meubelzorg.nl
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Submitted URL: https://djw5zw04.eu1.hubspotlinks.com/Ctc/2P+113/djW5zW04/VX4JJW8drXL5W90p2mk7M6CHJVcSh175m4_wgN3rtP743qn9gW7lCdLW6lZ3pzW2ZHC0x8hGD_LW...
Effective URL: https://meubelzorg.nl/demonstratie-aanvraag/?utm_campaign=Week%2039&utm_medium=email&_hsenc=p2ANqtz-9zgos2sk6a4D5wVNYO...
Submission: On October 17 via api from BE — Scanned from DE
Effective URL: https://meubelzorg.nl/demonstratie-aanvraag/?utm_campaign=Week%2039&utm_medium=email&_hsenc=p2ANqtz-9zgos2sk6a4D5wVNYO...
Submission: On October 17 via api from BE — Scanned from DE
Form analysis 1 forms found in the DOM
POST https://meubelzorg.nl/!/forms/newsletter
<form class="flex flex-col md:px-[35px] md:pt-[30px] md:pb-[35px] nocaptcha" method="POST" action="https://meubelzorg.nl/!/forms/newsletter" id="form-newsletter"
x-on:submit.prevent="validateSubmit($event, $el, JSON.parse('\u0022\\\/demonstratie-aanvraag\\\/bedankt-voor-uw-demonstratie-aanvraag\u0022'))"
@captcha-verified.window="getResults($event, $el, JSON.parse('\u0022\\\/demonstratie-aanvraag\\\/bedankt-voor-uw-demonstratie-aanvraag\u0022'))" ax-load=""
x-data="formData({"step_1_lastname":"","step_1_zipcode":"","step_1_house_number":"","step_1_house_number_addition":"","step_2_salutation":"mr","step_2_street":"","step_2_house_number":"","step_2_house_number_addition":"","step_2_city":"","step_2_phone":"","step_2_email":"","step_2_tos":"","step_2_site_handle":"default","gclid_field":"","utm_fields":""})"
x-init="setPostcodeFields({"step_1_zipcode":"","step_1_house_number":"","step_1_house_number_addition":"","step_2_street":"","step_2_house_number":"","step_2_house_number_addition":"","step_2_city":""})"
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<div class="flex flex-col gap-[10px] bg-inactive-100 px-[20px] py-[25px] md:bg-white md:p-0">
<div class="flex items-center justify-between">
<div class="font-extrabold text-pretty text-26 text-primary sm:text-30">
<p><strong>Ja, ik wil graag een GRATIS demonstratie</strong></p>
</div>
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<img alt="Ja, ik wil graag een GRATIS demonstratie" loading="eager" data-sharpen="1" class="max-w-[151px] object-contain md:hidden" src="/img/containers/assets/meubelzorg_bus.png/f146724064b29b808d729f8ffa1118eb.png" width="1680"
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<div class="max-w-[400px] text-14 font-medium text-inactive sm:text-16">
<h3>en bel mij voor een vrijblijvend advies.</h3>
</div>
</div>
<div x-show="currentStep == 1" class="bg-white px-[20px] pb-[30px] shadow-base md:p-0 md:shadow-none">
<div class="mt-[30px] grid grid-cols-12 gap-[25px]">
<div class="col-span-12 sm:col-span-12">
<label class="flex cursor-pointer flex-col gap-y-[5px] text-14 font-semibold text-inactive" id="step_1_lastname">
<div class="flex">
<span>Uw achternaam</span>
<span>*</span>
</div>
<input required="" data-error-msg="Dit veld is verplicht." name="step_1_lastname" value="" type="text" x-model="step_1_lastname"
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<div x-show="getError('step_1_lastname')" style="display: none;">
<span class="text-accent max-w-[400px] text-14 font-medium sm:text-16" x-text="getError('step_1_lastname')"></span>
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<div class="col-span-12 sm:col-span-6">
<label class="flex cursor-pointer flex-col gap-y-[5px] text-14 font-semibold text-inactive" id="step_1_zipcode">
<div class="flex">
<span>Postcode</span>
<span>*</span>
</div>
<input required="" data-error-msg="Dit veld is verplicht." name="step_1_zipcode" value="" type="text" x-model="step_1_zipcode"
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<div x-show="getError('step_1_zipcode')" style="display: none;">
<span class="text-accent max-w-[400px] text-14 font-medium sm:text-16" x-text="getError('step_1_zipcode')"></span>
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</div>
<div class="col-span-12 sm:col-span-3">
<label class="flex cursor-pointer flex-col gap-y-[5px] text-14 font-semibold text-inactive" id="step_1_house_number">
<div class="flex">
