formhandler.telenet.be
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2a02:1800:100:6000::1
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URL:
https://formhandler.telenet.be/formhandler/form.do?form=aanrekening_facturatie
Submission: On April 14 via manual from BE — Scanned from DE
Submission: On April 14 via manual from BE — Scanned from DE
Form analysis 1 forms found in the DOM
Name: form — POST form.do
<form id="form" name="form" method="POST" action="form.do" enctype="multipart/form-data">
<input type="hidden" value="" id="required_fields" name="required_fields">
<script>
var lastLevelValue = "";
var onLastLevel = "false";
var maxArticles = 0;
var faqModule = "false";
var levelStructure = {
"name": "Levels",
"attributes": {
"337": {
"name": "337",
"value": "Over mijn aanrekening / promotie / korting"
},
"338": {
"name": "338",
"value": "Over mijn betaling / herinnering"
},
"327": {
"name": "327",
"value": "Ik heb een andere vraag"
},
"339": {
"name": "339",
"value": "Over de aanvraag voor sociaal tarief"
},
"340": {
"name": "340",
"value": "Over aangerekend dataverbruik / gesprek / SMS / film"
}
}
};
var faqTrackingInfo = {};
var interactionHappend = false;
var _gaq = _gaq || [];
_gaq.push(['_setAccount', 'UA-17663795-5']);
_gaq.push(['_trackPageview']);
(function() {
var ga = document.createElement('script');
ga.type = 'text/javascript';
ga.async = true;
ga.src = ('https:' == document.location.protocol ? 'https://ssl' : 'http://www') + '.google-analytics.com/ga.js';
var s = document.getElementsByTagName('script')[0];
s.parentNode.insertBefore(ga, s);
})();
function transformToOptionList(values, selectId, selectedValue) {
var fieldname = jQuery('#' + selectId).attr("name");
var initialValueObject = jQuery('#' + selectId + '_initial_value');
var initialTextObject = jQuery('#' + selectId + '_initial_text');
var retValue = "";
var initValue = "";
if (initialValueObject.length > 0 && initialTextObject.length > 0) {
initValue = "<OPTION value='" + initialValueObject.val() + "'>" + initialTextObject.val() + "</OPTION>";
}
for (param in values) {
if (selectedValue == "values[param].name") {
retValue = retValue + "<OPTION value='" + values[param].name + "' SELECTED>" + values[param].value + "</OPTION>";
} else {
retValue = retValue + "<OPTION value='" + values[param].name + "'>" + values[param].value + "</OPTION>";
}
}
if (retValue != "") {
retValue = initValue + retValue;
}
return retValue;
}
function findValuesForKey(values, key, selectId) {
param = null;
var result = "";
for (param in values) {
if (param == key) {
result = values[param].attributes;
break;
} else {
if (!isEmpty(values[param].attributes)) {
result = findValuesForKey(values[param].attributes, key, selectId)
}
}
}
return result;
}
function clearAllClearablesAboveLevel(level, fieldGroup) {
jQuery('.' + fieldGroup).each(function() {
if (jQuery(this).attr('data-level') > level) {
jQuery(this).html("");
jQuery(this).closest('table').hide();
}
});
}
function multiLevelBehaviourControl(changerId, groupName, currentValue, currentLevel, olsCall, contextValue) {
var lastlevel = false;
clearAllClearablesAboveLevel(currentLevel, groupName);
if (currentLevel != "") {
var nextLevel = currentLevel + 1;
var target = jQuery('select[data-level="' + nextLevel + '"]');
if (target.length != 0) {
var selectId = target.attr('id');
var result = findValuesForKey(levelStructure.attributes, currentValue, selectId);
if (!isEmpty(result)) {
target.closest('table').show();
result = transformToOptionList(result, selectId, contextValue);
// not last level put field_onLastLevel to false
//jQuery('#field_onLastLevel').val("false");
onLastLevel = "false";
} else {
// last level put field_onLastLevel to true
