{"id":16156,"date":"2015-09-15T10:22:36","date_gmt":"2015-09-15T08:22:36","guid":{"rendered":"https:\/\/www.holiday-taxi.at\/neu\/enquiry-form-2\/"},"modified":"2019-01-05T23:20:42","modified_gmt":"2019-01-05T22:20:42","slug":"aanvraagformulier","status":"publish","type":"page","link":"https:\/\/www.holiday-taxi.at\/nl\/aanvraagformulier\/","title":{"rendered":"Aanvraagformulier"},"content":{"rendered":"<p>[vc_row top_padding=&#8221;20&#8243; bottom_padding=&#8221;20&#8243;][vc_column width=&#8221;1\/2&#8243;]<div class=\"iconbox  iconbox-style-10 icon-color-accent color-dark clearfix\"><i class=\"fa fa-info-circle boxicon\" style=\"\"><\/i><h3>Prijsaanvraag<\/h3><p>Gelieve alle velden van het aanvraagformulier in te vullen.Bij vragen kunt u graag het aanvraagformulier gebruiken, een email schrijven of ons gewoonweg even bellen!<\/p><\/div><div class=\"iconbox  iconbox-style-10 icon-color-accent color-dark clearfix\"><i class=\"fa fa-phone boxicon\" style=\"\"><\/i><h3>Bel ons! 24\/7 bereikbaar in Engels en Duits<\/h3><p>Wij staan dag en nacht paraat. Ongewone tijden of plaatsen zijn geen probleem voor ons.<\/p>\n<a href=\"tel:+43%20660%207891020\" target=\"_self\" class=\"button color-2 medium \" style=\"border-radius: 2px;\">+43 660 7891020<\/a><\/p><\/div><div class=\"iconbox  iconbox-style-10 icon-color-accent color-dark clearfix\"><i class=\"fa fa-envelope-o boxicon\" style=\"\"><\/i><h3>Contact ons<\/h3><p>\n<p class=\"p1\"><span data-sheets-value=\"{&quot;1&quot;:2,&quot;2&quot;:&quot;Vragen? Aarzel niet om ons te mailen. We proberen zo spoedig mogelijk uw mail te beantwoorden&quot;}\" data-sheets-userformat=\"{&quot;2&quot;:769,&quot;3&quot;:{&quot;1&quot;:0},&quot;11&quot;:4,&quot;12&quot;:0}\">Vragen? Aarzel niet om ons te mailen. We proberen zo spoedig mogelijk uw mail te beantwoorden.<\/span><\/p>\n<a href=\"mailto:office@holiday-taxi.at\" target=\"_self\" class=\"button color-2 medium \" style=\"border-radius: 2px;\">office@holiday-taxi.at<\/a><\/p><\/div>[\/vc_column][vc_column width=&#8221;1\/2&#8243;][vc_column_text]<div id=\"iphorm-outer-69f56e3ba7579\" class=\"iphorm-outer iphorm-outer-15 iphorm-has-logic iphorm-responsive\" >\n    <script type=\"text\/javascript\">\n        jQuery(document).ready(function($) {\n                            iPhorm.logic[15] = {\"logic\":{\"19\":{\"action\":\"show\",\"match\":\"all\",\"rules\":[{\"element_id\":\"50\",\"operator\":\"eq\",\"value\":\"Return\"}]}},\"dependents\":{\"50\":[19]},\"animate\":true};\n                        $('#iphorm-69f56e3ba7579').iPhorm({\"id\":15,\"uniqueId\":\"69f56e3ba7579\",\"useAjax\":true,\"successMessageTimeout\":10,\"resetFormValues\":\"\",\"clElementIds\":[19],\"clDependentElementIds\":[50],\"centerFancybox\":true,\"centerFancyboxSpeed\":true});\n                        if ($.isFunction($.fn.qtip)) {\n                $('.iphorm-tooltip-hover', iPhorm.instance.$form).qtip({\n                    style: {\n                        classes: 'qtip-plain'\n                    },\n                    position: {\n                        my: 'left center',\n                        at: 'right center',\n                        viewport: $(window),\n                        adjust: {\n                            method: 'shift'\n                        }\n                    }\n                });\n                $('.iphorm-tooltip-click', iPhorm.instance.$form).qtip({\n                    style: {\n                        classes: 'qtip-plain'\n                    },\n                   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                      text: function (api) {\n                            return $(this).find('.iphorm-tooltip-icon-content').html();\n                        }\n                    }\n                });\n                $('.iphorm-tooltip-icon-click', iPhorm.instance.$form).qtip({\n                    style: {\n                        classes: 'qtip-plain'\n                    },\n                    position: {\n                        my: 'left center',\n                        at: 'right center',\n                        viewport: $(window),\n                        adjust: {\n                            method: 'shift'\n                        }\n                    },\n                    show: {\n                        event: 'click'\n                    },\n                    hide: {\n                        event: 'unfocus'\n                    },\n                    content: {\n                        text: function (api) {\n                            return $(this).find('.iphorm-tooltip-icon-content').html();\n                        }\n                    }\n                });\n                $('.iphorm-labels-inside > .iphorm-element-spacer > label').hover(function () {\n                    $(this).siblings('.iphorm-input-wrap').find('.iphorm-tooltip-hover').qtip('show');\n                }, function () {\n                    $(this).siblings('.iphorm-input-wrap').find('.iphorm-tooltip-hover').qtip('hide');\n                });\n            }\n                                    if ($.isFunction($.fn.inFieldLabels)) {\n                $('.iphorm-labels-inside:not(.iphorm-element-wrap-recaptcha) > .iphorm-element-spacer > label', iPhorm.instance.$form).inFieldLabels();\n            }\n                            if ($.isFunction($.fn.datepicker)) {\n                                            if (!$('#iphorm-jqueryui-theme').length) {\n                            var themeUrl = iphormL10n.plugin_url + '\/js\/jqueryui\/themes\/smoothness\/jquery-ui.min.css?ver=1.12.1';\n                            $('head').append('<link id=\"iphorm-jqueryui-theme\" rel=\"stylesheet\" href=\"' + themeUrl + '\" type=\"text\/css\" \/>');\n                        }\n                                                                 $.getScript(iphormL10n.plugin_url + '\/js\/jqueryui\/i18n\/jquery.ui.datepicker-de.js');\n                                    }\n                        $('.iphorm-group-row > div:last-child:not(:first-child)', iPhorm.instance.$form).add('.iphorm-group-row:last-child', iPhorm.instance.$form).addClass('last-child');\n                            iPhorm.instance.applyAllLogic(true);\n                $('#iphorm-outer-69f56e3ba7579').css('visibility', 'visible');\n                    });\n    <\/script>\n    <form id=\"iphorm-69f56e3ba7579\" class=\"iphorm iphorm-form-15\" action=\"\/nl\/wp-json\/wp\/v2\/pages\/16156\/#iphorm-69f56e3ba7579\" method=\"post\" enctype=\"multipart\/form-data\" novalidate=\"novalidate\">\n        <div class=\"iphorm-inner iphorm-inner-15\" >\n            <input type=\"hidden\" name=\"iphorm_id\" value=\"15\" \/>\n            <input type=\"hidden\" name=\"iphorm_uid\" value=\"69f56e3ba7579\" \/>\n            <input type=\"hidden\" name=\"form_url\" value=\"https:\/\/www.holiday-taxi.at\/nl\/wp-json\/wp\/v2\/pages\/16156\/\" \/>\n            <input type=\"hidden\" name=\"referring_url\" value=\"\" \/>\n            <input type=\"hidden\" name=\"post_id\" value=\"\" \/>\n            <input type=\"hidden\" name=\"post_title\" value=\"\" \/>\n                                                                        <div class=\"iphorm-success-message iphorm-hidden\" ><\/div>\n                                        <div class=\"iphorm-elements iphorm-elements-15 iphorm-clearfix\" >\n                <div class=\"iphorm-group-wrap iphorm_15_10-group-wrap iphorm-clearfix iphorm-labels-above iphorm-group-style-plain iphorm-group-alignment-proportional\" >\n    <div class=\"iphorm-group-elements\" style='webkit-border-radius: 7px 7px 7px 7px;-moz-border-radius: 7px 7px 7px 7px;-ms-border-radius: 7px 7px 7px 7px;-o-border-radius: 7px 7px 7px 7px;border-radius: 7px 7px 7px 7px;'>\n                \t<div class=\"iphorm-group-title-description-wrap iphorm-clearfix\">\n    \t\t\t                <div class=\"iphorm-group-title\" >Transfer<\/div>\n                                            <\/div>\n                <div class=\"iphorm-group-row iphorm-clearfix iphorm-group-row-1cols\"><div class=\"iphorm-element-wrap iphorm-element-wrap-select iphorm_15_50-element-wrap iphorm-clearfix iphorm-labels-above iphorm-element-optional\" >\n    <div class=\"iphorm-element-spacer iphorm-element-spacer-select