www.rotapanel.nl Open in urlscan Pro
2a12:5040:1:303:a47b:4eff:fe38:2c24  Public Scan

URL: https://www.rotapanel.nl/
Submission: On October 08 via manual from NL — Scanned from NL

Form analysis 1 forms found in the DOM

<form>
  <div>
    <div class="nf-before-form-content"><nf-section>
        <div class="nf-form-fields-required">Velden die gemarkeerd zijn met een <span class="ninja-forms-req-symbol">*</span> zijn vereiste velden</div>
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    <div class="nf-form-content "><nf-fields-wrap><nf-field class="dl-initial-field">
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                <div class="nf-field-label">
                  <label for="nf-field-44" id="nf-label-field-44" class=""> HTML </label>
                </div>
                <div class="nf-field-element">
                  <p><b>1. SELECTEER JE VERZOEK:</b></p>
                </div>
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            <div class="nf-field">
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                <div class="nf-field-label">
                  <span id="nf-label-field-40" class="nf-label-span "> Selecteer je verzoek: </span>
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                <div class="nf-field-element">
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                    <li>
                      <div class="form-check">
                        <input type="checkbox" id="nf-field-40-0" name="nf-field-40" class="form-check-input ninja-forms-field nf-element " value="send-message" aria-labelledby="nf-label-field-40-0">
                        <label for="nf-field-40-0" id="nf-label-field-40-0" class="form-check-label ">Verstuur bericht</label>
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                    <li>
                      <div class="form-check">
                        <input type="checkbox" id="nf-field-40-1" name="nf-field-40" class="form-check-input ninja-forms-field nf-element " value="call-me-back" aria-labelledby="nf-label-field-40-1">
                        <label for="nf-field-40-1" id="nf-label-field-40-1" class="form-check-label ">Bel me terug</label>
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                    <li>
                      <div class="form-check">
                        <input type="checkbox" id="nf-field-40-2" name="nf-field-40" class="form-check-input ninja-forms-field nf-element " value="receive-brochure" aria-labelledby="nf-label-field-40-2">
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            <div class="nf-after-field"><nf-section>
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        </nf-field><nf-field class="dl-initial-field">
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            <div class="nf-field">
              <div id="nf-field-48-wrap" class="field-wrap html-wrap" data-field-id="48">
                <div class="nf-field-label">
                  <label for="nf-field-48" id="nf-label-field-48" class=""> HTML kopiëren </label>
                </div>
                <div class="nf-field-element">
                  <p><b><br></b></p>
                  <p><b>2. VUL HET FORMULIER IN:</b></p>
                </div>
              </div>
            </div>
            <div class="nf-after-field"><nf-section>
                <div class="nf-input-limit"></div>
                <div id="nf-error-48" class="nf-error-wrap nf-error" role="alert"></div>
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          </div>
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          <div id="nf-field-42-container" class="nf-field-container firstname-container  label-above one-half first ">
            <div class="nf-before-field"><nf-section></nf-section></div>
            <div class="nf-field">
              <div id="nf-field-42-wrap" class="field-wrap firstname-wrap" data-field-id="42">
                <div class="nf-field-label">
                  <label for="nf-field-42" id="nf-label-field-42" class=""> Voornaam </label>
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                <div class="nf-field-element">
                  <div class="form-control-wrapper">
                    <input type="text" value="" class="form-control ninja-forms-field nf-element" id="nf-field-42" name="fname" autocomplete="given-name" placeholder="John" aria-invalid="false" aria-describedby="nf-error-42"
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            <div class="nf-after-field"><nf-section>
                <div class="nf-input-limit"></div>
                <div id="nf-error-42" class="nf-error-wrap nf-error" role="alert"></div>
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          <div id="nf-field-43-container" class="nf-field-container lastname-container  label-above one-half last ">
            <div class="nf-before-field"><nf-section></nf-section></div>
            <div class="nf-field">
              <div id="nf-field-43-wrap" class="field-wrap lastname-wrap" data-field-id="43">
                <div class="nf-field-label">
                  <label for="nf-field-43" id="nf-label-field-43" class=""> Achternaam </label>
                </div>
                <div class="nf-field-element">
                  <div class="form-control-wrapper">
                    <input type="text" value="" class="form-control ninja-forms-field nf-element" id="nf-field-43" name="lname" autocomplete="family-name" placeholder="Doe" aria-invalid="false" aria-describedby="nf-error-43"
