chubbfs.com
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2606:4700::6812:12c2
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Submitted URL: http://chubb.be/
Effective URL: https://chubbfs.com/be-nl/
Submission: On December 19 via api from NL — Scanned from NL
Effective URL: https://chubbfs.com/be-nl/
Submission: On December 19 via api from NL — Scanned from NL
Form analysis 5 forms found in the DOM
GET https://chubbfs.com/be-nl/search-results/
<form role="search" method="get" class="search-form" action="https://chubbfs.com/be-nl/search-results/">
<label>
<span class="screen-reader-text"> Search for: </span>
<input type="search" class="search-field" name="searchwp" placeholder="Wat zoek je?" value="" title="Search for:">
</label>
</form>POST /be-nl/#gf_6
<form method="post" enctype="multipart/form-data" target="gform_ajax_frame_6" id="gform_6" action="/be-nl/#gf_6" data-formid="6" novalidate="" class="recaptcha-v3-initialized">
<div class="gf_invisible ginput_recaptchav3" data-sitekey="6LeFmsohAAAAAFrUEKA5hQG_48cNQQ68ESP7_XKr" data-tabindex="100"><input id="input_e5e3b1f4b28fc34530a842900157c22e" class="gfield_recaptcha_response" type="hidden"
name="input_e5e3b1f4b28fc34530a842900157c22e" value=""></div>
<div class="gform-body gform_body">
<div id="gform_fields_6" class="gform_fields top_label form_sublabel_below description_below validation_below">
<div id="field_6_38"
class="gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_6_38">
<font size="6"><strong>Contactformulier</strong></font>
</div>
<div id="field_6_32" class="gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_6_32"></div>
<div id="field_6_34"
class="gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_6_34">Hulp of advies nodig? We zijn er om te ondersteunen. Vul het formulier in en we nemen zo spoedig mogeiijk contact met je op.</div>
<div id="field_6_28"
class="gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_6_28">Liever direct geholpen worden? Bel dan:</div>
<div id="field_6_30"
class="gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_6_30"><a href="tel:003227170123”"><font size="6"><strong>02 717 01 23</strong></font></a></div>
<div id="field_6_31"
class="gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_6_31">Op werkdagen helpen we je tussen 08.00 en 17.00 uur.</div>
<div id="field_6_14" class="gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_6_14"></div>
<div id="field_6_33" class="gfield gfield--type-text gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_6_33">
<label class="gfield_label gform-field-label" for="input_6_33">Contactpersoon<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_33" id="input_6_33" type="text" value="" class="large" tabindex="101" aria-required="true" aria-invalid="false"> </div>
</div>
<div id="field_6_45" class="gfield gfield--type-text gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_6_45"><label
class="gfield_label gform-field-label" for="input_6_45">Klantnr.</label>
<div class="ginput_container ginput_container_text"><input name="input_45" id="input_6_45" type="text" value="" class="large" tabindex="102" aria-invalid="false"> </div>
</div>
<div id="field_6_9" class="gfield gfield--type-text gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_6_9">
<label class="gfield_label gform-field-label" for="input_6_9">Bedrijfsnaam<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_9" id="input_6_9" type="text" value="" class="large" tabindex="103" aria-required="true" aria-invalid="false"> </div>
</div>
<div id="field_6_7" class="gfield gfield--type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_6_7">
<label class="gfield_label gform-field-label" for="input_6_7">Plaatsnaam<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_7" id="input_6_7" type="text" value="" class="large" tabindex="104" aria-required="true" aria-invalid="false"> </div>
</div>
<div id="field_6_40" class="gfield gfield--type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_6_40">
<label class="gfield_label gform-field-label" for="input_6_40">Postcode<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_40" id="input_6_40" type="text" value="" class="large" tabindex="105" aria-required="true" aria-invalid="false"> </div>
