servicetilbud.tag.dk
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URL:
https://servicetilbud.tag.dk/
Submission: On September 04 via automatic, source certstream-suspicious
Submission: On September 04 via automatic, source certstream-suspicious
Form analysis 1 forms found in the DOM
POST /#gf_1
<form method="post" enctype="multipart/form-data" target="gform_ajax_frame_1" id="gform_1" action="/#gf_1">
<div class="gform_heading">
<h3 class="gform_title">Icopal Plus Garanti</h3>
<span class="gform_description"></span>
</div>
<div id="gf_progressbar_wrapper_1" class="gf_progressbar_wrapper">
<h3 class="gf_progressbar_title">Trin 1 af 8 </h3>
<div class="gf_progressbar">
<div class="gf_progressbar_percentage percentbar_green percentbar_12" style="width:12%;"><span>12%</span></div>
</div>
</div>
<div class="gform_body">
<div id="gform_page_1_1" class="gform_page">
<div class="gform_page_fields">
<ul id="gform_fields_1" class="gform_fields top_label form_sublabel_below description_below">
<li id="field_1_12" class="gfield gfield_html gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible">
<h3> Kundeinformationer</h3>
</li>
<li id="field_1_1" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_1_1">Navn</label>
<div class="ginput_container ginput_container_text"><input name="input_1" id="input_1_1" type="text" value="" class="medium" placeholder="Navn" aria-invalid="false"></div>
</li>
<li id="field_1_57" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_1_57">E-mail</label>
<div class="ginput_container ginput_container_email">
<input name="input_57" id="input_1_57" type="email" value="" class="medium" placeholder="E-mail" aria-invalid="false">
</div>
</li>
<li id="field_1_2" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_1_2">Adresse</label>
<div class="ginput_container ginput_container_text"><input name="input_2" id="input_1_2" type="text" value="" class="medium" placeholder="Adresse" aria-invalid="false"></div>
</li>
<li id="field_1_25" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_1_25">Postnr./By</label>
<div class="ginput_container ginput_container_text"><input name="input_25" id="input_1_25" type="text" value="" class="medium" placeholder="Postnr./By" aria-invalid="false"></div>
</li>
<li id="field_1_26" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_1_26">Telefon</label>
<div class="ginput_container ginput_container_text"><input name="input_26" id="input_1_26" type="text" value="" class="medium" placeholder="Telefon" aria-invalid="false"></div>
</li>
<li id="field_1_13" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_1_13">Kontaktperson hos kunden:</label>
<div class="ginput_container ginput_container_text"><input name="input_13" id="input_1_13" type="text" value="" class="medium" placeholder="Kontaktperson hos kunden:" aria-invalid="false"></div>
</li>
</ul>
</div>
<div class="gform_page_footer">
<input type="button" id="gform_next_button_1_4" class="gform_next_button button" value="Næste" onclick="jQuery("#gform_target_page_number_1").val("2"); jQuery("#gform_1").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_1").val("2"); jQuery("#gform_1").trigger("submit",[true]); } ">
</div>
</div>
<div id="gform_page_1_2" class="gform_page" style="display:none;">
<div class="gform_page_fields">
<ul id="gform_fields_1_2" class="gform_fields top_label form_sublabel_below description_below">
<li id="field_1_23" class="gfield gfield_html gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible">
<h3> Tagentreprenørens informationer</h3>
</li>
<li id="field_1_22" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_1_22">Firmanavn</label>
<div class="ginput_container ginput_container_text"><input name="input_22" id="input_1_22" type="text" value="" class="medium" placeholder="Firmanavn" aria-invalid="false"></div>
</li>
<li id="field_1_80" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_1_80">CVR nummer</label>
