info.mijn-offertes.be Open in urlscan Pro
3.126.202.50  Public Scan

Submitted URL: http://echo4.bluehornet.com/ct/100999092:79RysuooN:m:1:3466278747:C7284F825D3D1335A4643F588FF5AE4E:r
Effective URL: https://info.mijn-offertes.be/vochtbestrijding/?aff=elvis&utm_source=1192&pixel_id=130
Submission: On February 05 via api from BE — Scanned from DE

Form analysis 1 forms found in the DOM

POST /fsg?pageId=5ab85135-cd1f-4825-bd33-a5c4c0801917&variant=d

<form action="/fsg?pageId=5ab85135-cd1f-4825-bd33-a5c4c0801917&amp;variant=d" method="POST"><input type="hidden" name="pageId" value="5ab85135-cd1f-4825-bd33-a5c4c0801917"><input type="hidden" name="pageVariant" value="d">
  <div class="fields">
    <div class="lp-pom-form-field checkbox-group multi-group" id="container_XML_extra_check2" style="top: 0px;"><label class="main lp-form-label" for="XML_extra_check2" id="label_XML_extra_check2" style="height: auto;"><span class="label-style">Welke
          vochtproblemen zie je?</span></label>
      <div class="ub-input-item input-wrap optionsList" id="group_XML_extra_check2">
        <div class="option" id="ub-option-XML_extra_check2-item-0"><input type="checkbox" id="XML_extra_check2_vochtige_muren" name="XML_extra_check2" value="1" class="checkbox form-builder-checkbox-input form_elem_XML_extra_check2"><label
            for="XML_extra_check2_vochtige_muren" class="opt-label form-builder-checkbox-label"><span class="label-style">Vochtige muren</span></label></div>
        <div class="option" id="ub-option-XML_extra_check2-item-1"><input type="checkbox" id="XML_extra_check2_condens_op_de_ramen" name="XML_extra_check2" value="3" class="checkbox form-builder-checkbox-input form_elem_XML_extra_check2"><label
            for="XML_extra_check2_condens_op_de_ramen" class="opt-label form-builder-checkbox-label"><span class="label-style">Condens op de ramen</span></label></div>
        <div class="option" id="ub-option-XML_extra_check2-item-2"><input type="checkbox" id="XML_extra_check2_schimmel_op_de_muren" name="XML_extra_check2" value="4" class="checkbox form-builder-checkbox-input form_elem_XML_extra_check2"><label
            for="XML_extra_check2_schimmel_op_de_muren" class="opt-label form-builder-checkbox-label"><span class="label-style">Schimmel op de muren</span></label></div>
        <div class="option" id="ub-option-XML_extra_check2-item-3"><input type="checkbox" id="XML_extra_check2_water_in_de_kelder" name="XML_extra_check2" value="5" class="checkbox form-builder-checkbox-input form_elem_XML_extra_check2"><label
            for="XML_extra_check2_water_in_de_kelder" class="opt-label form-builder-checkbox-label"><span class="label-style">Water in de kelder</span></label></div>
        <div class="option" id="ub-option-XML_extra_check2-item-4"><input type="checkbox" id="XML_extra_check2_natte_buitenmuur" name="XML_extra_check2" value="8" class="checkbox form-builder-checkbox-input form_elem_XML_extra_check2"><label
            for="XML_extra_check2_natte_buitenmuur" class="opt-label form-builder-checkbox-label"><span class="label-style">Natte buitenmuur</span></label></div>
        <div class="option" id="ub-option-XML_extra_check2-item-5"><input type="checkbox" id="XML_extra_check2_ander" name="XML_extra_check2" value="10" class="checkbox form-builder-checkbox-input form_elem_XML_extra_check2"><label
            for="XML_extra_check2_ander" class="opt-label form-builder-checkbox-label"><span class="label-style">Ander</span></label></div>
      </div>
    </div>
    <div class="lp-pom-form-field radio-group multi-group hide" id="container_XML_extraradio3" style="top: 0px;"><label class="main lp-form-label" for="XML_extraradio3" id="label_XML_extraradio3" style="height: auto;"><span class="label-style">Ben je
          eigenaar van het gebouw?</span></label>
      <div class="ub-input-item input-wrap optionsList" id="group_XML_extraradio3">
        <div class="option" id="ub-option-XML_extraradio3-item-0"><input type="radio" id="XML_extraradio3_eigenaar" name="XML_extraradio3" value="1" class="radio form-builder-radio-input form_elem_XML_extraradio3"><label
            for="XML_extraradio3_eigenaar" class="opt-label form-builder-radio-label"><span class="label-style">Eigenaar</span></label></div>
        <div class="option" id="ub-option-XML_extraradio3-item-1"><input type="radio" id="XML_extraradio3_huurder" name="XML_extraradio3" value="2" class="radio form-builder-radio-input form_elem_XML_extraradio3"><label for="XML_extraradio3_huurder"
            class="opt-label form-builder-radio-label"><span class="label-style">Huurder</span></label></div>
        <div class="option" id="ub-option-XML_extraradio3-item-2"><input type="radio" id="XML_extraradio3_ander" name="XML_extraradio3" value="3" class="radio form-builder-radio-input form_elem_XML_extraradio3"><label for="XML_extraradio3_ander"
            class="opt-label form-builder-radio-label"><span class="label-style">Ander</span></label></div>
      </div>
    </div>
    <div class="lp-pom-form-field single-line-text hide" id="container_firstName" style="top: 0px;"><label class="main lp-form-label" for="firstName" id="label_firstName" style="height: auto;"><span
