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Submitted URL: http://echo4.bluehornet.com/ct/100941405:71OtoroNO:m:1:3466335681:538BDB72CB0C87DF83D18D7F54B63ED5:r
Effective URL: https://info.mijn-offertes.be/dakwerken/?aff=elvis&utm_source={utm_source}&pixel_id=125
Submission: On January 19 via api from BE — Scanned from DE
Effective URL: https://info.mijn-offertes.be/dakwerken/?aff=elvis&utm_source={utm_source}&pixel_id=125
Submission: On January 19 via api from BE — Scanned from DE
Form analysis 1 forms found in the DOM
POST /fsg?pageId=6e6bb216-6ecb-4a00-be6a-5a3a96c3d911&variant=k
<form action="/fsg?pageId=6e6bb216-6ecb-4a00-be6a-5a3a96c3d911&variant=k" method="POST"><input type="hidden" name="pageId" value="6e6bb216-6ecb-4a00-be6a-5a3a96c3d911"><input type="hidden" name="pageVariant" value="k">
<div class="fields">
<div class="lp-pom-form-field radio-group multi-group" id="container_XML_extra_radio2" style="top: -10px; 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">Welke dakwerken?</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_bestaand_dak_renoveren" name="XML_extra_radio2" value="Bestaand dak renoveren"
class="radio form-builder-radio-input form_elem_XML_extra_radio2"><label for="XML_extra_radio2_bestaand_dak_renoveren" class="opt-label form-builder-radio-label"><span class="label-style">Bestaand dak renoveren</span></label></div>
<div class="option" id="ub-option-XML_extra_radio2-item-1"><input type="radio" id="XML_extra_radio2_nieuwbouw" name="XML_extra_radio2" value="Nieuwbouw" class="radio form-builder-radio-input form_elem_XML_extra_radio2"><label
for="XML_extra_radio2_nieuwbouw" class="opt-label form-builder-radio-label"><span class="label-style">Nieuwbouw</span></label></div>
<div class="option" id="ub-option-XML_extra_radio2-item-2"><input type="radio" id="XML_extra_radio2_dakraam_velux_plaatsen" name="XML_extra_radio2" value="Dakraam / Velux plaatsen"
class="radio form-builder-radio-input form_elem_XML_extra_radio2"><label for="XML_extra_radio2_dakraam_velux_plaatsen" class="opt-label form-builder-radio-label"><span class="label-style">Dakraam / Velux plaatsen</span></label></div>
<div class="option" id="ub-option-XML_extra_radio2-item-3"><input type="radio" id="XML_extra_radio2_dak_herstellen" name="XML_extra_radio2" value="Dak herstellen" class="radio form-builder-radio-input form_elem_XML_extra_radio2"><label
for="XML_extra_radio2_dak_herstellen" class="opt-label form-builder-radio-label"><span class="label-style">Dak herstellen</span></label></div>
<div class="option" id="ub-option-XML_extra_radio2-item-4"><input type="radio" id="XML_extra_radio2_andere" name="XML_extra_radio2" value="Andere" class="radio form-builder-radio-input form_elem_XML_extra_radio2"><label
for="XML_extra_radio2_andere" class="opt-label form-builder-radio-label"><span class="label-style">Andere</span></label></div>
</div>
</div>
<div class="lp-pom-form-field radio-group multi-group" id="container_XML_extra_radio" style="top: 110px; 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 dak:</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_hellend_dak" name="XML_extra_radio" value="Hellend dak" class="radio form-builder-radio-input form_elem_XML_extra_radio"><label
for="XML_extra_radio_hellend_dak" class="opt-label form-builder-radio-label"><span class="label-style">Hellend dak</span></label></div>
<div class="option" id="ub-option-XML_extra_radio-item-1"><input type="radio" id="XML_extra_radio_plat_dak" name="XML_extra_radio" value="Plat dak" class="radio form-builder-radio-input form_elem_XML_extra_radio"><label
for="XML_extra_radio_plat_dak" class="opt-label form-builder-radio-label"><span class="label-style">Plat dak</span></label></div>
