info.mijn-offertes.be Open in urlscan Pro
3.69.136.55  Public Scan

Submitted URL: https://news.ilovebelgiummarketplace.be/QklfBcFZEoIgAAD/QEznTYmqf4Qa4MbmFP4xF2qRiKJV5-t4DiHn0Ezozal33wipexfmvzWlZSB6XqtZxPz7IC2kbSvWVhXJ...
Effective URL: https://info.mijn-offertes.be/veranda-terrasoverkapping/?aff=110030&utm_source=[[utm_source]]=&click_id=D-15609600-1646718358-...
Submission: On March 08 via api from BE — Scanned from ES

Form analysis 1 forms found in the DOM

POST /fsg?pageId=6ceebee1-621a-475a-904a-7539ec4913c1&variant=a

<form action="/fsg?pageId=6ceebee1-621a-475a-904a-7539ec4913c1&amp;variant=a" method="POST"><input type="hidden" name="pageId" value="6ceebee1-621a-475a-904a-7539ec4913c1"><input type="hidden" name="pageVariant" value="a">
  <div class="fields">
    <div class="lp-pom-form-field checkbox-group multi-group" id="container_XML_extra_check" style="top: 0px;"><label class="main lp-form-label" for="XML_extra_check" id="label_XML_extra_check" style="height: auto;"><span class="label-style">Welk
          type veranda of overkapping zoekt u?</span></label>
      <div class="ub-input-item input-wrap optionsList" id="group_XML_extra_check">
        <div class="option" id="ub-option-XML_extra_check-item-0"><input type="checkbox" id="XML_extra_check_veranda" name="XML_extra_check" value="1" class="checkbox form-builder-checkbox-input form_elem_XML_extra_check"><label
            for="XML_extra_check_veranda" class="opt-label form-builder-checkbox-label"><span class="label-style">Veranda</span></label></div>
        <div class="option" id="ub-option-XML_extra_check-item-1"><input type="checkbox" id="XML_extra_check_terrasoverkapping" name="XML_extra_check" value="3" class="checkbox form-builder-checkbox-input form_elem_XML_extra_check"><label
            for="XML_extra_check_terrasoverkapping" class="opt-label form-builder-checkbox-label"><span class="label-style">Terrasoverkapping</span></label></div>
        <div class="option" id="ub-option-XML_extra_check-item-2"><input type="checkbox" id="XML_extra_check_ik_weet_het_niet_graag_advies" name="XML_extra_check" value="7" class="checkbox form-builder-checkbox-input form_elem_XML_extra_check"><label
            for="XML_extra_check_ik_weet_het_niet_graag_advies" class="opt-label form-builder-checkbox-label"><span class="label-style">Ik weet het niet, graag advies</span></label></div>
      </div>
    </div>
    <div class="lp-pom-form-field checkbox-group multi-group hide" id="container_XML_extra_check2" style="top: 0px;"><label class="main lp-form-label" for="XML_extra_check2" id="label_XML_extra_check2" style="height: auto;"><span
          class="label-style">Heeft u een voorkeur qua materiaal?</span></label>
      <div class="ub-input-item input-wrap optionsList" id="group_XML_extra_check2">
        <div class="option" id="ub-option-XML_extra_check2-item-0"><input type="checkbox" id="XML_extra_check2_aluminium" name="XML_extra_check2" value="1" class="checkbox form-builder-checkbox-input form_elem_XML_extra_check2"><label
            for="XML_extra_check2_aluminium" class="opt-label form-builder-checkbox-label"><span class="label-style">Aluminium</span></label></div>
        <div class="option" id="ub-option-XML_extra_check2-item-1"><input type="checkbox" id="XML_extra_check2_pvc" name="XML_extra_check2" value="2" class="checkbox form-builder-checkbox-input form_elem_XML_extra_check2"><label
            for="XML_extra_check2_pvc" class="opt-label form-builder-checkbox-label"><span class="label-style">PVC</span></label></div>
        <div class="option" id="ub-option-XML_extra_check2-item-2"><input type="checkbox" id="XML_extra_check2_hout" name="XML_extra_check2" value="3" class="checkbox form-builder-checkbox-input form_elem_XML_extra_check2"><label
            for="XML_extra_check2_hout" class="opt-label form-builder-checkbox-label"><span class="label-style">Hout</span></label></div>