</div>
<div id="field_6_44" class="gfield gfield--type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_6_44">
<label class="gfield_label gform-field-label" for="input_6_44">Straat + huisnummer<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_44" id="input_6_44" type="text" value="" class="large" tabindex="106" aria-required="true" aria-invalid="false"> </div>
</div>
<div id="field_6_11" class="gfield gfield--type-email gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_6_11">
<label class="gfield_label gform-field-label" for="input_6_11">E-mailadres<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_email">
<input name="input_11" id="input_6_11" type="email" value="" class="large" tabindex="107" aria-required="true" aria-invalid="false">
</div>
</div>
<div id="field_6_39" class="gfield gfield--type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_6_39">
<label class="gfield_label gform-field-label" for="input_6_39">Telefoonnummer<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_39" id="input_6_39" type="text" value="" class="large" tabindex="108" aria-required="true" aria-invalid="false"> </div>
</div>
<div id="field_6_42" class="gfield gfield--type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_6_42"><label class="gfield_label gform-field-label" for="input_6_42">Product<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_select"><select name="input_42" id="input_6_42" class="large gfield_select" tabindex="109" aria-required="true" aria-invalid="false">
<option value="Inbraakbeveiliging">Inbraakbeveiliging</option>
<option value="Camerabeveiliging">Camerabeveiliging</option>
<option value="Toegangscontrole">Toegangscontrole</option>
<option value="Brandmeldsystemen">Brandmeldsystemen</option>
<option value="Blussystemen">Blussystemen</option>
<option value="Alarmcentralediensten">Alarmcentralediensten</option>
<option value="Service en onderhoud">Service en onderhoud</option>
</select></div>
</div>
<div id="field_6_22" class="gfield gfield--type-textarea gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_6_22"><label class="gfield_label gform-field-label" for="input_6_22">Bericht<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_textarea"><textarea name="input_22" id="input_6_22" class="textarea large" tabindex="110" maxlength="1000" placeholder="Vul hier je vraag in." aria-required="true" aria-invalid="false" rows="10"
cols="50"></textarea></div>
</div>
<fieldset id="field_6_24"
class="gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_6_24">
<legend class="gfield_label gform-field-label gfield_label_before_complex">Privacyverklaring<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></legend>
<div class="ginput_container ginput_container_consent"><input name="input_24.1" id="input_6_24_1" type="checkbox" value="1" tabindex="111" aria-required="true" aria-invalid="false"> <label
class="gform-field-label gform-field-label--type-inline gfield_consent_label" for="input_6_24_1">Ik ga akkoord met de privacy-overeenkomst.</label><input type="hidden" name="input_24.2" value="Ik ga akkoord met de privacy-overeenkomst."
class="gform_hidden"><input type="hidden" name="input_24.3" value="1" class="gform_hidden"></div>
</fieldset>
<div id="field_6_43" class="gfield gfield--type-fileupload gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_6_43"><label
class="gfield_label gform-field-label" for="input_6_43">File</label>
<div class="ginput_container ginput_container_fileupload"><input type="hidden" name="MAX_FILE_SIZE" value="30720000"><input name="input_43" id="input_6_43" type="file" class="large" aria-describedby="gfield_upload_rules_6_43"
onchange="javascript:gformValidateFileSize( this, 30720000 );" tabindex="112"><span class="gfield_description gform_fileupload_rules" id="gfield_upload_rules_6_43">Max. file size: 29 MB.</span>
<div class="gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty" id="live_validation_message_6_43"></div>
</div>
</div>
<div id="field_6_46" class="gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_6_46"><label
class="gfield_label gform-field-label" for="input_6_46">Name</label>
