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Submitted URL: https://amxe.net/yi75f0sz-g76q9pyf-q9893jpv-17vx
Effective URL: https://www.dixi.be/nl/offerte-aanvraag/?utm_source=email&utm_medium=newsletter&utm_campaign=containermailing-BE-202...
Submission: On March 07 via api from BE — Scanned from DE

Form analysis 3 forms found in the DOM

POST /nl/zoeken/?tx_indexedsearch_pi2%5Baction%5D=search&tx_indexedsearch_pi2%5Bcontroller%5D=Search&cHash=00c24b2e171493b27b1aa5a7a86af086

<form method="post" action="/nl/zoeken/?tx_indexedsearch_pi2%5Baction%5D=search&amp;tx_indexedsearch_pi2%5Bcontroller%5D=Search&amp;cHash=00c24b2e171493b27b1aa5a7a86af086">
  <div>
    <input type="hidden" name="tx_indexedsearch_pi2[__referrer][@extension]" value="Toitoidixi">
    <input type="hidden" name="tx_indexedsearch_pi2[__referrer][@controller]" value="Standard">
    <input type="hidden" name="tx_indexedsearch_pi2[__referrer][@action]" value="index">
    <input type="hidden" name="tx_indexedsearch_pi2[__referrer][arguments]" value="YTowOnt9a2b220acd270506d531cca74769bc678a8d5faf7">
    <input type="hidden" name="tx_indexedsearch_pi2[__referrer][@request]"
      value="{&quot;@extension&quot;:&quot;Toitoidixi&quot;,&quot;@controller&quot;:&quot;Standard&quot;,&quot;@action&quot;:&quot;index&quot;}5cba39090888e8855efc2bc0e40939abb5939f90">
    <input type="hidden" name="tx_indexedsearch_pi2[__trustedProperties]" value="{&quot;search&quot;:{&quot;sword&quot;:1}}9417652ffc5687adeeca0216e8d0d667bfb9c79a">
  </div>
  <input type="text" name="tx_indexedsearch_pi2[search][sword]">
  <button type="submit" class="icon--search"></button>
</form>

POST /nl/zoeken/?tx_indexedsearch_pi2%5Baction%5D=search&tx_indexedsearch_pi2%5Bcontroller%5D=Search&cHash=00c24b2e171493b27b1aa5a7a86af086

<form method="post" action="/nl/zoeken/?tx_indexedsearch_pi2%5Baction%5D=search&amp;tx_indexedsearch_pi2%5Bcontroller%5D=Search&amp;cHash=00c24b2e171493b27b1aa5a7a86af086">
  <div>
    <input type="hidden" name="tx_indexedsearch_pi2[__referrer][@extension]" value="Toitoidixi">
    <input type="hidden" name="tx_indexedsearch_pi2[__referrer][@controller]" value="Standard">
    <input type="hidden" name="tx_indexedsearch_pi2[__referrer][@action]" value="index">
    <input type="hidden" name="tx_indexedsearch_pi2[__referrer][arguments]" value="YTowOnt9a2b220acd270506d531cca74769bc678a8d5faf7">
    <input type="hidden" name="tx_indexedsearch_pi2[__referrer][@request]"
      value="{&quot;@extension&quot;:&quot;Toitoidixi&quot;,&quot;@controller&quot;:&quot;Standard&quot;,&quot;@action&quot;:&quot;index&quot;}5cba39090888e8855efc2bc0e40939abb5939f90">
    <input type="hidden" name="tx_indexedsearch_pi2[__trustedProperties]" value="{&quot;search&quot;:{&quot;sword&quot;:1}}9417652ffc5687adeeca0216e8d0d667bfb9c79a">
  </div>
  <input type="text" name="tx_indexedsearch_pi2[search][sword]">
  <button type="submit" class="icon--search"></button>
</form>

POST /nl/offerte-aanvraag/?tx_form_formframework%5Baction%5D=perform&tx_form_formframework%5Bcontroller%5D=FormFrontend&cHash=f58c01d7568616533ad61ae2aad5a9a3#quotationrequest-16