//jQuery('#field_onLastLevel').val("true");
onLastLevel = "true";
lastlevel = true;
lastLevelValue = currentValue;
}
target.html(result);
} else {
// there isn't another level so you must be the last put field_onLastLevel to true
//jQuery('#field_onLastLevel').val("true");
onLastLevel = "true";
lastLevelValue = currentValue;
lastlevel = true;
}
if (jQuery(changerId).val() != "" && lastlevel) {
olsCall = "true";
}
}
return olsCall;
}
function writeJavascriptForLevelDropdowns() {
var jQueryField = jQuery('#field_formCategorie');
jQueryField.attr('data-level', 1);
jQueryField.addClass('questionLevels');
if ((jQueryField.val() == "" || jQueryField.val() == "none") && 1 > 1) {
jQueryField.closest('table').hide();
}
function performChangeActionformCategorie(element) {
var changerId = '#field_formCategorie'
var groupName = 'questionLevels';
var currentValue = jQuery(element).val();
var currentLevel = parseInt(jQuery('#field_formCategorie').attr('data-level'));
var olsCall = "false";
var contextValue = "";
interactionHappend = true;
olsCall = multiLevelBehaviourControl(changerId, groupName, currentValue, currentLevel, olsCall, contextValue);
var lev1 = jQuery('select[data-level="1"]').length == 0 || jQuery('select[data-level="1"]').val() == "" ? "NULL" : jQuery('select[data-level="1"]').val();
var lev2 = jQuery('select[data-level="2"]').length == 0 || jQuery('select[data-level="2"]').val() == "" ? "NULL" : jQuery('select[data-level="2"]').val();
var lev3 = jQuery('select[data-level="3"]').length == 0 || jQuery('select[data-level="3"]').val() == "" ? "NULL" : jQuery('select[data-level="3"]').val();
if (faqModule == "true") {
if (!noFaqRefresh) {
doUpdatePage(olsCall, maxArticles, "", true, 'FormFilled');
}
}
}
jQuery('#field_formCategorie').change(function() {
performChangeActionformCategorie(this);
});
var jQueryField = jQuery('#field_onderwerp');
jQueryField.attr('data-level', 2);
jQueryField.addClass('questionLevels');
if ((jQueryField.val() == "" || jQueryField.val() == "none") && 2 > 1) {
jQueryField.closest('table').hide();
}
function performChangeActiononderwerp(element) {
var changerId = '#field_onderwerp'
var groupName = 'questionLevels';
var currentValue = jQuery(element).val();
var currentLevel = parseInt(jQuery('#field_onderwerp').attr('data-level'));
var olsCall = "false";
var contextValue = "";
interactionHappend = true;
olsCall = multiLevelBehaviourControl(changerId, groupName, currentValue, currentLevel, olsCall, contextValue);
var lev1 = jQuery('select[data-level="1"]').length == 0 || jQuery('select[data-level="1"]').val() == "" ? "NULL" : jQuery('select[data-level="1"]').val();
var lev2 = jQuery('select[data-level="2"]').length == 0 || jQuery('select[data-level="2"]').val() == "" ? "NULL" : jQuery('select[data-level="2"]').val();
var lev3 = jQuery('select[data-level="3"]').length == 0 || jQuery('select[data-level="3"]').val() == "" ? "NULL" : jQuery('select[data-level="3"]').val();
if (faqModule == "true") {
if (!noFaqRefresh) {
doUpdatePage(olsCall, maxArticles, "", true, 'FormFilled');
}
}
}
jQuery('#field_onderwerp').change(function() {
performChangeActiononderwerp(this);
});
var jQueryField = jQuery('#field_level3');
jQueryField.attr('data-level', 3);
jQueryField.addClass('questionLevels');
if ((jQueryField.val() == "" || jQueryField.val() == "none") && 3 > 1) {
jQueryField.closest('table').hide();
}
function performChangeActionlevel3(element) {
var changerId = '#field_level3'
var groupName = 'questionLevels';
var currentValue = jQuery(element).val();
var currentLevel = parseInt(jQuery('#field_level3').attr('data-level'));
var olsCall = "false";
var contextValue = "";
interactionHappend = true;