<div class="ginput_container"><input name="input_46" id="input_6_46" type="text" value="" autocomplete="new-password"></div>
<div class="gfield_description" id="gfield_description_6_46">This field is for validation purposes and should be left unchanged.</div>
</div>
</div>
</div>
<div class="gform_footer top_label"> <input type="image" src="https://chubbfs.com/be-nl/wp-content/uploads/sites/21/2022/09/Verzendbutton-contactformulieren.png" id="gform_submit_button_6" class="gform_button button gform_image_button" alt="Submit"
tabindex="113" onclick="if(window["gf_submitting_6"]){return false;} if( !jQuery("#gform_6")[0].checkValidity || jQuery("#gform_6")[0].checkValidity()){window["gf_submitting_6"]=true;} "
onkeypress="if( event.keyCode == 13 ){ if(window["gf_submitting_6"]){return false;} if( !jQuery("#gform_6")[0].checkValidity || jQuery("#gform_6")[0].checkValidity()){window["gf_submitting_6"]=true;} jQuery("#gform_6").trigger("submit",[true]); }">
<input type="hidden" name="gform_ajax" value="form_id=6&title=&description=1&tabindex=100&theme=gravity-theme">
<input type="hidden" class="gform_hidden" name="is_submit_6" value="1">
<input type="hidden" class="gform_hidden" name="gform_submit" value="6">
<input type="hidden" class="gform_hidden" name="gform_unique_id" value="">
<input type="hidden" class="gform_hidden" name="state_6"
value="WyJ7XCIyNC4xXCI6XCIyOTQxZGExZDViZDgyNmM3YWU5ZDI2Zjg4MzRhMjg2OVwiLFwiMjQuMlwiOlwiMGViZWY1YzkzYTQwZTU3MWQ1ODBmZTZiYzJjNTliMmFcIixcIjI0LjNcIjpcIjI5NDFkYTFkNWJkODI2YzdhZTlkMjZmODgzNGEyODY5XCJ9IiwiNjk0Y2ViOTllOTI2ZmJkYmQ4YjNlY2FhYTk2NzlmYTMiXQ==">
<input type="hidden" class="gform_hidden" name="gform_target_page_number_6" id="gform_target_page_number_6" value="0">
<input type="hidden" class="gform_hidden" name="gform_source_page_number_6" id="gform_source_page_number_6" value="1">
<input type="hidden" name="gform_field_values" value="">
</div>
</form>POST /be-nl/#gf_7
<form method="post" enctype="multipart/form-data" target="gform_ajax_frame_7" id="gform_7" action="/be-nl/#gf_7" data-formid="7" novalidate="" class="recaptcha-v3-initialized">
<div class="gf_invisible ginput_recaptchav3" data-sitekey="6LeFmsohAAAAAFrUEKA5hQG_48cNQQ68ESP7_XKr" data-tabindex="0"><input id="input_989663f1c0a08d71a2dd9c6bc0bbc53e" class="gfield_recaptcha_response" type="hidden"
name="input_989663f1c0a08d71a2dd9c6bc0bbc53e" value=""></div>
<div class="gform-body gform_body">
<div id="gform_fields_7" class="gform_fields top_label form_sublabel_below description_below validation_below">
<div id="field_7_38"
class="gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_7_38">
<font size="6"><strong>Offerte aanvragen</strong></font>
</div>
<div id="field_7_32" class="gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_7_32"></div>
<div id="field_7_34"
class="gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_7_34">Liever direct contact met een expert voor meer informatie of advies? Bel dan direct:</div>
<div id="field_7_30"
class="gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_7_30"><a href="tel:003227170123”"><font size="6"><strong>02 717 01 23</strong></font></a></div>
<div id="field_7_31"
class="gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_7_31">Op werkdagen helpen we je tussen 08.00 en 17.00 uur.</div>
<div id="field_7_14" class="gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_7_14"></div>
<div id="field_7_33" class="gfield gfield--type-text gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_7_33">
<label class="gfield_label gform-field-label" for="input_7_33">Contactpersoon<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_33" id="input_7_33" type="text" value="" class="large" aria-required="true" aria-invalid="false"> </div>
</div>
<div id="field_7_46" class="gfield gfield--type-text gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_7_46"><label
class="gfield_label gform-field-label" for="input_7_46">Klantnr.</label>
<div class="ginput_container ginput_container_text"><input name="input_46" id="input_7_46" type="text" value="" class="large" aria-invalid="false"> </div>
</div>
