www-preview.free2movecharge.nl Open in urlscan Pro
2600:141b:13::172f:919b  Public Scan

URL: https://www-preview.free2movecharge.nl/
Submission: On June 30 via api from US — Scanned from US

Form analysis 1 forms found in the DOM

Name: applicationPOST /hostb/f2mc/f2mcControllers.php

<form id="ebookUser" method="POST" action="/hostb/f2mc/f2mcControllers.php" name="application" autocomplete="off">
  <div class="sdp-row">
    <div class="sdp-col sdp-col-xs-12 sdp-col-sm-12 sdp-col-md-6 sdp-col-lg-6">
      <div class="sdp-row">
        <div class="sdp-col sdp-col-xs-12 sdp-col-sm-12 sdp-col-md-12 sdp-col-lg-12">
          <div>
            <div class="privacy-policy-wrapper"><label class="sdp-form-label sdp-form-text-box-label gcss-theme-light" data-validation-required-state-indicator="*">
                <div class="sdp-form-label-content">
                  <div class="sdp-form-label-value gcss-typography-label-2">In wat voor oplaadoplossingen bent u geïnteresseerd?</div>
                </div>
              </label></div>
            <div id="INTERESTCHARGE" class="sdp-form-radio-group privacy-policy-radio gcss-theme-light" data-alignment="horizontal" data-validation-state="success"><label for="INTERESTCHARGE"
                class="sdp-form-label sdp-form-radio-group-label gcss-theme-light" data-validation-state="success" data-validation-required-state-indicator="*" required="" data-is-empty="">
                <div class="sdp-form-label-content"></div>
              </label>
              <div class="sdp-form-radio-group-radio-container">
                <div data-cats-id="sdp-column" class="sdp-form-radio-group-radio-container__grid sdp-grid no-padding">
                  <div class="sdp-form-radio-group-radio-container__row sdp-row no-margins">
                    <div class="sdp-form-radio-group-radio-container__col sdp-col flush">
                      <div class="sdp-form-radio gcss-theme-light" data-validation-state="success"><input name="INTERESTCHARGE" id="home" aria-invalid="false" type="radio" value="Home" checked=""><label for="home"
                          class="sdp-form-label gcss-theme-light" data-validation-state="success" data-validation-required-state-indicator="*">
                          <div class="sdp-form-label-content">
                            <div class="sdp-form-label-value gcss-typography-label-2">Home</div>
                          </div>
                        </label></div>
                    </div>
                  </div>
                  <div class="sdp-form-radio-group-radio-container__row sdp-row no-margins">
                    <div class="sdp-form-radio-group-radio-container__col sdp-col flush">
                      <div class="sdp-form-radio gcss-theme-light" data-validation-state="success"><input name="INTERESTCHARGE" id="on-the-go" aria-invalid="false" type="radio" value="Onthego"><label for="on-the-go"
                          class="sdp-form-label gcss-theme-light" data-validation-state="success" data-validation-required-state-indicator="*">
                          <div class="sdp-form-label-content">
                            <div class="sdp-form-label-value gcss-typography-label-2">On-the-Go</div>
                          </div>
                        </label></div>
                    </div>
                  </div>
                  <div class="sdp-form-radio-group-radio-container__row sdp-row no-margins">
                    <div class="sdp-form-radio-group-radio-container__col sdp-col flush">
                      <div class="sdp-form-radio gcss-theme-light" data-validation-state="success"><input name="INTERESTCHARGE" id="home-and-on-the-go" aria-invalid="false" type="radio" value="Both"><label for="home-and-on-the-go"
                          class="sdp-form-label gcss-theme-light" data-validation-state="success" data-validation-required-state-indicator="*">
                          <div class="sdp-form-label-content">
                            <div class="sdp-form-label-value gcss-typography-label-2">Business</div>
                          </div>
                        </label></div>
                    </div>
                  </div>
                </div>
              </div>
            </div>
          </div>
        </div>
        <div class="sdp-col sdp-col-xs-6 sdp-col-sm-6 sdp-col-md-12 sdp-col-lg-12">
          <div class="sdp-form-text-box gcss-theme-light" data-validation-state="success"><label for="NAME" class="sdp-form-label sdp-form-text-box-label gcss-theme-light" data-validation-state="success" data-validation-required-state-indicator="*"
              required="" data-is-empty="">
              <div class="sdp-form-label-content"></div>
            </label>