olsCall = multiLevelBehaviourControl(changerId, groupName, currentValue, currentLevel, olsCall, contextValue);
var lev1 = jQuery('select[data-level="1"]').length == 0 || jQuery('select[data-level="1"]').val() == "" ? "NULL" : jQuery('select[data-level="1"]').val();
var lev2 = jQuery('select[data-level="2"]').length == 0 || jQuery('select[data-level="2"]').val() == "" ? "NULL" : jQuery('select[data-level="2"]').val();
var lev3 = jQuery('select[data-level="3"]').length == 0 || jQuery('select[data-level="3"]').val() == "" ? "NULL" : jQuery('select[data-level="3"]').val();
if (faqModule == "true") {
if (!noFaqRefresh) {
doUpdatePage(olsCall, maxArticles, "", true, 'FormFilled');
}
}
}
jQuery('#field_level3').change(function() {
performChangeActionlevel3(this);
});
}
function runFirstTimeOlsCall() {
if (faqModule) {
if (pagestate != "error") {
doUpdatePage("true", maxArticles, "", false, 'FormLoaded');
}
} else {
_gaq.push(['_trackEvent', 'FormLoaded', 'aanrekening_facturatie', '72a458590fdc1a3be7f23231758fa63d5b3e89a93813b5a2']);
}
}
jQuery(document).ready(function() {
writeJavascriptForLevelDropdowns();
runFirstTimeOlsCall();
jQuery('*[data-GaTrackingEnabled]').click(function() {
_gaq.push(['_trackEvent', 'FormInteraction', 'aanrekening_facturatie', '72a458590fdc1a3be7f23231758fa63d5b3e89a93813b5a2']);
});
});
jQuery(document).ready(function() {
jQuery('#writtenCareChatToAdvisorButton').click(function() {
_gaq.push(['_trackEvent', 'ChatClicked', 'aanrekening_facturatie', '72a458590fdc1a3be7f23231758fa63d5b3e89a93813b5a2']);
});
});
function doUpdatePage(olsCall, maxArticles, freeform, effect, event) {
var categoryId = 98;
var lev1 = jQuery('select[data-level="1"]').length == 0 || jQuery('select[data-level="1"]').val() == "" ? null : jQuery('select[data-level="1"]').val();
var lev2 = jQuery('select[data-level="2"]').length == 0 || jQuery('select[data-level="2"]').val() == "" ? null : jQuery('select[data-level="2"]').val();
var lev3 = jQuery('select[data-level="3"]').length == 0 || jQuery('select[data-level="3"]').val() == "" ? null : jQuery('select[data-level="3"]').val();
if (faqModule == "true") {
if (olsCall == "true" || lev1 == null) {
getFaqDataFromServer(categoryId, "nl", lev1, lev2, lev3, freeform, maxArticles, effect, event);
}
}
}
function beforeSubmit() {
// send required fields by view to serverside
var requiredFieldsData = JSON.stringify(requiredFields);
var requiredFieldsInput = jQuery('#required_fields');
if (requiredFieldsInput.length > 0) {
requiredFieldsInput.val(requiredFieldsData);
}
// send clicked faq's to serverside
var faqTrackData = JSON.stringify(faqTrackingInfo);
var faqTrackingInput = jQuery('#faqTracking');
if (faqTrackingInput.length > 0) {
faqTrackingInput.val(faqTrackData);
}
// send clicked faq's to google analytics
var faqString = "";
for (faq in faqTrackingInfo) {
if (faqTrackingInfo[faq].clicked == "true") {
faqString = faqString + faqTrackingInfo[faq].url + "|";
}
}
faqString = faqString + "72a458590fdc1a3be7f23231758fa63d5b3e89a93813b5a2";
var lev1 = jQuery('select[data-level="1"]').length == 0 || jQuery('select[data-level="1"]').val() == "" ? "NULL" : jQuery('select[data-level="1"]').val();
var lev2 = jQuery('select[data-level="2"]').length == 0 || jQuery('select[data-level="2"]').val() == "" ? "NULL" : jQuery('select[data-level="2"]').val();
var lev3 = jQuery('select[data-level="3"]').length == 0 || jQuery('select[data-level="3"]').val() == "" ? "NULL" : jQuery('select[data-level="3"]').val();
var dropDownValues = lev1 + "|" + lev2 + "|" + lev3;
_gaq.push(['_trackEvent', 'FormSubmit', 'aanrekening_facturatie|' + dropDownValues, faqString]);
}
</script>
<input name="fullUrl" type="hidden" value="http://formhandler.telenet.be/formhandler/form.do?form=aanrekening_facturatie">
