offerte.be Open in urlscan Pro
2606:4700:3036::6815:3ff9  Public Scan

Submitted URL: http://trck.rosa-angebot.com/?xtl=9gkm1uphz0930kewn13pyxf4x5waih9fmfdl7pzznhwwcypc2gu808up390eyobkurqloxhfdev6kek9qs571chtew9...
Effective URL: https://offerte.be/zonnepanelen/offertes-aanvragen?utm_source=onlineactivity&utm_medium=affiliate&callback_params[c...
Submission: On January 31 via api from BE — Scanned from DE

Form analysis 1 forms found in the DOM

POST https://offerte.be/zonnepanelen/opslaan

<form method="POST" action="https://offerte.be/zonnepanelen/opslaan" accept-charset="UTF-8" id="leadForm" class="form form-validate" novalidate="novalidate"><input name="_token" type="hidden" value="Uh9OqTYPhsuVuI2urSQRz8BB4BnAERAeBsU58C4R">
  <input type="hidden" name="utm_source" value="onlineactivity">
  <input type="hidden" name="utm_term" value="">
  <input type="hidden" name="analytics_client_id" value="842719805.1643643593">
  <input type="hidden" name="vertical_id" value="135">
  <input type="hidden" name="callback_params" value="a:1:{s:8:&quot;click_id&quot;;s:13:&quot;DIGO1-4054242&quot;;}">
  <div id="step-1">
    <div class="form-group pb-4">
      <label class="col-md-3 control-label sm:text-t5 text-t2-sm  sm:mt-3 mt-0 sm:pt-0 sm:pb-0 pt-2 pb-4"> Soort aanvraag <span class="text-danger">*</span>
      </label>
      <div class="col-md-9">
        <div class="input-wrapper">
          <div class="radio">
            <label>
              <input required="" name="questions[295]" type="radio" value="963" aria-required="true">
              <i></i>
              <span class="sm:text-body-2 text-t2-2-sm ">Particulier</span>
              <span class="form-control-feedback" aria-hidden="true">
                <svg class="icon icon-error icon-multiple">
                  <use xlink:href="#icon-error"></use>
                </svg>
                <svg class="icon icon-warning icon-multiple">
                  <use xlink:href="#icon-warning"></use>
                </svg>
                <svg class="icon icon-success icon-multiple">
                  <use xlink:href="#icon-success"></use>
                </svg>
              </span> </label>
          </div>
          <div class="radio">
            <label>
              <input required="" name="questions[295]" type="radio" value="964" aria-required="true">
              <i></i>
              <span class="sm:text-body-2 text-t2-2-sm mb-0">Zakelijk</span>
              <span class="form-control-feedback" aria-hidden="true">
                <svg class="icon icon-error icon-multiple">
                  <use xlink:href="#icon-error"></use>
                </svg>
                <svg class="icon icon-warning icon-multiple">
                  <use xlink:href="#icon-warning"></use>
                </svg>
                <svg class="icon icon-success icon-multiple">
                  <use xlink:href="#icon-success"></use>
                </svg>
              </span> </label>
          </div>
        </div>
      </div>
    </div>
    <div class="form-group pb-4">
      <label class="col-md-3 control-label sm:text-t5 text-t2-sm  sm:mt-3 mt-0 sm:pt-0 sm:pb-0 pt-2 pb-4"> Type opdracht <span class="text-danger">*</span>
      </label>
      <div class="col-md-9">
        <div class="input-wrapper">
          <div class="radio">
            <label>
              <input required="" name="questions[296]" type="radio" value="966" aria-required="true">
              <i></i>
              <span class="sm:text-body-2 text-t2-2-sm ">Zonnepanelen kopen</span>
              <span class="form-control-feedback" aria-hidden="true">
                <svg class="icon icon-error icon-multiple">
                  <use xlink:href="#icon-error"></use>
                </svg>
                <svg class="icon icon-warning icon-multiple">
                  <use xlink:href="#icon-warning"></use>
                </svg>
                <svg class="icon icon-success icon-multiple">
                  <use xlink:href="#icon-success"></use>
                </svg>
              </span> </label>
          </div>
          <div class="radio">
            <label>
              <input required="" name="questions[296]" type="radio" value="965" aria-required="true">
              <i></i>
              <span class="sm:text-body-2 text-t2-2-sm mb-0">Zonnepanelen huren</span>
              <span class="form-control-feedback" aria-hidden="true">
                <svg class="icon icon-error icon-multiple">
                  <use xlink:href="#icon-error"></use>
                </svg>
                <svg class="icon icon-warning icon-multiple">