            <div class="sdp-form-text-box-text-box-container"><input data-validation-state="success" class="sdp-form-text-box-text-box" id="NAME" maxlength="30" name="NAME" pattern="^[a-zA-Z0-9 ]+$" placeholder="Volledige naam *" aria-required="true"
                required="" type="text" aria-invalid="false" data-cats-id="input_NAME" value=""></div>
          </div>
        </div>
      </div>
      <div class="sdp-row">
        <div class="sdp-col sdp-col-xs-6 sdp-col-sm-6 sdp-col-md-12 sdp-col-lg-12">
          <div class="sdp-form-text-box gcss-theme-light" data-validation-state="success"><label for="SURNAME" class="sdp-form-label sdp-form-text-box-label gcss-theme-light" data-validation-state="success"
              data-validation-required-state-indicator="*" required="" data-is-empty="">
              <div class="sdp-form-label-content"></div>
            </label>
            <div class="sdp-form-text-box-text-box-container"><input data-validation-state="success" class="sdp-form-text-box-text-box" id="SURNAME" maxlength="30" name="SURNAME" pattern="^[a-zA-Z0-9 ]+$" placeholder="Familienaam*"
                aria-required="true" required="" type="text" aria-invalid="false" data-cats-id="input_SURNAME" value=""></div>
          </div>
        </div>
      </div>
      <div class="sdp-row">
        <div class="sdp-col sdp-col-xs-6 sdp-col-sm-6 sdp-col-md-12 sdp-col-lg-12">
          <div class="sdp-form-text-box gcss-theme-light" data-validation-state="success"><label for="EMAIL" class="sdp-form-label sdp-form-text-box-label gcss-theme-light" data-validation-state="success" data-validation-required-state-indicator="*"
              required="" data-is-empty="">
              <div class="sdp-form-label-content"></div>
            </label>
            <div class="sdp-form-text-box-text-box-container"><input data-validation-state="success" class="sdp-form-text-box-text-box" id="EMAIL" maxlength="60" name="EMAIL"
                pattern="^((?=[^\W])([^<>\(\)\[\]\\.,;:\s@&quot;]+(\.[^<>\(\)\[\]\\.,;:\s@&quot;]+)*)|(&quot;.+&quot;))@((\[[0-9]{1,3}\.[0-9]{1,3}\.[0-9]{1,3}\.[0-9]{1,3}\])|(([a-zA-Z\-0-9]+\.)+[a-zA-Z]{2,}))$" placeholder="E-mail *"
                aria-required="true" required="" type="email" aria-invalid="false" data-cats-id="input_EMAIL" value=""></div>
          </div>
        </div>
      </div>
    </div>
    <div class="sdp-col sdp-col-xs-12 sdp-col-sm-12 sdp-col-md-6 sdp-col-lg-6">
      <div class="sdp-row">
        <div class="sdp-col sdp-col-xs-12 sdp-col-sm-12 sdp-col-md-12 sdp-col-lg-12">
          <div>
            <div id="BUSINESSAREA" class="sdp-form-radio-group privacy-policy-radio gcss-theme-light" data-alignment="horizontal" data-validation-state="success"><label for="BUSINESSAREA"
                class="sdp-form-label sdp-form-radio-group-label gcss-theme-light" data-validation-state="success" data-validation-required-state-indicator="*" required="" data-is-empty="">
                <div class="sdp-form-label-content"></div>
              </label>
              <div class="sdp-form-radio-group-radio-container">
                <div data-cats-id="sdp-column" class="sdp-form-radio-group-radio-container__grid sdp-grid no-padding">
                  <div class="sdp-form-radio-group-radio-container__row sdp-row no-margins">
                    <div class="sdp-form-radio-group-radio-container__col sdp-col flush">
                      <div class="sdp-form-radio gcss-theme-light" data-validation-state="success"><input name="BUSINESSAREA" id="residential" aria-invalid="false" type="radio" value="1" checked=""><label for="residential"
                          class="sdp-form-label gcss-theme-light" data-validation-state="success" data-validation-required-state-indicator="*">
                          <div class="sdp-form-label-content">
                            <div class="sdp-form-label-value gcss-typography-label-2">Privé</div>
                          </div>
                        </label></div>
                    </div>
                  </div>
                  <div class="sdp-form-radio-group-radio-container__row sdp-row no-margins">
                    <div class="sdp-form-radio-group-radio-container__col sdp-col flush">
                      <div class="sdp-form-radio gcss-theme-light" data-validation-state="success"><input name="BUSINESSAREA" id="business" aria-invalid="false" type="radio" value="6"><label for="business" class="sdp-form-label gcss-theme-light"
                          data-validation-state="success" data-validation-required-state-indicator="*">
                          <div class="sdp-form-label-content">
                            <div class="sdp-form-label-value gcss-typography-label-2">Zaken</div>
                          </div>
                        </label></div>
                    </div>
                  </div>
                </div>
              </div>