<input name="form" type="hidden" value="aanrekening_facturatie">
<input name="contentTypeId" type="hidden" value="98">
<input id="faqTracking" name="faqTracking" type="hidden" value="">
<input id="field_onLastLevel" type="hidden" name="onLastLevel" value="false">
<input id="field_WrittenCareSessionId" type="hidden" name="WrittenCareSessionId" value="72a458590fdc1a3be7f23231758fa63d5b3e89a93813b5a2">
<input id="field_contactChoice" name="contactChoice" type="hidden" value="phone|">
<div id="content_fixedTopBanner" class="item">
<div id="fixedBanner"></div>
<script>
jQuery(document).ready(function() {
getFixedBannerDataFromService("98", "nl", "", "", "")
});
function getFixedBannerDataFromService(category, language, level1, level2, level3) {
escalationService.getBannerInfo(category, language, level1, level2, level3, {
callback: getFixedBannerDataFromServiceCallBack,
errorHandler: function(message, ex) {
log("Error :" + dwr.util.toDescriptiveString(ex, 3));
}
});
}
function getFixedBannerDataFromServiceCallBack(data, var1, var2) {
var contents = "";
jQuery.each(data, function(i, banner) {
contents = contents + "<div class=\"banner dynbanner\"><A href=\"" + banner.url + "\" target=\"_BLANK\"><div class=\"bannertitle\">" + banner.title + "</div><div class=\"content\">" + banner.body + "</A></div></div>";
});
contents = contents;
jQuery('#fixedBanner').html(contents);
}
</script>
</div>
<div id="description" class="item" style="">
<div class="description">
<p>Heb je een vraag over je <b>aanrekening, factuur of herinnering</b>?</p>
</div>
</div>
<div id="fieldset_questionLevels" class="item" style="">
<div class="title"> Waarover gaat je vraag? </div>
<div class="content">
<div class="contentblock">
<table class="left ">
<tbody>
<tr>
<td></td>
</tr>
<tr>
<td>
<table class="tablecontent verti">
<tbody>
<tr>
<td>
<script>
fieldtypes["formCategorie"] = "SELECT";
</script>
</td>
</tr>
<tr data-formcategorie="true">
<td class="label">
<span class="required"></span>
</td>
</tr>
<tr data-formcategorie="true">
<td class="content">
<div>
<select id="field_formCategorie" name="formCategorie" data-gatrackingenabled="true" data-formcategorie="true" data-level="1" class="questionLevels">
<option value="" data-formcategorie_="true">(maak je keuze)</option>
<option value="337" data-formcategorie_337="true">Over mijn aanrekening / promotie / korting</option>
<option value="338" data-formcategorie_338="true">Over mijn betaling / herinnering</option>
<option value="339" data-formcategorie_339="true">Over de aanvraag voor sociaal tarief</option>
<option value="340" data-formcategorie_340="true">Over aangerekend dataverbruik / gesprek / SMS / film</option>
<option value="327" data-formcategorie_327="true">Ik heb een andere vraag</option>
</select>
</div>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
<tr>
<td>
<table class="tablecontent verti" style="display: none;">
<tbody>
<tr>
<td>
<script>
fieldtypes["onderwerp"] = "SELECT";
</script>
</td>
</tr>
<tr data-onderwerp="true">
<td class="label">
<span class="required"></span>
</td>
</tr>
<tr data-onderwerp="true">
<td class="content">
<input type="hidden" id="field_onderwerp_initial_value" value="">
<input type="hidden" id="field_onderwerp_initial_text" value="(maak je keuze)">
<div>
<select id="field_onderwerp" name="onderwerp" data-gatrackingenabled="true" data-onderwerp="true" data-level="2" class="questionLevels">
<option value="" data-onderwerp_="true">(maak je keuze)</option>
</select>
</div>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
<tr>
<td>
<table class="tablecontent verti" style="display: none;">
<tbody>
<tr>
<td>
<script>
fieldtypes["level3"] = "SELECT";
</script>
</td>
</tr>
