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https://e.sligro.nl/optiext/optiextension.dll?ID=6yz6D6gxhVbfQSlaVT4Db2InMgUK6_3t3Jxxv1fvUc0Rug3kZD%2BfbiYfZpB09adq9...
Submission: On October 03 via api from BE — Scanned from NL
Submission: On October 03 via api from BE — Scanned from NL
Form analysis 1 forms found in the DOM
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<form method="POST" action="https://e.sligro.nl/optiext/optiextension.dll?ID=uxOFRukvF%2BsavWLKv2xPSsV7qPL791MQ9PLI6Zhdt5Fme_fcuMLqKKJQ6keXybYA7vqzltLkMycCMFBS1prQjIFldD" id="prefs"><!-- accordion -->
<div id="accordion" role="tablist">
<div class="card">
<div class="card-header" role="tab" id="headingOne">
<h5 class="mb-0"><a data-toggle="collapse" aria-expanded="true" aria-controls="collapseOne" href="#collapseOne">Persoonlijke informatie </a></h5>
</div>
<div id="collapseOne" role="tabpanel" aria-labelledby="headingOne" data-parent="#accordion">
<div class="card-body"><!-- gender -->
<div class="form-group row"><label class="col-sm-3 col-form-label" for="firstname">Geslacht</label>
<div class="col-sm-8">
<div class="form-check form-check-inline"><label class="form-check-label"><input class="form-check-input" type="radio" name="EXT_PERS_INFO.GENDER" value="M"> heer </label></div>
<div class="form-check form-check-inline"><label class="form-check-label"><input class="form-check-input" type="radio" name="EXT_PERS_INFO.GENDER" value="V" checked=""> mevrouw </label></div>
</div>
<div class="col-sm-1"></div>
</div><!-- firstname -->
<div class="form-group row"><label class="col-sm-3 col-form-label" for="firstname">Voornaam</label>
<div class="col-sm-8"><input class="form-control " id="firstname" placeholder="Voornaam" type="text" value="92" name="EXT_PERS_INFO.VOORNAAM">
<div class="invalid-feedback"> Vul je voornaam in </div>
</div>
<div class="col-sm-1"></div>
</div><!-- tssvoegsel -->
<div class="form-group row"><label class="col-sm-3 col-form-label" for="tssvoegsel">Tussenvoegsel </label>
<div class="col-sm-8"><input class="form-control " id="tssvoegsel" placeholder="Tussenvoegsel" type="text" value="Small" name="EXT_PERS_INFO.TUSSENVOEGSEL">
<div class="invalid-feedback"> Geen geldig tussenvoegsel </div>
</div>
<div class="col-sm-1"></div>
</div><!-- name -->
<div class="form-group row"><label class="col-sm-3 col-form-label" for="name">Achternaam</label>
<div class="col-sm-8"><input class="form-control " id="name" placeholder="Achternaam" type="text" value="2025" name="EXT_PERS_INFO.ACHTERNAAM">
<div class="invalid-feedback"> Vul je achternaam in </div>
</div>
<div class="col-sm-1"></div>
</div><!-- klnr -->
<div class="form-group row"><label class="col-sm-3 col-form-label" for="klnr">Klantnummer </label>
<div class="col-sm-8"><input class="form-control " id="klnr" placeholder="Klantnummer" type="text" value="2147483647" name="EXT_PERS_INFO.OPGEGEVEN_KLANTNR">
<div class="invalid-feedback"> Vul je klantnummer in </div>
</div>
<div class="col-sm-1"></div>
</div><!-- vvestiging -->
<div class="form-group row"><label class="col-sm-3 col-form-label" for="vvestiging">Voorkeursvestiging</label>
<div class="col-sm-8"><select class="custom-select col-sm-8 " name="VOORKEURSVESTIGING_OPGEGEVEN" id="VKV">
<option value="5030">Sligro 's-Hertogenbosch</option>
<option value="5014">Sligro Alkmaar</option>
<option value="5049">Sligro Almelo</option>
<option value="5072">Sligro Almere</option>
<option value="5037">Sligro Amersfoort</option>
<option value="5067">Sligro Amsterdam</option>
<option value="5088">Sligro Apeldoorn</option>
<option value="5082">Sligro Arnhem</option>
<option value="5026">Sligro Assen</option>
<option value="5070">Sligro Bergen op Zoom</option>
<option value="5068">Sligro Breda</option>
<option value="5004">Sligro De Kweker Purmerend</option>