<div class="ginput_container ginput_container_text"><input name="input_80" id="input_1_80" type="text" value="" class="medium" placeholder="CVR Nummer" aria-invalid="false"></div>
</li>
<li id="field_1_29" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_1_29">Kontaktperson hos tagentreprenøren</label>
<div class="ginput_container ginput_container_text"><input name="input_29" id="input_1_29" type="text" value="" class="medium" placeholder="Kontaktperson hos tagentreprenøren" aria-invalid="false"></div>
</li>
<li id="field_1_58" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_1_58">Kontaktpersonens e-mail</label>
<div class="ginput_container ginput_container_email">
<input name="input_58" id="input_1_58" type="email" value="" class="medium" placeholder="Kontaktpersonens e-mail" aria-invalid="false">
</div>
</li>
<li id="field_1_24" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_1_24">Adresse</label>
<div class="ginput_container ginput_container_text"><input name="input_24" id="input_1_24" type="text" value="" class="medium" placeholder="Adresse" aria-invalid="false"></div>
</li>
<li id="field_1_5" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_1_5">Postnr./By</label>
<div class="ginput_container ginput_container_text"><input name="input_5" id="input_1_5" type="text" value="" class="medium" placeholder="Postnr./By" aria-invalid="false"></div>
</li>
<li id="field_1_28" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_1_28">Telefon</label>
<div class="ginput_container ginput_container_text"><input name="input_28" id="input_1_28" type="text" value="" class="medium" placeholder="Telefon" aria-invalid="false"></div>
</li>
</ul>
</div>
<div class="gform_page_footer">
<input type="button" id="gform_previous_button_1_27" class="gform_previous_button button" value="Forrige"
onclick="jQuery("#gform_target_page_number_1").val("1"); jQuery("#gform_1").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_1").val("1"); jQuery("#gform_1").trigger("submit",[true]); } "> <input type="button" id="gform_next_button_1_27"
class="gform_next_button button" value="Næste" onclick="jQuery("#gform_target_page_number_1").val("3"); jQuery("#gform_1").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_1").val("3"); jQuery("#gform_1").trigger("submit",[true]); } ">
</div>
</div>
<div id="gform_page_1_3" class="gform_page" style="display:none;">
<div class="gform_page_fields">
<ul id="gform_fields_1_3" class="gform_fields top_label form_sublabel_below description_below">
<li id="field_1_59" class="gfield gfield_html gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible">
<h3> Bygningsinformationer</h3>
</li>
<li id="field_1_15" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_1_15">Ordrenr.:</label>
<div class="ginput_container ginput_container_text"><input name="input_15" id="input_1_15" type="text" value="" class="medium" placeholder="Ordrenr.:" aria-invalid="false"></div>
</li>
<li id="field_1_9" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_1_9">Udført år</label>
<div class="ginput_container ginput_container_text"><input name="input_9" id="input_1_9" type="text" value="" class="medium" placeholder="Udført år:" aria-invalid="false"></div>
</li>
<li id="field_1_10" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_1_10">Bemærkninger</label>
<div class="ginput_container ginput_container_textarea"><textarea name="input_10" id="input_1_10" class="textarea medium" aria-invalid="false" rows="10" cols="50"></textarea></div>
</li>
<li id="field_1_31" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_1_31">Eftersyn pr. år</label>
<div class="ginput_container ginput_container_text"><input name="input_31" id="input_1_31" type="text" value="" class="medium" placeholder="Eftersyn pr. år" aria-invalid="false"></div>
<div class="gfield_description">Antal gange eftersynet af ovenstående bygninger planlægges og udføres af tagentreprenøren</div>
</li>
<li id="field_1_33" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_1_33">Kontaktperson hos bygningsejeren</label>
