www.gnwonen.be Open in urlscan Pro
2a06:2ec0:ded1:1::19  Public Scan

URL: https://www.gnwonen.be/contact
Submission: On July 25 via api from US — Scanned from NL

Form analysis 1 forms found in the DOM

Name: fox_form_c120POST /contact#cid_120

<form enctype="multipart/form-data" id="fox_form_c120" name="fox_form_c120" class="fox_form foxform-extended" method="post" action="/contact#cid_120">
  <!-- com_foxcontact 3.4.4 GNU/GPL v3 -->
  <div id="cid_120-customhtml0" class="control-group">
    <div class="controls">
      <div> Als u meer informatie wilt kunt u dit formulier invullen. Wij zullen het zo spoedig mogelijk beantwoorden.<br>Vult u alstublieft alle <b>verplichte velden</b> in. </div>
    </div>
  </div>
  <div id="cid_120-sender0" class="control-group">
    <label class="control-label">Uw naam<span class="required"></span></label>
    <div class="controls"><input type="text" value="" title="Uw naam" name="_5e8797ee8647d257853925ff863501d7" required=""></div>
  </div>
  <div id="cid_120-sender1" class="control-group">
    <label class="control-label">Uw e-mail<span class="required"></span></label>
    <div class="controls"><input type="text" value="" title="Uw e-mail" name="_c9c0c6e501617f2ccfe4f9852f72a42f" required=""></div>
  </div>
  <div id="cid_120-text0" class="control-group">
    <label class="control-label">Telefoonnummer</label>
    <div class="controls"><input type="text" value="" title="Telefoonnummer" name="_61a431f5283e996a38e700c71e780053"></div>
  </div>
  <div id="cid_120-textarea0" class="control-group">
    <label class="control-label">Beschrijf uw verzoek</label>
    <div class="controls"><textarea rows="10" cols="30" name="_7d7f6b05c11948f0764079d7a3a62fb3" title="Beschrijf uw verzoek"></textarea></div>
  </div>
  <div class="control-group">
    <label class="control-label">Beveiligingssleutel<span class="required"></span></label>
    <div class="controls">
      <div class="fcaptchafieldcontainer"><img src="/contact/loader/component/120/none/none/captcha?uniqueid=00000000" class="fox_captcha_img" alt="captcha" id="fcaptcha_cid_120" width="150" height="75"></div>
      <div class="fcaptchainputcontainer"><input type="text" name="fcaptcha" value="" title="Beveiligingssleutel"><img src="https://www.gnwonen.be/media/com_foxcontact/images/reload-16.png" id="reloadbtn_cid_120" alt="Herladen"
          title="Afbeelding herladen" width="16" height="16" onclick="javascript:ReloadFCaptcha('fcaptcha_cid_120')">
        <script language="javascript" type="text/javascript">
          BuildReloadButton('reloadbtn_cid_120');
        </script>
      </div>
    </div>
  </div>
  <div id="cid_120-buttons" class="control-group">
    <label class="control-label">&nbsp;</label>
    <div class="controls buttons">
      <input type="hidden" name="cid_120" value="">
      <button class="btn btn-success submit-button" type="submit">
        <span>Verstuur</span>
      </button>
    </div>
  </div>
</form>

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CONTACT GN WONEN

Als u meer informatie wilt kunt u dit formulier invullen. Wij zullen het zo
spoedig mogelijk beantwoorden.
Vult u alstublieft alle verplichte velden in.
Uw naam

Uw e-mail

Telefoonnummer

Beschrijf uw verzoek

Beveiligingssleutel

 
Verstuur




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 * Grondwerken


CONTACT GN WONEN

 

Guy Schepmans

0498/918649

 

Nico Persoons

0475/341976

 

Vossekotstraat 21 b

3545 Halen

BTW : 0845980550




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