            </div>
          </div>
        </div>
        <div class="sdp-col sdp-col-xs-6 sdp-col-sm-6 sdp-col-md-6 sdp-col-lg-6"><label for="homeaddress" id="homeaddress" class="sdp-form-label sdp-form-confirmation-label-value gcss-theme-light" data-validation-required-state-indicator="*">
            <div class="sdp-form-label-content">
              <div class="sdp-form-label-value gcss-typography-label-2"><span><span style="font-weight: normal">Na het lezen van de <u>informatieve notitie</u>* kunt u:</span></span></div>
            </div>
          </label></div>
        <div class="sdp-col sdp-col-xs-6 sdp-col-sm-6 sdp-col-md-12 sdp-col-lg-12">
          <div>
            <div class="privacy-policy-wrapper"><label class="sdp-form-label sdp-form-text-box-label gcss-theme-light" data-validation-required-state-indicator="*">
                <div class="sdp-form-label-content">
                  <div class="sdp-form-label-value gcss-typography-label-2">Marketingactiviteiten</div>
                </div>
              </label></div>
            <div id="marketing_activities" class="sdp-form-radio-group privacy-policy-radio gcss-theme-light" data-alignment="horizontal" data-validation-state="success"><label for="marketing_activities"
                class="sdp-form-label sdp-form-radio-group-label gcss-theme-light" data-validation-state="success" data-validation-required-state-indicator="*" required="" data-is-empty="">
                <div class="sdp-form-label-content"></div>
              </label>
              <div class="sdp-form-radio-group-radio-container">
                <div data-cats-id="sdp-column" class="sdp-form-radio-group-radio-container__grid sdp-grid no-padding">
                  <div class="sdp-form-radio-group-radio-container__row sdp-row no-margins">
                    <div class="sdp-form-radio-group-radio-container__col sdp-col flush">
                      <div class="sdp-form-radio gcss-theme-light" data-validation-state="success"><input name="EXTENDEDPRIVACYALL" id="marketing_activities_accept" required="" aria-invalid="false" type="radio" value="1"><label
                          for="marketing_activities_accept" class="sdp-form-label gcss-theme-light" data-validation-state="success" data-validation-required-state-indicator="*">
                          <div class="sdp-form-label-content">
                            <div class="sdp-form-label-value gcss-typography-label-2">Accepteren</div>
                          </div>
                        </label></div>
                    </div>
                  </div>
                  <div class="sdp-form-radio-group-radio-container__row sdp-row no-margins">
                    <div class="sdp-form-radio-group-radio-container__col sdp-col flush">
                      <div class="sdp-form-radio gcss-theme-light" data-validation-state="success"><input name="EXTENDEDPRIVACYALL" id="marketing_activities_do_not_accept" required="" aria-invalid="false" type="radio" value="0"><label
                          for="marketing_activities_do_not_accept" class="sdp-form-label gcss-theme-light" data-validation-state="success" data-validation-required-state-indicator="*">
                          <div class="sdp-form-label-content">
                            <div class="sdp-form-label-value gcss-typography-label-2">Niet accepteren</div>
                          </div>
                        </label></div>
                    </div>
                  </div>
                </div>
              </div>
            </div>
          </div>
        </div>
        <div class="sdp-col sdp-col-xs-6 sdp-col-sm-6 sdp-col-md-12 sdp-col-lg-12"><label for="" id="" class="sdp-form-label sdp-form-confirmation-label-value gcss-theme-light" data-validation-required-state-indicator="*">
            <div class="sdp-form-label-content">
              <div class="sdp-form-label-value gcss-typography-label-2">Voor het verwerken van mijn persoonsgegevens door FCA Italy S.p.A. voor marketingdoeleinden overeenkomstig punt c) van deze privacyverklaring, in hardcopy, door automatische of
                elektronische middelen inclusief via post of e-mail, telefoon (bijv. geautomatiseerde telefoongesprekken, SMS, MMS), fax en iedere andere manier (bijv. websites, mobiele apps).</div>
            </div>
          </label></div>
      </div>
      <div class="sdp-row">
        <div class="sdp-col sdp-col-xs-6 sdp-col-sm-6 sdp-col-md-12 sdp-col-lg-12">
          <div>
            <div class="privacy-policy-wrapper"><label class="sdp-form-label sdp-form-text-box-label gcss-theme-light" data-validation-required-state-indicator="*">
                <div class="sdp-form-label-content">
                  <div class="sdp-form-label-value gcss-typography-label-2">Profilering activiteiten</div>
                </div>