                  <use xlink:href="#icon-warning"></use>
                </svg>
                <svg class="icon icon-success icon-multiple">
                  <use xlink:href="#icon-success"></use>
                </svg>
              </span> </label>
          </div>
        </div>
      </div>
    </div>
    <div class="form-group pb-4">
      <label class="col-md-3 control-label sm:text-t5 text-t2-sm  sm:mt-3 mt-0 sm:pt-0 sm:pb-0 pt-2 pb-4"> Soort dak </label>
      <div class="col-md-9">
        <div class="input-wrapper">
          <div class="radio">
            <label>
              <input name="questions[297]" type="radio" value="967">
              <i></i>
              <span class="sm:text-body-2 text-t2-2-sm ">Plat dak</span>
              <span class="form-control-feedback" aria-hidden="true">
                <svg class="icon icon-error icon-multiple">
                  <use xlink:href="#icon-error"></use>
                </svg>
                <svg class="icon icon-warning icon-multiple">
                  <use xlink:href="#icon-warning"></use>
                </svg>
                <svg class="icon icon-success icon-multiple">
                  <use xlink:href="#icon-success"></use>
                </svg>
              </span> </label>
          </div>
          <div class="radio">
            <label>
              <input name="questions[297]" type="radio" value="968">
              <i></i>
              <span class="sm:text-body-2 text-t2-2-sm ">Schuin dak</span>
              <span class="form-control-feedback" aria-hidden="true">
                <svg class="icon icon-error icon-multiple">
                  <use xlink:href="#icon-error"></use>
                </svg>
                <svg class="icon icon-warning icon-multiple">
                  <use xlink:href="#icon-warning"></use>
                </svg>
                <svg class="icon icon-success icon-multiple">
                  <use xlink:href="#icon-success"></use>
                </svg>
              </span> </label>
          </div>
          <div class="radio">
            <label>
              <input name="questions[297]" type="radio" value="982">
              <i></i>
              <span class="sm:text-body-2 text-t2-2-sm mb-0">Beide</span>
              <span class="form-control-feedback" aria-hidden="true">
                <svg class="icon icon-error icon-multiple">
                  <use xlink:href="#icon-error"></use>
                </svg>
                <svg class="icon icon-warning icon-multiple">
                  <use xlink:href="#icon-warning"></use>
                </svg>
                <svg class="icon icon-success icon-multiple">
                  <use xlink:href="#icon-success"></use>
                </svg>
              </span> </label>
          </div>
        </div>
      </div>
    </div>
    <div class="form-group pb-4">
      <label class="col-md-3 control-label sm:text-t5 text-t2-sm  sm:mt-3 mt-0 sm:pt-0 sm:pb-0 pt-2 pb-4"> Uitvoerdatum </label>
      <div class="col-md-9">
        <div class="input-wrapper">
          <div class="radio">
            <label>
              <input name="questions[298]" type="radio" value="969">
              <i></i>
              <span class="sm:text-body-2 text-t2-2-sm ">Zo snel mogelijk</span>
              <span class="form-control-feedback" aria-hidden="true">
                <svg class="icon icon-error icon-multiple">
                  <use xlink:href="#icon-error"></use>
                </svg>
                <svg class="icon icon-warning icon-multiple">
                  <use xlink:href="#icon-warning"></use>
                </svg>
                <svg class="icon icon-success icon-multiple">
                  <use xlink:href="#icon-success"></use>
                </svg>
              </span> </label>
          </div>
          <div class="radio">
            <label>
              <input name="questions[298]" type="radio" value="970">
              <i></i>
              <span class="sm:text-body-2 text-t2-2-sm ">Binnen 3 maanden</span>
              <span class="form-control-feedback" aria-hidden="true">
                <svg class="icon icon-error icon-multiple">
                  <use xlink:href="#icon-error"></use>
                </svg>
                <svg class="icon icon-warning icon-multiple">
                  <use xlink:href="#icon-warning"></use>
                </svg>
                <svg class="icon icon-success icon-multiple">
                  <use xlink:href="#icon-success"></use>
                </svg>
              </span> </label>
          </div>