iphorm_15_50-element-spacer\">\n                <div class=\"iphorm-input-wrap iphorm-input-wrap-select iphorm_15_50-input-wrap\" >\n            <select class=\"iphorm-element-select  iphorm_15_50\" name=\"iphorm_15_50\" id=\"iphorm_15_50_69f56e3ba7579\"  style='width: 300px;height: 40px;'>\n                                    <option value=\"Enkele reis\" >Enkele reis<\/option>\n                                    <option value=\"Retour\" >Retour<\/option>\n                            <\/select>\n                    <\/div>\n        <div class=\"iphorm-errors-wrap iphorm-hidden\" >\r\n    <\/div>    <\/div>\n<\/div><\/div><div class=\"iphorm-group-row iphorm-clearfix iphorm-group-row-1cols\"><\/div><\/div><\/div><div class=\"iphorm-group-wrap iphorm_15_17-group-wrap iphorm-clearfix iphorm-labels-above iphorm-group-style-plain iphorm-group-alignment-proportional\" >\n    <div class=\"iphorm-group-elements\" style='webkit-border-radius: 7px 7px 7px 7px;-moz-border-radius: 7px 7px 7px 7px;-ms-border-radius: 7px 7px 7px 7px;-o-border-radius: 7px 7px 7px 7px;border-radius: 7px 7px 7px 7px;'>\n                \t<div class=\"iphorm-group-title-description-wrap iphorm-clearfix\">\n    \t\t\t                <div class=\"iphorm-group-title\" >Rit informatie<\/div>\n                                            <\/div>\n                <div class=\"iphorm-group-row iphorm-clearfix iphorm-group-row-2cols\"><div class=\"iphorm-element-wrap iphorm-element-wrap-text iphorm_15_5-element-wrap iphorm-clearfix iphorm-labels-above iphorm-element-required\" >\n    <div class=\"iphorm-element-spacer iphorm-element-spacer-text iphorm_15_5-element-spacer\">\n        <label for=\"iphorm_15_5_69f56e3ba7579\" class=\"iphorm_15_5-outer-label\" >Van:<\/label>        <div class=\"iphorm-input-wrap iphorm-input-wrap-text iphorm_15_5-input-wrap\" >\n            <input class=\"iphorm-element-text  iphorm_15_5\" id=\"iphorm_15_5_69f56e3ba7579\" type=\"text\" name=\"iphorm_15_5\"  value=\"\" style='width: 300px;height: 40px;-webkit-border-radius: 2px;-moz-border-radius: 2px;border-radius: 2px;' \/>\n                    <\/div>\n        <div class=\"iphorm-errors-wrap iphorm-hidden\" >\r\n    <\/div>    <\/div>\n    <\/div><div class=\"iphorm-element-wrap iphorm-element-wrap-text iphorm_15_6-element-wrap iphorm-clearfix iphorm-labels-above iphorm-element-required\" >\n    <div class=\"iphorm-element-spacer iphorm-element-spacer-text iphorm_15_6-element-spacer\">\n        <label for=\"iphorm_15_6_69f56e3ba7579\" class=\"iphorm_15_6-outer-label\" >Naar:<\/label>        <div class=\"iphorm-input-wrap iphorm-input-wrap-text iphorm_15_6-input-wrap\" >\n            <input class=\"iphorm-element-text  iphorm_15_6\" id=\"iphorm_15_6_69f56e3ba7579\" type=\"text\" name=\"iphorm_15_6\"  value=\"\" style='width: 300px;height: 40px;-webkit-border-radius: 2px;-moz-border-radius: 2px;border-radius: 2px;' \/>\n                    <\/div>\n        <div class=\"iphorm-errors-wrap iphorm-hidden\" >\r\n    <\/div>    <\/div>\n    <\/div><\/div><div class=\"iphorm-group-row iphorm-clearfix iphorm-group-row-2cols\"><div class=\"iphorm-element-wrap iphorm-element-wrap-date iphorm_15_8-element-wrap iphorm-clearfix iphorm-labels-above iphorm-element-required\" >\r\n    <div class=\"iphorm-element-spacer iphorm-element-spacer-date iphorm_15_8-element-spacer\">\r\n        <label id=\"iphorm_15_8_69f56e3ba7579_date_label\" class=\"iphorm_15_8-outer-label\" >Datum:<\/label>        <div id=\"iphorm_15_8_69f56e3ba7579\" class=\"iphorm-input-wrap iphorm-input-wrap-date iphorm_15_8-input-wrap\" >\r\n        \t<div class=\"iphorm-clearfix\">\r\n                <div class=\"iphorm-input-wrap-date-select-wrap\">\r\n                                                                                <label id=\"iphorm_15_8_69f56e3ba7579_day_label\" class=\"iphorm-screen-reader-text\">Dag<\/label>\r\n                    <select id=\"iphorm_15_8_69f56e3ba7579_day\" name=\"iphorm_15_8[day]\" class=\"iphorm_15_8-input-day\" aria-labelledby=\"iphorm_15_8_69f56e3ba7579_date_label iphorm_15_8_69f56e3ba7579_day_label\" style='width: 90px;height: 40px;'>\r\n                        <option value=\"\">Dag<\/option>                                                    <option value=\"1\" >1<\/option>\r\n                                                    <option value=\"2\" >2<\/option>\r\n                                                    <option value=\"3\" >3<\/option>\r\n                                                    <option value=\"4\" >4<\/option>\r\n                                                    <option value=\"5\" >5<\/option>\r\n                                                    <option value=\"6\" >6<\/option>\r\n                                                    <option value=\"7\" >7<\/option>\r\n                                                    <option value=\"8\" >8<\/option>\r\n                                                    <option value=\"9\" >9<\/option>\r\n                                                    <option value=\"10\" >10<\/option>\r\n                                                    <option value=\"11\" >11<\/option>\r\n                                                    <option value=\"12\" >12<\/option>\r\n                                                    <option value=\"13\" >13<\/option>\r\n                                                    <option value=\"14\" >14<\/option>\r\n                                                    <option value=\"15\" >15<\/option>\r\n                                                    <option value=\"16\" >16<\/option>\r\n                                                    <option value=\"17\" >17<\/option>\r\n                                                    <option value=\"18\" >18<\/option>\r\n                                                    <option value=\"19\" >19<\/option>\r\n                                                    <option value=\"20\" >20<\/option>\r\n                                                    <option value=\"21\" >21<\/option>\r\n                                                    <option value=\"22\" >22<\/option>\r\n                                                    <option value=\"23\" >23<\/option>\r\n                                                    <option value=\"24\" >24<\/option>\r\n                                                    <option value=\"25\" >25<\/option>\r\n                                                    <option value=\"26\" >26<\/option>\r\n                                                    <option value=\"27\" >27<\/option>\r\n                                                    <option value=\"28\" >28<\/option>\r\n                                                    <option value=\"29\" >29<\/option>\r\n                                                    <option value=\"30\" >30<\/option>\r\n                                                    <option value=\"31\" >31<\/option>\r\n                                            <\/select>\r\n                                        <label id=\"iphorm_15_8_69f56e3ba7579_month_label\" class=\"iphorm-screen-reader-text\">Maand<\/label>\r\n                    <select id=\"iphorm_15_8_69f56e3ba7579_month\" name=\"iphorm_15_8[month]\" class=\"iphorm_15_8-input-month\" aria-labelledby=\"iphorm_15_8_69f56e3ba7579_date_label iphorm_15_8_69f56e3ba7579_month_label\" style='width: 90px;height: 40px;'>\r\n                        <option value=\"\">Maand<\/option>                                                    <option value=\"1\" >Januari<\/option>\r\n                                                    <option value=\"2\" >Februari<\/option>\r\n                                                    <option value=\"3\" >Maart<\/option>\r\n                                                    <option value=\"4\" >April<\/option>\r\n                                                    <option value=\"5\" >Mei<\/option>\r\n                                                    <option value=\"6\" >Juni<\/option>\r\n                                                    <option value=\"7\" >Juli<\/option>\r\n                                                    <option value=\"8\" >Augustus<\/option>\r\n                                                    <option value=\"9\" >September<\/option>\r\n                                                    <option value=\"10\" >Oktober<\/option>\r\n                                                    <option value=\"11\" >November<\/option>\r\n                                                    <option value=\"12\" >December<\/option>\r\n                                            <\/select>\r\n                                        <label id=\"iphorm_15_8_69f56e3ba7579_year_label\" class=\"iphorm-screen-reader-text\">Jaar<\/label>\r\n                    <select id=\"iphorm_15_8_69f56e3ba7579_year\" name=\"iphorm_15_8[year]\" class=\"iphorm_15_8-input-year\" aria-labelledby=\"iphorm_15_8_69f56e3ba7579_date_label iphorm_15_8_69f56e3ba7579_year_label\" style='width: 90px;height: 40px;'>\r\n                        <option value=\"\">Jaar<\/option>                                                                                    <option value=\"2024\"  selected='selected'>2024<\/option>\r\n                                                            <option value=\"2025\" >2025<\/option>\r\n                                                            <option value=\"2026\" >2026<\/option>\r\n                                                            <option value=\"2027\" >2027<\/option>\r\n                                                                        <\/select>\r\n                <\/div>\r\n                                    <input type=\"hidden\" class=\"iphorm-datepicker\" name=\"iphorm_datepicker_iphorm_15_8_69f56e3ba7579\" value=\"\" \/>\r\n                    <div class=\"iphorm-datepicker-icon\"><\/div>\r\n                    <script type=\"text\/javascript\">\r\n                    jQuery(document).ready(function ($) {\r\n                        iPhorm.instance.addDatepicker('iphorm_15_8_69f56e3ba7579', {\r\n                            minDate: new Date(2024, 1 - 1, 1),\r\n                            maxDate: new Date(2027, 12 - 1, 31)\r\n                        });\r\n                    });\r\n                    <\/script>\r\n                            <\/div>\r\n                    <\/div>\r\n        <div class=\"iphorm-errors-wrap iphorm-hidden\" >\r\n    <\/div>    <\/div>\r\n<\/div><div class=\"iphorm-element-wrap iphorm-element-wrap-time iphorm_15_21-element-wrap iphorm-clearfix iphorm-labels-above iphorm-element-required\" >\n    <div class=\"iphorm-element-spacer iphorm-element-spacer-time iphorm_15_21-element-spacer\">\n        <label id=\"iphorm_15_21_69f56e3ba7579_time_label\" class=\"iphorm_15_21-outer-label\" >Ophaaltijd:<\/label>        <div class=\"iphorm-input-wrap iphorm-input-wrap-date iphorm_15_21-input-wrap\" >\n            <label id=\"iphorm_15_21_69f56e3ba7579_hour_label\" class=\"iphorm-screen-reader-text\">Uur<\/label>\n            <select id=\"iphorm_15_21_69f56e3ba7579_hour\"  name=\"iphorm_15_21[hour]\" class=\"iphorm_15_21-input-hour\" aria-labelledby=\"iphorm_15_21_69f56e3ba7579_time_label iphorm_15_21_69f56e3ba7579_hour_label\" style='width: 148px;height: 40px;'>\n                <option value=\"\">HH<\/option>                                                                                    <option value=\"00\" >00<\/option>\n                                                                    <option value=\"01\" >01<\/option>\n                                                                    <option value=\"02\" >02<\/option>\n                                                                    <option value=\"03\" >03<\/option>\n                                                                    <option value=\"04\" >04<\/option>\n                                                                    <option value=\"05\" >05<\/option>\n                                                                    <option value=\"06\" >06<\/option>\n                                                                    <option value=\"07\" >07<\/option>\n                                                                    <option value=\"08\" >08<\/option>\n                                                                    <option value=\"09\" >09<\/option>\n                                                                    <option value=\"10\" >10<\/option>\n                                                                    <option value=\"11\" >11<\/option>\n                                                                    <option value=\"12\"  selected='selected'>12<\/option>\n                                                                    <option value=\"13\" >13<\/option>\n                                                                    <option value=\"14\" >14<\/option>\n                                                                    <option value=\"15\" >15<\/option>\n                                                                    <option value=\"16\" >16<\/option>\n                                                                    <option value=\"17\" >17<\/option>\n                                                                    <option value=\"18\" >18<\/option>\n                                                                    <option value=\"19\" >19<\/option>\n                                                                    <option value=\"20\" >20<\/option>\n                                                                    <option value=\"21\" >21<\/option>\n                                                                    <option value=\"22\" >22<\/option>\n                                                                    <option value=\"23\" >23<\/option>\n                                                <\/select>\n            <label id=\"iphorm_15_21_69f56e3ba7579_minute_label\" class=\"iphorm-screen-reader-text\">Minuut<\/label>\n            <select id=\"iphorm_15_21_69f56e3ba7579_minute\" name=\"iphorm_15_21[minute]\" class=\"iphorm_15_21-input-minute\" aria-labelledby=\"iphorm_15_21_69f56e3ba7579_time_label iphorm_15_21_69f56e3ba7579_minute_label\" style='width: 148px;height: 40px;'>\n                <option value=\"\">MM<\/option>                                                                                    <option value=\"00\"  selected='selected'>00<\/option>\n                                                                                                        <option value=\"01\" >01<\/option>\n                                                                                                        <option value=\"02\" >02<\/option>\n                                                                                                        <option value=\"03\" >03<\/option>\n                                                                                                        <option value=\"04\" >04<\/option>\n                                                                                                        <option value=\"05\" >05<\/option>\n                                                                                                        <option value=\"06\" >06<\/option>\n                                                                                                        <option value=\"07\" >07<\/option>\n                                                                                                        <option value=\"08\" >08<\/option>\n                                                                                                        <option value=\"09\" >09<\/option>\n                                                                                                        <option value=\"10\" >10<\/option>\n                                                                                                        <option value=\"11\" >11<\/option>\n                                                                                                        <option value=\"12\" >12<\/option>\n                                                                                                        <option value=\"13\" >13<\/option>\n                                                                                                        <option value=\"14\" >14<\/option>\n                                                                                                        <option value=\"15\" >15<\/option>\n                                                                                                        <option value=\"16\" >16<\/option>\n                                                                                                        <option value=\"17\" >17<\/option>\n                                                                                                        <option value=\"18\" >18<\/option>\n                                                                                                        <option value=\"19\" >19<\/option>\n                                                                                                        <option value=\"20\" >20<\/option>\n                                                                                                        <option value=\"21\" >21<\/option>\n                                                                                                        <option value=\"22\" >22<\/option>\n                                                                                                        <option value=\"23\" >23<\/option>\n                                                                                                        <option value=\"24\" >24<\/option>\n                                                                                                        <option value=\"25\" >25<\/option>\n                                                                                                        <option value=\"26\" >26<\/option>\n                                                                                                        <option value=\"27\" >27<\/option>\n                                                                                                        <option value=\"28\" >28<\/option>\n                                                                                                        <option value=\"29\" >29<\/option>\n                                                                                                        <option value=\"30\" >30<\/option>\n                                                                                                        <option value=\"31\" >31<\/option>\n                                                                                                        <option value=\"32\" >32<\/option>\n                                                                                                        <option value=\"33\" >33<\/option>\n                                                                                                        <option value=\"34\" >34<\/option>\n                                                                                                        <option value=\"35\" >35<\/option>\n                                                                                                        <option value=\"36\" >36<\/option>\n                                                                                                        <option value=\"37\" >37<\/option>\n                                                                                                        <option value=\"38\" >38<\/option>\n                                                                                                        <option value=\"39\" >39<\/option>\n                                                                                                        <option value=\"40\" >40<\/option>\n                                                                                                        <option value=\"41\" >41<\/option>\n                                                                                                        <option value=\"42\" >42<\/option>\n                                                                                                        <option value=\"43\" >43<\/option>\n                                                                                                        <option value=\"44\" >44<\/option>\n                                                                                                        <option value=\"45\" >45<\/option>\n                                                                                                        <option value=\"46\" >46<\/option>\n                                                                                                        <option value=\"47\" >47<\/option>\n                                                                                                        <option value=\"48\" >48<\/option>\n                                                                                                        <option value=\"49\" >49<\/option>\n                                                                                                        <option value=\"50\" >50<\/option>\n                                                                                                        <option value=\"51\" >51<\/option>\n                                                                                                        <option value=\"52\" >52<\/option>\n                                                                                                        <option value=\"53\" >53<\/option>\n                                                                                                        <option value=\"54\" >54<\/option>\n                                                                                                        <option value=\"55\" >55<\/option>\n                                                                                                        <option value=\"56\" >56<\/option>\n                                                                                                        <option value=\"57\" >57<\/option>\n                                                                                                        <option value=\"58\" >58<\/option>\n                                                                                                        <option value=\"59\" >59<\/option>\n                                                <\/select>\n                            <input type=\"hidden\" name=\"iphorm_15_21[ampm]\" value=\"\" \/>\n                                <\/div>\n        <div class=\"iphorm-errors-wrap iphorm-hidden\" >\r\n    <\/div>    <\/div>\n<\/div><\/div><div class=\"iphorm-group-row iphorm-clearfix iphorm-group-row-2cols\"><\/div><\/div><\/div><div class=\"iphorm-group-wrap iphorm_15_19-group-wrap iphorm-clearfix iphorm-labels-above iphorm-group-style-plain iphorm-group-alignment-proportional\" >\n    <div class=\"iphorm-group-elements\" style='webkit-border-radius: 7px 7px 7px 7px;-moz-border-radius: 7px 7px 7px 7px;-ms-border-radius: 7px 7px 7px 7px;-o-border-radius: 7px 7px 7px 7px;border-radius: 7px 7px 7px 7px;'>\n                \t<div class=\"iphorm-group-title-description-wrap iphorm-clearfix\">\n    \t\t\t                <div class=\"iphorm-group-title\" >Retour Informatie<\/div>\n                                            <\/div>\n                <div class=\"iphorm-group-row iphorm-clearfix iphorm-group-row-2cols\"><div class=\"iphorm-element-wrap iphorm-element-wrap-text iphorm_15_44-element-wrap iphorm-clearfix iphorm-labels-above iphorm-element-required\" >\n    <div class=\"iphorm-element-spacer iphorm-element-spacer-text iphorm_15_44-element-spacer\">\n        <label for=\"iphorm_15_44_69f56e3ba7579\" class=\"iphorm_15_44-outer-label\" >Van:<\/label>        <div class=\"iphorm-input-wrap iphorm-input-wrap-text iphorm_15_44-input-wrap\" >\n            <input class=\"iphorm-element-text  iphorm_15_44\" id=\"iphorm_15_44_69f56e3ba7579\" type=\"text\" name=\"iphorm_15_44\"  value=\"\" style='width: 300px;height: 40px;-webkit-border-radius: 2px;-moz-border-radius: 2px;border-radius: 2px;' \/>\n                    <\/div>\n        <div class=\"iphorm-errors-wrap iphorm-hidden\" >\r\n    <\/div>    <\/div>\n    <\/div><div class=\"iphorm-element-wrap iphorm-element-wrap-text iphorm_15_45-element-wrap iphorm-clearfix iphorm-labels-above iphorm-element-required\" >\n    <div class=\"iphorm-element-spacer iphorm-element-spacer-text iphorm_15_45-element-spacer\">\n        <label for=\"iphorm_15_45_69f56e3ba7579\" class=\"iphorm_15_45-outer-label\" >Naar:<\/label>        <div class=\"iphorm-input-wrap iphorm-input-wrap-text iphorm_15_45-input-wrap\" >\n            <input class=\"iphorm-element-text  iphorm_15_45\" id=\"iphorm_15_45_69f56e3ba7579\" type=\"text\" name=\"iphorm_15_45\"  value=\"\" style='width: 300px;height: 40px;-webkit-border-radius: 2px;-moz-border-radius: 2px;border-radius: 2px;' \/>\n                    <\/div>\n        <div class=\"iphorm-errors-wrap iphorm-hidden\" >\r\n    <\/div>    <\/div>\n    <\/div><\/div><div class=\"iphorm-group-row iphorm-clearfix iphorm-group-row-2cols\"><div class=\"iphorm-element-wrap iphorm-element-wrap-date iphorm_15_9-element-wrap iphorm-clearfix iphorm-labels-above iphorm-element-required\" >\r\n    <div class=\"iphorm-element-spacer iphorm-element-spacer-date iphorm_15_9-element-spacer\">\r\n        <label id=\"iphorm_15_9_69f56e3ba7579_date_label\" class=\"iphorm_15_9-outer-label\" >Retourdag<\/label>        <div id=\"iphorm_15_9_69f56e3ba7579\" class=\"iphorm-input-wrap iphorm-input-wrap-date iphorm_15_9-input-wrap\" >\r\n        \t<div class=\"iphorm-clearfix\">\r\n                <div class=\"iphorm-input-wrap-date-select-wrap\">\r\n                                                                                <label id=\"iphorm_15_9_69f56e3ba7579_day_label\" class=\"iphorm-screen-reader-text\">Dag<\/label>\r\n                    <select id=\"iphorm_15_9_69f56e3ba7579_day\" name=\"iphorm_15_9[day]\" class=\"iphorm_15_9-input-day\" aria-labelledby=\"iphorm_15_9_69f56e3ba7579_date_label iphorm_15_9_69f56e3ba7579_day_label\" style='width: 90px;height: 40px;'>\r\n                        <option value=\"\">Dag<\/option>                                                    <option value=\"1\" >1<\/option>\r\n                                                    <option value=\"2\" >2<\/option>\r\n                                                    <option value=\"3\" >3<\/option>\r\n                                                    <option value=\"4\" >4<\/option>\r\n                                                    <option value=\"5\" >5<\/option>\r\n                                                    <option value=\"6\" >6<\/option>\r\n                                                    <option value=\"7\" >7<\/option>\r\n                                                    <option value=\"8\" >8<\/option>\r\n                                                    <option value=\"9\" >9<\/option>\r\n                                                    <option value=\"10\" >10<\/option>\r\n                                                    <option value=\"11\" >11<\/option>\r\n                                                    <option value=\"12\" >12<\/option>\r\n                                                    <option value=\"13\" >13<\/option>\r\n                                                    <option value=\"14\" >14<\/option>\r\n                                                    <option value=\"15\" >15<\/option>\r\n                                                    <option value=\"16\" >16<\/option>\r\n                                                    <option value=\"17\" >17<\/option>\r\n                                                    <option value=\"18\" >18<\/option>\r\n                                                    <option value=\"19\" >19<\/option>\r\n                                                    <option value=\"20\" >20<\/option>\r\n                                                    <option value=\"21\" >21<\/option>\r\n                                                    <option value=\"22\" >22<\/option>\r\n                                                    <option value=\"23\" >23<\/option>\r\n                                                    <option value=\"24\" >24<\/option>\r\n                                                    <option value=\"25\" >25<\/option>\r\n                                                    <option value=\"26\" >26<\/option>\r\n                                                    <option value=\"27\" >27<\/option>\r\n                                                    <option value=\"28\" >28<\/option>\r\n                                                    <option value=\"29\" >29<\/option>\r\n                                                    <option value=\"30\" >30<\/option>\r\n                                                    <option value=\"31\" >31<\/option>\r\n                                            <\/select>\r\n                                        <label id=\"iphorm_15_9_69f56e3ba7579_month_label\" class=\"iphorm-screen-reader-text\">Maand<\/label>\r\n                    <select id=\"iphorm_15_9_69f56e3ba7579_month\" name=\"iphorm_15_9[month]\" class=\"iphorm_15_9-input-month\" aria-labelledby=\"iphorm_15_9_69f56e3ba7579_date_label iphorm_15_9_69f56e3ba7579_month_label\" style='width: 90px;height: 40px;'>\r\n                        <option value=\"\">Maand<\/option>                                                    <option value=\"1\" >Januari<\/option>\r\n                                                    <option value=\"2\" >Februari<\/option>\r\n                                                    <option value=\"3\" >Maart<\/option>\r\n                                                    <option value=\"4\" >April<\/option>\r\n                                                    <option value=\"5\" >Mei<\/option>\r\n                                                    <option value=\"6\" >Juni<\/option>\r\n                                                    <option value=\"7\" >Juli<\/option>\r\n                                                    <option value=\"8\" >Augustus<\/option>\r\n                                                    <option value=\"9\" >September<\/option>\r\n                                                    <option value=\"10\" >Oktober<\/option>\r\n                                                    <option value=\"11\" >November<\/option>\r\n                                                    <option value=\"12\" >December<\/option>\r\n                                            <\/select>\r\n                                        <label id=\"iphorm_15_9_69f56e3ba7579_year_label\" class=\"iphorm-screen-reader-text\">Jaar<\/label>\r\n                    <select id=\"iphorm_15_9_69f56e3ba7579_year\" name=\"iphorm_15_9[year]\" class=\"iphorm_15_9-input-year\" aria-labelledby=\"iphorm_15_9_69f56e3ba7579_date_label iphorm_15_9_69f56e3ba7579_year_label\" style='width: 90px;height: 40px;'>\r\n                        <option value=\"\">Jaar<\/option>                                                                                    <option value=\"2015\" >2015<\/option>\r\n                                                            <option value=\"2016\" >2016<\/option>\r\n                                                            <option value=\"2017\" >2017<\/option>\r\n                                                            <option value=\"2018\" >2018<\/option>\r\n                                                            <option value=\"2019\" >2019<\/option>\r\n                                                            <option value=\"2020\" >2020<\/option>\r\n                                                                        <\/select>\r\n                <\/div>\r\n                                    <input type=\"hidden\" class=\"iphorm-datepicker\" name=\"iphorm_datepicker_iphorm_15_9_69f56e3ba7579\" value=\"\" \/>\r\n                    <div class=\"iphorm-datepicker-icon\"><\/div>\r\n                    <script type=\"text\/javascript\">\r\n                    jQuery(document).ready(function ($) {\r\n                        iPhorm.instance.addDatepicker('iphorm_15_9_69f56e3ba7579', {\r\n                            minDate: new Date(2015, 1 - 1, 1),\r\n                            maxDate: new Date(2020, 12 - 1, 31)\r\n                        });\r\n                    });\r\n                    <\/script>\r\n                            <\/div>\r\n                    <\/div>\r\n        <div class=\"iphorm-errors-wrap