              </label></div>
            <div id="profiling_activities" class="sdp-form-radio-group privacy-policy-radio gcss-theme-light" data-alignment="horizontal" data-validation-state="success"><label for="profiling_activities"
                class="sdp-form-label sdp-form-radio-group-label gcss-theme-light" data-validation-state="success" data-validation-required-state-indicator="*" required="" data-is-empty="">
                <div class="sdp-form-label-content"></div>
              </label>
              <div class="sdp-form-radio-group-radio-container">
                <div data-cats-id="sdp-column" class="sdp-form-radio-group-radio-container__grid sdp-grid no-padding">
                  <div class="sdp-form-radio-group-radio-container__row sdp-row no-margins">
                    <div class="sdp-form-radio-group-radio-container__col sdp-col flush">
                      <div class="sdp-form-radio gcss-theme-light" data-validation-state="success"><input name="PRIVACYPROFILATION" id="profiling_activities_accept" required="" aria-invalid="false" type="radio" value="1"><label
                          for="profiling_activities_accept" class="sdp-form-label gcss-theme-light" data-validation-state="success" data-validation-required-state-indicator="*">
                          <div class="sdp-form-label-content">
                            <div class="sdp-form-label-value gcss-typography-label-2">Accepteren</div>
                          </div>
                        </label></div>
                    </div>
                  </div>
                  <div class="sdp-form-radio-group-radio-container__row sdp-row no-margins">
                    <div class="sdp-form-radio-group-radio-container__col sdp-col flush">
                      <div class="sdp-form-radio gcss-theme-light" data-validation-state="success"><input name="PRIVACYPROFILATION" id="profiling_activities_do_not_accept" required="" aria-invalid="false" type="radio" value="0"><label
                          for="profiling_activities_do_not_accept" class="sdp-form-label gcss-theme-light" data-validation-state="success" data-validation-required-state-indicator="*">
                          <div class="sdp-form-label-content">
                            <div class="sdp-form-label-value gcss-typography-label-2">Niet accepteren</div>
                          </div>
                        </label></div>
                    </div>
                  </div>
                </div>
              </div>
            </div>
          </div>
        </div>
        <div class="sdp-col sdp-col-xs-6 sdp-col-sm-6 sdp-col-md-12 sdp-col-lg-12"><label for="" id="" class="sdp-form-label gcss-theme-light" data-validation-required-state-indicator="*">
            <div class="sdp-form-label-content">
              <div class="sdp-form-label-value gcss-typography-label-2">Voor het verwerken van mijn persoonsgegevens door FCA Italy S.p.A. voor het analyseren van mijn voorkeuren en het ontvangen van aangepaste commerciële communicatie,
                overeenkomstig punt d) van deze privacyverklaring.</div>
            </div>
          </label></div>
      </div>
      <div class="sdp-row">
        <div class="sdp-col sdp-col-xs-6 sdp-col-sm-6 sdp-col-md-6 sdp-col-lg-6">
          <div>
            <div class="privacy-policy-wrapper"><label class="sdp-form-label sdp-form-text-box-label gcss-theme-light" data-validation-required-state-indicator="*">
                <div class="sdp-form-label-content">
                  <div class="sdp-form-label-value gcss-typography-label-2">Derde partijen</div>
                </div>
              </label></div>
            <div id="third_parties" class="sdp-form-radio-group privacy-policy-radio gcss-theme-light" data-alignment="horizontal" data-validation-state="success"><label for="third_parties"
                class="sdp-form-label sdp-form-radio-group-label gcss-theme-light" data-validation-state="success" data-validation-required-state-indicator="*" required="" data-is-empty="">
                <div class="sdp-form-label-content"></div>
              </label>
              <div class="sdp-form-radio-group-radio-container">
                <div data-cats-id="sdp-column" class="sdp-form-radio-group-radio-container__grid sdp-grid no-padding">
                  <div class="sdp-form-radio-group-radio-container__row sdp-row no-margins">
                    <div class="sdp-form-radio-group-radio-container__col sdp-col flush">
                      <div class="sdp-form-radio gcss-theme-light" data-validation-state="success"><input name="PRIVACYTHIRDPARTY" id="third_parties_accept" required="" aria-invalid="false" type="radio" value="1"><label for="third_parties_accept"
                          class="sdp-form-label gcss-theme-light" data-validation-state="success" data-validation-required-state-indicator="*">