          <div class="radio">
            <label>
              <input name="questions[298]" type="radio" value="971">
              <i></i>
              <span class="sm:text-body-2 text-t2-2-sm ">Binnen 3 tot 6 maanden</span>
              <span class="form-control-feedback" aria-hidden="true">
                <svg class="icon icon-error icon-multiple">
                  <use xlink:href="#icon-error"></use>
                </svg>
                <svg class="icon icon-warning icon-multiple">
                  <use xlink:href="#icon-warning"></use>
                </svg>
                <svg class="icon icon-success icon-multiple">
                  <use xlink:href="#icon-success"></use>
                </svg>
              </span> </label>
          </div>
          <div class="radio">
            <label>
              <input name="questions[298]" type="radio" value="972">
              <i></i>
              <span class="sm:text-body-2 text-t2-2-sm ">Binnen 6 tot 12 maanden</span>
              <span class="form-control-feedback" aria-hidden="true">
                <svg class="icon icon-error icon-multiple">
                  <use xlink:href="#icon-error"></use>
                </svg>
                <svg class="icon icon-warning icon-multiple">
                  <use xlink:href="#icon-warning"></use>
                </svg>
                <svg class="icon icon-success icon-multiple">
                  <use xlink:href="#icon-success"></use>
                </svg>
              </span> </label>
          </div>
          <div class="radio">
            <label>
              <input name="questions[298]" type="radio" value="973">
              <i></i>
              <span class="sm:text-body-2 text-t2-2-sm mb-0">In overleg</span>
              <span class="form-control-feedback" aria-hidden="true">
                <svg class="icon icon-error icon-multiple">
                  <use xlink:href="#icon-error"></use>
                </svg>
                <svg class="icon icon-warning icon-multiple">
                  <use xlink:href="#icon-warning"></use>
                </svg>
                <svg class="icon icon-success icon-multiple">
                  <use xlink:href="#icon-success"></use>
                </svg>
              </span> </label>
          </div>
        </div>
      </div>
    </div>
    <div class="form-group pb-4" style="display: none;" id="dynamic_299">
      <label class="col-md-3 control-label sm:text-t5 text-t2-sm  sm:mt-3 mt-0 sm:pt-0 sm:pb-0 pt-2 pb-4"> Hoe groot is het huishouden? </label>
      <div class="col-md-9">
        <div class="input-wrapper">
          <div class="radio">
            <label>
              <input name="questions[299]" type="radio" value="974">
              <i></i>
              <span class="sm:text-body-2 text-t2-2-sm ">1 persoon (+- 2.300kwh)</span>
              <span class="form-control-feedback" aria-hidden="true">
                <svg class="icon icon-error icon-multiple">
                  <use xlink:href="#icon-error"></use>
                </svg>
                <svg class="icon icon-warning icon-multiple">
                  <use xlink:href="#icon-warning"></use>
                </svg>
                <svg class="icon icon-success icon-multiple">
                  <use xlink:href="#icon-success"></use>
                </svg>
              </span> </label>
          </div>
          <div class="radio">
            <label>
              <input name="questions[299]" type="radio" value="975">
              <i></i>
              <span class="sm:text-body-2 text-t2-2-sm ">2 personen (+- 3.400kwh)</span>
              <span class="form-control-feedback" aria-hidden="true">
                <svg class="icon icon-error icon-multiple">
                  <use xlink:href="#icon-error"></use>
                </svg>
                <svg class="icon icon-warning icon-multiple">
                  <use xlink:href="#icon-warning"></use>
                </svg>
                <svg class="icon icon-success icon-multiple">
                  <use xlink:href="#icon-success"></use>
                </svg>
              </span> </label>
          </div>
          <div class="radio">
            <label>
              <input name="questions[299]" type="radio" value="976">
              <i></i>
              <span class="sm:text-body-2 text-t2-2-sm ">3 personen (+- 4.100kwh)</span>
              <span class="form-control-feedback" aria-hidden="true">
                <svg class="icon icon-error icon-multiple">
                  <use xlink:href="#icon-error"></use>
                </svg>