<tr data-level3="true">
<td class="label">
<span class="required"></span>
</td>
</tr>
<tr data-level3="true">
<td class="content">
<input type="hidden" id="field_level3_initial_value" value="">
<input type="hidden" id="field_level3_initial_text" value="">
<div>
<select id="field_level3" name="level3" data-gatrackingenabled="true" data-level3="true" data-level="3" class="questionLevels">
<option value="" data-level3_="true"></option>
</select>
</div>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
</tbody>
</table>
</div>
</div>
</div>
<div id="content_dynamicContentBanner" class="item">
<div id="dynamicBanner"></div>
<script>
function getBannerDataFromService(category, language, level1, level2, level3) {
escalationService.getBannerInfo(category, language, level1, level2, level3, {
callback: getBannerDataFromServiceCallBack,
errorHandler: function(message, ex) {
log("Error :" + dwr.util.toDescriptiveString(ex, 3));
}
});
}
function getBannerDataFromServiceCallBack(data, var1, var2) {
var contents = "";
jQuery.each(data, function(i, banner) {
contents = contents + "<div class=\"banner dynbanner\"><A href=\"" + banner.url + "\" target=\"_BLANK\"><div class=\"bannertitle\">" + banner.title + "</div><div class=\"content\">" + banner.body + "</A></div></div>";
});
contents = contents;
jQuery('#dynamicBanner').html(contents);
}
jQuery(document).ready(function() {
jQuery('select[data-level="1"]').change(function() {
var categoryId = 98;
var lev1 = jQuery('select[data-level="1"]').val();
var lev2 = jQuery('select[data-level="2"]').val();
var lev3 = jQuery('select[data-level="3"]').val();
getBannerDataFromService(categoryId, 'nl', lev1, lev2, lev3);
});
jQuery('select[data-level="2"]').change(function() {
var categoryId = 98;
var lev1 = jQuery('select[data-level="1"]').val();
var lev2 = jQuery('select[data-level="2"]').val();
var lev3 = jQuery('select[data-level="3"]').val();
getBannerDataFromService(categoryId, 'nl', lev1, lev2, lev3);
});
jQuery('select[data-level="3"]').change(function() {
var categoryId = 98;
var lev1 = jQuery('select[data-level="1"]').val();
var lev2 = jQuery('select[data-level="2"]').val();
var lev3 = jQuery('select[data-level="3"]').val();
getBannerDataFromService(categoryId, 'nl', lev1, lev2, lev3);
});
});
</script>
</div>
<div id="fieldset_login" class="item" style="display:none">
<div class="title"> Aanmelden </div>
<div class="content">
<div class="contentblock">
<table class="left">
<tbody>
<tr>
<td>
<table class="tablecontent hori">
<tbody>
<tr>
<td>
<div id="content_logintext" class="item">
<div class="content" data-textcontainer="true">
<div class="content_body"> Meld je aan met je Telenet-login om je klantgegevens automatisch in te vullen <p>
<a href="login.do?goto=http%3A%2F%2Fformhandler.telenet.be%2Fformhandler%2Fform.do%3Fform%3Daanrekening_facturatie">login</a></p>
<p>
</p>
</div>
</div>
</div>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
</tbody>
</table>
</div>
</div>
</div>
<div id="content_needMoreInfoButton" class="item">
<div id="writtenCareExtendFormButton_divider" class="divider" style="display: none;"></div>
<div class="item">
<div class="description">
<h3 class="question" id="writtenCareQuestion" style="display: none;">
</h3>
</div>
<button class="button" type="button" id="writtenCareExtendFormButton" data-state="false" data-needmoreinfobutton="true" style="display: none;"> Geen antwoord gevonden? </button>
</div>
</div>
<div id="fieldset_new_1336489036870" class="item" style="display:none">
<div class="title"> Bijkomende informatie </div>
<div class="content">
<div class="contentblock">
<table class="left ">
<tbody>
<tr>
<td></td>
</tr>
<tr>
<td>
<table class="tablecontent verti">
<tbody>
<tr>
<td>
<script>