<div class="ginput_container ginput_container_text"><input name="input_33" id="input_1_33" type="text" value="" class="medium" placeholder="Kontaktperson hos bygningsejeren" aria-invalid="false"></div>
</li>
<li id="field_1_81" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_1_81">Telefonnummer til bygningsejeren</label>
<div class="ginput_container ginput_container_text"><input name="input_81" id="input_1_81" type="text" value="" class="medium" placeholder="Telefonnummer til bygningsejeren" aria-invalid="false"></div>
</li>
</ul>
</div>
<div class="gform_page_footer">
<input type="button" id="gform_previous_button_1_34" class="gform_previous_button button" value="Forrige"
onclick="jQuery("#gform_target_page_number_1").val("2"); jQuery("#gform_1").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_1").val("2"); jQuery("#gform_1").trigger("submit",[true]); } "> <input type="button" id="gform_next_button_1_34"
class="gform_next_button button" value="Næste" onclick="jQuery("#gform_target_page_number_1").val("4"); jQuery("#gform_1").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_1").val("4"); jQuery("#gform_1").trigger("submit",[true]); } ">
</div>
</div>
<div id="gform_page_1_4" class="gform_page" style="display:none;">
<div class="gform_page_fields">
<ul id="gform_fields_1_4" class="gform_fields top_label form_sublabel_below description_below">
<li id="field_1_16" class="gfield gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible">
<h3>Eftersynet omfatter følgende:</h3>
</li>
<li id="field_1_62" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label"></label>
<div class="ginput_container ginput_container_checkbox">
<ul class="gfield_checkbox" id="input_1_62">
<li class="gchoice_1_62_1">
<input name="input_62.1" type="checkbox" onclick="gf_apply_rules(1,[40,74]);" onkeypress="gf_apply_rules(1,[40,74]);" value="Gennemgang af tagflade(r) for utætheder og slitage" id="choice_1_62_1">
<label for="choice_1_62_1" id="label_1_62_1">Gennemgang af tagflade(r) for utætheder og slitage</label>
</li>
<li class="gchoice_1_62_2">
<input name="input_62.2" type="checkbox" onclick="gf_apply_rules(1,[40,74]);" onkeypress="gf_apply_rules(1,[40,74]);" value="Fejning af tagflade(r)" id="choice_1_62_2">
<label for="choice_1_62_2" id="label_1_62_2">Fejning af tagflade(r)</label>
</li>
<li class="gchoice_1_62_3">
<input name="input_62.3" type="checkbox" onclick="gf_apply_rules(1,[40,74]);" onkeypress="gf_apply_rules(1,[40,74]);" value="Eftersyn af overlæg" id="choice_1_62_3">
<label for="choice_1_62_3" id="label_1_62_3">Eftersyn af overlæg</label>
</li>
<li class="gchoice_1_62_4">
<input name="input_62.4" type="checkbox" onclick="gf_apply_rules(1,[40,74]);" onkeypress="gf_apply_rules(1,[40,74]);" value="Eftersyn af inddækningsprofiler" id="choice_1_62_4">
<label for="choice_1_62_4" id="label_1_62_4">Eftersyn af inddækningsprofiler</label>
</li>
<li class="gchoice_1_62_5">
<input name="input_62.5" type="checkbox" onclick="gf_apply_rules(1,[40,74]);" onkeypress="gf_apply_rules(1,[40,74]);" value="Eftersyn af synlige inddækninger omkring gennemføringer" id="choice_1_62_5">
<label for="choice_1_62_5" id="label_1_62_5">Eftersyn af synlige inddækninger omkring gennemføringer</label>
</li>
<li class="gchoice_1_62_6">
<input name="input_62.6" type="checkbox" onclick="gf_apply_rules(1,[40,74]);" onkeypress="gf_apply_rules(1,[40,74]);" value="Eftersyn af inddækninger langs tagkanter" id="choice_1_62_6">
<label for="choice_1_62_6" id="label_1_62_6">Eftersyn af inddækninger langs tagkanter</label>
</li>
<li class="gchoice_1_62_7">
<input name="input_62.7" type="checkbox" onclick="gf_apply_rules(1,[40,74]);" onkeypress="gf_apply_rules(1,[40,74]);" value="Eftersyn af kantinddækninger ved ovenlys" id="choice_1_62_7">
<label for="choice_1_62_7" id="label_1_62_7">Eftersyn af kantinddækninger ved ovenlys</label>
</li>
<li class="gchoice_1_62_8">