                <svg class="icon icon-warning icon-multiple">
                  <use xlink:href="#icon-warning"></use>
                </svg>
                <svg class="icon icon-success icon-multiple">
                  <use xlink:href="#icon-success"></use>
                </svg>
              </span> </label>
          </div>
          <div class="radio">
            <label>
              <input name="questions[299]" type="radio" value="977">
              <i></i>
              <span class="sm:text-body-2 text-t2-2-sm ">4 personen (+- 4.600kwh)</span>
              <span class="form-control-feedback" aria-hidden="true">
                <svg class="icon icon-error icon-multiple">
                  <use xlink:href="#icon-error"></use>
                </svg>
                <svg class="icon icon-warning icon-multiple">
                  <use xlink:href="#icon-warning"></use>
                </svg>
                <svg class="icon icon-success icon-multiple">
                  <use xlink:href="#icon-success"></use>
                </svg>
              </span> </label>
          </div>
          <div class="radio">
            <label>
              <input name="questions[299]" type="radio" value="978">
              <i></i>
              <span class="sm:text-body-2 text-t2-2-sm mb-0">Meer dan 4 personen</span>
              <span class="form-control-feedback" aria-hidden="true">
                <svg class="icon icon-error icon-multiple">
                  <use xlink:href="#icon-error"></use>
                </svg>
                <svg class="icon icon-warning icon-multiple">
                  <use xlink:href="#icon-warning"></use>
                </svg>
                <svg class="icon icon-success icon-multiple">
                  <use xlink:href="#icon-success"></use>
                </svg>
              </span> </label>
          </div>
        </div>
      </div>
    </div>
    <div class="form-group pb-4" style="display: none;" id="dynamic_300">
      <label class="col-md-3 control-label sm:text-t5 text-t2-sm  sm:mt-3 mt-0 sm:pt-0 sm:pb-0 pt-2 pb-4"> Schatting jaarlijks verbruik: </label>
      <div class="col-md-9">
        <div class="input-wrapper">
          <div class="radio">
            <label>
              <input name="questions[300]" type="radio" value="979">
              <i></i>
              <span class="sm:text-body-2 text-t2-2-sm ">Minder dan 10.000 kWh (Consumentenverbruik)</span>
              <span class="form-control-feedback" aria-hidden="true">
                <svg class="icon icon-error icon-multiple">
                  <use xlink:href="#icon-error"></use>
                </svg>
                <svg class="icon icon-warning icon-multiple">
                  <use xlink:href="#icon-warning"></use>
                </svg>
                <svg class="icon icon-success icon-multiple">
                  <use xlink:href="#icon-success"></use>
                </svg>
              </span> </label>
          </div>
          <div class="radio">
            <label>
              <input name="questions[300]" type="radio" value="980">
              <i></i>
              <span class="sm:text-body-2 text-t2-2-sm ">Tussen de 10.000 en 35.000 kWh</span>
              <span class="form-control-feedback" aria-hidden="true">
                <svg class="icon icon-error icon-multiple">
                  <use xlink:href="#icon-error"></use>
                </svg>
                <svg class="icon icon-warning icon-multiple">
                  <use xlink:href="#icon-warning"></use>
                </svg>
                <svg class="icon icon-success icon-multiple">
                  <use xlink:href="#icon-success"></use>
                </svg>
              </span> </label>
          </div>
          <div class="radio">
            <label>
              <input name="questions[300]" type="radio" value="981">
              <i></i>
              <span class="sm:text-body-2 text-t2-2-sm mb-0">Meer dan 35.000 kWh (Grootverbruik)</span>
              <span class="form-control-feedback" aria-hidden="true">
                <svg class="icon icon-error icon-multiple">
                  <use xlink:href="#icon-error"></use>
                </svg>
                <svg class="icon icon-warning icon-multiple">
                  <use xlink:href="#icon-warning"></use>
                </svg>
                <svg class="icon icon-success icon-multiple">
                  <use xlink:href="#icon-success"></use>
                </svg>
              </span> </label>
          </div>
        </div>
      </div>
    </div>