iphorm-hidden\" >\r\n    <\/div>    <\/div>\r\n<\/div><div class=\"iphorm-element-wrap iphorm-element-wrap-time iphorm_15_22-element-wrap iphorm-clearfix iphorm-labels-above iphorm-element-required\" >\n    <div class=\"iphorm-element-spacer iphorm-element-spacer-time iphorm_15_22-element-spacer\">\n        <label id=\"iphorm_15_22_69f56e3ba7579_time_label\" class=\"iphorm_15_22-outer-label\" >Ophaaltijd:<\/label>        <div class=\"iphorm-input-wrap iphorm-input-wrap-date iphorm_15_22-input-wrap\" >\n            <label id=\"iphorm_15_22_69f56e3ba7579_hour_label\" class=\"iphorm-screen-reader-text\">Uur<\/label>\n            <select id=\"iphorm_15_22_69f56e3ba7579_hour\"  name=\"iphorm_15_22[hour]\" class=\"iphorm_15_22-input-hour\" aria-labelledby=\"iphorm_15_22_69f56e3ba7579_time_label iphorm_15_22_69f56e3ba7579_hour_label\" style='width: 148px;height: 40px;'>\n                <option value=\"\">HH<\/option>                                                                                    <option value=\"00\" >00<\/option>\n                                                                    <option value=\"01\" >01<\/option>\n                                                                    <option value=\"02\" >02<\/option>\n                                                                    <option value=\"03\" >03<\/option>\n                                                                    <option value=\"04\" >04<\/option>\n                                                                    <option value=\"05\" >05<\/option>\n                                                                    <option value=\"06\" >06<\/option>\n                                                                    <option value=\"07\" >07<\/option>\n                                                                    <option value=\"08\" >08<\/option>\n                                                                    <option value=\"09\" >09<\/option>\n                                                                    <option value=\"10\" >10<\/option>\n                                                                    <option value=\"11\" >11<\/option>\n                                                                    <option value=\"12\"  selected='selected'>12<\/option>\n                                                                    <option value=\"13\" >13<\/option>\n                                                                    <option value=\"14\" >14<\/option>\n                                                                    <option value=\"15\" >15<\/option>\n                                                                    <option value=\"16\" >16<\/option>\n                                                                    <option value=\"17\" >17<\/option>\n                                                                    <option value=\"18\" >18<\/option>\n                                                                    <option value=\"19\" >19<\/option>\n                                                                    <option value=\"20\" >20<\/option>\n                                                                    <option value=\"21\" >21<\/option>\n                                                                    <option value=\"22\" >22<\/option>\n                                                                    <option value=\"23\" >23<\/option>\n                                                <\/select>\n            <label id=\"iphorm_15_22_69f56e3ba7579_minute_label\" class=\"iphorm-screen-reader-text\">Minuut<\/label>\n            <select id=\"iphorm_15_22_69f56e3ba7579_minute\" name=\"iphorm_15_22[minute]\" class=\"iphorm_15_22-input-minute\" aria-labelledby=\"iphorm_15_22_69f56e3ba7579_time_label iphorm_15_22_69f56e3ba7579_minute_label\" style='width: 148px;height: 40px;'>\n                <option value=\"\">MM<\/option>                                                                                    <option value=\"00\"  selected='selected'>00<\/option>\n                                                                                                        <option value=\"01\" >01<\/option>\n                                                                                                        <option value=\"02\" >02<\/option>\n                                                                                                        <option value=\"03\" >03<\/option>\n                                                                                                        <option value=\"04\" >04<\/option>\n                                                                                                        <option value=\"05\" >05<\/option>\n                                                                                                        <option value=\"06\" >06<\/option>\n                                                                                                        <option value=\"07\" >07<\/option>\n                                                                                                        <option value=\"08\" >08<\/option>\n                                                                                                        <option value=\"09\" >09<\/option>\n                                                                                                        <option value=\"10\" >10<\/option>\n                                                                                                        <option value=\"11\" >11<\/option>\n                                                                                                        <option value=\"12\" >12<\/option>\n                                                                                                        <option value=\"13\" >13<\/option>\n                                                                                                        <option value=\"14\" >14<\/option>\n                                                                                                        <option value=\"15\" >15<\/option>\n                                                                                                        <option value=\"16\" >16<\/option>\n                                                                                                        <option value=\"17\" >17<\/option>\n                                                                                                        <option value=\"18\" >18<\/option>\n                                                                                                        <option value=\"19\" >19<\/option>\n                                                                                                        <option value=\"20\" >20<\/option>\n                                                                                                        <option value=\"21\" >21<\/option>\n                                                                                                        <option value=\"22\" >22<\/option>\n                                                                                                        <option value=\"23\" >23<\/option>\n                                                                                                        <option value=\"24\" >24<\/option>\n                                                                                                        <option value=\"25\" >25<\/option>\n                                                                                                        <option value=\"26\" >26<\/option>\n                                                                                                        <option value=\"27\" >27<\/option>\n                                                                                                        <option value=\"28\" >28<\/option>\n                                                                                                        <option value=\"29\" >29<\/option>\n                                                                                                        <option