<div id="field_7_9" class="gfield gfield--type-text gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_7_9">
<label class="gfield_label gform-field-label" for="input_7_9">Bedrijfsnaam<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_9" id="input_7_9" type="text" value="" class="large" aria-required="true" aria-invalid="false"> </div>
</div>
<div id="field_7_7" class="gfield gfield--type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_7_7">
<label class="gfield_label gform-field-label" for="input_7_7">Plaatsnaam<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_7" id="input_7_7" type="text" value="" class="large" aria-required="true" aria-invalid="false"> </div>
</div>
<div id="field_7_44" class="gfield gfield--type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_7_44">
<label class="gfield_label gform-field-label" for="input_7_44">Postcode<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_44" id="input_7_44" type="text" value="" class="large" aria-required="true" aria-invalid="false"> </div>
</div>
<div id="field_7_45" class="gfield gfield--type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_7_45">
<label class="gfield_label gform-field-label" for="input_7_45">Straat + huisnummer<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_45" id="input_7_45" type="text" value="" class="large" aria-required="true" aria-invalid="false"> </div>
</div>
<div id="field_7_11" class="gfield gfield--type-email gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_7_11">
<label class="gfield_label gform-field-label" for="input_7_11">E-mailadres<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_email">
<input name="input_11" id="input_7_11" type="email" value="" class="large" aria-required="true" aria-invalid="false">
</div>
</div>
<div id="field_7_39" class="gfield gfield--type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_7_39">
<label class="gfield_label gform-field-label" for="input_7_39">Telefoonnummer<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_39" id="input_7_39" type="text" value="" class="large" aria-required="true" aria-invalid="false"> </div>
</div>
<fieldset id="field_7_43" class="gfield gfield--type-checkbox gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_7_43">
<legend class="gfield_label gform-field-label gfield_label_before_complex">Aanvraag voor:<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></legend>
<div class="ginput_container ginput_container_checkbox">
<div class="gfield_checkbox" id="input_7_43">
<div class="gchoice gchoice_7_43_1">
<input class="gfield-choice-input" name="input_43.1" type="checkbox" value="Inbraakbeveiliging" id="choice_7_43_1">
<label for="choice_7_43_1" id="label_7_43_1" class="gform-field-label gform-field-label--type-inline">Inbraakbeveiliging</label>
</div>
<div class="gchoice gchoice_7_43_2">
<input class="gfield-choice-input" name="input_43.2" type="checkbox" value="Camerabeveiliging" id="choice_7_43_2">
<label for="choice_7_43_2" id="label_7_43_2" class="gform-field-label gform-field-label--type-inline">Camerabeveiliging</label>
</div>
<div class="gchoice gchoice_7_43_3">
<input class="gfield-choice-input" name="input_43.3" type="checkbox" value="Toegangscontrole" id="choice_7_43_3">
<label for="choice_7_43_3" id="label_7_43_3" class="gform-field-label gform-field-label--type-inline">Toegangscontrole</label>
</div>
<div class="gchoice gchoice_7_43_4">
<input class="gfield-choice-input" name="input_43.4" type="checkbox" value="Brandmeldsystemen" id="choice_7_43_4">
<label for="choice_7_43_4" id="label_7_43_4" class="gform-field-label gform-field-label--type-inline">Brandmeldsystemen</label>
</div>
<div class="gchoice gchoice_7_43_5">
<input class="gfield-choice-input" name="input_43.5" type="checkbox" value="Blussystemen" id="choice_7_43_5">
<label for="choice_7_43_5" id="label_7_43_5" class="gform-field-label gform-field-label--type-inline">Blussystemen</label>
</div>
<div class="gchoice gchoice_7_43_6">
<input class="gfield-choice-input" name="input_43.6" type="checkbox" value="Alarmcentralediensten" id="choice_7_43_6">
<label for="choice_7_43_6" id="label_7_43_6" class="gform-field-label gform-field-label--type-inline">Alarmcentralediensten</label>