<input name="input_62.8" type="checkbox" onclick="gf_apply_rules(1,[40,74]);" onkeypress="gf_apply_rules(1,[40,74]);" value="Eftersyn af kantinddækninger ved ventilationsanlæg" id="choice_1_62_8">
<label for="choice_1_62_8" id="label_1_62_8">Eftersyn af kantinddækninger ved ventilationsanlæg</label>
</li>
<li class="gchoice_1_62_9">
<input name="input_62.9" type="checkbox" onclick="gf_apply_rules(1,[40,74]);" onkeypress="gf_apply_rules(1,[40,74]);" value="Eftersyn af ovenlys" id="choice_1_62_9">
<label for="choice_1_62_9" id="label_1_62_9">Eftersyn af ovenlys</label>
</li>
<li class="gchoice_1_62_11">
<input name="input_62.11" type="checkbox" onclick="gf_apply_rules(1,[40,74]);" onkeypress="gf_apply_rules(1,[40,74]);" value="Efterfugning ved taggennemføringer" id="choice_1_62_11">
<label for="choice_1_62_11" id="label_1_62_11">Efterfugning ved taggennemføringer</label>
</li>
<li class="gchoice_1_62_12">
<input name="input_62.12" type="checkbox" onclick="gf_apply_rules(1,[40,74]);" onkeypress="gf_apply_rules(1,[40,74]);" value="Rensning af tagbrønde og skotrender" id="choice_1_62_12">
<label for="choice_1_62_12" id="label_1_62_12">Rensning af tagbrønde og skotrender</label>
</li>
<li class="gchoice_1_62_13">
<input name="input_62.13" type="checkbox" onclick="gf_apply_rules(1,[40,74]);" onkeypress="gf_apply_rules(1,[40,74]);" value="Rengøring af ovenlys" id="choice_1_62_13">
<label for="choice_1_62_13" id="label_1_62_13">Rengøring af ovenlys</label>
</li>
<li class="gchoice_1_62_14">
<input name="input_62.14" type="checkbox" onclick="gf_apply_rules(1,[40,74]);" onkeypress="gf_apply_rules(1,[40,74]);" value="Rensning af tagrende" id="choice_1_62_14">
<label for="choice_1_62_14" id="label_1_62_14">Rensning af tagrende</label>
</li>
<li class="gchoice_1_62_15">
<input name="input_62.15" type="checkbox" onclick="gf_apply_rules(1,[40,74]);" onkeypress="gf_apply_rules(1,[40,74]);" value="Montering af manglende toppe på hætter" id="choice_1_62_15">
<label for="choice_1_62_15" id="label_1_62_15">Montering af manglende toppe på hætter</label>
</li>
<li class="gchoice_1_62_16">
<input name="input_62.16" type="checkbox" onclick="gf_apply_rules(1,[40,74]);" onkeypress="gf_apply_rules(1,[40,74]);" value="Montering af manglende bladfang" id="choice_1_62_16">
<label for="choice_1_62_16" id="label_1_62_16">Montering af manglende bladfang</label>
</li>
<li class="gchoice_1_62_17">
<input name="input_62.17" type="checkbox" onclick="gf_apply_rules(1,[40,74]);" onkeypress="gf_apply_rules(1,[40,74]);" value="JA" id="choice_1_62_17">
<label for="choice_1_62_17" id="label_1_62_17">Montering af manglende uv-bladfang</label>
</li>
</ul>
</div>
</li>
<li id="field_1_40" class="gfield field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label" for="input_1_40">Angiv pris for montering af manglende uv-bladfang (DKK)</label>
<div class="ginput_container ginput_container_text"><input name="input_40" id="input_1_40" type="text" value="" class="medium" placeholder="Angiv pris for montering af manglende UV-bladfang (DKK)" aria-invalid="false" disabled=""></div>
</li>
<li id="field_1_74" class="gfield field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label" for="input_1_74">Angiv antal løbende meter tagrende (m)</label>
<div class="ginput_container ginput_container_text"><input name="input_74" id="input_1_74" type="text" value="" class="medium" placeholder="Angiv antal løbende meter tagrende (m)" aria-invalid="false" disabled=""></div>
</li>
<li id="field_1_82" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_1_82">Andet</label>
<div class="ginput_container ginput_container_textarea"><textarea name="input_82" id="input_1_82" class="textarea medium" placeholder="Andet" aria-invalid="false" rows="10" cols="50"></textarea></div>
<div class="gfield_description">Beskriv her hvis eftersynet har omfattet andet end ovenstående. </div>
</li>
</ul>
</div>
<div class="gform_page_footer">
<input type="button" id="gform_previous_button_1_43" class="gform_previous_button button" value="Forrige"