    <div class="flex justify-end">
      <button class="btn-yellow-large arrow-btn" id="next_button" type="button" data-loading-text="<i class='fa fa-spinner fa-pulse'></i> Een moment...">
        <span class="text-button"> Volgende </span>
        <img class="w-8 h-8 ml-1" src="https://offerte.be/img/website/company/Arrow.svg" alt="arrow">
      </button>
    </div>
  </div>
  <div id="step-2" class="hidden" style="display: none;">
    <div style="padding-bottom: 5px !important;" class="form-group">
      <label for="description" class="col-md-3 sm:mt-3 mt-2 mb-3 control-label sm:text-t5 text-t2-sm"> Omschrijving </label>
      <div class="col-md-9">
        <div class="input-wrapper">
          <textarea class="form-control sm:text-body-2 text-t2-2-sm" id="description" name="description"
            placeholder="Beschrijf hier uw aanvullende wensen die onze zonnepanelen specialisten kunnen gebruiken om een passende offerte uit te brengen"></textarea>
        </div>
        <span class="help-block -mt-2"> Hoe specifieker uw omschrijving, hoe accurater de offertes zullen zijn </span>
      </div>
    </div>
    <div class="bg-grijs rounded mb-3">
      <div style="padding-bottom: 0 !important;" class="form-group-inline form-group mb-0 pb-0">
        <label for="name" class="col-md-3 sm:mt-3 mt-2 mb-3 control-label required sm:text-t5 text-t2-sm" aria-required="true">Naam</label>
        <div class="col-md-9">
          <div class="input-wrapper">
            <input class="form-control sm:text-body-2 text-t2-2-sm" id="name" name="name" type="text" required="" autocomplete="name" value="" aria-required="true">
            <span class="form-control-feedback" aria-hidden="true">
              <svg class="icon icon-error ">
                <use xlink:href="#icon-error"></use>
              </svg>
              <svg class="icon icon-warning ">
                <use xlink:href="#icon-warning"></use>
              </svg>
              <svg class="icon icon-success ">
                <use xlink:href="#icon-success"></use>
              </svg>
            </span>
          </div>
        </div>
      </div>
      <div style="padding-bottom: 0 !important;" class="form-group mb-0">
        <label for="postcode" class="col-md-3 sm:mt-3 mt-2 mb-3 control-label required sm:text-t5 text-t2-sm" aria-required="true">Postcode of stad</label>
        <div class="postcode-inputs w-full lg:w-4/6">
          <div class="sm:flex justify-between">
            <div class="width-postcode mb-2">
              <div id="postcode-container" style="padding-bottom: 0 !important;" class="flex-col form-group postcode-form-group form-group-inline">
                <div class="input-wrapper relative">
                  <input class="form-control z-20 relative sm:text-body-2 text-t2-2-sm border-wit border-2" style="padding: 9px 13px" id="postcode-belgium" name="postcode" data-rule-offertepostcodebelgium="true" type="text" required=""
                    autocomplete="test" placeholder="Bijv. 1060" value="" aria-required="true">
                  <div id="dropdown-postcodes" class="dropdown-belgium hidden">
                    <ul></ul>
                  </div>
                  <span class="form-control-feedback" aria-hidden="true">
                    <svg class="icon icon-error ">
                      <use xlink:href="#icon-error"></use>
                    </svg>
                    <svg class="icon icon-warning ">
                      <use xlink:href="#icon-warning"></use>
                    </svg>
                    <svg class="icon icon-success ">
                      <use xlink:href="#icon-success"></use>
                    </svg>
                  </span>
                </div>
              </div>
            </div>
            <div id="container-city-belgium" class="width-postcode mb-2 hidden">
              <div style="padding-bottom: 0 !important;" class="flex-col form-group postcode-form-group form-group-inline has-feedback has-success">
                <div class="input-wrapper relative">
                  <input class="form-control z-20 relative sm:text-body-2 text-t2-2-sm border-wit border-2" style="padding: 9px 13px" id="city-belgium" name="city" autocomplete="test" type="text" required="" value="" aria-required="true">
                  <span class="form-control-feedback" aria-hidden="true">
                    <svg class="icon icon-error ">
                      <use xlink:href="#icon-error"></use>
                    </svg>
                    <svg class="icon icon-warning ">
                      <use xlink:href="#icon-warning"></use>