fieldtypes["omschrijving"] = "TEXTAREA";
</script>
</td>
</tr>
<tr data-omschrijving="true">
<td class="label"> Maak een korte, maar duidelijke omschrijving van je vraag<span class="required">*</span>
</td>
</tr>
<tr data-omschrijving="true">
<td class="content">
<div>
<textarea class="textarea" id="field_omschrijving" name="omschrijving" style="height: 125px; width: 255px" data-omschrijving="true"></textarea>
</div>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
<tr>
<td>
<table class="tablecontent verti">
<tbody>
<tr>
<td>
<script>
fieldtypes["new_1336489304697"] = "FILE";
</script>
</td>
</tr>
<tr data-new_1336489304697="true">
<td class="label"> Bijlage<span class="required"></span>
</td>
</tr>
<tr data-new_1336489304697="true">
<td class="content">
<div class="tooltipEnabled">
<div class="attchinputfield">
<div id="field_new_1336489304697_origstate"><input id="field_new_1336489304697" name="new_1336489304697" type="file" data-attachmentno="1" data-new_1336489304697="true"></div>
<div class="attchdelbutton"> <a href="javascript:void(0)" onclick="reset_html('field_new_1336489304697_origstate')">Verwijderen</a></div>
</div>
</div>
</td>
</tr>
<script>
jQuery(document).ready(function() {
jQuery('#' + 'field_new_1336489304697').wrap('<div id="field_new_1336489304697_origstate"></div>');
jQuery('#' + 'field_new_1336489304697_origstate').after('<div class="attchdelbutton" > <A href="javascript:void(0)" onclick="reset_html(\'field_new_1336489304697_origstate\')">Verwijderen</A></div>');
jQuery('input[data-attachmentno]').each(function() {
jQuery(this).change(function() {
for (var i = 1; i <= 4; i++) {
var nextattachment = jQuery('input[data-attachmentno=' + i + ']');
if (!isEmpty(nextattachment)) {
if (!nextattachment.is(":visible")) {
nextattachment.closest('table').show();
break;
}
}
}
});
if (jQuery(this).attr('data-attachmentno') > 1) {
jQuery(this).closest('table').hide();
}
});
});
</script>
</tbody>
</table>
</td>
</tr>
<tr>
<td>
<table class="tablecontent verti" style="display: none;">
<tbody>
<tr>
<td>
<script>
fieldtypes["new_1336489307905"] = "FILE";
</script>
</td>
</tr>
<tr data-new_1336489307905="true">
<td class="label">
<span class="required"></span>
</td>
</tr>
<tr data-new_1336489307905="true">
<td class="content">
<div class="tooltipEnabled">
<div class="attchinputfield">
<div id="field_new_1336489307905_origstate"><input id="field_new_1336489307905" name="new_1336489307905" type="file" data-attachmentno="2" data-new_1336489307905="true"></div>
<div class="attchdelbutton"> <a href="javascript:void(0)" onclick="reset_html('field_new_1336489307905_origstate')">Verwijderen</a></div>
</div>
</div>
</td>
</tr>
<script>
jQuery(document).ready(function() {
jQuery('#' + 'field_new_1336489307905').wrap('<div id="field_new_1336489307905_origstate"></div>');
jQuery('#' + 'field_new_1336489307905_origstate').after('<div class="attchdelbutton" > <A href="javascript:void(0)" onclick="reset_html(\'field_new_1336489307905_origstate\')">Verwijderen</A></div>');
});
</script>
</tbody>
</table>
</td>
</tr>
<tr>
<td>
<table class="tablecontent verti" style="display: none;">
<tbody>
<tr>
<td>
<script>
fieldtypes["new_1336489310993"] = "FILE";
</script>
</td>
</tr>
<tr data-new_1336489310993="true">
<td class="label">
<span class="required"></span>
</td>
</tr>
<tr data-new_1336489310993="true">
<td class="content">
<div class="tooltipEnabled">
<div class="attchinputfield">
<div id="field_new_1336489310993_origstate"><input id="field_new_1336489310993" name="new_1336489310993" type="file" data-attachmentno="3" data-new_1336489310993="true"></div>
<div class="attchdelbutton"> <a href="javascript:void(0)" onclick="reset_html('field_new_1336489310993_origstate')">Verwijderen</a></div>
