vanos.bagbooking.eu Open in urlscan Pro
85.10.129.133  Public Scan

Form analysis
1 forms found in the DOM

POST /save.php

<form class="validate" method="post" novalidate="" action="/save.php">
  <div class="col-sm-12 mb-3">
    <label for="firstName" class="form-label"><b>Kies een vestiging</b></label>
    <select class="form-select" name="locatie">
      <option value="">Kies een locatie</option>
      <option value="alphen-a-d-rijn">Alphen a/d Rijn</option>
      <option value="amstelveen">Amstelveen</option>
      <option value="apeldoorn">Apeldoorn</option>
      <option value="beek">Beek</option>
      <option value="boxmeer">Boxmeer</option>
      <option value="den-haag">Den Haag</option>
      <option value="groningen">Groningen</option>
      <option value="heerlen">Heerlen</option>
      <option value="helmond">Helmond</option>
      <option value="hilversum">Hilversum</option>
      <option value="hoorn">Hoorn</option>
      <option value="katwijk">Katwijk</option>
      <option value="laren">Laren</option>
      <option value="leeuwarden">Leeuwarden</option>
      <option value="leiden">Leiden</option>
      <option value="leidschendam">Leidschendam</option>
      <option value="maastricht">Maastricht</option>
      <option value="naaldwijk">Naaldwijk</option>
      <option value="nieuwegein">Nieuwegein</option>
      <option value="nijmegen-zwanenveld">Nijmegen Zwanenveld</option>
      <option value="nijmegen-ziekerstraat">Nijmegen Ziekerstraat</option>
      <option value="noordwijk">Noordwijk</option>
      <option value="oosterhout">Oosterhout</option>
      <option value="rotterdam-coolsingel">Rotterdam Coolsingel</option>
      <option value="utrecht">Utrecht</option>
      <option value="zaandam">Zaandam</option>
      <option value="zoetermeer">Zoetermeer</option>
      <option value="zutphen">Zutphen</option>
      <option value="webshop-van-os">Webshop Van Os</option>
    </select>
  </div>
  <div class="row g-3 mb-3">
    <div class="col-6">
      <label for="firstName" class="form-label"><b>Voornaam</b></label>
      <input type="text" class="form-control form-control-lg" id="firstName" name="voornaam" placeholder="Voornaam" autocomplete="false" value="" required="">
    </div>
    <div class="col-6 ">
      <label for="lastName" class="form-label"><b>Achternaam</b></label>
      <input type="text" class="form-control form-control-lg" id="lastName" name="achternaam" placeholder="Achternaam" autocomplete="false" value="" required="">
    </div>
    <div class="col-12 mb-2">
      <label for="email" class="form-label"><b>E-mail</b></label>
      <input type="email" class="form-control form-control-lg" id="email" name="email" placeholder="E-mailadres" autocomplete="false">
    </div>
  </div>
  <div class="my-3 card mb-3">
    <div class="card-body">
      <div class="row g-5">
        <div class="col-md-4">
          <div class="row">
            <div class="col-md-12 text-center">
              <b class="d-block h4">Standaard</b><small class="mb-3 d-block">Max. afmeting :<br>44cm x 67cm x 26cm</small>
            </div>
          </div>
          <div class="row justify-content-between align-items-end  g-2">
            <div class="col-4"><a href="" data-min="small" class="btn btn-danger w-100  btn-lg">-</a></div>
            <div class="col-4 text-center"><input id="small" value="0" name="size[s]" class="form-control form-control-lg text-center"></div>
            <div class="col-4"><a href="" data-plus="small" class="btn btn-success w-100  btn-lg">+</a></div>
          </div>
        </div>
        <div class="col-md-4">
          <div class="row">
            <div class="col-md-12 text-center">
              <b class="d-block h4">Large</b><small class="mb-3 d-block">Max. afmeting:<br>51cm x 77cm x 32cm</small>
            </div>
          </div>
          <div class="row justify-content-between align-items-end g-2">
            <div class="col-4"><a href="" data-min="medium" class="btn btn-danger w-100  btn-lg">-</a></div>
            <div class="col-4 text-center"><input id="medium" value="0" name="size[m]" class="form-control form-control-lg text-center"></div>
            <div class="col-4"><a href="" data-plus="medium" class="btn btn-success w-100  btn-lg">+</a></div>
          </div>
        </div>
        <div class="col-md-4">
          <div class="row">
            <div class="col-md-12 text-center">
              <b class="d-block h4">Extra Large</b><small class="mb-3 d-block">Max. afmeting:<br>58cm x 84cm x 36cm</small>
            </div>
          </div>
          <div class="row justify-content-between align-items-end  g-2">
            <div class="col-4"><a href="" data-min="large" class="btn btn-danger w-100  btn-lg">-</a></div>
            <div class="col-4 text-center"><input id="large" value="0" name="size[l]" class="form-control form-control-lg text-center"></div>
            <div class="col-4"><a href="" data-plus="large" class="btn btn-success w-100  btn-lg">+</a></div>
          </div>
        </div>
      </div>
    </div>
  </div>
  <div class="alert alert-danger feedback" style="display: none"></div>
  <button class="w-100 btn btn-success btn-lg" type="submit">Verstuur kortingscode</button>
</form>

Text Content

Kies een vestiging Kies een locatie Alphen a/d Rijn Amstelveen Apeldoorn Beek
Boxmeer Den Haag Groningen Heerlen Helmond Hilversum Hoorn Katwijk Laren
Leeuwarden Leiden Leidschendam Maastricht Naaldwijk Nieuwegein Nijmegen
Zwanenveld Nijmegen Ziekerstraat Noordwijk Oosterhout Rotterdam Coolsingel
Utrecht Zaandam Zoetermeer Zutphen Webshop Van Os
Voornaam
Achternaam
E-mail
StandaardMax. afmeting :
44cm x 67cm x 26cm
-

+
LargeMax. afmeting:
51cm x 77cm x 32cm
-

+
Extra LargeMax. afmeting:
58cm x 84cm x 36cm
-

+

Verstuur kortingscode