        <div class="option" id="ub-option-XML_extra_check2-item-3"><input type="checkbox" id="XML_extra_check2_ik_weet_het_niet_graag_advies" name="XML_extra_check2" value="4"
            class="checkbox form-builder-checkbox-input form_elem_XML_extra_check2"><label for="XML_extra_check2_ik_weet_het_niet_graag_advies" class="opt-label form-builder-checkbox-label"><span class="label-style">Ik weet het niet, graag
              advies</span></label></div>
      </div>
    </div>
    <div class="lp-pom-form-field radio-group multi-group hide" id="container_XML_extra_radio4" style="top: 0px;"><label class="main lp-form-label" for="XML_extra_radio4" id="label_XML_extra_radio4" style="height: auto;"><span
          class="label-style">Wanneer wenst u de veranda of overkapping te plaatsen?</span></label>
      <div class="ub-input-item input-wrap optionsList" id="group_XML_extra_radio4">
        <div class="option" id="ub-option-XML_extra_radio4-item-0"><input type="radio" id="XML_extra_radio4_binnen_1_tot_3_maanden" name="XML_extra_radio4" value="1" class="radio form-builder-radio-input form_elem_XML_extra_radio4"><label
            for="XML_extra_radio4_binnen_1_tot_3_maanden" class="opt-label form-builder-radio-label"><span class="label-style">Binnen 1 tot 3 maanden</span></label></div>
        <div class="option" id="ub-option-XML_extra_radio4-item-1"><input type="radio" id="XML_extra_radio4_binnen_4_tot_6_maanden" name="XML_extra_radio4" value="2" class="radio form-builder-radio-input form_elem_XML_extra_radio4"><label
            for="XML_extra_radio4_binnen_4_tot_6_maanden" class="opt-label form-builder-radio-label"><span class="label-style">Binnen 4 tot 6 maanden</span></label></div>
        <div class="option" id="ub-option-XML_extra_radio4-item-2"><input type="radio" id="XML_extra_radio4_binnen_7_tot_12_maanden" name="XML_extra_radio4" value="2" class="radio form-builder-radio-input form_elem_XML_extra_radio4"><label
            for="XML_extra_radio4_binnen_7_tot_12_maanden" class="opt-label form-builder-radio-label"><span class="label-style">Binnen 7 tot 12 maanden</span></label></div>
      </div>
    </div>
    <div class="lp-pom-form-field single-line-text hide" id="container_firstName" style="top: 0px;"><label class="main lp-form-label" for="firstName" id="label_firstName" style="height: auto;"><span
          class="label-style">Voornaam&nbsp;*</span></label><input id="firstName" name="firstName" type="text" class="ub-input-item single text form_elem_firstName" placeholder="Voornaam" required=""></div>
    <div class="lp-pom-form-field single-line-text hide" id="container_lastName" style="top: 0px;"><label class="main lp-form-label" for="lastName" id="label_lastName" style="height: auto;"><span
          class="label-style">Achternaam&nbsp;*</span></label><input id="lastName" name="lastName" type="text" class="ub-input-item single text form_elem_lastName" placeholder="Achternaam" required=""></div>
    <div class="lp-pom-form-field single-line-text hide" id="container_address1" style="top: 0px;"><label class="main lp-form-label" for="address1" id="label_address1" style="height: auto;"><span class="label-style">Adres&nbsp;*</span></label><input
        id="address1" name="address1" type="text" class="ub-input-item single text form_elem_address1" placeholder="Adres" required=""></div>
    <div class="lp-pom-form-field single-line-text hide" id="container_XML_postcode" style="top: 0px;"><label class="main lp-form-label" for="XML_postcode" id="label_XML_postcode" style="height: auto;"><span
          class="label-style">Postcode&nbsp;*</span></label><input id="XML_postcode" name="XML_postcode" type="text" class="ub-input-item single text form_elem_XML_postcode" placeholder="Postcode" required=""></div>
    <div class="lp-pom-form-field single-line-text hide" id="container_XML_email" style="top: 0px;"><label class="main lp-form-label" for="XML_email" id="label_XML_email" style="height: auto;"><span