                    </svg>
                    <svg class="icon icon-success ">
                      <use xlink:href="#icon-success"></use>
                    </svg>
                  </span>
                </div>
              </div>
            </div>
          </div>
          <div id="streetname" class="justify-between hidden">
            <div class="width-32 sm:mb-0 mb-2">
              <div class="w-full">
                <div class="flex-col form-group postcode-form-group form-group-inline">
                  <div class="input-wrapper relative">
                    <input class="form-control pr-8 sm:text-body-2 text-t2-2-sm border-wit border-2" name="street" id="street-belgium" data-rule-streetbelgium="true" autocomplete="test" required="" type="text" placeholder="Straatnaam" value=""
                      aria-required="true">
                    <div id="dropdown-street" class="dropdown-belgium hidden">
                      <ul></ul>
                    </div>
                    <span class="form-control-feedback" aria-hidden="true">
                      <svg class="icon icon-error ">
                        <use xlink:href="#icon-error"></use>
                      </svg>
                      <svg class="icon icon-warning ">
                        <use xlink:href="#icon-warning"></use>
                      </svg>
                      <svg class="icon icon-success ">
                        <use xlink:href="#icon-success"></use>
                      </svg>
                    </span>
                  </div>
                </div>
              </div>
            </div>
            <div id="houseBelgium" class="width-32 hidden">
              <div class="flex-col form-group postcode-form-group form-group-inline">
                <div class="input-wrapper">
                  <input class="form-control sm:text-body-2 text-t2-2-sm border-wit border-2" name="housenumber" id="house-belgium" data-rule-offertehousenumberbelgium="true" autocomplete="test" type="text" placeholder="Huisnr. (optioneel)" value="">
                  <div id="dropdown-house" class="dropdown-belgium hidden">
                    <ul></ul>
                  </div>
                  <span class="form-control-feedback" aria-hidden="true">
                    <svg class="icon icon-error ">
                      <use xlink:href="#icon-error"></use>
                    </svg>
                    <svg class="icon icon-warning ">
                      <use xlink:href="#icon-warning"></use>
                    </svg>
                    <svg class="icon icon-success ">
                      <use xlink:href="#icon-success"></use>
                    </svg>
                  </span>
                </div>
              </div>
            </div>
          </div>
          <span id="address-help-block" style="display: none;" class="help-block"></span>
        </div>
      </div>
      <div style="padding-top: 0 !important;" class="form-group-inline form-group pad-0 mb-0">
        <label for="email" class="col-md-3 sm:mt-3 mt-2 mb-3 control-label required sm:text-t5 text-t2-sm" aria-required="true">E-mailadres</label>
        <div class="col-md-9">
          <div class="input-wrapper">
            <input class="form-control sm:text-body-2 text-t2-2-sm" id="email" name="email" type="email" data-rule-offerteemail="true" required="" value="" aria-required="true">
            <span class="form-control-feedback" aria-hidden="true">
              <svg class="icon icon-error ">
                <use xlink:href="#icon-error"></use>
              </svg>
              <svg class="icon icon-warning ">
                <use xlink:href="#icon-warning"></use>
              </svg>
              <svg class="icon icon-success ">
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Stap 1 Wensen invullen
Stap 2 Gegevens invullen
Stap 3 Ontvang offertes
Soort aanvraag *
Particulier
Zakelijk
Type opdracht *
Zonnepanelen kopen
Zonnepanelen huren
Soort dak
Plat dak
Schuin dak
Beide
Uitvoerdatum
Zo snel mogelijk
Binnen 3 maanden
Binnen 3 tot 6 maanden
Binnen 6 tot 12 maanden
In overleg
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2 personen (+- 3.400kwh)
3 personen (+- 4.100kwh)
4 personen (+- 4.600kwh)
Meer dan 4 personen
Schatting jaarlijks verbruik:
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Tussen de 10.000 en 35.000 kWh
Meer dan 35.000 kWh (Grootverbruik)
Volgende
Omschrijving

Hoe specifieker uw omschrijving, hoe accurater de offertes zullen zijn
Naam

Postcode of stad

E-mailadres

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