gridsense.nl Open in urlscan Pro
172.67.148.104  Public Scan

URL: https://gridsense.nl/contact/
Submission: On September 10 via manual from NL — Scanned from NL

Form analysis 1 forms found in the DOM

<form novalidate="">
  <div class="card mb-5">
    <div class="card-body">
      <div class="form-floating mb-3"><input type="text" class="form-control" id="name" autocomplete="name" value=""><label for="name">Naam</label></div>
      <div class="row">
        <div class="col-md">
          <div class="form-floating mb-3"><input type="tel" class="form-control" id="phoneNumber" autocomplete="tel" value=""><label for="phoneNumber">Telefoonnummer</label></div>
        </div>
        <div class="col-md">
          <div class="form-floating mb-3"><input type="email" class="form-control" id="email" autocomplete="email" value=""><label for="email">Email</label></div>
        </div>
      </div>
      <div class="row my-4">
        <div class="col-md-6">
          <div class="form-floating mb-3"><input type="text" class="form-control" id="street" autocomplete="street-address" value=""><label for="street">Straat</label></div>
        </div>
        <div class="col-md-6">
          <div class="form-floating mb-3"><input type="text" class="form-control" id="houseNumber" value=""><label for="houseNumber">Huisnummer</label></div>
        </div>
        <div class="col-md-6">
          <div class="form-floating mb-3"><input type="text" class="form-control" id="postalCode" autocomplete="postal-code" value=""><label for="postalCode">Postcode</label></div>
        </div>
        <div class="col-md-6">
          <div class="form-floating mb-3"><input type="text" class="form-control" id="city" autocomplete="address-level2" value=""><label for="city">Stad</label></div>
        </div>
      </div>
      <div class="form-floating mb-3"><select class="form-select" id="existingSystem">
          <option value=""></option>
          <option value="Ik heb nog geen systeem">Ik heb nog geen systeem</option>
          <option value="SolarEdge">SolarEdge</option>
          <option value="Afore">Afore</option>
          <option value="GoodWe">GoodWe</option>
          <option value="FoxESS">FoxESS</option>
          <option value="Anders (vermeld in bericht)">Anders (vermeld in bericht)</option>
        </select><label for="existingSystem">Bestaand systeem</label></div>
      <div class="form-floating mb-3"><textarea class="form-control" id="message" style="height: 150px;"></textarea><label for="message">Bericht</label></div>
      <div class="d-flex align-items-center">
        <div class="flex-grow-1">
          <div>
            <div>
              <div class="grecaptcha-badge" data-style="bottomright"
                style="width: 256px; height: 60px; display: block; transition: right 0.3s; position: fixed; bottom: 14px; right: -186px; box-shadow: gray 0px 0px 5px; border-radius: 2px; overflow: hidden;">
                <div class="grecaptcha-logo"><iframe title="reCAPTCHA" width="256" height="60" role="presentation" name="a-t8j0la3ic2bj" frameborder="0" scrolling="no"
                    sandbox="allow-forms allow-popups allow-same-origin allow-scripts allow-top-navigation allow-modals allow-popups-to-escape-sandbox allow-storage-access-by-user-activation"
                    src="https://www.google.com/recaptcha/api2/anchor?ar=1&amp;k=6LcavTIUAAAAADLEdpsrKb9D0O5oKww7p1ZcFKEg&amp;co=aHR0cHM6Ly9ncmlkc2Vuc2Uubmw6NDQz&amp;hl=nl&amp;type=image&amp;v=EGbODne6buzpTnWrrBprcfAY&amp;theme=light&amp;size=invisible&amp;badge=bottomright&amp;cb=dxjiej6fh2dm"></iframe>
                </div>
                <div class="grecaptcha-error"></div><textarea id="g-recaptcha-response" name="g-recaptcha-response" class="g-recaptcha-response"
                  style="width: 250px; height: 40px; border: 1px solid rgb(193, 193, 193); margin: 10px 25px; padding: 0px; resize: none; display: none;"></textarea>
              </div><iframe style="display: none;"></iframe>
            </div>
          </div>
        </div>
        <div><button type="submit" class="btn btn-primary">Verstuur</button></div>
      </div>
    </div>
  </div>
</form>

Text Content

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CONTACT


GRIDSENSE

Tel: +31 (0)174 235 120
Email: info@gridsense.nl

KvK: 60218452

WILT U OOK GRIDSENSE THUIS OF OP DE ZAAK? WILT U MEER INFORMATIE?

Naam
Telefoonnummer
Email
Straat
Huisnummer
Postcode
Stad
Ik heb nog geen systeemSolarEdgeAforeGoodWeFoxESSAnders (vermeld in
bericht)Bestaand systeem
Bericht
Verstuur

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