</div>
</div>
</td>
</tr>
<script>
jQuery(document).ready(function() {
jQuery('#' + 'field_new_1336489310993').wrap('<div id="field_new_1336489310993_origstate"></div>');
jQuery('#' + 'field_new_1336489310993_origstate').after('<div class="attchdelbutton" > <A href="javascript:void(0)" onclick="reset_html(\'field_new_1336489310993_origstate\')">Verwijderen</A></div>');
});
</script>
</tbody>
</table>
</td>
</tr>
<tr>
<td>
<table class="tablecontent verti" style="display: none;">
<tbody>
<tr>
<td>
<script>
fieldtypes["new_1336489314442"] = "FILE";
</script>
</td>
</tr>
<tr data-new_1336489314442="true">
<td class="label">
<span class="required"></span>
</td>
</tr>
<tr data-new_1336489314442="true">
<td class="content">
<div class="tooltipEnabled">
<div class="attchinputfield">
<div id="field_new_1336489314442_origstate"><input id="field_new_1336489314442" name="new_1336489314442" type="file" data-attachmentno="4" data-new_1336489314442="true"></div>
<div class="attchdelbutton"> <a href="javascript:void(0)" onclick="reset_html('field_new_1336489314442_origstate')">Verwijderen</a></div>
</div>
</div>
</td>
</tr>
<script>
jQuery(document).ready(function() {
jQuery('#' + 'field_new_1336489314442').wrap('<div id="field_new_1336489314442_origstate"></div>');
jQuery('#' + 'field_new_1336489314442_origstate').after('<div class="attchdelbutton" > <A href="javascript:void(0)" onclick="reset_html(\'field_new_1336489314442_origstate\')">Verwijderen</A></div>');
});
</script>
</tbody>
</table>
</td>
</tr>
</tbody>
</table>
</div>
</div>
</div>
<div id="fieldset_new_1336485551046" class="item" style="display:none">
<div class="title"> Persoonlijke gegevens </div>
<div class="content">
<div class="contentblock">
<table class="left ">
<tbody>
<tr>
<td></td>
</tr>
<tr>
<td>
<table class="tablecontent hori">
<tbody>
<tr>
<td>
<script>
fieldtypes["naam"] = "TEXT";
</script>
</td>
</tr>
<tr data-naam="true">
<td class="label"> Voornaam en naam<span class="required">*</span>
</td>
<td class="content">
<div><input id="field_naam" name="naam" type="text" maxlength="1024" value="" data-naam="true"></div>
</td>
</tr>
<script>
jQuery(document).ready(function() {
fieldvalues["naam"] = {}
fieldvalues["naam"].value = " ";
});
</script>
</tbody>
</table>
</td>
</tr>
<tr>
<td>
<table class="tablecontent hori">
<tbody>
<tr>
<td>
<script>
fieldtypes["klantennummer"] = "TEXT";
</script>
</td>
</tr>
<tr data-klantennummer="true">
<td class="label"> Klantennummer<span class="required">*</span>
</td>
<td class="content">
<div class="tooltipEnabled"><input id="field_klantennummer" name="klantennummer" type="text" maxlength="1024" value="" data-klantennummer="true"></div>
</td>
</tr>
<script>
jQuery(document).ready(function() {
fieldvalues["klantennummer"] = {}
fieldvalues["klantennummer"].value = "";
});
</script>
</tbody>
</table>
</td>
</tr>
<tr>
<td>
<table class="tablecontent hori">
<tbody>
<tr>
<td>
<script>
fieldtypes["accountnummer"] = "WC_SMARTACCOUNTNUMBER";
</script>
</td>
</tr>
<tr data-accountnummer="true">
<td class="label"> Accountnummer<span class="required"></span>
</td>
<td class="content">
<div class="tooltipEnabled"><input id="field_accountnummer" name="accountnummer" type="text" maxlength="1024" value="" data-gatrackingenabled="true" data-accountnummer="true"></div>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
<tr>
<td>
<table class="tablecontent hori">
<tbody>
<tr data-emailadres="true">
<td colspan="2">
<div class="horilabel" data-textcontainer="true">Geef je telefoonnummer en/of e-mailadres waarop we je kunnen contacteren tijdens de kantooruren. Kunnen we je telefonisch niet bereiken? Dan beantwoorden we je vraag via e-mail.
