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

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Submitted URL: http://echo4.bluehornet.com/ct/101172425:T_VDWJoyN:m:1:3466323042:E698E66978034380B7764A57BD861EAB:r
Effective URL: https://info.mijn-offertes.be/vochtbestrijding-offertes/?aff=ibiza_nl&pixel_id=323
Submission: On April 11 via api from BE — Scanned from DE

Form analysis 1 forms found in the DOM

POST /fsg?pageId=e2b1bfe7-b74f-4ed1-a9b9-da8c09b68cf8&variant=a

<form action="/fsg?pageId=e2b1bfe7-b74f-4ed1-a9b9-da8c09b68cf8&amp;variant=a" method="POST"><input type="hidden" name="pageId" value="e2b1bfe7-b74f-4ed1-a9b9-da8c09b68cf8"><input type="hidden" name="pageVariant" value="a">
  <div class="fields">
    <div class="lp-pom-form-field checkbox-group multi-group" id="container_XML_extra_check" style="top: -30px; left: 0px;"><label class="main lp-form-label" for="XML_extra_check" id="label_XML_extra_check" style="width: 566px; height: auto;"><span
          class="label-style">Waar heeft u een vochtprobleem?</span></label>
      <div class="ub-input-item input-wrap optionsList" id="group_XML_extra_check" style="width: 566px;">
        <div class="option" id="ub-option-XML_extra_check-item-0"><input type="checkbox" id="XML_extra_check_vocht_in_de_muren" name="XML_extra_check" value="1" class="checkbox form-builder-checkbox-input form_elem_XML_extra_check"><label
            for="XML_extra_check_vocht_in_de_muren" class="opt-label form-builder-checkbox-label"><span class="label-style">Vocht in de muren</span></label></div>
        <div class="option" id="ub-option-XML_extra_check-item-1"><input type="checkbox" id="XML_extra_check_vocht_in_de_kelder" name="XML_extra_check" value="4" class="checkbox form-builder-checkbox-input form_elem_XML_extra_check"><label
            for="XML_extra_check_vocht_in_de_kelder" class="opt-label form-builder-checkbox-label"><span class="label-style">Vocht in de kelder</span></label></div>
        <div class="option" id="ub-option-XML_extra_check-item-2"><input type="checkbox" id="XML_extra_check_vocht_op_andere_plaats" name="XML_extra_check" value="8" class="checkbox form-builder-checkbox-input form_elem_XML_extra_check"><label
            for="XML_extra_check_vocht_op_andere_plaats" class="opt-label form-builder-checkbox-label"><span class="label-style">Vocht op andere plaats</span></label></div>
      </div>
    </div>
    <div class="lp-pom-form-field radio-group multi-group" id="container_XML_extraradio2" style="top: 55px; left: 0px;"><label class="main lp-form-label" for="XML_extraradio2" id="label_XML_extraradio2" style="width: 566px; height: auto;"><span
          class="label-style">Bent u eigenaar of huurder?</span></label>
      <div class="ub-input-item input-wrap optionsList" id="group_XML_extraradio2" style="width: 566px;">
        <div class="option" id="ub-option-XML_extraradio2-item-0"><input type="radio" id="XML_extraradio2_eigenaar" name="XML_extraradio2" value="1" class="radio form-builder-radio-input form_elem_XML_extraradio2"><label
            for="XML_extraradio2_eigenaar" class="opt-label form-builder-radio-label"><span class="label-style">Eigenaar</span></label></div>
        <div class="option" id="ub-option-XML_extraradio2-item-1"><input type="radio" id="XML_extraradio2_huurder" name="XML_extraradio2" value="2" class="radio form-builder-radio-input form_elem_XML_extraradio2"><label for="XML_extraradio2_huurder"
            class="opt-label form-builder-radio-label"><span class="label-style">Huurder</span></label></div>
        <div class="option" id="ub-option-XML_extraradio2-item-2"><input type="radio" id="XML_extraradio2_andere" name="XML_extraradio2" value="Andere" class="radio form-builder-radio-input form_elem_XML_extraradio2"><label
            for="XML_extraradio2_andere" class="opt-label form-builder-radio-label"><span class="label-style">Andere</span></label></div>
      </div>
    </div>
    <div class="lp-pom-form-field multi-line-text multi-group" id="container_XML_remarks" style="top: 145px; left: 0px;"><label class="main lp-form-label" for="XML_remarks" id="label_XML_remarks" style="width: 566px; height: auto;"><span
          class="label-style">Extra informatie:</span></label><textarea id="XML_remarks" name="XML_remarks" class="ub-input-item single text form_elem_XML_remarks"
        placeholder="Geef hier zoveel mogelijk informatie over uw vochtprobleem. Dit helpt ons om de meest geschikte vochtexpert te vinden." style="width: 566px;"></textarea></div>
    <div class="lp-pom-form-field single-line-text" id="container_XML_postcode" style="top: 363px; 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&nbsp;*</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: 418px; left: 0px;"><label class="main lp-form-label" for="address1" id="label_address1" style="width: 566px; height: auto;"><span class="label-style">Straat +
