info.mijn-offertes.be
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Submitted URL: https://trck.testingbee.nl/?xtl=50z1evb4zeot16b63xrcou7k3cxl40iajx6kgq32nfcfmjx550s586gb3sdefrv20ppfqsqvdm2e2mpla0gukgrzvzq...
Effective URL: https://info.mijn-offertes.be/asbestattest/?aff=bluemedia_nl&utm_source=%5B%5Butm_source%5D%5D
Submission: On November 27 via api from BE — Scanned from NL
Effective URL: https://info.mijn-offertes.be/asbestattest/?aff=bluemedia_nl&utm_source=%5B%5Butm_source%5D%5D
Submission: On November 27 via api from BE — Scanned from NL
Form analysis
1 forms found in the DOMPOST /fsg?pageId=a56b6ab4-b448-422e-b2ca-fbb2c46d021f&variant=j
<form action="/fsg?pageId=a56b6ab4-b448-422e-b2ca-fbb2c46d021f&variant=j" method="POST"><input type="hidden" name="pageId" value="a56b6ab4-b448-422e-b2ca-fbb2c46d021f"><input type="hidden" name="pageVariant" value="j">
<div class="fields">
<div class="lp-pom-form-field radio-group multi-group" id="container_XML_extra_radio" style="top: -5px; left: 0px;"><label class="main lp-form-label" for="XML_extra_radio" id="label_XML_extra_radio" style="width: 566px; height: auto;"><span
class="label-style">Type asbestattest:</span></label>
<div class="ub-input-item input-wrap optionsList" id="group_XML_extra_radio" style="width: 566px;">
<div class="option" id="ub-option-XML_extra_radio-item-0"><input type="radio" id="XML_extra_radio_voor_verkoop_of_verhuur" name="XML_extra_radio" value="1" class="radio form-builder-radio-input form_elem_XML_extra_radio"><label
for="XML_extra_radio_voor_verkoop_of_verhuur" class="opt-label form-builder-radio-label"><span class="label-style">Voor verkoop of verhuur</span></label></div>
<div class="option" id="ub-option-XML_extra_radio-item-1"><input type="radio" id="XML_extra_radio_voor_renovatie_of_sloop" name="XML_extra_radio" value="2" class="radio form-builder-radio-input form_elem_XML_extra_radio"><label
for="XML_extra_radio_voor_renovatie_of_sloop" class="opt-label form-builder-radio-label"><span class="label-style">Voor renovatie of sloop</span></label></div>
<div class="option" id="ub-option-XML_extra_radio-item-2"><input type="radio" id="XML_extra_radio_graag_advies" name="XML_extra_radio" value="3" class="radio form-builder-radio-input form_elem_XML_extra_radio"><label
for="XML_extra_radio_graag_advies" class="opt-label form-builder-radio-label"><span class="label-style">Graag advies</span></label></div>
</div>
</div>
<div class="lp-pom-form-field radio-group multi-group" id="container_XML_extra_radio2" style="top: 50px; left: 0px;"><label class="main lp-form-label" for="XML_extra_radio2" id="label_XML_extra_radio2" style="width: 566px; height: auto;"><span
class="label-style">Type gebouw:</span></label>
<div class="ub-input-item input-wrap optionsList" id="group_XML_extra_radio2" style="width: 566px;">
<div class="option" id="ub-option-XML_extra_radio2-item-0"><input type="radio" id="XML_extra_radio2_vrijstaand_huis" name="XML_extra_radio2" value="1" class="radio form-builder-radio-input form_elem_XML_extra_radio2"><label
for="XML_extra_radio2_vrijstaand_huis" class="opt-label form-builder-radio-label"><span class="label-style">Vrijstaand huis</span></label></div>
<div class="option" id="ub-option-XML_extra_radio2-item-1"><input type="radio" id="XML_extra_radio2_halfopen_huis" name="XML_extra_radio2" value="2" class="radio form-builder-radio-input form_elem_XML_extra_radio2"><label
for="XML_extra_radio2_halfopen_huis" class="opt-label form-builder-radio-label"><span class="label-style">Halfopen huis</span></label></div>
<div class="option" id="ub-option-XML_extra_radio2-item-2"><input type="radio" id="XML_extra_radio2_rijhuis" name="XML_extra_radio2" value="3" class="radio form-builder-radio-input form_elem_XML_extra_radio2"><label
for="XML_extra_radio2_rijhuis" class="opt-label form-builder-radio-label"><span class="label-style">Rijhuis</span></label></div>
<div class="option" id="ub-option-XML_extra_radio2-item-3"><input type="radio" id="XML_extra_radio2_studio" name="XML_extra_radio2" value="4" class="radio form-builder-radio-input form_elem_XML_extra_radio2"><label
for="XML_extra_radio2_studio" class="opt-label form-builder-radio-label"><span class="label-style">Studio</span></label></div>
<div class="option" id="ub-option-XML_extra_radio2-item-4"><input type="radio" id="XML_extra_radio2_bedrijf_kantoor" name="XML_extra_radio2" value="5" class="radio form-builder-radio-input form_elem_XML_extra_radio2"><label