<span>Huisnummer</span>
<span>*</span>
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<input required="" data-error-msg="Dit veld is verplicht." name="step_1_house_number" value="" type="text" x-model="step_1_house_number"
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<div x-show="getError('step_1_house_number')" style="display: none;">
<span class="text-accent max-w-[400px] text-14 font-medium sm:text-16" x-text="getError('step_1_house_number')"></span>
</div>
</div>
<div class="col-span-12 sm:col-span-3">
<label class="flex cursor-pointer flex-col gap-y-[5px] text-14 font-semibold text-inactive" id="step_1_house_number_addition">
<div class="flex">
<span>Toevoeging</span>
</div>
<input name="step_1_house_number_addition" value="" type="text" x-model="step_1_house_number_addition"
class="h-[54px] w-full rounded-4 border !border-inactive-110 bg-inactive-100 px-[20px] text-inactive outline-none !ring-0 transition-all disabled:bg-inactive-100">
</label>
<div x-show="getError('step_1_house_number_addition')" style="display: none;">
<span class="text-accent max-w-[400px] text-14 font-medium sm:text-16" x-text="getError('step_1_house_number_addition')"></span>
</div>
</div>
</div>
<div class="mt-[30px] flex flex-col-reverse items-center gap-[20px] md:mt-[35px] md:flex-row md:gap-[30px]">
<div class="flex items-center gap-[7px] text-13 font-semibold text-secondary sm:text-14">
<svg xmlns="http://www.w3.org/2000/svg" width="12" height="16" fill="none">
<use href="#icon-a4b158c4a1f5a225f9904ce89e02cf7b"></use>
</svg> Uw gegevens zijn altijd veilig.
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<button
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<span class="sr-only">Loading...</span>
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</div>
</div>
<div x-show="currentStep == 2" class="bg-white px-[20px] pb-[30px] shadow-base md:p-0 md:shadow-none" style="display: none;">
<div class="mt-[30px] grid grid-cols-12 gap-[25px]">
<div class="col-span-12 sm:col-span-12">
<div class="flex w-full flex-col gap-y-1 text-sm font-semibold text-inactive col-span-2" id="step_2_salutation">
<div class="flex">
<span>Aanhef</span>
<span>*</span>
</div>
<div class="grid sm:grid-cols-2 gap-2.5 items-end" required="" data-error-msg="Dit veld is verplicht." id="div-p3ptmtq">
<label class="relative w-full cursor-pointer">
<input required="" name="step_2_salutation" value="mr" x-model="step_2_salutation" type="radio" checked="" class="peer hidden" x-validate.group="1" aria-errormessage="error-msg-div-p3ptmtq">
<div
class="flex h-[54px] w-full items-center rounded-4 border border-inactive-110 bg-white pl-[56px] text-15 font-semibold text-inactive outline-none !ring-0 transition-all focus:border-inactive disabled:bg-inactive-100 peer-checked:bg-inactive-100">
De heer </div>
<div class="absolute bottom-[27px] ml-[20px] h-[24px] w-[24px] translate-y-1/2 rounded-full border border-inactive-110 bg-white after:absolute after:inset-[5px] after:rounded-full after:transition-all peer-checked:after:bg-primary">
</div>
</label>
<label class="relative w-full cursor-pointer">
<input required="" name="step_2_salutation" value="mrs" x-model="step_2_salutation" type="radio" class="peer hidden" x-validate.group="1" aria-errormessage="error-msg-div-p3ptmtq">
<div
class="flex h-[54px] w-full items-center rounded-4 border border-inactive-110 bg-white pl-[56px] text-15 font-semibold text-inactive outline-none !ring-0 transition-all focus:border-inactive disabled:bg-inactive-100 peer-checked:bg-inactive-100">
Mevrouw </div>
<div class="absolute bottom-[27px] ml-[20px] h-[24px] w-[24px] translate-y-1/2 rounded-full border border-inactive-110 bg-white after:absolute after:inset-[5px] after:rounded-full after:transition-all peer-checked:after:bg-primary">
</div>
</label>
</div><span class="error-msg" id="error-msg-div-p3ptmtq" hidden="">Dit veld is verplicht.</span>
</div>
<div x-show="getError('step_2_salutation')" style="display: none;">
<span class="text-accent max-w-[400px] text-14 font-medium sm:text-16" x-text="getError('step_2_salutation')"></span>
</div>
</div>
<div class="col-span-12 sm:col-span-6">