          class="label-style">E-mail&nbsp;*</span></label><input id="XML_email" name="XML_email" type="text" class="ub-input-item single text form_elem_XML_email" placeholder="E-mail" required=""></div>
    <div class="lp-pom-form-field single-line-text hide" id="container_XML_telephone" style="top: 0px;"><label class="main lp-form-label" for="XML_telephone" id="label_XML_telephone" style="height: auto;"><span
          class="label-style">Telefoonnummer&nbsp;*</span></label><input id="XML_telephone" name="XML_telephone" type="tel" class="ub-input-item single text form_elem_XML_telephone" placeholder="Telefoonnummer" required=""
        pattern="^\+?( ?\(?-?\d\)?){6,13}$"></div>
    <div class="lp-pom-form-field checkbox-group multi-group hide" id="container_terms" style="top: 0px;"><label class="main lp-form-label" for="terms" id="label_terms" style="height: auto;"><span class="label-style">Bevestiging&nbsp;*</span></label>
      <div class="ub-input-item input-wrap optionsList" id="group_terms">
        <div class="option" id="ub-option-terms-item-0"><input type="checkbox" id="terms_ja_ik_wens_gratis_offertes_te_ontvangen" name="terms" value="Ja, ik wens gratis offertes te ontvangen."
            class="checkbox form-builder-checkbox-input form_elem_terms" data-required=""><label for="terms_ja_ik_wens_gratis_offertes_te_ontvangen" class="opt-label form-builder-checkbox-label"><span class="label-style">Ja, ik wens gratis offertes
              te ontvangen.</span></label></div>
      </div>
    </div><input id="aff" name="aff" type="hidden" class="hidden" value="110030"><input id="utm_source" name="utm_source" type="hidden" class="hidden" value="[[utm_source]]="><input id="utm_medium" name="utm_medium" type="hidden" class="hidden"
      value=""><input id="utm_campaign" name="utm_campaign" type="hidden" class="hidden" value=""><input id="type_id" name="type_id" type="hidden" class="hidden" value="11984"><input id="rem_id" name="rem_id" type="hidden" class="hidden"
      value="20220308054559396"><input id="rem_source" name="rem_source" type="hidden" class="hidden" value="Mijn-Offertes.be"><input id="pixel_id" name="pixel_id" type="hidden" class="hidden" value="388"><input id="click_id" name="click_id"
      type="hidden" class="hidden" value="D-15609600-1646718358-34G72G28G144-ATEJH4990"><input id="language" name="language" type="hidden" class="hidden" value="nl"><input id="promoOptin" name="promoOptin" type="hidden" class="hidden"
      value="true"><input id="bobx" name="bobx" type="hidden" class="hidden" value=""><input id="companyCity" name="companyCity" type="hidden" class="hidden" value=""><input id="XML_remarks" name="XML_remarks" type="hidden" class="hidden"
      value="Ik wens gratis offertes te ontvangen voor een veranda en/of terrasoverkapping">
  </div><button class="lp-element lp-pom-button hide" id="lp-pom-button-44" type="submit"><span class="label">Verzenden</span></button>
  <input type="hidden" name="ubafs-jev" id="ubafs-jev"
    value="{&quot;date&quot;:&quot;2022-03-08T05:45:59.390Z&quot;,&quot;agent&quot;:&quot;Mozilla/5.0 (Windows NT 10.0; Win64; x64) AppleWebKit/537.36 (KHTML, like Gecko) Chrome/99.0.4844.51 Safari/537.36&quot;,&quot;screen&quot;:{&quot;availWidth&quot;:1600,&quot;availHeight&quot;:1200,&quot;width&quot;:1600,&quot;height&quot;:1200},&quot;window&quot;:{&quot;innerWidth&quot;:1600,&quot;innerHeight&quot;:1200},&quot;hasPlugins&quot;:true}">
</form>

Text Content

Veranda of terrasoverkapping?

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Welk type veranda of overkapping zoekt u?
Veranda
Terrasoverkapping
Ik weet het niet, graag advies
Heeft u een voorkeur qua materiaal?
Aluminium
PVC
Hout
Ik weet het niet, graag advies
Wanneer wenst u de veranda of overkapping te plaatsen?
Binnen 1 tot 3 maanden
Binnen 4 tot 6 maanden
Binnen 7 tot 12 maanden
Voornaam *
Achternaam *
Adres *
Postcode *
E-mail *
Telefoonnummer *
Bevestiging *
Ja, ik wens gratis offertes te ontvangen.
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