for="XML_extra_radio2_bedrijf_kantoor" class="opt-label form-builder-radio-label"><span class="label-style">Bedrijf / kantoor</span></label></div>
<div class="option" id="ub-option-XML_extra_radio2-item-5"><input type="radio" id="XML_extra_radio2_ander_type" name="XML_extra_radio2" value="6" class="radio form-builder-radio-input form_elem_XML_extra_radio2"><label
for="XML_extra_radio2_ander_type" class="opt-label form-builder-radio-label"><span class="label-style">Ander type</span></label></div>
</div>
</div>
<div class="lp-pom-form-field radio-group multi-group" id="container_XML_extra_radio4" style="top: 180px; left: 0px;"><label class="main lp-form-label" for="XML_extra_radio4" id="label_XML_extra_radio4" style="width: 566px; height: auto;"><span
class="label-style">Ook EPC-certificaat nodig?</span></label>
<div class="ub-input-item input-wrap optionsList" id="group_XML_extra_radio4" style="width: 566px;">
<div class="option" id="ub-option-XML_extra_radio4-item-0"><input type="radio" id="XML_extra_radio4_ja" name="XML_extra_radio4" value="1" class="radio form-builder-radio-input form_elem_XML_extra_radio4"><label for="XML_extra_radio4_ja"
class="opt-label form-builder-radio-label"><span class="label-style">Ja</span></label></div>
<div class="option" id="ub-option-XML_extra_radio4-item-1"><input type="radio" id="XML_extra_radio4_nee" name="XML_extra_radio4" value="2" class="radio form-builder-radio-input form_elem_XML_extra_radio4"><label for="XML_extra_radio4_nee"
class="opt-label form-builder-radio-label"><span class="label-style">Nee</span></label></div>
</div>
</div>
<div class="lp-pom-form-field radio-group multi-group" id="container_XML_extra_radio3" style="top: 128px; left: 0px;"><label class="main lp-form-label" for="XML_extra_radio3" id="label_XML_extra_radio3" style="width: 566px; height: auto;"><span
class="label-style">Wanneer?</span></label>
<div class="ub-input-item input-wrap optionsList" id="group_XML_extra_radio3" style="width: 566px;">
<div class="option" id="ub-option-XML_extra_radio3-item-0"><input type="radio" id="XML_extra_radio3_zo_snel_mogelijk" name="XML_extra_radio3" value="1" class="radio form-builder-radio-input form_elem_XML_extra_radio3"><label
for="XML_extra_radio3_zo_snel_mogelijk" class="opt-label form-builder-radio-label"><span class="label-style">Zo snel mogelijk</span></label></div>
<div class="option" id="ub-option-XML_extra_radio3-item-1"><input type="radio" id="XML_extra_radio3_binnen_1_tot_3_maanden" name="XML_extra_radio3" value="2" class="radio form-builder-radio-input form_elem_XML_extra_radio3"><label
for="XML_extra_radio3_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_radio3-item-2"><input type="radio" id="XML_extra_radio3_binnen_3_tot_6_maanden" name="XML_extra_radio3" value="3" class="radio form-builder-radio-input form_elem_XML_extra_radio3"><label
for="XML_extra_radio3_binnen_3_tot_6_maanden" class="opt-label form-builder-radio-label"><span class="label-style">Binnen 3 tot 6 maanden</span></label></div>
</div>
</div>
<div class="lp-pom-form-field single-line-text" id="container_XML_postcode" style="top: 385px; left: 0px;"><label class="main lp-form-label" for="XML_postcode" id="label_XML_postcode" style="width: 566px; height: auto;"><span
class="label-style">Postcode *</span></label><input id="XML_postcode" name="XML_postcode" type="text" class="ub-input-item single text form_elem_XML_postcode" required="" style="width: 566px;"></div>
<div class="lp-pom-form-field single-line-text" id="container_address1" style="top: 435px; left: 0px;"><label class="main lp-form-label" for="address1" id="label_address1" style="width: 566px; height: auto;"><span class="label-style">Straat +
huisnummer *</span></label><input id="address1" name="address1" type="text" class="ub-input-item single text form_elem_address1" required="" style="width: 566px;"></div>
<div class="lp-pom-form-field radio-group multi-group" id="container_aanhef" style="top: 605px; left: 0px;"><label class="main lp-form-label" for="aanhef" id="label_aanhef" style="width: 566px; height: auto;"><span
class="label-style">Aanhef</span></label>
<div class="ub-input-item input-wrap optionsList" id="group_aanhef" style="width: 566px;">
<div class="option" id="ub-option-aanhef-item-0"><input type="radio" id="aanhef_dhr" name="aanhef" value="Dhr." class="radio form-builder-radio-input form_elem_aanhef"><label for="aanhef_dhr" class="opt-label form-builder-radio-label"><span