</div>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
<tr>
<td>
<table class="tablecontent hori">
<tbody>
<tr>
<td>
<script>
fieldtypes["emailadres"] = "WC_SMARTSPLITEMAIL";
</script>
</td>
</tr>
<tr data-emailadres="true">
<td class="label"> E-mailadres<span class="required">*</span>
</td>
<td class="content">
<div class="tooltipEnabled">
<input class="splitemailaddressfield" id="field_emailadres_address" name="emailadres_address" type="text" maxlength="1024" data-emailadres="true" data-contactinfoemailprefix="true" data-gatrackingenabled="true"> @ <input
class="splitemaildomainfield ui-autocomplete-input" id="field_emailadres_domain" name="emailadres_domain" type="text" data-emailadres="true" data-contactinfoemaildomain="true" data-gatrackingenabled="true"
autocomplete="off" role="textbox" aria-autocomplete="list" aria-haspopup="true">
</div>
</td>
</tr>
<script>
jQuery(document).ready(function() {
var emailadres_known_values = ["telenet.be", "gmail.com", "msn.com", "pandora.be", "yahoo.com", "skynet.be", "hotmail.com", ""];
jQuery('#field_emailadres_domain').autocomplete({
source: emailadres_known_values,
close: function(event, ui) {
jQuery('#field_emailadres_domain').change()
}
});
});
</script>
<script>
jQuery(document).ready(function() {
fieldvalues["emailadres"] = {}
fieldvalues["emailadres"].address = "";
fieldvalues["emailadres"].domain = "";
});
</script>
</tbody>
</table>
</td>
</tr>
<tr>
<td>
<table class="tablecontent hori">
<tbody>
<tr>
<td>
<script>
fieldtypes["contactnummer"] = "WC_SMARTPHONENUMBER";
</script>
</td>
</tr>
<tr data-contactnummer="true">
<td class="label"> Telefoonnummer<span class="required">*</span>
</td>
<td class="content">
<div class="tooltipEnabled">
<input id="field_contactnummer" name="contactnummer" type="text" maxlength="1024" data-contactinfophoneno="true" data-gatrackingenabled="true" data-contactnummer="true">
</div>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
</tbody>
</table>
</div>
</div>
</div>
<div id="fieldset_captcha" class="item" style="display:none">
<div class="title"> Beveiligingscode </div>
<div class="content">
<div class="contentblock">
<table class="left">
<tbody>
<tr>
<td>
<table class="tablecontent hori">
<tbody>
<tr>
<td>
<script>
fieldtypes["captcha"] = "TEXT";
</script>
</td>
</tr>
<tr data-captcha="true">
<td class="captchalabel"> Beveiligingscode<span class="required">*</span>
</td>
<td class="content">
<script>
function showCaptcha() {
var captchaDiv = document.getElementById('captcha');
var random = Math.random();
var innerHTML = "<table><tr><td class=\"captchaimgtd\"><img width=185 height=80 src=\"captcha.do?" + random +
"\"/></td><td class=\"captchainputtd\"><input type=\"button\" value=\"Vernieuwen\" onClick=\"showCaptcha();\" /></td></tr></table>";
captchaDiv.innerHTML = innerHTML;
}
</script>
<div id="captcha">
<table>
<tbody>
<tr>
<td class="captchaimgtd"><img src="captcha.do"></td>
<td class="captchainputtd"><input type="button" value="Vernieuwen" onclick="showCaptcha();"></td>
</tr>
</tbody>
</table>
</div>
<div class="tooltipEnabled"><input class="captchainput" id="field_captcha" name="captcha" type="text" maxlength="1024" value="" data-captcha="true"></div>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
</tbody>
</table>
</div>
</div>
</div>
<input id="button_submit" type="submit" value="Verzenden" class="button send" onclick="beforeSubmit();" style="display: none">
</form>Text Content
NL FR EN * Thuis * Business * Over Telenet * Klantenservice * Mijn Telenet Aanmelden Aanmelden WEBMAILCONTACT INFO OVER JE AANREKENING Heb je een vraag over je aanrekening, factuur of herinnering? Waarover gaat je vraag? (maak je keuze) Over mijn aanrekening / promotie / korting Over mijn betaling / herinnering Over de aanvraag voor sociaal tarief Over aangerekend dataverbruik / gesprek / SMS / film Ik heb een andere vraag (maak je keuze) Aanmelden Meld je aan met je Telenet-login om je klantgegevens automatisch in te vullen login Geen antwoord gevonden? Bijkomende informatie Maak een korte, maar duidelijke omschrijving van je vraag* Bijlage Verwijderen Verwijderen Verwijderen Verwijderen Persoonlijke gegevens Voornaam en naam* Klantennummer* Accountnummer Geef je telefoonnummer en/of e-mailadres waarop we je kunnen contacteren tijdens de kantooruren. Kunnen we je telefonisch niet bereiken? Dan beantwoorden we je vraag via e-mail. E-mailadres* @ Telefoonnummer* Beveiligingscode Beveiligingscode*