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34.90.115.243  Public Scan

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Submitted URL: https://tracking.y-not.nl/afmelden?cdmtw=AQAEAAAggQFEGWQj0SOL8bJWbqc
Effective URL: http://forms.y-not.nl/afmelden
Submission: On November 27 via manual from IN — Scanned from NL

Form analysis 1 forms found in the DOM

POST http://www.gracefulforms.io/copernica/profile/post/484

<form method="POST" action="http://www.gracefulforms.io/copernica/profile/post/484" accept-charset="UTF-8" id="rendered-form" class="form-horizontal" autocomplete="off" novalidate=""><input name="_token" type="hidden"
    value="IMveCAdQneMTHuw3ts03R2IyKQkpKODnREDqbYR9">
  <div class="form-group" data-popover-name="popover-radioButton-template" data-conditional="true">
    <div id="componentHider">
      <div class="col-sm-12">
        <div class="block-hide">
          <div class="radio item-0">
            <label for="radio_keuze_0">
              <div class="iradio_minimal checked" style="position: relative;"><input type="radio" id="radio_keuze_0" name="radio_keuze" value="" class="" data-parsley-errors-container=".error-radio_keuze" data-conditional="true" checked="checked"
                  style="position: absolute; opacity: 0;" data-parsley-multiple="radio_keuze" data-parsley-id="5231"><ins class="iCheck-helper"
                  style="position: absolute; top: 0%; left: 0%; display: block; width: 100%; height: 100%; margin: 0px; padding: 0px; background: rgb(255, 255, 255); border: 0px; opacity: 0;"></ins></div>
            </label>
          </div>
          <div class="padding-left-5 conditional item-0" id="radio_keuze-"></div>
        </div>
        <div id="block-1">
          <div class="radio item-1">
            <label for="radio_keuze_1">
              <div class="iradio_minimal" style="position: relative;"><input type="radio" id="radio_keuze_1" name="radio_keuze" value="email_value" class="email_value" data-parsley-errors-container=".error-radio_keuze" data-conditional="true"
                  data-parsley-multiple="radio_keuze" style="position: absolute; opacity: 0;" data-parsley-id="5231"><ins class="iCheck-helper"
                  style="position: absolute; top: 0%; left: 0%; display: block; width: 100%; height: 100%; margin: 0px; padding: 0px; background: rgb(255, 255, 255); border: 0px; opacity: 0;"></ins></div> Wil je geïnspireerd blijven via een ander
              e-mailadres?
            </label>
          </div>
          <div class="padding-left-5 conditional item-1" id="radio_keuze-email_value">
            <div class="form-group" data-popover-name="popover-paragraph-template">
              <div id="componentHider">
                <div class="col-sm-12">
                  <p class=" text-justify "> Nieuwe e-mailadres </p>
                </div>
              </div>
            </div>
            <div class="form-group" data-popover-name="popover-field-template">
              <div id="componentHider">
                <div class="col-sm-12">
                  <input type="email" data-parsley-email="" id="email" name="email" class="form-control" placeholder="Nieuw e-mailadres" data-parsley-id="9821" disabled="disabled">
                  <ul class="parsley-errors-list" id="parsley-id-9821"></ul>
                </div>
              </div>
            </div>
          </div>
        </div>
        <div id="block-2">
          <div class="radio item-2">
            <label for="radio_keuze_2">
              <div class="iradio_minimal" style="position: relative;"><input type="radio" id="radio_keuze_2" name="radio_keuze" value="mailings_value" class="mailings_value" data-parsley-errors-container=".error-radio_keuze" data-conditional="true"
                  data-parsley-multiple="radio_keuze" style="position: absolute; opacity: 0;" data-parsley-id="5231"><ins class="iCheck-helper"
                  style="position: absolute; top: 0%; left: 0%; display: block; width: 100%; height: 100%; margin: 0px; padding: 0px; background: rgb(255, 255, 255); border: 0px; opacity: 0;"></ins></div> Uitschrijven voor de nieuwsbrief
            </label>
          </div>
          <div class="padding-left-5 conditional item-2" id="radio_keuze-mailings_value">
            <div class="form-group" data-popover-name="popover-checkbox-template" data-conditional="">
              <div id="componentHider">
                <div class="col-sm-12">
                  <div class="checkbox">
                    <label for="checkbox_keuze_0">
                      <div class="icheckbox_minimal checked" style="position: relative;"><input type="checkbox" id="checkbox_keuze_0" name="checkbox_keuze[checkbox][]" value="newsletter_y_not, unsubscribed" data-parsley-multiple="checkbox_keuze"
                          data-conditional="" data-parsley-errors-container=".error-checkbox_keuze" data-parsley-check="[1, 1]" checked="checked" style="position: absolute; opacity: 0;" data-parsley-id="2323" disabled="disabled"><ins
                          class="iCheck-helper" style="position: absolute; top: 0%; left: 0%; display: block; width: 100%; height: 100%; margin: 0px; padding: 0px; background: rgb(255, 255, 255); border: 0px; opacity: 0;"></ins></div> schrijf me uit
                    </label>
                  </div>
                  <span class="error-checkbox_keuze">
                    <ul class="parsley-errors-list" id="parsley-id-multiple-checkbox_keuze"></ul>
                  </span>
                </div>
              </div>
            </div>
          </div>
        </div>
        <span class="error-radio_keuze">
          <ul class="parsley-errors-list" id="parsley-id-multiple-radio_keuze"></ul>
        </span>
      </div>
    </div>
  </div>
  <div class="form-group" data-popover-name="popover-button-template">
    <div id="componentHider">
      <div class="col-sm-12">
        <button type="submit" class="btn btn-primary  btn-lg" name="send_button"> Bevestigen </button>
      </div>
    </div>
  </div>
  <div class="form-group" data-popover-name="popover-field-template">
    <div id="componentHider">
      <div class="col-sm-12">
        <input type="hidden" data-parsley-hidden="" id="email_md5" name="email_md5_copernica_index" class="form-control">
      </div>
    </div>
  </div>
</form>

Text Content

WIL JE JE VOORKEUR
WIJZIGEN?


WIL JE JE
VOORKEUR
WIJZIGEN?

Vergeet ons niet op social te volgen om geïnspireerd te blijven.

Vergeet ons niet op
social te volgen om
geïnspireerd te blijven.


MAAK HET JEZELF MAKKELIJK


Wil je geïnspireerd blijven via een ander e-mailadres?

Nieuwe e-mailadres



Uitschrijven voor de nieuwsbrief

schrijf me uit
Bevestigen


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