<div class="option" id="ub-option-XML_extra_radio-item-2"><input type="radio" id="XML_extra_radio_beide_ander" name="XML_extra_radio" value="Beide / Ander" class="radio form-builder-radio-input form_elem_XML_extra_radio"><label
for="XML_extra_radio_beide_ander" class="opt-label form-builder-radio-label"><span class="label-style">Beide / Ander</span></label></div>
</div>
</div>
<div class="lp-pom-form-field single-line-text" id="container_XML_postcode" style="top: 425px; 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: 480px; 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 single-line-text" id="container_firstName" style="top: 610px; 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: 665px; 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: 720px; 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: 775px; 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="elvis"><input id="utm_medium" name="utm_medium" type="hidden" class="hidden" value="aff"><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="11962"><input id="rem_id" name="rem_id" type="hidden" class="hidden" value="20220119180323018"><input id="rem_source" name="rem_source" type="hidden" class="hidden"
value="Mijn-Offertes.be"><input id="pixel_id" name="pixel_id" type="hidden" class="hidden" value="125"><input id="language" name="language" type="hidden" class="hidden" value="nl"><input id="promoOptin" name="promoOptin" type="hidden"
class="hidden" value="false">
<div class="lp-pom-form-field checkbox-group multi-group" id="container_terms" style="top: 830px; left: 0px;"><label class="main lp-form-label" for="terms" id="label_terms" style="width: 566px; height: auto;"><span
class="label-style">Bevestiging: *</span></label>
<div class="ub-input-item input-wrap optionsList" id="group_terms" style="width: 566px;">
<div class="option" id="ub-option-terms-item-0"><input type="checkbox" id="terms_ja_ik_wil_gratis_en_vrijblijvend_offertes_vergelijken" name="terms" value="Ja, ik wil gratis en vrijblijvend offertes vergelijken."
class="checkbox form-builder-checkbox-input form_elem_terms" data-required=""><label for="terms_ja_ik_wil_gratis_en_vrijblijvend_offertes_vergelijken" class="opt-label form-builder-checkbox-label"><span class="label-style">Ja, ik wil
gratis en vrijblijvend offertes vergelijken.</span></label></div>
</div>
</div><input id="bobx" name="bobx" type="hidden" class="hidden" value=""><input id="click_id" name="click_id" type="hidden" class="hidden" value=""><input id="XML_extra_radio3" name="XML_extra_radio3" type="hidden" class="hidden" value=""><input
id="XML_remarks" name="XML_remarks" type="hidden" class="hidden" value="Gratis offerte vergelijken van dakwerkers">
</div><button class="lp-element lp-pom-button" id="lp-pom-button-28" type="submit"><span class="label">Prijzen vergelijken</span></button>
<input type="hidden" name="ubafs-jev" id="ubafs-jev"
value="{"date":"2022-01-19T18:03:23.009Z","agent":"Mozilla/5.0 (Windows NT 10.0; Win64; x64) AppleWebKit/537.36 (KHTML, like Gecko) Chrome/97.0.4692.71 Safari/537.36","screen":{"availWidth":1600,"availHeight":1200,"width":1600,"height":1200},"window":{"innerWidth":1600,"innerHeight":1200},"hasPlugins":true}">
</form>Text Content
Vergelijk dakwerkers & bespaar! Uw dak Uw regio Uw contactgegevens Welke dakwerken? Bestaand dak renoveren Nieuwbouw Dakraam / Velux plaatsen Dak herstellen Andere Type dak: Hellend dak Plat dak Beide / Ander Postcode * Straat + huisnummer * Voornaam * Familienaam * E-mail * Tel./GSM * Bevestiging: * Ja, ik wil gratis en vrijblijvend offertes vergelijken. Prijzen vergelijken Beschrijf (vrijblijvend) jouw project. Zo kunnen wij je zo goed mogelijk helpen: Op basis van jouw adres brengen wij je in contact met installateurs uit jouw buurt. Vragen? Contacteer ons! Sainctelette Square 12, B-1000 Brussel, België Tel: 02 504 00 80 Mail: info@bobex.be Copyright 2021 Mijn-Offertes.be Privacybeleid | Gegevensbescherming (GDPR)