</div>
<div class="gchoice gchoice_7_43_7">
<input class="gfield-choice-input" name="input_43.7" type="checkbox" value="Service of onderhoud" id="choice_7_43_7">
<label for="choice_7_43_7" id="label_7_43_7" class="gform-field-label gform-field-label--type-inline">Service of onderhoud</label>
</div>
</div>
</div>
</fieldset>
<div id="field_7_40" class="gfield gfield--type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_7_40"><label class="gfield_label gform-field-label" for="input_7_40">Ik wil:<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_select"><select name="input_40" id="input_7_40" class="large gfield_select" aria-required="true" aria-invalid="false">
<option value="Een nieuw systeem">Een nieuw systeem</option>
<option value="Een demo inplannen">Een demo inplannen</option>
<option value="Advies van een expert">Advies van een expert</option>
<option value="Een huidig systeem upgraden">Een huidig systeem upgraden</option>
</select></div>
</div>
<fieldset id="field_7_41" class="gfield gfield--type-checkbox gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_7_41">
<legend class="gfield_label gform-field-label gfield_label_before_complex">Particulier of zakelijk?</legend>
<div class="ginput_container ginput_container_checkbox">
<div class="gfield_checkbox" id="input_7_41">
<div class="gchoice gchoice_7_41_1">
<input class="gfield-choice-input" name="input_41.1" type="checkbox" value="Particulier" id="choice_7_41_1">
<label for="choice_7_41_1" id="label_7_41_1" class="gform-field-label gform-field-label--type-inline">Particulier</label>
</div>
<div class="gchoice gchoice_7_41_2">
<input class="gfield-choice-input" name="input_41.2" type="checkbox" value="Zakelijk" id="choice_7_41_2">
<label for="choice_7_41_2" id="label_7_41_2" class="gform-field-label gform-field-label--type-inline">Zakelijk</label>
</div>
</div>
</div>
</fieldset>
<div id="field_7_22" class="gfield gfield--type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_7_22"><label
class="gfield_label gform-field-label" for="input_7_22">Bericht</label>
<div class="ginput_container ginput_container_textarea"><textarea name="input_22" id="input_7_22" class="textarea large" maxlength="1000" aria-invalid="false" rows="10" cols="50"></textarea></div>
</div>
<fieldset id="field_7_24"
class="gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_7_24">
<legend class="gfield_label gform-field-label gfield_label_before_complex">Privacyverklaring<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></legend>
<div class="ginput_container ginput_container_consent"><input name="input_24.1" id="input_7_24_1" type="checkbox" value="1" aria-required="true" aria-invalid="false"> <label
class="gform-field-label gform-field-label--type-inline gfield_consent_label" for="input_7_24_1">Ik ga akkoord met de privacy-overeenkomst.</label><input type="hidden" name="input_24.2" value="Ik ga akkoord met de privacy-overeenkomst."
class="gform_hidden"><input type="hidden" name="input_24.3" value="2" class="gform_hidden"></div>
</fieldset>
<div id="field_7_47" class="gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_7_47"><label
class="gfield_label gform-field-label" for="input_7_47">Email</label>
<div class="ginput_container"><input name="input_47" id="input_7_47" type="text" value="" autocomplete="new-password"></div>
<div class="gfield_description" id="gfield_description_7_47">This field is for validation purposes and should be left unchanged.</div>
</div>
</div>
</div>
<div class="gform_footer top_label"> <input type="image" src="https://chubbfs.com/be-nl/wp-content/uploads/sites/21/2022/09/Verzendbutton-contactformulieren.png" id="gform_submit_button_7" class="gform_button button gform_image_button" alt="Submit"
onclick="if(window["gf_submitting_7"]){return false;} if( !jQuery("#gform_7")[0].checkValidity || jQuery("#gform_7")[0].checkValidity()){window["gf_submitting_7"]=true;} "
onkeypress="if( event.keyCode == 13 ){ if(window["gf_submitting_7"]){return false;} if( !jQuery("#gform_7")[0].checkValidity || jQuery("#gform_7")[0].checkValidity()){window["gf_submitting_7"]=true;} jQuery("#gform_7").trigger("submit",[true]); }">