value=\"30\" >30<\/option>\n                                                                                                        <option value=\"31\" >31<\/option>\n                                                                                                        <option value=\"32\" >32<\/option>\n                                                                                                        <option value=\"33\" >33<\/option>\n                                                                                                        <option value=\"34\" >34<\/option>\n                                                                                                        <option value=\"35\" >35<\/option>\n                                                                                                        <option value=\"36\" >36<\/option>\n                                                                                                        <option value=\"37\" >37<\/option>\n                                                                                                        <option value=\"38\" >38<\/option>\n                                                                                                        <option value=\"39\" >39<\/option>\n                                                                                                        <option value=\"40\" >40<\/option>\n                                                                                                        <option value=\"41\" >41<\/option>\n                                                                                                        <option value=\"42\" >42<\/option>\n                                                                                                        <option value=\"43\" >43<\/option>\n                                                                                                        <option value=\"44\" >44<\/option>\n                                                                                                        <option value=\"45\" >45<\/option>\n                                                                                                        <option value=\"46\" >46<\/option>\n                                                                                                        <option value=\"47\" >47<\/option>\n                                                                                                        <option value=\"48\" >48<\/option>\n                                                                                                        <option value=\"49\" >49<\/option>\n                                                                                                        <option value=\"50\" >50<\/option>\n                                                                                                        <option value=\"51\" >51<\/option>\n                                                                                                        <option value=\"52\" >52<\/option>\n                                                                                                        <option value=\"53\" >53<\/option>\n                                                                                                        <option value=\"54\" >54<\/option>\n                                                                                                        <option value=\"55\" >55<\/option>\n                                                                                                        <option value=\"56\" >56<\/option>\n                                                                                                        <option value=\"57\" >57<\/option>\n                                                                                                        <option value=\"58\" >58<\/option>\n                                                                                                        <option value=\"59\" >59<\/option>\n                                                <\/select>\n                            <input type=\"hidden\" name=\"iphorm_15_22[ampm]\" value=\"\" \/>\n                                <\/div>\n        <div class=\"iphorm-errors-wrap iphorm-hidden\" >\r\n    <\/div>    <\/div>\n<\/div><\/div><div class=\"iphorm-group-row iphorm-clearfix iphorm-group-row-2cols\"><\/div><\/div><\/div><div class=\"iphorm-group-wrap iphorm_15_40-group-wrap iphorm-clearfix iphorm-labels-above iphorm-group-style-plain iphorm-group-alignment-proportional\" >\n    <div class=\"iphorm-group-elements\" style='webkit-border-radius: 7px 7px 7px 7px;-moz-border-radius: 7px 7px 7px 7px;-ms-border-radius: 7px 7px 7px 7px;-o-border-radius: 7px 7px 7px 7px;border-radius: 7px 7px 7px 7px;'>\n                \t<div class=\"iphorm-group-title-description-wrap iphorm-clearfix\">\n    \t\t\t                <div class=\"iphorm-group-title\" >Hoeveel personen?<\/div>\n                                            <\/div>\n                <div class=\"iphorm-group-row iphorm-clearfix iphorm-group-row-1cols\"><div class=\"iphorm-element-wrap iphorm-element-wrap-select iphorm_15_42-element-wrap iphorm-clearfix iphorm-labels-above iphorm-element-required\" >\n    <div class=\"iphorm-element-spacer iphorm-element-spacer-select iphorm_15_42-element-spacer\">\n        <label for=\"iphorm_15_42_69f56e3ba7579\" class=\"iphorm_15_42-outer-label\" >Passagiers:<\/label>        <div class=\"iphorm-input-wrap iphorm-input-wrap-select iphorm_15_42-input-wrap\" >\n            <select class=\"iphorm-element-select  iphorm_15_42\" name=\"iphorm_15_42\" id=\"iphorm_15_42_69f56e3ba7579\"  style='width: 300px;height: 40px;'>\n                                    <option value=\"1\" selected=\"selected\">1<\/option>\n                                    <option value=\"2\" >2<\/option>\n                                    <option value=\"3\" >3<\/option>\n                                    <option value=\"4\" >4<\/option>\n                                    <option value=\"5\" >5<\/option>\n                                    <option value=\"6\" >6<\/option>\n                                    <option value=\"7\" >7<\/option>\n                                    <option value=\"8\" >8<\/option>\n                                    <option value=\"9\" >9<\/option>\n                                    <option value=\"10\" >10<\/option>\n                                    <option value=\"11\" >11<\/option>\n                                    <option value=\"12\" >12<\/option>\n                                    <option value=\"13\" >13<\/option>\n                                    <option value=\"14\" >14<\/option>\n                                    <option value=\"15\" >15<\/option>\n                                    <option value=\"16\" >16<\/option>\n                                    <option value=\"17\" >17<\/option>\n                                    <option value=\"18\" >18<\/option>\n                                    <option value=\"19\" >19<\/option>\n                                    <option value=\"20\" >20<\/option>\n                                    <option value=\"21\" >21<\/option>\n                            <\/select>\n                    <\/div>\n        <div class=\"iphorm-errors-wrap iphorm-hidden\" >\r\n    <\/div>    <\/div>\n<\/div><\/div><div class=\"iphorm-group-row iphorm-clearfix iphorm-group-row-1cols\"><\/div><\/div><\/div><div class=\"iphorm-group-wrap iphorm_15_38-group-wrap iphorm-clearfix iphorm-labels-above iphorm-group-style-plain iphorm-group-alignment-proportional\" >\n    <div class=\"iphorm-group-elements\" style='webkit-border-radius: 7px 7px 7px 7px;-moz-border-radius: 7px 7px 7px 7px;-ms-border-radius: 7px 7px 7px 7px;-o-border-radius: 7px 7px 7px 7px;border-radius: 7px 7px 7px 7px;'>\n                \t<div class=\"iphorm-group-title-description-wrap iphorm-clearfix\">\n    \t\t\t                <div class=\"iphorm-group-title\" >Passagiers informatie<\/div>\n                                            <\/div>\n                <div class=\"iphorm-group-row iphorm-clearfix iphorm-group-row-2cols\"><div class=\"iphorm-element-wrap iphorm-element-wrap-select iphorm_15_27-element-wrap iphorm-clearfix iphorm-labels-above iphorm-element-optional\" >\n    <div class=\"iphorm-element-spacer iphorm-element-spacer-select iphorm_15_27-element-spacer\">\n        <label for=\"iphorm_15_27_69f56e3ba7579\" class=\"iphorm_15_27-outer-label\" >Titel<\/label>        <div class=\"iphorm-input-wrap iphorm-input-wrap-select iphorm_15_27-input-wrap\" >\n            <select class=\"iphorm-element-select  iphorm_15_27\" name=\"iphorm_15_27\" id=\"iphorm_15_27_69f56e3ba7579\"  style='width: 300px;height: 40px;'>\n                                    <option value=\"Mr.