onclick="jQuery("#gform_target_page_number_1").val("3"); jQuery("#gform_1").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_1").val("3"); jQuery("#gform_1").trigger("submit",[true]); } "> <input type="button" id="gform_next_button_1_43"
class="gform_next_button button" value="Næste" onclick="jQuery("#gform_target_page_number_1").val("5"); jQuery("#gform_1").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_1").val("5"); jQuery("#gform_1").trigger("submit",[true]); } ">
</div>
</div>
<div id="gform_page_1_5" class="gform_page" style="display:none;">
<div class="gform_page_fields">
<ul id="gform_fields_1_5" class="gform_fields top_label form_sublabel_below description_below">
<li id="field_1_67" class="gfield gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible">
<h3>Prisen pr. eftersyn udgør følgende beløb</h3>
</li>
<li id="field_1_103" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_1_103">Beløb I moms</label>
<div class="ginput_container ginput_container_number"><input name="input_103" id="input_1_103" type="number" step="any" value="" class="medium" placeholder="Indtast pris ekslusive moms" aria-invalid="false"></div>
<div class="gfield_description">Pris eksklusiv moms (DKK)</div>
</li>
<li id="field_1_104" class="gfield gfield_calculation field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_1_104"></label>
<div class="ginput_container ginput_container_number"><input name="input_104" id="input_1_104" type="text" step="any" value="" class="medium" readonly="readonly" aria-invalid="false"></div>
<div class="gfield_description">Prisen inklusive moms (DKK)</div>
</li>
</ul>
</div>
<div class="gform_page_footer">
<input type="button" id="gform_previous_button_1_52" class="gform_previous_button button" value="Forrige"
onclick="jQuery("#gform_target_page_number_1").val("4"); jQuery("#gform_1").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_1").val("4"); jQuery("#gform_1").trigger("submit",[true]); } "> <input type="button" id="gform_next_button_1_52"
class="gform_next_button button" value="Næste" onclick="jQuery("#gform_target_page_number_1").val("6"); jQuery("#gform_1").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_1").val("6"); jQuery("#gform_1").trigger("submit",[true]); } ">
</div>
</div>
<div id="gform_page_1_6" class="gform_page" style="display:none;">
<div class="gform_page_fields">
<ul id="gform_fields_1_6" class="gform_fields top_label form_sublabel_below description_below">
<li id="field_1_61" class="gfield gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible">
<h3>Fotos af taget</h3>
</li>
<li id="field_1_55" class="gfield gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible">
<p style="font-size:14px;">Upload af fotos der viser tagets tilstand og/eller problemområder</p>
</li>
<li id="field_1_54" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label">Upload filer</label>
<div class="ginput_container ginput_container_fileupload">
<div id="gform_multifile_upload_1_54"
data-settings="{"runtimes":"html5,flash,html4","browse_button":"gform_browse_button_1_54","container":"gform_multifile_upload_1_54","drop_element":"gform_drag_drop_area_1_54","filelist":"gform_preview_1_54","unique_names":true,"file_data_name":"file","url":"https:\/\/servicetilbud.tag.dk\/?gf_page=ddabe33e6cc5a3a","flash_swf_url":"https:\/\/servicetilbud.tag.dk\/wp-includes\/js\/plupload\/plupload.flash.swf","silverlight_xap_url":"https:\/\/servicetilbud.tag.dk\/wp-includes\/js\/plupload\/plupload.silverlight.xap","filters":{"mime_types":[{"title":"Tilladte filer","extensions":"jpg,jpeg,png,pdf,gif"}],"max_file_size":"536870912b"},"multipart":true,"urlstream_upload":false,"multipart_params":{"form_id":1,"field_id":54},"gf_vars":{"max_files":"50","message_id":"gform_multifile_messages_1_54","disallowed_extensions":["php","asp","aspx","cmd","csh","bat","html","htm","hta","jar","exe","com","js","lnk","htaccess","phtml","ps1","ps2","php3","php4","php5","php6","py","rb","tmp"]}}"