          class="label-style">Voornaam&nbsp;*</span></label><input id="firstName" name="firstName" type="text" class="ub-input-item single text form_elem_firstName" placeholder="Voornaam" required=""></div>
    <div class="lp-pom-form-field single-line-text hide" id="container_lastName" style="top: 0px;"><label class="main lp-form-label" for="lastName" id="label_lastName" style="height: auto;"><span
          class="label-style">Achternaam&nbsp;*</span></label><input id="lastName" name="lastName" type="text" class="ub-input-item single text form_elem_lastName" placeholder="Achternaam" required=""></div>
    <div class="lp-pom-form-field single-line-text hide" id="container_XML_postcode" style="top: 0px;"><label class="main lp-form-label" for="XML_postcode" id="label_XML_postcode" style="height: auto;"><span
          class="label-style">Postcode&nbsp;*</span></label><input id="XML_postcode" name="XML_postcode" type="text" class="ub-input-item single text form_elem_XML_postcode" placeholder="Postcode" required=""></div>
    <div class="lp-pom-form-field single-line-text hide" id="container_XML_email" style="top: 0px;"><label class="main lp-form-label" for="XML_email" id="label_XML_email" style="height: auto;"><span
          class="label-style">E-mail&nbsp;*</span></label><input id="XML_email" name="XML_email" type="text" class="ub-input-item single text form_elem_XML_email" placeholder="E-mail" required=""></div>
    <div class="lp-pom-form-field single-line-text hide" id="container_XML_telephone" style="top: 0px;"><label class="main lp-form-label" for="XML_telephone" id="label_XML_telephone" style="height: auto;"><span
          class="label-style">Telefoonnummer&nbsp;*</span></label><input id="XML_telephone" name="XML_telephone" type="tel" class="ub-input-item single text form_elem_XML_telephone" placeholder="Telefoonnummer" required=""
        pattern="^\+?( ?\(?-?\d\)?){6,13}$"></div>
    <div class="lp-pom-form-field checkbox-group multi-group hide" id="container_terms" style="top: 0px;"><label class="main lp-form-label" for="terms" id="label_terms" style="height: auto;"><span class="label-style">Bevestiging&nbsp;*</span></label>
      <div class="ub-input-item input-wrap optionsList" id="group_terms">
        <div class="option" id="ub-option-terms-item-0"><input type="checkbox" id="terms_ja_ik_wens_gratis_offertes_van_vochtbestrijders_te_vergelijken" name="terms" value="Ja, ik wens gratis offertes van vochtbestrijders te vergelijken."
            class="checkbox form-builder-checkbox-input form_elem_terms" data-required=""><label for="terms_ja_ik_wens_gratis_offertes_van_vochtbestrijders_te_vergelijken" class="opt-label form-builder-checkbox-label"><span class="label-style">Ja, ik
              wens gratis offertes van vochtbestrijders te vergelijken.</span></label></div>
      </div>
    </div><input id="aff" name="aff" type="hidden" class="hidden" value="elvis"><input id="utm_source" name="utm_source" type="hidden" class="hidden" value="1192"><input id="utm_medium" name="utm_medium" type="hidden" class="hidden" value=""><input
      id="utm_campaign" name="utm_campaign" type="hidden" class="hidden" value=""><input id="type_id" name="type_id" type="hidden" class="hidden" value="11461"><input id="rem_id" name="rem_id" type="hidden" class="hidden"
      value="20220205184245743"><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="130"><input id="click_id" name="click_id"
      type="hidden" class="hidden" value=""><input id="language" name="language" type="hidden" class="hidden" value="nl"><input id="promoOptin" name="promoOptin" type="hidden" class="hidden" value="true"><input id="bobx" name="bobx" type="hidden"
      class="hidden" value=""><input id="companyCity" name="companyCity" type="hidden" class="hidden" value=""><input id="XML_remarks" name="XML_remarks" type="hidden" class="hidden"
      value="Ik wens gratis offertes van vochtbestrijders te vergelijken"><input id="address1" name="address1" type="hidden" class="hidden" value=""><input id="XML_extraradio4" name="XML_extraradio4" type="hidden" class="hidden" value="1">
  </div><button class="lp-element lp-pom-button hide" id="lp-pom-button-44" type="submit"><span class="label">Verzenden</span></button>
  <input type="hidden" name="ubafs-jev" id="ubafs-jev"
    value="{&quot;date&quot;:&quot;2022-02-05T18:42:45.740Z&quot;,&quot;agent&quot;:&quot;Mozilla/5.0 (Windows NT 10.0; Win64; x64) AppleWebKit/537.36 (KHTML, like Gecko) Chrome/97.0.4692.71 Safari/537.36&quot;,&quot;screen&quot;:{&quot;availWidth&quot;:1600,&quot;availHeight&quot;:1200,&quot;width&quot;:1600,&quot;height&quot;:1200},&quot;window&quot;:{&quot;innerWidth&quot;:1600,&quot;innerHeight&quot;:1200},&quot;hasPlugins&quot;:true}">
</form>

Text Content

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Welke vochtproblemen zie je?
Vochtige muren
Condens op de ramen
Schimmel op de muren
Water in de kelder
Natte buitenmuur
Ander
Ben je eigenaar van het gebouw?
Eigenaar
Huurder
Ander
Voornaam *
Achternaam *
Postcode *
E-mail *
Telefoonnummer *
Bevestiging *
Ja, ik wens gratis offertes van vochtbestrijders te vergelijken.
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