class="label-style">Dhr.</span></label></div>
<div class="option" id="ub-option-aanhef-item-1"><input type="radio" id="aanhef_mevr" name="aanhef" value="Mevr." class="radio form-builder-radio-input form_elem_aanhef"><label for="aanhef_mevr"
class="opt-label form-builder-radio-label"><span class="label-style">Mevr.</span></label></div>
</div>
</div>
<div class="lp-pom-form-field single-line-text" id="container_firstName" style="top: 655px; left: 0px;"><label class="main lp-form-label" for="firstName" id="label_firstName" style="width: 566px; height: auto;"><span
class="label-style">Voornaam *</span></label><input id="firstName" name="firstName" type="text" class="ub-input-item single text form_elem_firstName" required="" style="width: 566px;"></div>
<div class="lp-pom-form-field single-line-text" id="container_lastName" style="top: 710px; left: 0px;"><label class="main lp-form-label" for="lastName" id="label_lastName" style="width: 566px; height: auto;"><span
class="label-style">Familienaam *</span></label><input id="lastName" name="lastName" type="text" class="ub-input-item single text form_elem_lastName" required="" style="width: 566px;"></div>
<div class="lp-pom-form-field email" id="container_XML_email" style="top: 765px; left: 0px;"><label class="main lp-form-label" for="XML_email" id="label_XML_email" style="width: 566px; height: auto;"><span
class="label-style">E-mail *</span></label><input id="XML_email" name="XML_email" type="email" class="ub-input-item single text form_elem_XML_email" required="" pattern="^[a-zA-Z0-9._%+\-]+@[a-zA-Z0-9_\-]+[.]+[a-zA-Z0-9\-.]{2,61}$"
style="width: 566px;"></div>
<div class="lp-pom-form-field single-line-text" id="container_XML_telephone" style="top: 820px; left: 0px;"><label class="main lp-form-label" for="XML_telephone" id="label_XML_telephone" style="width: 566px; height: auto;"><span
class="label-style">Tel./GSM *</span></label><input id="XML_telephone" name="XML_telephone" type="tel" class="ub-input-item single text form_elem_XML_telephone" required="" style="width: 566px;"></div><input id="aff" name="aff"
type="hidden" class="hidden" value="bluemedia_nl"><input id="utm_medium" name="utm_medium" type="hidden" class="hidden" value="BENL-100149-Asbestattest-asbestinventaris"><input id="utm_source" name="utm_source" type="hidden" class="hidden"
value="[[utm_source]]"><input id="type_id" name="type_id" type="hidden" class="hidden" value="100149"><input id="rem_id" name="rem_id" type="hidden" class="hidden" value="20241127012416990"><input id="rem_source" name="rem_source" type="hidden"
class="hidden" value="info.mijn-offertes.be"><input id="pixel_id" name="pixel_id" type="hidden" class="hidden" value=""><input id="language" name="language" type="hidden" class="hidden" value="nl"><input id="promoOptin" name="promoOptin"
type="hidden" class="hidden" value="true"><input id="click_id" name="click_id" type="hidden" class="hidden" value=""><input id="tabo_id" name="tabo_id" type="hidden" class="hidden" value=""><input id="XML_remarks" name="XML_remarks"
type="hidden" class="hidden" value="Ik wil gratis offertes vergelijken voor een asbestattest"><input id="utm_campaign" name="utm_campaign" type="hidden" class="hidden" value=""><input id="companyCity" name="companyCity" type="hidden"
class="hidden" value=""><input id="companyType" name="companyType" type="hidden" class="hidden" value="label.companytype.consumer"><input id="bobx" name="bobx" type="hidden" class="hidden" value="">
</div><button class="lp-element lp-pom-button" id="lp-pom-button-28" type="submit"><span class="label">Prijzen vergelijken</span></button>
</form>
Text Content
Asbestattest nodig? Ontvang gratis offertes Uw huis Uw regio Uw contactgegevens Type asbestattest: Voor verkoop of verhuur Voor renovatie of sloop Graag advies Type gebouw: Vrijstaand huis Halfopen huis Rijhuis Studio Bedrijf / kantoor Ander type Ook EPC-certificaat nodig? Ja Nee Wanneer? Zo snel mogelijk Binnen 1 tot 3 maanden Binnen 3 tot 6 maanden Postcode * Straat + huisnummer * Aanhef Dhr. Mevr. Voornaam * Familienaam * E-mail * Tel./GSM * Prijzen vergelijken Beschrijf (vrijblijvend) uw project. Zo kunnen wij u zo goed mogelijk helpen: Op basis van uw adres brengen wij u in contact met asbestdeskundigen uit uw buurt. © 2024 Bobex.be Algemene voorwaarden | Privacy | Gegevensbescherming (GDPR) Algemene voorwaarden | Privacy | Gegevensbescherming (GDPR)