class="gform_fileupload_multifile" style="position: relative;">
<div id="gform_drag_drop_area_1_54" class="gform_drop_area" style="position: relative;">
<span class="gform_drop_instructions">Slip fil her eller </span>
<input id="gform_browse_button_1_54" type="button" value="Vælg filer" class="button gform_button_select_files" aria-describedby="extensions_message_1_54" style="position: relative; z-index: 1;">
</div>
<div id="html5_1fenkd00ugnb1dv81q4luiq1p0o3_container" class="moxie-shim moxie-shim-html5" style="position: absolute; top: 0px; left: 0px; width: 0px; height: 0px; overflow: hidden; z-index: 0;"><input
id="html5_1fenkd00ugnb1dv81q4luiq1p0o3" type="file" style="font-size: 999px; opacity: 0; position: absolute; top: 0px; left: 0px; width: 100%; height: 100%;" multiple=""
accept="image/jpeg,.jpg,.jpeg,image/png,.png,application/pdf,.pdf,image/gif,.gif"></div>
</div><span id="extensions_message_1_54" class="screen-reader-text">Tilladte filtyper: jpg, jpeg, png, pdf, gif.</span>
<div class="validation_message">
<ul id="gform_multifile_messages_1_54">
</ul>
</div>
</div>
<div id="gform_preview_1_54"></div>
</li>
</ul>
</div>
<div class="gform_page_footer">
<input type="button" id="gform_previous_button_1_53" class="gform_previous_button button" value="Forrige"
onclick="jQuery("#gform_target_page_number_1").val("5"); jQuery("#gform_1").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_1").val("5"); jQuery("#gform_1").trigger("submit",[true]); } "> <input type="button" id="gform_next_button_1_53"
class="gform_next_button button" value="Næste" onclick="jQuery("#gform_target_page_number_1").val("7"); jQuery("#gform_1").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_1").val("7"); jQuery("#gform_1").trigger("submit",[true]); } ">
</div>
</div>
<div id="gform_page_1_7" class="gform_page" style="display:none;">
<div class="gform_page_fields">
<ul id="gform_fields_1_7" class="gform_fields top_label form_sublabel_below description_below">
<li id="field_1_71" class="gfield gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible">
<h3>Her kan du indtaste en personlig besked til kunden.</h3>
</li>
<li id="field_1_69" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_1_69">Personlig hilsen til kunden</label>
<div class="ginput_container ginput_container_textarea"><textarea name="input_69" id="input_1_69" class="textarea medium" aria-invalid="false" rows="10" cols="50"></textarea></div>
</li>
<li id="field_1_51" class="gfield gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible">
<p style="font-size:14px;">Når du trykker send bekræfter du samtidig, at indtastede informationer er korrekte. Er der fejl i specifikationerne, skal denne service- og vedligeholdelses-kontrakt udfyldes på ny.</p>
</li>
</ul>
</div>
<div class="gform_page_footer">
<input type="button" id="gform_previous_button_1_83" class="gform_previous_button button" value="Previous"
onclick="jQuery("#gform_target_page_number_1").val("6"); jQuery("#gform_1").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_1").val("6"); jQuery("#gform_1").trigger("submit",[true]); } "> <input type="button" id="gform_next_button_1_83"
class="gform_next_button button" value="Next" onclick="jQuery("#gform_target_page_number_1").val("8"); jQuery("#gform_1").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_1").val("8"); jQuery("#gform_1").trigger("submit",[true]); } ">
</div>
</div>
<div id="gform_page_1_8" class="gform_page" style="display:none;">
<div class="gform_page_fields">
<ul id="gform_fields_1_8" class="gform_fields top_label form_sublabel_below description_below">
<li id="field_1_84" class="gfield gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible">{all_fields}</li>
</ul>
</div>
<div class="gform_page_footer top_label"><input type="submit" id="gform_previous_button_1" class="gform_previous_button button" value="Tilbage"