<label class="flex cursor-pointer flex-col gap-y-[5px] text-14 font-semibold text-inactive" id="step_2_street">
<div class="flex">
<span>Straat</span>
</div>
<input name="step_2_street" value="" type="text" x-model="step_2_street" class="h-[54px] w-full rounded-4 border !border-inactive-110 bg-inactive-100 px-[20px] text-inactive outline-none !ring-0 transition-all disabled:bg-inactive-100">
</label>
<div x-show="getError('step_2_street')" style="display: none;">
<span class="text-accent max-w-[400px] text-14 font-medium sm:text-16" x-text="getError('step_2_street')"></span>
</div>
</div>
<div class="col-span-12 sm:col-span-3">
<label class="flex cursor-pointer flex-col gap-y-[5px] text-14 font-semibold text-inactive" id="step_2_house_number">
<div class="flex">
<span>Huisnummer</span>
<span>*</span>
</div>
<input required="" data-error-msg="Dit veld is verplicht." name="step_2_house_number" value="" type="text" x-model="step_2_house_number"
class="h-[54px] w-full rounded-4 border !border-inactive-110 bg-inactive-100 px-[20px] text-inactive outline-none !ring-0 transition-all disabled:bg-inactive-100" id="input-fbwctbd" aria-errormessage="error-msg-input-fbwctbd"><span
class="error-msg" id="error-msg-input-fbwctbd" hidden="">Dit veld is verplicht.</span>
</label>
<div x-show="getError('step_2_house_number')" style="display: none;">
<span class="text-accent max-w-[400px] text-14 font-medium sm:text-16" x-text="getError('step_2_house_number')"></span>
</div>
</div>
<div class="col-span-12 sm:col-span-3">
<label class="flex cursor-pointer flex-col gap-y-[5px] text-14 font-semibold text-inactive" id="step_2_house_number_addition">
<div class="flex">
<span>Toevoeging</span>
</div>
<input name="step_2_house_number_addition" value="" type="text" x-model="step_2_house_number_addition"
class="h-[54px] w-full rounded-4 border !border-inactive-110 bg-inactive-100 px-[20px] text-inactive outline-none !ring-0 transition-all disabled:bg-inactive-100">
</label>
<div x-show="getError('step_2_house_number_addition')" style="display: none;">
<span class="text-accent max-w-[400px] text-14 font-medium sm:text-16" x-text="getError('step_2_house_number_addition')"></span>
</div>
</div>
<div class="col-span-12 sm:col-span-12">
<label class="flex cursor-pointer flex-col gap-y-[5px] text-14 font-semibold text-inactive" id="step_2_city">
<div class="flex">
<span>Stad</span>
</div>
<input name="step_2_city" value="" type="text" x-model="step_2_city" class="h-[54px] w-full rounded-4 border !border-inactive-110 bg-inactive-100 px-[20px] text-inactive outline-none !ring-0 transition-all disabled:bg-inactive-100">
</label>
<div x-show="getError('step_2_city')" style="display: none;">
<span class="text-accent max-w-[400px] text-14 font-medium sm:text-16" x-text="getError('step_2_city')"></span>
</div>
</div>
<div class="col-span-12 sm:col-span-12">
<div ax-load="" x-data="phoneField('NL')">
<label class="flex cursor-pointer flex-col gap-y-[5px] text-14 font-semibold text-inactive">
<div class="flex">
<span>Telefoonnummer</span>
<span>*</span>
</div>
<div class="flex">
<label class="text-inactive text-14 flex cursor-pointer flex-col gap-y-[8px] font-semibold">
<select name="_countryCode" class="h-[54px] w-full rounded-4 border !border-inactive-110 bg-inactive-100 px-[20px] text-inactive outline-none !ring-0 transition-all disabled:bg-inactive-100 min-w-[108px]" x-model="countryCode">
<template x-for="country in countries" :key="country.code">
<option x-bind:selected="country.code == countryCode" x-bind:value="country.code" x-text="country.emoji + ' ' + country.dial_code"></option>
</template>
<option x-bind:selected="country.code == countryCode" x-bind:value="country.code" x-text="country.emoji + ' ' + country.dial_code" selected="selected" value="NL">🇳🇱 +31</option>
<option x-bind:selected="country.code == countryCode" x-bind:value="country.code" x-text="country.emoji + ' ' + country.dial_code" value="BE">🇧🇪 +32</option>
</select>
</label>
<div class="flex flex-col w-full">
<input required="" x-validate="$el.value.length >= 7" data-error-msg="Moet minimaal 7 karakters lang zijn."