                          <div class="sdp-form-label-content">
                            <div class="sdp-form-label-value gcss-typography-label-2">Accepteren</div>
                          </div>
                        </label></div>
                    </div>
                  </div>
                  <div class="sdp-form-radio-group-radio-container__row sdp-row no-margins">
                    <div class="sdp-form-radio-group-radio-container__col sdp-col flush">
                      <div class="sdp-form-radio gcss-theme-light" data-validation-state="success"><input name="PRIVACYTHIRDPARTY" id="third_parties_do_not_accept" required="" aria-invalid="false" type="radio" value="0"><label
                          for="third_parties_do_not_accept" class="sdp-form-label gcss-theme-light" data-validation-state="success" data-validation-required-state-indicator="*">
                          <div class="sdp-form-label-content">
                            <div class="sdp-form-label-value gcss-typography-label-2">Niet accepteren</div>
                          </div>
                        </label></div>
                    </div>
                  </div>
                </div>
              </div>
            </div>
          </div>
        </div>
        <div class="sdp-col sdp-col-xs-6 sdp-col-sm-6 sdp-col-md-12 sdp-col-lg-12"><label for="" id="" class="sdp-form-label gcss-theme-light" data-validation-required-state-indicator="*">
            <div class="sdp-form-label-content">
              <div class="sdp-form-label-value gcss-typography-label-2">Voor het verstrekken van mijn persoonsgegevens aan dochterondernemingen en aangesloten ondernemingen van FCA Italy S.p.A., als ook aan hun partners in de automotive, financiële,
                verzekerings- and telecommunicatiesector, die deze gegevens zullen verwerken voor marketing doeleinden overeenkomstig punt e) van deze privacyverklaring, in hardcopy, door automatische of elektronische middelen inclusief via post of
                e-mail, telefoon (bijv. geautomatiseerde telefoongesprekken, SMS, MMS), fax en iedere andere manier (bijv. websites, mobiele apps).</div>
            </div>
          </label></div>
      </div>
    </div>
    <div class="sdp-col sdp-col-xs-12 sdp-col-sm-12 sdp-col-md-6 sdp-col-lg-6">
      <div class="sdp-row">
        <div class="sdp-col sdp-col-xs-12 sdp-col-sm-12 sdp-col-md-12 sdp-col-lg-12"><label for="" id="" class="sdp-form-label sdp-form-confirmation-label-value gcss-theme-light" data-validation-required-state-indicator="*">
            <div class="sdp-form-label-content">
              <div class="sdp-form-label-value gcss-typography-label-2"><span><span style="font-weight: normal">*Verplichte velden</span></span></div>
            </div>
          </label></div>
      </div>
    </div>
  </div>
  <div class="eBook-button-section">
    <div></div>
    <a data-react="true" class="sdp-button gcss-button gcss-button-variable" target="_self" data-lpos="f2mc" data-lid="button-clicked-user-detail-form" data-cats-id="Zenden" tabindex="0" data-fe-id="Button" role="link"><span><span>Zenden</span></span></a>
  </div>
</form>

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Na het lezen van de informatieve notitie* kunt u:
Marketingactiviteiten
Accepteren
Niet accepteren
Voor het verwerken van mijn persoonsgegevens door FCA Italy S.p.A. voor
marketingdoeleinden overeenkomstig punt c) van deze privacyverklaring, in
hardcopy, door automatische of elektronische middelen inclusief via post of
e-mail, telefoon (bijv. geautomatiseerde telefoongesprekken, SMS, MMS), fax en
iedere andere manier (bijv. websites, mobiele apps).
Profilering activiteiten
Accepteren
Niet accepteren
Voor het verwerken van mijn persoonsgegevens door FCA Italy S.p.A. voor het
analyseren van mijn voorkeuren en het ontvangen van aangepaste commerciële
communicatie, overeenkomstig punt d) van deze privacyverklaring.
Derde partijen
Accepteren
Niet accepteren
Voor het verstrekken van mijn persoonsgegevens aan dochterondernemingen en
aangesloten ondernemingen van FCA Italy S.p.A., als ook aan hun partners in de
automotive, financiële, verzekerings- and telecommunicatiesector, die deze
gegevens zullen verwerken voor marketing doeleinden overeenkomstig punt e) van
deze privacyverklaring, in hardcopy, door automatische of elektronische middelen
inclusief via post of e-mail, telefoon (bijv. geautomatiseerde
telefoongesprekken, SMS, MMS), fax en iedere andere manier (bijv. websites,
mobiele apps).
*Verplichte velden

Zenden

De afbeeldingen zijn voor illustratieve en indicatieve doeleinden. De
beschikbare producten en diensten kunnen variëren om technische en / of bouw- en
commerciële redenen.

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