<input type="hidden" name="gform_ajax" value="form_id=7&title=&description=1&tabindex=0&theme=gravity-theme">
<input type="hidden" class="gform_hidden" name="is_submit_7" value="1">
<input type="hidden" class="gform_hidden" name="gform_submit" value="7">
<input type="hidden" class="gform_hidden" name="gform_unique_id" value="">
<input type="hidden" class="gform_hidden" name="state_7"
value="WyJ7XCIyNC4xXCI6XCIyOTQxZGExZDViZDgyNmM3YWU5ZDI2Zjg4MzRhMjg2OVwiLFwiMjQuMlwiOlwiMGViZWY1YzkzYTQwZTU3MWQ1ODBmZTZiYzJjNTliMmFcIixcIjI0LjNcIjpcImQzZDI1MGUxYjkwYjE5NTE5Y2RlYjQ3Y2ZkMjE2OGM3XCJ9IiwiMGE1ZjQ5NDRiNjRmZTg4MjA5NjRkOTU3MjAyNjJlMmMiXQ==">
<input type="hidden" class="gform_hidden" name="gform_target_page_number_7" id="gform_target_page_number_7" value="0">
<input type="hidden" class="gform_hidden" name="gform_source_page_number_7" id="gform_source_page_number_7" value="1">
<input type="hidden" name="gform_field_values" value="">
</div>
</form>POST /be-nl/#gf_6
<form method="post" enctype="multipart/form-data" target="gform_ajax_frame_6" id="gform_6" action="/be-nl/#gf_6" data-formid="6" novalidate="" class="recaptcha-v3-initialized">
<div class="gf_invisible ginput_recaptchav3" data-sitekey="6LeFmsohAAAAAFrUEKA5hQG_48cNQQ68ESP7_XKr" data-tabindex="0"><input id="input_e5e3b1f4b28fc34530a842900157c22e" class="gfield_recaptcha_response" type="hidden"
name="input_e5e3b1f4b28fc34530a842900157c22e" value=""></div>
<div class="gform-body gform_body">
<div id="gform_fields_6" class="gform_fields top_label form_sublabel_below description_below validation_below">
<div id="field_6_38"
class="gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_6_38">
<font size="6"><strong>Contactformulier</strong></font>
</div>
<div id="field_6_32" class="gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_6_32"></div>
<div id="field_6_34"
class="gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_6_34">Hulp of advies nodig? We zijn er om te ondersteunen. Vul het formulier in en we nemen zo spoedig mogeiijk contact met je op.</div>
<div id="field_6_28"
class="gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_6_28">Liever direct geholpen worden? Bel dan:</div>
<div id="field_6_30"
class="gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_6_30"><a href="tel:003227170123”"><font size="6"><strong>02 717 01 23</strong></font></a></div>
<div id="field_6_31"
class="gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_6_31">Op werkdagen helpen we je tussen 08.00 en 17.00 uur.</div>
<div id="field_6_14" class="gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_6_14"></div>
<div id="field_6_33" class="gfield gfield--type-text gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_6_33">
<label class="gfield_label gform-field-label" for="input_6_33">Contactpersoon<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_33" id="input_6_33" type="text" value="" class="large" aria-required="true" aria-invalid="false"> </div>
</div>
<div id="field_6_45" class="gfield gfield--type-text gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_6_45"><label
class="gfield_label gform-field-label" for="input_6_45">Klantnr.</label>
<div class="ginput_container ginput_container_text"><input name="input_45" id="input_6_45" type="text" value="" class="large" aria-invalid="false"> </div>
</div>
<div id="field_6_9" class="gfield gfield--type-text gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_6_9">
<label class="gfield_label gform-field-label" for="input_6_9">Bedrijfsnaam<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_9" id="input_6_9" type="text" value="" class="large" aria-required="true" aria-invalid="false"> </div>
</div>
<div id="field_6_7" class="gfield gfield--type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_6_7">
<label class="gfield_label gform-field-label" for="input_6_7">Plaatsnaam<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_7" id="input_6_7" type="text" value="" class="large" aria-required="true" aria-invalid="false"> </div>
</div>
<div id="field_6_40" class="gfield gfield--type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_6_40">