<form data-blockeddays="Wij leveren normaal niet in het weekend. Voor speciale opdrachten kunt u telefonisch of via ons contactformulier contact met ons opnemen."
  data-label-no_delivery_somedays="Sorry, wij leveren en retourneren niet in het weekend en op feestdagen. Kies alstublieft een andere datum." enctype="multipart/form-data" method="post" id="quotationrequest-16"
  action="/nl/offerte-aanvraag/?tx_form_formframework%5Baction%5D=perform&amp;tx_form_formframework%5Bcontroller%5D=FormFrontend&amp;cHash=f58c01d7568616533ad61ae2aad5a9a3#quotationrequest-16">
  <div><input type="hidden" name="tx_form_formframework[quotationrequest-16][__state]"
      value="TzozOToiVFlQTzNcQ01TXEZvcm1cRG9tYWluXFJ1bnRpbWVcRm9ybVN0YXRlIjoyOntzOjI1OiIAKgBsYXN0RGlzcGxheWVkUGFnZUluZGV4IjtpOjA7czoxMzoiACoAZm9ybVZhbHVlcyI7YTowOnt9fQ==683405411b2b2753f874eaca1734a97300a2dca1"><input type="hidden"
      name="tx_form_formframework[__trustedProperties]"
      value="{&quot;quotationrequest-16&quot;:{&quot;firstName&quot;:1,&quot;lastName&quot;:1,&quot;company&quot;:1,&quot;email&quot;:1,&quot;telephone&quot;:1,&quot;serviceArea&quot;:1,&quot;deliveryDate&quot;:1,&quot;deliveryZip&quot;:1,&quot;deliveryCity&quot;:1,&quot;message&quot;:1,&quot;interests&quot;:[1,1,1,1,1],&quot;privacyPolicy&quot;:1,&quot;BT2oP4v&quot;:1,&quot;cr-field&quot;:1,&quot;__currentPage&quot;:1}}3770afb757c5c1703618d402cf3e5bd66dbda5df">
  </div>
  <h2>Quotation Request</h2>
  <div class="row ">
    <div class="col-12 col-sm-12 col-md-6 col-lg-4 col-xl-4 col-xxl-4">
      <fieldset id="quotationrequest-16-yourData" class="form-group ">
        <legend>Jouw gegevens</legend>
        <div class="form-group ">
          <label class="control-label" for="quotationrequest-16-firstName">Voornaam <span class="required">*</span>
          </label>
          <div class="input">
            <input required="required" class=" form-control" id="quotationrequest-16-firstName" type="text" name="tx_form_formframework[quotationrequest-16][firstName]" value="">
          </div>
        </div>
        <div class="form-group ">
          <label class="control-label" for="quotationrequest-16-lastName">Achternaam <span class="required">*</span>
          </label>
          <div class="input">
            <input required="required" class=" form-control" id="quotationrequest-16-lastName" type="text" name="tx_form_formframework[quotationrequest-16][lastName]" value="">
          </div>
        </div>
        <div class="form-group ">
          <label class="control-label" for="quotationrequest-16-company">Bedrijf</label>
          <div class="input">
            <input class=" form-control" id="quotationrequest-16-company" type="text" name="tx_form_formframework[quotationrequest-16][company]" value="">
          </div>
        </div>
        <div class="form-group ">
          <label class="control-label" for="quotationrequest-16-email">E-mailadres <span class="required">*</span>
          </label>
          <div class="input">
            <input required="required" class=" form-control" id="quotationrequest-16-email" type="text" name="tx_form_formframework[quotationrequest-16][email]" value="">
          </div>
        </div>
        <div class="form-group ">
          <label class="control-label" for="quotationrequest-16-telephone">Telefoonnummer <span class="required">*</span>
          </label>
          <div class="input">
            <input required="required" class=" form-control" id="quotationrequest-16-telephone" type="text" name="tx_form_formframework[quotationrequest-16][telephone]" value="">
          </div>
        </div>
      </fieldset>
    </div>
    <div class="col-12 col-sm-12 col-md-6 col-lg-4 col-xl-4 col-xxl-4">
      <div class="row ">
        <div class="col-12 col-sm-12 col-md-12 col-lg-12 col-xl-12 col-xxl-12">
          <fieldset id="quotationrequest-16-deliveryData" class="form-group ">
            <legend>Leveringsgegevens</legend>
            <div class="form-group ">
              <label class="control-label" for="quotationrequest-16-serviceArea">Servicegebied</label>
              <div class="input">
                <select class=" form-control" id="quotationrequest-16-serviceArea" name="tx_form_formframework[quotationrequest-16][serviceArea]">
                  <option value="">Servicegebied</option>
                  <option value="construction">Bouw</option>
                  <option value="event">Evenement</option>
                  <option value="other">Ander</option>
                </select>
              </div>
            </div>
            <div class="form-group active">
              <label class="control-label" for="quotationrequest-16-deliveryDate">Bezorgdatum</label>
              <div class="input">
                <input pattern="([0-9])-(0[1-9]|1[012])-(0[1-9]|1[0-9]|2[0-9]|3[01])" min="2024-03-09" max="" step="1" class=" form-control" id="quotationrequest-16-deliveryDate" type="date"
                  name="tx_form_formframework[quotationrequest-16][deliveryDate]" value="">
              </div>
            </div>
            <div class="row ">
              <div class="col-12 col-sm-12 col-md-4 col-lg-4 col-xl-6 col-xxl-6">
                <div class="form-group ">
                  <label class="control-label" for="quotationrequest-16-deliveryZip">Postcode</label>
                  <div class="input">
                    <input class=" form-control" id="quotationrequest-16-deliveryZip" type="text" name="tx_form_formframework[quotationrequest-16][deliveryZip]" value="">
                  </div>
                </div>
              </div>
              <div class="col-12 col-sm-12 col-md-8 col-lg-8 col-xl-6 col-xxl-6">