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            <div class="nf-after-field"><nf-section>
                <div class="nf-input-limit"></div>
                <div id="nf-error-43" class="nf-error-wrap nf-error" role="alert"></div>
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            <div class="nf-before-field"><nf-section></nf-section></div>
            <div class="nf-field">
              <div id="nf-field-41-wrap" class="field-wrap textbox-wrap" data-field-id="41">
                <div class="nf-field-label">
                  <label for="nf-field-41" id="nf-label-field-41" class=""> Bedrijfsnaam </label>
                </div>
                <div class="nf-field-element">
                  <div class="form-control-wrapper">
                    <input type="text" value="" class="form-control ninja-forms-field nf-element" placeholder="John Doe NV" id="nf-field-41" name="nf-field-41" autocomplete="on" aria-invalid="false" aria-describedby="nf-error-41"
                      aria-labelledby="nf-label-field-41">
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                </div>
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            <div class="nf-after-field"><nf-section>
                <div class="nf-input-limit"></div>
                <div id="nf-error-41" class="nf-error-wrap nf-error" role="alert"></div>
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          </div>
        </nf-field><nf-field class="dl-initial-field">
          <div id="nf-field-38-container" class="nf-field-container email-container  label-above one-half last ">
            <div class="nf-before-field"><nf-section></nf-section></div>
            <div class="nf-field">
              <div id="nf-field-38-wrap" class="field-wrap email-wrap" data-field-id="38">
                <div class="nf-field-label">
                  <label for="nf-field-38" id="nf-label-field-38" class=""> E-mailadres <span class="ninja-forms-req-symbol">*</span>
                  </label>
                </div>
                <div class="nf-field-element">
                  <div class="form-control-wrapper">
                    <input type="email" value="" class="form-control ninja-forms-field nf-element" id="nf-field-38" name="email" autocomplete="email" placeholder="john@rotapanel.com" aria-invalid="false" aria-describedby="nf-error-38"
                      aria-labelledby="nf-label-field-38" aria-required="true" required="">
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                </div>
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            <div class="nf-after-field"><nf-section>
                <div class="nf-input-limit"></div>
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        </nf-field><nf-field></nf-field><nf-field></nf-field><nf-field></nf-field><nf-field class="dl-initial-field">
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            <div class="nf-before-field"><nf-section></nf-section></div>
            <div class="nf-field">
              <div id="nf-field-39-wrap" class="field-wrap submit-wrap textbox-wrap" data-field-id="39">
                <div class="nf-field-label"></div>
                <div class="nf-field-element">
                  <input id="nf-field-39" class="ninja-forms-field btn btn-form-submit nf-element " type="submit" value="Verstuur bericht">
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                <div class="nf-error-wrap"></div>
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            </div>
            <div class="nf-after-field"><nf-section>
                <div class="nf-input-limit"></div>
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    <div class="nf-after-form-content"><nf-section>
        <div id="nf-form-errors-3" class="nf-form-errors" role="alert"><nf-errors></nf-errors></div>
        <div class="nf-form-hp"><nf-section><label id="nf-label-field-hp-3" for="nf-field-hp-3" aria-hidden="true"> Als je een persoon bent die dit veld ziet, laat je het leeg. <input id="nf-field-hp-3" name="nf-field-hp"
                class="nf-element nf-field-hp" type="text" value="" aria-labelledby="nf-label-field-hp-3">
            </label></nf-section></div>
      </nf-section></div>
  </div>
</form>

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HOE KUNNEN WE HELPEN?

Velden die gemarkeerd zijn met een * zijn vereiste velden
HTML

1. SELECTEER JE VERZOEK:


Selecteer je verzoek:
 * Verstuur bericht
 * Bel me terug
 * Brochure ontvangen


HTML kopiëren




2. VUL HET FORMULIER IN:


Voornaam


Achternaam


Bedrijfsnaam


E-mailadres *



Als je een persoon bent die dit veld ziet, laat je het leeg.

Neem direct contact met ons op:
 * +31 58 202 2991
 * info@rotapanel.com

FORM SUBMITTED


BEDANKT

Beste ,

Thank you for contacting us! One of our team members will get back to you as
soon as possible.

A confirmation email has also been sent to you.

Please check your spam box if you have not received the email.

Hoogachtend,
Het Rotapanel-team

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FORM SUBMITTED


BEDANKT

Beste ,

De download link(s) van de aangevraagde brochure(s) worden u per e-mail
toegestuurd. Controleer uw spambox als u de e-mail niet heeft ontvangen.

Neem gerust contact met ons op voor meer informatie, ons team staat altijd klaar
om u te helpen!

Hoogachtend,
Het Rotapanel-team

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