class="h-[54px] w-full rounded-4 border !border-inactive-110 bg-inactive-100 px-5 text-inactive outline-none !ring-0 transition-all disabled:bg-inactive-100" id="step_2_phone" value="" x-model="phoneNumber" x-on:blur="reformat"
aria-errormessage="error-msg-step_2_phone"><span class="error-msg" id="error-msg-step_2_phone" hidden="">Moet minimaal 7 karakters lang zijn.</span>
</div>
</div>
</label>
<input name="step_2_phone" x-model="fullNumber" type="hidden">
</div>
<div x-show="getError('step_2_phone')" style="display: none;">
<span class="text-accent max-w-[400px] text-14 font-medium sm:text-16" x-text="getError('step_2_phone')"></span>
</div>
</div>
<div class="col-span-12 sm:col-span-12">
<label class="flex cursor-pointer flex-col gap-y-[5px] text-14 font-semibold text-inactive" id="step_2_email">
<div class="flex">
<span>E-mailadres</span>
<span>*</span>
</div>
<input required="" x-validate.email="" data-error-msg="Moet een geldig e-mailadres zijn." name="step_2_email" value="" type="email" x-model="step_2_email"
class="h-[54px] w-full rounded-4 border !border-inactive-110 bg-inactive-100 px-[20px] text-inactive outline-none !ring-0 transition-all disabled:bg-inactive-100" id="input-48oyuro" aria-errormessage="error-msg-input-48oyuro"><span
class="error-msg" id="error-msg-input-48oyuro" hidden="">Moet een geldig e-mailadres zijn.</span>
</label>
<div x-show="getError('step_2_email')" style="display: none;">
<span class="text-accent max-w-[400px] text-14 font-medium sm:text-16" x-text="getError('step_2_email')"></span>
</div>
</div>
<div class="col-span-12 sm:col-span-12">
<div class="flex w-full flex-col gap-y-1 text-sm font-semibold text-inactive col-span-2" id="step_2_tos">
<div class="flex">
<span>
<p><a href="https://meubelzorg.nl/privacy-en-cookiebeleid">Privacy voorwaarden</a></p>
</span>
<span>*</span>
</div>
<div class="grid sm:grid-cols-2 gap-2.5 items-end">
<label class="relative w-full cursor-pointer">
<input required="" data-error-msg="Dit veld is verplicht." name="step_2_tos" value="Ja, ik ga akkoord met de privacy voorwaarden" type="checkbox"
class="peer text-primary size-6 border-inactive-110 !ring-0 !ring-offset-0 rounded-4 absolute bottom-4 ml-5" id="input-wgrbyzg" aria-errormessage="error-msg-input-wgrbyzg"><span class="error-msg" id="error-msg-input-wgrbyzg"
hidden="">Dit veld is verplicht.</span>
<div
class="flex h-14 w-full items-center rounded-4 border border-inactive-110 bg-white pl-14 text-15 font-semibold text-inactive outline-none !ring-0 transition-all focus:border-inactive disabled:bg-inactive-100 peer-checked:bg-inactive-100">
Ja, ik ga akkoord met de privacy voorwaarden </div>
</label>
</div>
</div>
<div x-show="getError('step_2_tos')" style="display: none;">
<span class="text-accent max-w-[400px] text-14 font-medium sm:text-16" x-text="getError('step_2_tos')"></span>
</div>
</div>
<input id="step_2_site_handle" name="step_2_site_handle" type="hidden" class="hidden" value="default">
</div>
<div class="my-[35px] flex items-center gap-[15px]">
<div class="relative h-[70px] w-[70px] overflow-hidden rounded-full border border-inactive-110">
<picture itemscope="" itemtype="https://schema.org/ImageObject">
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