<option value="5017">Sligro Den Haag Forepark</option>
<option value="5063">Sligro Den Haag Westvlietweg</option>
<option value="5034">Sligro Den Haag Zichtenburglaan</option>
<option value="5053">Sligro Deventer</option>
<option value="5092">Sligro Doetinchem</option>
<option value="5062">Sligro Drachten</option>
<option value="5040">Sligro Eindhoven</option>
<option value="5012">Sligro Emmen</option>
<option value="5066">Sligro Enschede</option>
<option value="5042">Sligro Goes</option>
<option value="5057">Sligro Gorinchem</option>
<option value="5011">Sligro Gouda</option>
<option value="5031">Sligro Groningen</option>
<option value="5027">Sligro Haarlem</option>
<option value="5032">Sligro Heerlen</option>
<option value="5035">Sligro Helmond</option>
<option value="5047">Sligro Hilversum</option>
<option value="5041">Sligro Leeuwarden</option>
<option value="5013">Sligro Leiden</option>
<option value="5050">Sligro Maastricht</option>
<option value="5060">Sligro Nieuwegein</option>
<option value="5087">Sligro Nijmegen</option>
<option value="5033">Sligro Roermond</option>
<option value="5069">Sligro Roosendaal</option>
<option value="5024">Sligro Rotterdam Spaanse Polder</option>
<option value="5010">Sligro Rotterdam Zuid</option>
<option selected="" value="5085">Sligro Sittard</option>
<option value="5078">Sligro Sluis</option>
<option value="5052">Sligro Terneuzen</option>
<option value="5043">Sligro Texel</option>
<option value="5055">Sligro Tiel</option>
<option value="5065">Sligro Tilburg</option>
<option value="5073">Sligro Utrecht</option>
<option value="5080">Sligro Veghel</option>
<option value="5090">Sligro Venlo</option>
<option value="5045">Sligro Vlissingen</option>
<option value="5036">Sligro Weert</option>
<option value="5051">Sligro Zwolle</option>
</select>
<div class="invalid-feedback"> Selecteer je voorkeursvestiging </div>
</div>
<div class="col-sm-1"></div>
</div><!-- legende -->
<div class="form-group row"><label class="col-sm-3 col-form-label" for="vvestiging"><span style="font-size:10px;position:relative;bottom:5px;">*</span> <span style="font-size:12px;">Deze velden zijn verplicht om te
vullen.</span></label>
<div class="col-sm-9"></div>
</div>
</div>
</div>
</div>
<div class="card">
<div class="card-header" role="tab" id="headingThree">
<h5 class="mb-0"><a class="collapsed" data-toggle="collapse" aria-expanded="false" aria-controls="collapseThree" href="#collapseThree">Inschrijvingen nieuwsbrieven </a></h5>
</div>
<div id="collapseThree" class="collapse show" role="tabpanel" aria-labelledby="headingThree" data-parent="#accordion">
<div class="card-body">
<p>Hieronder het overzicht van de Sligro nieuwsbrieven. Selecteer de nieuwsbrieven die je wel en niet wil ontvangen voor het e-mailadres: ASTULPHOLLEMAN@DELA.ORG<br> Klik daarna op opslaan om de aanpassing(en) te bevestigen.</p>
<div class="row">
<p class="col-lg-5 h5"><strong>Nieuwsbrieven</strong></p>
<p class="d-none d-lg-block col-lg-2 prefOntvangen-lg pl-lg-2 pl-xl-4">ontvangen</p>
</div>
<ul class="list-group mb-3">
<li class="list-group-item liheading">
<div class="row">
<div class="col-lg-5 row">
<p class="col-lg-10 header">Acties & aanbiedingen</p>
<p class="d-none d-lg-block col-lg-2 info"></p>
</div>
<p class="col-lg-2"> </p>
</div>
</li>
<li class="list-group-item">
<div class="row">
<div class="col-lg-5 row">
<p class="col-lg-10 sub">Reguliere aanbiedingen</p>
<p class="d-none d-lg-block col-lg-2 info"></p>
</div>
<div class="col-lg-2 text-lg-center sub"><span class="prefOntvangen d-none d-sm-block d-lg-none">Ontvangen</span>
<div class="form-check form-check-inline"><label class="form-check-label"><input class="form-check-input" type="radio" name="EXT_PREF_MAIL.OPT_IN_ACT_REG" value="1"><span> Ja</span></label></div>