          huisnummer&nbsp;*</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 radio-group multi-group" id="container_aanhef" style="top: 574px; left: 0px;"><label class="main lp-form-label" for="aanhef" id="label_aanhef" style="width: 566px; height: auto;"><span
          class="label-style">Aanhef</span></label>
      <div class="ub-input-item input-wrap optionsList" id="group_aanhef" style="width: 566px;">
        <div class="option" id="ub-option-aanhef-item-0"><input type="radio" id="aanhef_dhr" name="aanhef" value="Dhr." class="radio form-builder-radio-input form_elem_aanhef"><label for="aanhef_dhr" class="opt-label form-builder-radio-label"><span
              class="label-style">Dhr.</span></label></div>
        <div class="option" id="ub-option-aanhef-item-1"><input type="radio" id="aanhef_mevr" name="aanhef" value="Mevr." class="radio form-builder-radio-input form_elem_aanhef"><label for="aanhef_mevr"
            class="opt-label form-builder-radio-label"><span class="label-style">Mevr.</span></label></div>
      </div>
    </div>
    <div class="lp-pom-form-field single-line-text" id="container_firstName" style="top: 624px; left: 0px;"><label class="main lp-form-label" for="firstName" id="label_firstName" style="width: 566px; 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" required="" style="width: 566px;"></div>
    <div class="lp-pom-form-field single-line-text" id="container_lastName" style="top: 679px; left: 0px;"><label class="main lp-form-label" for="lastName" id="label_lastName" style="width: 566px; height: auto;"><span
          class="label-style">Familienaam&nbsp;*</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: 734px; 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&nbsp;*</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: 789px; 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&nbsp;*</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="ibiza_nl"><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=""><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="20220411064453130"><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="323"><input id="language" name="language" type="hidden" class="hidden" value="nl"><input id="promoOptin" name="promoOptin" type="hidden" class="hidden" value="true"><input
      id="click_id" name="click_id" type="hidden" class="hidden" value="">
    <div class="lp-pom-form-field checkbox-group multi-group" id="container_terms" style="top: 844px; left: 0px;"><label class="main lp-form-label" for="terms" id="label_terms" style="width: 566px; height: auto;"><span class="label-style">Algemene
          voorwaarden&nbsp;*</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_offertes_en_aanvaard_de_a_href_https_www_bobex_be_algemene_voorwaarden_info_algemene_voorwaarden_a" name="terms"
            value="Ja, ik wil gratis offertes en aanvaard de <a href=&quot;https://www.bobex.be/algemene-voorwaarden/info&quot;>algemene voorwaarden</a>." class="checkbox form-builder-checkbox-input form_elem_terms" data-required=""><label
            for="terms_ja_ik_wil_gratis_offertes_en_aanvaard_de_a_href_https_www_bobex_be_algemene_voorwaarden_info_algemene_voorwaarden_a" class="opt-label form-builder-checkbox-label"><span class="label-style">Ja, ik wil gratis offertes en aanvaard
              de <a href="https://www.bobex.be/algemene-voorwaarden/info?webSyncID=35d70c9b-1ce6-39b9-94a4-cc113d7e2eb6&amp;sessionGUID=2ae0cca1-e950-a2be-0817-a2b6619a7a6a">algemene voorwaarden</a>.</span></label></div>
      </div>
    </div><input id="bobx" name="bobx" type="hidden" class="hidden" value="">
  </div><button class="lp-element lp-pom-button" id="lp-pom-button-28" type="submit"><span class="label">Verzenden</span></button>
  <input type="hidden" name="ubafs-jev" id="ubafs-jev"
    value="{&quot;date&quot;:&quot;2022-04-11T06:44:53.109Z&quot;,&quot;agent&quot;:&quot;Mozilla/5.0 (Windows NT 10.0; Win64; x64) AppleWebKit/537.36 (KHTML, like Gecko) Chrome/100.0.4896.75 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

Vocht in huis? Vind de beste vochtbestrijder

Vocht in huis? 
Los het definitief op!

Uw vochtprobleem


Uw regio


Uw contactgegevens


Waar heeft u een vochtprobleem?
Vocht in de muren
Vocht in de kelder
Vocht op andere plaats
Bent u eigenaar of huurder?
Eigenaar
Huurder
Andere
Extra informatie:
Postcode *
Straat + huisnummer *
Aanhef
Dhr.
Mevr.
Voornaam *
Familienaam *
E-mail *
Tel./GSM *
Algemene voorwaarden *
Ja, ik wil gratis offertes en aanvaard de algemene voorwaarden.
Verzenden










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