onclick="if(window["gf_submitting_1"]){return false;} if( !jQuery("#gform_1")[0].checkValidity || jQuery("#gform_1")[0].checkValidity()){window["gf_submitting_1"]=true;} "
onkeypress="if( event.keyCode == 13 ){ if(window["gf_submitting_1"]){return false;} if( !jQuery("#gform_1")[0].checkValidity || jQuery("#gform_1")[0].checkValidity()){window["gf_submitting_1"]=true;} jQuery("#gform_1").trigger("submit",[true]); }">
<input type="submit" id="gform_submit_button_1" class="gform_button button" value="Send data"
onclick="if(window["gf_submitting_1"]){return false;} if( !jQuery("#gform_1")[0].checkValidity || jQuery("#gform_1")[0].checkValidity()){window["gf_submitting_1"]=true;} "
onkeypress="if( event.keyCode == 13 ){ if(window["gf_submitting_1"]){return false;} if( !jQuery("#gform_1")[0].checkValidity || jQuery("#gform_1")[0].checkValidity()){window["gf_submitting_1"]=true;} jQuery("#gform_1").trigger("submit",[true]); }">
<input type="hidden" name="gform_ajax" value="form_id=1&title=1&description=1&tabindex=0">
<input type="hidden" class="gform_hidden" name="is_submit_1" value="1">
<input type="hidden" class="gform_hidden" name="gform_submit" value="1">
<input type="hidden" class="gform_hidden" name="gform_unique_id" value="">
<input type="hidden" class="gform_hidden" name="state_1" value="WyJbXSIsIjY4ZWE1ZWI4NWU5NTgwZjczZmI4MGJkNDM1Yzk4ZDdjIl0=">
<input type="hidden" class="gform_hidden" name="gform_target_page_number_1" id="gform_target_page_number_1" value="2">
<input type="hidden" class="gform_hidden" name="gform_source_page_number_1" id="gform_source_page_number_1" value="1">
<input type="hidden" name="gform_field_values" value="">
<input type="hidden" name="gform_uploaded_files" id="gform_uploaded_files_1" value="">
</div>
</div>
</div>
</form>Text Content
* Menu
ICOPAL PLUS GARANTI®
Service- og vedligeholdelsestilbud
ICOPAL PLUS GARANTI
TRIN 1 AF 8
12%
* KUNDEINFORMATIONER
* Navn
* E-mail
* Adresse
* Postnr./By
* Telefon
* Kontaktperson hos kunden:
* TAGENTREPRENØRENS INFORMATIONER
* Firmanavn
* CVR nummer
* Kontaktperson hos tagentreprenøren
* Kontaktpersonens e-mail
* Adresse
* Postnr./By
* Telefon
* BYGNINGSINFORMATIONER
* Ordrenr.:
* Udført år
* Bemærkninger
* Eftersyn pr. år
Antal gange eftersynet af ovenstående bygninger planlægges og udføres af
tagentreprenøren
* Kontaktperson hos bygningsejeren
* Telefonnummer til bygningsejeren
* EFTERSYNET OMFATTER FØLGENDE:
* * Gennemgang af tagflade(r) for utætheder og slitage
* Fejning af tagflade(r)
* Eftersyn af overlæg
* Eftersyn af inddækningsprofiler
* Eftersyn af synlige inddækninger omkring gennemføringer
* Eftersyn af inddækninger langs tagkanter
* Eftersyn af kantinddækninger ved ovenlys
* Eftersyn af kantinddækninger ved ventilationsanlæg
* Eftersyn af ovenlys
* Efterfugning ved taggennemføringer
* Rensning af tagbrønde og skotrender
* Rengøring af ovenlys
* Rensning af tagrende
* Montering af manglende toppe på hætter
* Montering af manglende bladfang
* Montering af manglende uv-bladfang
* Angiv pris for montering af manglende uv-bladfang (DKK)
* Angiv antal løbende meter tagrende (m)
* Andet
Beskriv her hvis eftersynet har omfattet andet end ovenstående.
* PRISEN PR. EFTERSYN UDGØR FØLGENDE BELØB
* Beløb I moms
Pris eksklusiv moms (DKK)
* Prisen inklusive moms (DKK)
* FOTOS AF TAGET
* Upload af fotos der viser tagets tilstand og/eller problemområder
* Upload filer
Slip fil her eller
Tilladte filtyper: jpg, jpeg, png, pdf, gif.
* HER KAN DU INDTASTE EN PERSONLIG BESKED TIL KUNDEN.
* Personlig hilsen til kunden
* Når du trykker send bekræfter du samtidig, at indtastede informationer er
korrekte. Er der fejl i specifikationerne, skal denne service- og
vedligeholdelses-kontrakt udfyldes på ny.
* {all_fields}
Denne iframe indeholder logikken, der er krævet for at håndtere Gravity
Formularer, der bruger Ajax.
Icopal Danmark Aps
Lyskær 5
2730 Herlev
Telefon 44 88 55 00
Udviklet af BMI Danmark – copyright 2019
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