<div class="form-check form-check-inline"><label class="form-check-label"><input class="form-check-input" type="radio" name="EXT_PREF_MAIL.OPT_IN_ACT_REG" value="0" checked=""><span> Nee</span></label></div>
</div>
</div>
</li>
<li class="list-group-item">
<div class="row">
<div class="col-lg-5 row">
<p class="col-lg-10 sub">Big Deals</p>
<p class="d-none d-lg-block col-lg-2 info"></p>
</div>
<div class="col-lg-2 text-lg-center sub"><span class="prefOntvangen d-none d-sm-block d-lg-none">Ontvangen</span>
<div class="form-check form-check-inline"><label class="form-check-label"><input class="form-check-input" type="radio" name="EXT_PREF_MAIL.OPT_IN_ACT_BGD" value="1"><span> Ja</span></label></div>
<div class="form-check form-check-inline"><label class="form-check-label"><input class="form-check-input" type="radio" name="EXT_PREF_MAIL.OPT_IN_ACT_BGD" value="0" checked=""><span> Nee</span></label></div>
</div>
</div>
</li>
<li class="list-group-item">
<div class="row">
<div class="col-lg-5 row">
<p class="col-lg-10 sub">Waardebonnen</p>
<p class="d-none d-lg-block col-lg-2 info"></p>
</div>
<div class="col-lg-2 text-lg-center sub"><span class="prefOntvangen d-none d-sm-block d-lg-none">Ontvangen</span>
<div class="form-check form-check-inline"><label class="form-check-label"><input class="form-check-input" type="radio" name="EXT_PREF_MAIL.OPT_IN_ACT_WBN" value="1"><span> Ja</span></label></div>
<div class="form-check form-check-inline"><label class="form-check-label"><input class="form-check-input" type="radio" name="EXT_PREF_MAIL.OPT_IN_ACT_WBN" value="0" checked=""><span> Nee</span></label></div>
</div>
</div>
</li>
</ul>
<ul class="list-group mb-3">
<li class="list-group-item liheading">
<div class="row">
<div class="col-lg-5 row">
<p class="col-lg-10 header">Dagvers aanbiedingen</p>
<p class="d-none d-lg-block col-lg-2 info"></p>
</div>
<div class="col-lg-2 text-lg-center"><span class="prefOntvangen d-none d-sm-block d-lg-none">Ontvangen</span>
<div class="form-check form-check-inline"><label class="form-check-label"><input class="form-check-input" type="radio" name="EXT_PREF_MAIL.OPT_IN_DAGV" value="1"><span> Ja</span></label></div>
<div class="form-check form-check-inline"><label class="form-check-label"><input class="form-check-input" type="radio" name="EXT_PREF_MAIL.OPT_IN_DAGV" value="0" checked=""><span> Nee</span></label></div>
</div>
</div>
</li>
</ul>
<ul class="list-group mb-3">
<li class="list-group-item liheading">
<div class="row">
<div class="col-lg-5 row">
<p class="col-lg-10 header">Inspiratie & persoonlijke tips</p>
<p class="d-none d-lg-block col-lg-2 info"></p>
</div>
<p class="col-lg-2"> </p>
</div>
</li>
<li class="list-group-item">
<div class="row">
<div class="col-lg-5 row">
<p class="col-lg-10 sub">Evenementen</p>
<p class="d-none d-lg-block col-lg-2 info"></p>
</div>
<div class="col-lg-2 text-lg-center sub"><span class="prefOntvangen d-none d-sm-block d-lg-none">Ontvangen</span>
<div class="form-check form-check-inline"><label class="form-check-label"><input class="form-check-input" type="radio" name="EXT_PREF_MAIL.OPT_IN_INSP_EV" value="1"><span> Ja</span></label></div>
<div class="form-check form-check-inline"><label class="form-check-label"><input class="form-check-input" type="radio" name="EXT_PREF_MAIL.OPT_IN_INSP_EV" value="0" checked=""><span> Nee</span></label></div>
</div>
</div>
</li>
<li class="list-group-item">
<div class="row">
<div class="col-lg-5 row">
<p class="col-lg-10 sub">Inspiratiemail</p>
<p class="d-none d-lg-block col-lg-2 info"></p>
</div>
<div class="col-lg-2 text-lg-center sub"><span class="prefOntvangen d-none d-sm-block d-lg-none">Ontvangen</span>
<div class="form-check form-check-inline"><label class="form-check-label"><input class="form-check-input" type="radio" name="EXT_PREF_MAIL.OPT_IN_INSP_ML" value="1"><span> Ja</span></label></div>