                <div class="form-group ">
                  <label class="control-label" for="quotationrequest-16-deliveryCity">Plaats</label>
                  <div class="input">
                    <input class=" form-control" id="quotationrequest-16-deliveryCity" type="text" name="tx_form_formframework[quotationrequest-16][deliveryCity]" value="">
                  </div>
                </div>
              </div>
            </div>
          </fieldset>
        </div>
        <div class="col-12 col-sm-12 col-md-12 col-lg-12 col-xl-12 col-xxl-12">
          <fieldset id="quotationrequest-16-yourMessage" class="form-group ">
            <legend>Jouw bericht</legend>
            <div class="form-group ">
              <label class="control-label" for="quotationrequest-16-message">Bericht</label>
              <div class="input">
                <textarea placeholder="Your Message to TOI TOI &amp; DIXI" class="xxlarge form-control" id="quotationrequest-16-message" name="tx_form_formframework[quotationrequest-16][message]"></textarea>
              </div>
            </div>
          </fieldset>
        </div>
      </div>
    </div>
    <div class="col-12 col-sm-12 col-md-6 col-lg-4 col-xl-4 col-xxl-4">
      <div class="row ">
        <div class="col-12 col-sm-12 col-md-12 col-lg-12 col-xl-12 col-xxl-12">
          <fieldset id="quotationrequest-16-yourInterest" class="form-group ">
            <legend>Waar ben je in geïnteresseerd?</legend>
            <div class="form-group ">
              <label class="control-label" for="quotationrequest-16-interests"></label>
              <div class="input checkbox">
                <div id="quotationrequest-16-interests" class="inputs-list">
                  <div class="form-check">
                    <label class="form-check-label" for="quotationrequest-16-interests-0">
                      <input type="hidden" name="tx_form_formframework[quotationrequest-16][interests]" value=""><input id="quotationrequest-16-interests-0" type="checkbox" name="tx_form_formframework[quotationrequest-16][interests][]"
                        value="toiletCabin">
                      <span>Toilet cabine</span>
                    </label>
                  </div>
                  <div class="form-check">
                    <label class="form-check-label" for="quotationrequest-16-interests-1">
                      <input id="quotationrequest-16-interests-1" type="checkbox" name="tx_form_formframework[quotationrequest-16][interests][]" value="container">
                      <span>Container</span>
                    </label>
                  </div>
                  <div class="form-check">
                    <label class="form-check-label" for="quotationrequest-16-interests-2">
                      <input id="quotationrequest-16-interests-2" type="checkbox" name="tx_form_formframework[quotationrequest-16][interests][]" value="trailer">
                      <span>Trailer</span>
                    </label>
                  </div>
                  <div class="form-check">
                    <label class="form-check-label" for="quotationrequest-16-interests-3">
                      <input id="quotationrequest-16-interests-3" type="checkbox" name="tx_form_formframework[quotationrequest-16][interests][]" value="accessoires">
                      <span>Accessoires</span>
                    </label>
                  </div>
                  <div class="form-check">
                    <label class="form-check-label" for="quotationrequest-16-interests-4">
                      <input id="quotationrequest-16-interests-4" type="checkbox" name="tx_form_formframework[quotationrequest-16][interests][]" value="others">
                      <span>Anderen</span>
                    </label>
                  </div>
                </div>
              </div>
            </div>
          </fieldset>
        </div>
      </div>
    </div>
  </div>
  <div class="clearfix">
    <p>* Dit zijn verplichte velden.</p>
  </div>
  <div class="form-group ">
    <div class="input checkbox">
      <div class="form-check">
        <label class="add-on form-check-label" for="quotationrequest-16-privacyPolicy">
          <input type="hidden" name="tx_form_formframework[quotationrequest-16][privacyPolicy]" value=""><input required="required" class="add-on" id="quotationrequest-16-privacyPolicy" type="checkbox"
            name="tx_form_formframework[quotationrequest-16][privacyPolicy]" value="1">
          <span>Ik heb de <a href="/nl/dataprotectie/" target="_blank" class="dataprotection">Dataprotectie</a> en <a href="/nl/av/" target="_blank" class="terms">AV</a> gelezen en ga hiermee akkoord. <span class="required">*</span>
          </span>
        </label>
      </div>
    </div>
  </div>
  <input autocomplete="BT2oP4v" aria-hidden="true" id="quotationrequest-16-BT2oP4v" style="position:absolute; margin:0 0 0 -999em;" tabindex="-1" type="text" name="tx_form_formframework[quotationrequest-16][BT2oP4v]">
  <input autocomplete="off" id="quotationrequest-16-cr-field" type="hidden" name="tx_form_formframework[quotationrequest-16][cr-field]" value="MTcwOTg2MDI5OXw3cHE2cTRvMzY2MTA3NTAxOTI4cnI0M29ucG83bzQ3bzhxOHM0bzgz">
  <div class="actions">
    <nav class="form-navigation">
      <div class="btn-toolbar" role="toolbar">
        <div class="btn-group" role="group">
          <span class="btn-group next submit">
            <button class="btn btn-primary" type="submit" name="tx_form_formframework[quotationrequest-16][__currentPage]" value="1"> Versturen </button>
          </span>
        </div>
      </div>
    </nav>
  </div>
</form>

