work preventively?<\/h2>\n<p style=\"text-align: left;\"><strong>1. healthier lifestyle of your team<\/strong><br \/>\n<strong>2. sustainable entrepreneurship<\/strong><br \/>\n<strong>3. insight into health<\/strong><br \/>\n<strong>4. employees feel appreciated<\/strong><br \/>\n<strong>5. satisfied and healthier employees<\/strong><\/p>\n<\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"margin-left: auto;margin-right: auto;margin-top:30px;width:100%;\"><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-7 fusion_builder_column_1_3 1_3 fusion-one-third fusion-column-last\" style=\"width:30.6666%;margin-top:0px;margin-bottom:0px;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;background-color:rgba(255,255,255,0);padding: 0px 0px 0px 0px;\"><div class=\"fusion-text fusion-text-5\"><h2 style=\"text-align: left;\">A healthy business in 3 steps<\/h2>\n<ol>\n<li style=\"text-align: left;\"><strong>Choose Health<\/strong>:<br \/>\ncustomized proposal based on employer and employee needs<\/li>\n<li style=\"text-align: left;\"><strong>Preventive research<\/strong>:<br \/>\nwe plan everything for you<\/li>\n<li style=\"text-align: left;\"><strong>Continue to work on health:<br \/>\n<\/strong>individual explanation, tips and advice, referral to specialist if needed, &#8230;<\/li>\n<\/ol>\n<\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"margin-left: auto;margin-right: auto;margin-top:30px;width:100%;\"><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-5 fusion-parallax-fixed nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"background-color: #f7f7f7;background-image: url(&quot;https:\/\/testmijnbloed.be\/wp-content\/uploads\/2015\/12\/rgb-gradient-bar-for-logo-carrasel.jpg&quot;);background-position: center center;background-repeat: no-repeat;padding-top:50px;padding-right:0px;padding-bottom:50px;padding-left:0px;margin-bottom: 0px;margin-top: 0px;border-width: 0px 0px 0px 0px;border-color:#ffffff;border-style:solid;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;background-attachment:fixed;\" ><div class=\"fusion-builder-row fusion-row\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-8 fusion_builder_column_1_4 1_4 fusion-one-fourth fusion-column-first fusion-no-small-visibility\" style=\"width:22%; margin-right: 4%;margin-top:0px;margin-bottom:30px;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"margin-left: auto;margin-right: auto;width:100%;\"><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-9 fusion_builder_column_1_2 1_2 fusion-one-half\" style=\"width:48%; margin-right: 4%;margin-top:0px;margin-bottom:30px;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"margin-left: auto;margin-right: auto;margin-top:20px;width:100%;\"><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-text fusion-text-6\"><h2 style=\"text-align: center; color: #fff;\">Interested?<\/h2>\n<\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"margin-left: auto;margin-right: auto;margin-top:30px;width:100%;\"><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-align-block\"><style type=\"text\/css\">.fusion-button.button-1 .fusion-button-text, .fusion-button.button-1 i {color:#ffffff;}.fusion-button.button-1 .fusion-button-icon-divider{border-color:#ffffff;}.fusion-button.button-1:hover .fusion-button-text, .fusion-button.button-1:hover i,.fusion-button.button-1:focus .fusion-button-text, .fusion-button.button-1:focus i,.fusion-button.button-1:active .fusion-button-text, .fusion-button.button-1:active{color:#ffffff;}.fusion-button.button-1:hover .fusion-button-icon-divider, .fusion-button.button-1:hover .fusion-button-icon-divider, .fusion-button.button-1:active .fusion-button-icon-divider{border-color:#ffffff;}.fusion-button.button-1:hover, .fusion-button.button-1:focus, .fusion-button.button-1:active{border-color:#ffffff;border-width:1px;}.fusion-button.button-1 {border-color:#ffffff;border-width:1px;border-radius:2px;}.fusion-button.button-1{background: rgba(255,255,255,0);}.fusion-button.button-1:hover,.button-1:focus,.fusion-button.button-1:active{background: rgba(255,255,255,0);}<\/style><a class=\"fusion-button button-flat button-medium button-custom button-1 fusion-button-default-span fusion-button-default-type\" target=\"_self\" href=\"https:\/\/testmijnbloed.be\/en\/contact\/\"><span class=\"fusion-button-text\">Contact us without any obligation<\/span><\/a><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"margin-left: auto;margin-right: auto;margin-top:30px;width:100%;\"><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-align-block\"><style type=\"text\/css\">.fusion-button.button-2 .fusion-button-text, .fusion-button.button-2 i {color:#ffffff;}.fusion-button.button-2 .fusion-button-icon-divider{border-color:#ffffff;}.fusion-button.button-2:hover .fusion-button-text, .fusion-button.button-2:hover i,.fusion-button.button-2:focus .fusion-button-text, .fusion-button.button-2:focus i,.fusion-button.button-2:active .fusion-button-text, .fusion-button.button-2:active{color:#ffffff;}.fusion-button.button-2:hover .fusion-button-icon-divider, .fusion-button.button-2:hover .fusion-button-icon-divider, .fusion-button.button-2:active .fusion-button-icon-divider{border-color:#ffffff;}.fusion-button.button-2:hover, .fusion-button.button-2:focus, .fusion-button.button-2:active{border-color:#ffffff;border-width:1px;}.fusion-button.button-2 {border-color:#ffffff;border-width:1px;border-radius:2px;}.fusion-button.button-2{background: rgba(255,255,255,0);}.fusion-button.button-2:hover,.button-2:focus,.fusion-button.button-2:active{background: rgba(255,255,255,0);}<\/style><a class=\"fusion-button button-flat button-medium button-custom button-2 fusion-button-default-span fusion-button-default-type\" target=\"_self\" href=\"https:\/\/testmijnbloed.be\/en\/about-us\/\"><span class=\"fusion-button-text\">Learn more about our lancing center<\/span><\/a><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-10 fusion_builder_column_1_4 1_4 fusion-one-fourth fusion-column-last fusion-no-small-visibility\" style=\"width:22%;margin-top:0px;margin-bottom:30px;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"margin-left: auto;margin-right: auto;width:100%;\"><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-6 nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"background-color: #ffffff;background-position: center center;background-repeat: no-repeat;padding-top:100px;padding-right:0px;padding-bottom:100px;padding-left:0px;margin-bottom: 0px;margin-top: 0px;border-width: 0px 0px 0px 0px;border-color:#ffffff;border-style:solid;\" ><div class=\"fusion-builder-row fusion-row\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-11 fusion_builder_column_1_6 1_6 fusion-one-sixth fusion-column-first fusion-no-small-visibility\" style=\"width:13.3333%; margin-right: 4%;margin-top:0px;margin-bottom:30px;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-12 fusion_builder_column_2_3 2_3 fusion-two-third\" style=\"width:65.3333%; margin-right: 4%;margin-top:0px;margin-bottom:30px;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div class=\"fusion-text fusion-text-7\"><h2 style=\"text-align: center;\">Make an appointment<\/h2>\n<\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator\" style=\"margin-left: auto;margin-right: auto;margin-top:0px;margin-bottom:30px;width:100%;max-width:280px;\"><div class=\"fusion-separator-border sep-single sep-solid\" style=\"border-color:#d1d1d1;border-top-width:2px;\"><\/div><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-text fusion-text-8\"><h3 style=\"text-align: center;\">Yes, I am happy to invest in the health of my employees!<\/h3>\n<\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"margin-left: auto;margin-right: auto;margin-top:30px;width:100%;\"><\/div><div class=\"fusion-sep-clear\"><\/div>\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f7770-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"7770\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/en\/wp-json\/wp\/v2\/pages\/8110#wpcf7-f7770-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"7770\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.5\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f7770-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/><input type=\"hidden\" name=\"_wpcf7_recaptcha_response\" value=\"\" \/>\n<\/fieldset>\n<div style=\"margin-bottom: 25px;\" class=\"fusion-one-half fusion-layout-column fusion-spacing-yes\">\n\t<p><label aria-label=\"naam\"><span class=\"wpcf7-form-control-wrap\" data-name=\"naam\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"NAME\" value=\"\" type=\"text\" name=\"naam\" \/><\/span><\/label>\n\t<\/p>\n<\/div>\n<div style=\"margin-bottom: 25px;\" class=\"fusion-one-half fusion-layout-column fusion-column-last fusion-spacing-yes\">\n\t<p><label aria-label=\"voornaam\"><span class=\"wpcf7-form-control-wrap\" data-name=\"voornaam\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"FORENAME\" value=\"\" type=\"text\" name=\"voornaam\" \/><\/span><\/label>\n\t<\/p>\n<\/div>\n<div style=\"margin-bottom: 25px;\" class=\"fusion-one-half fusion-layout-column fusion-spacing-yes\">\n\t<p><label aria-label=\"email\"><span class=\"wpcf7-form-control-wrap\" data-name=\"email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"E-MAILADRES*\" value=\"\" type=\"email\" name=\"email\" \/><\/span><\/label>\n\t<\/p>\n<\/div>\n<div style=\"margin-bottom: 25px;\" class=\"fusion-one-half fusion-layout-column fusion-column-last fusion-spacing-yes\">\n\t<p><label aria-label=\"telefoon\"><span class=\"wpcf7-form-control-wrap\" data-name=\"phone-number\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"PHONE\" value=\"\" type=\"text\" name=\"phone-number\" \/><\/span><\/label>\n\t<\/p>\n<\/div>\n<div style=\"margin-bottom: 25px;\" class=\"fusion-one-full fusion-layout-column fusion-column-last fusion-spacing-yes\">\n\t<p><label aria-label=\"ik heb een vraag voor\"><span class=\"wpcf7-form-control-wrap\" data-name=\"Ikhebeenvraagvoor\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"Ikhebeenvraagvoor\"><option value=\"\">I HAVE A QUESTION FOR<\/option><option value=\"PRICK LOCATION ROESELARE\">PRICK LOCATION ROESELARE<\/option><option value=\"PRICK LOCATION ANTWERP\">PRICK LOCATION ANTWERP<\/option><\/select><\/span><\/label>\n\t<\/p>\n<\/div>\n<p style=\"margin-bottom: 25px;\"><label aria-label=\"bericht\"><span class=\"wpcf7-form-control-wrap\" data-name=\"your-message\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" placeholder=\"NOTICE\" name=\"your-message\"><\/textarea><\/span><\/label>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"acceptance-174\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"acceptance-174\" value=\"1\" aria-invalid=\"false\" \/><span 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