<div class="form-check form-check-inline"><label class="form-check-label"><input class="form-check-input" type="radio" name="EXT_PREF_MAIL.OPT_IN_INSP_ML" value="0" checked=""><span> Nee</span></label></div>
</div>
</div>
</li>
<li class="list-group-item">
<div class="row">
<div class="col-lg-5 row">
<p class="col-lg-10 sub">magaZiNe</p>
<p class="d-none d-lg-block col-lg-2 info"></p>
</div>
<div class="col-lg-2 text-lg-center sub"><span class="prefOntvangen d-none d-sm-block d-lg-none">Ontvangen</span>
<div class="form-check form-check-inline"><label class="form-check-label"><input class="form-check-input" type="radio" name="EXT_PREF_MAIL.OPT_IN_INSP_EX" value="1"><span> Ja</span></label></div>
<div class="form-check form-check-inline"><label class="form-check-label"><input class="form-check-input" type="radio" name="EXT_PREF_MAIL.OPT_IN_INSP_EX" value="0" checked=""><span> Nee</span></label></div>
</div>
</div>
</li>
</ul>
<ul class="list-group mb-3">
<li class="list-group-item liheading">
<div class="row">
<div class="col-lg-5 row">
<p class="col-lg-10 header">Onderzoek</p>
<p class="d-none d-lg-block col-lg-2 info"></p>
</div>
<div class="col-lg-2 text-lg-center"><span class="prefOntvangen d-none d-sm-block d-lg-none">Ontvangen</span>
<div class="form-check form-check-inline"><label class="form-check-label"><input class="form-check-input" type="radio" name="EXT_PREF_MAIL.OPT_IN_SURV" value="1"><span> Ja</span></label></div>
<div class="form-check form-check-inline"><label class="form-check-label"><input class="form-check-input" type="radio" name="EXT_PREF_MAIL.OPT_IN_SURV" value="0" checked=""><span> Nee</span></label></div>
</div>
</div>
</li>
</ul>
</div>
</div>
</div>
</div><!-- submit button -->
<div class="form-group row">
<div class="col-auto mr-auto"> </div>
<div class="col-auto"><input type="hidden" id="SECTION" value="subscribe" name="SECTION"><button class="btn btn-primary sligroBtn" type="submit" id="save">Opslaan</button></div>
</div>
</form>Text Content
WIJZIGEN GEGEVENS Pas hieronder je gegevens aan. PERSOONLIJKE INFORMATIE Geslacht heer mevrouw Voornaam Vul je voornaam in Tussenvoegsel Geen geldig tussenvoegsel Achternaam Vul je achternaam in Klantnummer Vul je klantnummer in Voorkeursvestiging Sligro 's-HertogenboschSligro AlkmaarSligro AlmeloSligro AlmereSligro AmersfoortSligro AmsterdamSligro ApeldoornSligro ArnhemSligro AssenSligro Bergen op ZoomSligro BredaSligro De Kweker PurmerendSligro Den Haag ForeparkSligro Den Haag WestvlietwegSligro Den Haag ZichtenburglaanSligro DeventerSligro DoetinchemSligro DrachtenSligro EindhovenSligro EmmenSligro EnschedeSligro GoesSligro GorinchemSligro GoudaSligro GroningenSligro HaarlemSligro HeerlenSligro HelmondSligro HilversumSligro LeeuwardenSligro LeidenSligro MaastrichtSligro NieuwegeinSligro NijmegenSligro RoermondSligro RoosendaalSligro Rotterdam Spaanse PolderSligro Rotterdam ZuidSligro SittardSligro SluisSligro TerneuzenSligro TexelSligro TielSligro TilburgSligro UtrechtSligro VeghelSligro VenloSligro VlissingenSligro WeertSligro Zwolle Selecteer je voorkeursvestiging * Deze velden zijn verplicht om te vullen. INSCHRIJVINGEN NIEUWSBRIEVEN Hieronder het overzicht van de Sligro nieuwsbrieven. Selecteer de nieuwsbrieven die je wel en niet wil ontvangen voor het e-mailadres: ASTULPHOLLEMAN@DELA.ORG Klik daarna op opslaan om de aanpassing(en) te bevestigen. Nieuwsbrieven ontvangen * Acties & aanbiedingen * Reguliere aanbiedingen Ontvangen Ja Nee * Big Deals Ontvangen Ja Nee * Waardebonnen Ontvangen Ja Nee * Dagvers aanbiedingen Ontvangen Ja Nee * Inspiratie & persoonlijke tips * Evenementen Ontvangen Ja Nee * Inspiratiemail Ontvangen Ja Nee * magaZiNe Ontvangen Ja Nee * Onderzoek Ontvangen Ja Nee Opslaan Klantenservice Algemene voorwaarden Gebruiksvoorwaarden