<label class="gfield_label gform-field-label" for="input_6_40">Postcode<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_40" id="input_6_40" type="text" value="" class="large" aria-required="true" aria-invalid="false"> </div>
</div>
<div id="field_6_44" class="gfield gfield--type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_6_44">
<label class="gfield_label gform-field-label" for="input_6_44">Straat + huisnummer<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_44" id="input_6_44" type="text" value="" class="large" aria-required="true" aria-invalid="false"> </div>
</div>
<div id="field_6_11" class="gfield gfield--type-email gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_6_11">
<label class="gfield_label gform-field-label" for="input_6_11">E-mailadres<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_email">
<input name="input_11" id="input_6_11" type="email" value="" class="large" aria-required="true" aria-invalid="false">
</div>
</div>
<div id="field_6_39" class="gfield gfield--type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_6_39">
<label class="gfield_label gform-field-label" for="input_6_39">Telefoonnummer<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_39" id="input_6_39" type="text" value="" class="large" aria-required="true" aria-invalid="false"> </div>
</div>
<div id="field_6_42" class="gfield gfield--type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_6_42"><label class="gfield_label gform-field-label" for="input_6_42">Product<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_select"><select name="input_42" id="input_6_42" class="large gfield_select" aria-required="true" aria-invalid="false">
<option value="Inbraakbeveiliging">Inbraakbeveiliging</option>
<option value="Camerabeveiliging">Camerabeveiliging</option>
<option value="Toegangscontrole">Toegangscontrole</option>
<option value="Brandmeldsystemen">Brandmeldsystemen</option>
<option value="Blussystemen">Blussystemen</option>
<option value="Alarmcentralediensten">Alarmcentralediensten</option>
<option value="Service en onderhoud">Service en onderhoud</option>
</select></div>
</div>
<div id="field_6_22" class="gfield gfield--type-textarea gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_6_22"><label class="gfield_label gform-field-label" for="input_6_22">Bericht<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_textarea"><textarea name="input_22" id="input_6_22" class="textarea large" maxlength="1000" placeholder="Vul hier je vraag in." aria-required="true" aria-invalid="false" rows="10"
cols="50"></textarea></div>
</div>
<fieldset id="field_6_24"
class="gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_6_24">
<legend class="gfield_label gform-field-label gfield_label_before_complex">Privacyverklaring<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></legend>
<div class="ginput_container ginput_container_consent"><input name="input_24.1" id="input_6_24_1" type="checkbox" value="1" aria-required="true" aria-invalid="false"> <label
class="gform-field-label gform-field-label--type-inline gfield_consent_label" for="input_6_24_1">Ik ga akkoord met de privacy-overeenkomst.</label><input type="hidden" name="input_24.2" value="Ik ga akkoord met de privacy-overeenkomst."
class="gform_hidden"><input type="hidden" name="input_24.3" value="1" class="gform_hidden"></div>
</fieldset>
<div id="field_6_43" class="gfield gfield--type-fileupload gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_6_43"><label
class="gfield_label gform-field-label" for="input_6_43">File</label>
<div class="ginput_container ginput_container_fileupload"><input type="hidden" name="MAX_FILE_SIZE" value="30720000"><input name="input_43" id="input_6_43" type="file" class="large" aria-describedby="gfield_upload_rules_6_43"
onchange="javascript:gformValidateFileSize( this, 30720000 );"><span class="gfield_description gform_fileupload_rules" id="gfield_upload_rules_6_43">Max. file size: 29 MB.</span>
<div class="gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty" id="live_validation_message_6_43"></div>
</div>
</div>
<div id="field_6_46" class="gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_6_46"><label
class="gfield_label gform-field-label" for="input_6_46">Comments</label>