Text Content

 * Jobs
 * Onze vestigingen
 * Klantenportaal

 * 
 * 

 * NL
 * FR

 * NL
 * FR

 * 
 * Mobiele Toiletten
    * Toiletcabines
      * DIXI® GREEN
      * TOI® HYGIENE+
      * DIXI® CAO
      * TOI® CAO
      * DIXI® B
      * TOI® Fresh
      * DIXI® Uri
      * TOI® CAP
      * DIXI® Mini
    * Handwasstations
      * TOI® CARE
      * Handwasstation
    * Toiletwagens
      * TOI® Mobiele mini-badkamer
      * TOI® ECO WC-Trailer S
      * TOI® ECO WC-Trailer L
      * Douchewagens

 * Containers
    * Sanitaire containers
      * Basic Line WC-Container Dames/Heren
      * Basic Line Douche/WC Combi
      * Basic Line Douche/WC Combi "Dobbelsteen"
      * Basic Line WC-Container D/H "Dobbelsteen"
      * Basic Line WC-Container D/H „Dobbelsteen Bouw“
      * Basic Line WC-Container Maxi
      * Basic Line Douchecontainer Dames/Heren
      * Basic Line Douche Plus Container
      * Basic Line Plus Dames/Heren WC-Container
      * Basic Line WC-Container D/H Cap
      * Basic Line WC-Container Heren
      * Premium Line Sanitaire Container
      * Zwart-Witcontainer
    * Afvalwatertanks
      * Afvalwatertanks
    * Watertanks
      * Watertanks
    * Materiaalcontainer
      * Materiaalcontainer
    * Multifunctionele bureelcontainer
      * Kassa Container - 20 FT

 * Onze diensten
    * Dienstverleningsgebied
      * Commerciële bouw
      * Particuliere bouw
      * Grote evenementen
      * Privé evenementen
      * Non-civil and humanitarian
    * Onze Service
      * Onze diensten voor toiletcabines
      * Onze diensten voor toiletcontainers
   
   Reclame voor iets!
 * Bedrijf
    * Over ons
      * TOI TOI & DIXI Group
      * Compliance
      * Duurzaamheid
    * Contact

 * Winkelwagen
 * Jobs
 * Onze vestigingen
 * Klantenportaal


 * 
 * 


 1. Home
 2. Offerte aanvraag


QUOTATION REQUEST

Jouw gegevens
Voornaam *

Achternaam *

Bedrijf

E-mailadres *

Telefoonnummer *

Leveringsgegevens
Servicegebied
Servicegebied Bouw Evenement Ander
Bezorgdatum

Postcode

Plaats

Jouw bericht
Bericht

Waar ben je in geïnteresseerd?
Toilet cabine
Container
Trailer
Accessoires
Anderen

* Dit zijn verplichte velden.

Ik heb de Dataprotectie en AV gelezen en ga hiermee akkoord. *
Versturen
Bel ons 02 - 377 12 88 Offerte Uw Offerte Vestigingen Onze vestigingen
 * Mobiele Toiletten
   * Toiletcabines
   * Handwasstations
   * Toiletwagens
 * Containers
   * Sanitaire containers
   * Afvalwatertanks
   * Watertanks
   * Materiaalcontainer
   * Multifunctionele bureelcontainer


SERVICE

Contacteer ons telefonisch
Maandag - Vrijdag
08:00 - 17:00
02 377 12 88

Contacteer ons via mail
info@dixi.be

ONZE MERKEN

© 2024 TOI TOI DIXI s.a.


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