<div class="ginput_container"><input name="input_46" id="input_6_46" type="text" value="" autocomplete="new-password"></div>
<div class="gfield_description" id="gfield_description_6_46">This field is for validation purposes and should be left unchanged.</div>
</div>
</div>
</div>
<div class="gform_footer top_label"> <input type="image" src="https://chubbfs.com/be-nl/wp-content/uploads/sites/21/2022/09/Verzendbutton-contactformulieren.png" id="gform_submit_button_6" class="gform_button button gform_image_button" alt="Submit"
onclick="if(window["gf_submitting_6"]){return false;} if( !jQuery("#gform_6")[0].checkValidity || jQuery("#gform_6")[0].checkValidity()){window["gf_submitting_6"]=true;} "
onkeypress="if( event.keyCode == 13 ){ if(window["gf_submitting_6"]){return false;} if( !jQuery("#gform_6")[0].checkValidity || jQuery("#gform_6")[0].checkValidity()){window["gf_submitting_6"]=true;} jQuery("#gform_6").trigger("submit",[true]); }">
<input type="hidden" name="gform_ajax" value="form_id=6&title=&description=1&tabindex=0&theme=gravity-theme">
<input type="hidden" class="gform_hidden" name="is_submit_6" value="1">
<input type="hidden" class="gform_hidden" name="gform_submit" value="6">
<input type="hidden" class="gform_hidden" name="gform_unique_id" value="">
<input type="hidden" class="gform_hidden" name="state_6"
value="WyJ7XCIyNC4xXCI6XCIyOTQxZGExZDViZDgyNmM3YWU5ZDI2Zjg4MzRhMjg2OVwiLFwiMjQuMlwiOlwiMGViZWY1YzkzYTQwZTU3MWQ1ODBmZTZiYzJjNTliMmFcIixcIjI0LjNcIjpcIjI5NDFkYTFkNWJkODI2YzdhZTlkMjZmODgzNGEyODY5XCJ9IiwiNjk0Y2ViOTllOTI2ZmJkYmQ4YjNlY2FhYTk2NzlmYTMiXQ==">
<input type="hidden" class="gform_hidden" name="gform_target_page_number_6" id="gform_target_page_number_6" value="0">
<input type="hidden" class="gform_hidden" name="gform_source_page_number_6" id="gform_source_page_number_6" value="1">
<input type="hidden" name="gform_field_values" value="">
</div>
</form>POST /be-nl/#gf_6
<form method="post" enctype="multipart/form-data" target="gform_ajax_frame_6" id="gform_6" action="/be-nl/#gf_6" data-formid="6" novalidate="" class="recaptcha-v3-initialized">
<div class="gf_invisible ginput_recaptchav3" data-sitekey="6LeFmsohAAAAAFrUEKA5hQG_48cNQQ68ESP7_XKr" data-tabindex="0"><input id="input_e5e3b1f4b28fc34530a842900157c22e" class="gfield_recaptcha_response" type="hidden"
name="input_e5e3b1f4b28fc34530a842900157c22e" value=""></div>
<div class="gform-body gform_body">
<div id="gform_fields_6" class="gform_fields top_label form_sublabel_below description_below validation_below">
<div id="field_6_38"
class="gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_6_38">
<font size="6"><strong>Contactformulier</strong></font>
</div>
<div id="field_6_32" class="gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_6_32"></div>
<div id="field_6_34"
class="gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_6_34">Hulp of advies nodig? We zijn er om te ondersteunen. Vul het formulier in en we nemen zo spoedig mogeiijk contact met je op.</div>
<div id="field_6_28"
class="gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_6_28">Liever direct geholpen worden? Bel dan:</div>
<div id="field_6_30"
class="gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_6_30"><a href="tel:003227170123”"><font size="6"><strong>02 717 01 23</strong></font></a></div>
<div id="field_6_31"
class="gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_6_31">Op werkdagen helpen we je tussen 08.00 en 17.00 uur.</div>
<div id="field_6_14" class="gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_6_14"></div>
<div id="field_6_33" class="gfield gfield--type-text gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_6_33">
<label class="gfield_label gform-field-label" for="input_6_33">Contactpersoon<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_33" id="input_6_33" type="text" value="" class="large" aria-required="true" aria-invalid="false"> </div>
</div>
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13 December 2024
Samen-werken aan een veiligere toekomst
Chubb Security Systems en Somati Systems hebben de intentie uitgesproken om
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