\" selected=\"selected\">Mr.<\/option>\n                                    <option value=\"Mrs.\" >Mrs.<\/option>\n                            <\/select>\n                    <\/div>\n        <div class=\"iphorm-errors-wrap iphorm-hidden\" >\r\n    <\/div>    <\/div>\n<\/div><div class=\"iphorm-element-wrap iphorm-element-wrap-text iphorm_15_1-element-wrap iphorm-clearfix iphorm-labels-above iphorm-element-required\" >\n    <div class=\"iphorm-element-spacer iphorm-element-spacer-text iphorm_15_1-element-spacer\">\n        <label for=\"iphorm_15_1_69f56e3ba7579\" class=\"iphorm_15_1-outer-label\" >Achternaam:<\/label>        <div class=\"iphorm-input-wrap iphorm-input-wrap-text iphorm_15_1-input-wrap\" >\n            <input class=\"iphorm-element-text  iphorm_15_1\" id=\"iphorm_15_1_69f56e3ba7579\" type=\"text\" name=\"iphorm_15_1\"  value=\"\" style='width: 300px;height: 40px;-webkit-border-radius: 2px;-moz-border-radius: 2px;border-radius: 2px;' \/>\n                    <\/div>\n        <div class=\"iphorm-errors-wrap iphorm-hidden\" >\r\n    <\/div>    <\/div>\n    <\/div><\/div><div class=\"iphorm-group-row iphorm-clearfix iphorm-group-row-2cols\"><div class=\"iphorm-element-wrap iphorm-element-wrap-text iphorm_15_2-element-wrap iphorm-clearfix iphorm-labels-above iphorm-element-required\" >\n    <div class=\"iphorm-element-spacer iphorm-element-spacer-text iphorm_15_2-element-spacer\">\n        <label for=\"iphorm_15_2_69f56e3ba7579\" class=\"iphorm_15_2-outer-label\" >Voornaam:<\/label>        <div class=\"iphorm-input-wrap iphorm-input-wrap-text iphorm_15_2-input-wrap\" >\n            <input class=\"iphorm-element-text  iphorm_15_2\" id=\"iphorm_15_2_69f56e3ba7579\" type=\"text\" name=\"iphorm_15_2\"  value=\"\" style='width: 300px;height: 40px;-webkit-border-radius: 2px;-moz-border-radius: 2px;border-radius: 2px;' \/>\n                    <\/div>\n        <div class=\"iphorm-errors-wrap iphorm-hidden\" >\r\n    <\/div>    <\/div>\n    <\/div><div class=\"iphorm-element-wrap iphorm-element-wrap-text iphorm_15_30-element-wrap iphorm-clearfix iphorm-labels-above iphorm-element-required\" >\n    <div class=\"iphorm-element-spacer iphorm-element-spacer-text iphorm_15_30-element-spacer\">\n        <label for=\"iphorm_15_30_69f56e3ba7579\" class=\"iphorm_15_30-outer-label\" >E-Mail:<\/label>        <div class=\"iphorm-input-wrap iphorm-input-wrap-text iphorm_15_30-input-wrap\" >\n            <input class=\"iphorm-element-text  iphorm_15_30\" id=\"iphorm_15_30_69f56e3ba7579\" type=\"email\" name=\"iphorm_15_30\"  value=\"\" style='width: 300px;height: 40px;-webkit-border-radius: 2px;-moz-border-radius: 2px;border-radius: 2px;' \/>\n                    <\/div>\n        <div class=\"iphorm-errors-wrap iphorm-hidden\" >\r\n    <\/div>    <\/div>\n    <\/div><\/div><div class=\"iphorm-group-row iphorm-clearfix iphorm-group-row-2cols\"><div class=\"iphorm-element-wrap iphorm-element-wrap-select iphorm_15_49-element-wrap iphorm-clearfix iphorm-labels-above iphorm-element-required\" >\n    <div class=\"iphorm-element-spacer iphorm-element-spacer-select iphorm_15_49-element-spacer\">\n        <label for=\"iphorm_15_49_69f56e3ba7579\" class=\"iphorm_15_49-outer-label\" >Land:<\/label>        <div class=\"iphorm-input-wrap iphorm-input-wrap-select iphorm_15_49-input-wrap\" >\n            <select class=\"iphorm-element-select  iphorm_15_49\" name=\"iphorm_15_49\" id=\"iphorm_15_49_69f56e3ba7579\"  style='width: 300px;height: 40px;'>\n                                    <option value=\"Nederland\" >Nederland<\/option>\n                                    <option value=\"Belgie\" >Belgie<\/option>\n                                    <option value=\"Duitsland\" >Duitsland<\/option>\n                            <\/select>\n                    <\/div>\n        <div class=\"iphorm-errors-wrap iphorm-hidden\" >\r\n    <\/div>    <\/div>\n<\/div><div class=\"iphorm-element-wrap iphorm-element-wrap-text iphorm_15_32-element-wrap iphorm-clearfix iphorm-labels-above iphorm-element-required\" >\n    <div class=\"iphorm-element-spacer iphorm-element-spacer-text iphorm_15_32-element-spacer\">\n        <label for=\"iphorm_15_32_69f56e3ba7579\" class=\"iphorm_15_32-outer-label\" >Telefoonnummer:<\/label>        <div class=\"iphorm-input-wrap iphorm-input-wrap-text iphorm_15_32-input-wrap\" >\n            <input class=\"iphorm-element-text  iphorm_15_32\" id=\"iphorm_15_32_69f56e3ba7579\" type=\"text\" name=\"iphorm_15_32\"  value=\"\" style='width: 300px;height: 40px;-webkit-border-radius: 2px;-moz-border-radius: 2px;border-radius: 2px;' \/>\n                    <\/div>\n        <div class=\"iphorm-errors-wrap iphorm-hidden\" >\r\n    <\/div>    <\/div>\n    <\/div><\/div><div class=\"iphorm-group-row iphorm-clearfix iphorm-group-row-2cols\"><\/div><\/div><\/div><div class=\"iphorm-group-wrap iphorm_15_46-group-wrap iphorm-clearfix iphorm-labels-above iphorm-group-style-plain iphorm-group-alignment-proportional\" >\n    <div class=\"iphorm-group-elements\" style='webkit-border-radius: 7px 7px 7px 7px;-moz-border-radius: 7px 7px 7px 7px;-ms-border-radius: 7px 7px 7px 7px;-o-border-radius: 7px 7px 7px 7px;border-radius: 7px 7px 7px 7px;'>\n                \t<div class=\"iphorm-group-title-description-wrap iphorm-clearfix\">\n    \t\t\t                <div class=\"iphorm-group-title\" >Speciale verzoeken?<\/div>\n                                            <\/div>\n                <div class=\"iphorm-group-row iphorm-clearfix iphorm-group-row-1cols\"><div class=\"iphorm-element-wrap iphorm-element-wrap-textarea iphorm_15_43-element-wrap iphorm-clearfix iphorm-labels-above iphorm-element-optional\" >\n    <div class=\"iphorm-element-spacer iphorm-element-spacer-textarea iphorm_15_43-element-spacer\">\n        <label for=\"iphorm_15_43_69f56e3ba7579\" class=\"iphorm_15_43-outer-label\" >Bericht:<\/label>        <div class=\"iphorm-input-wrap iphorm-input-wrap-textarea iphorm_15_43-input-wrap\" >\n            <textarea class=\"iphorm-element-textarea  iphorm_15_43\" id=\"iphorm_15_43_69f56e3ba7579\" name=\"iphorm_15_43\"  style='width: 650px;-webkit-border-radius: 2px;-moz-border-radius: 2px;border-radius: 2px;' rows=\"5\" cols=\"25\"><\/textarea>\n                    <\/div>\n        <div class=\"iphorm-errors-wrap iphorm-hidden\" >\r\n    <\/div>    <\/div>\n    <\/div><\/div><div class=\"iphorm-group-row iphorm-clearfix iphorm-group-row-1cols\"><\/div><\/div><\/div><div class=\"iphorm-hidden\">\n    <label>Dit veld moet leeg blijven<input type=\"text\" name=\"iphorm_15_0\" \/><\/label>\n<\/div>                <div class=\"iphorm-submit-wrap iphorm-submit-wrap-15 iphorm-clearfix\" >\n                    <div class=\"iphorm-submit-input-wrap iphorm-submit-input-wrap-15\" >\n                        <button class=\"iphorm-submit-element\" type=\"submit\" name=\"iphorm_submit\" style='background: rgb(28, 186, 200);-webkit-border-radius: 10px;-moz-border-radius: 10px;border-radius: 10px;'><span style='background: rgb(28, 186, 200);display: block;line-height: 50px;margin: 0px;color: rgb(255, 255, 255);cursor: pointer;'><em style='background: rgb(28, 186, 200);display: block;line-height: 50px;margin: 0px;color: rgb(255, 255, 255);cursor: pointer;'>Verzend<\/em><\/span><\/button>\n                    <\/div>\n                    <div class=\"iphorm-loading-wrap\"><span class=\"iphorm-loading\">Een moment geduld aub.<\/span><\/div>\n                <\/div>\n            <\/div>\n                                            <\/div>\n            <\/form>\n    <script type=\"text\/javascript\">\n    jQuery('#iphorm-outer-69f56e3ba7579 script').remove();\n    <\/script>\n<\/div>\n<p>&nbsp;<\/p>\n<p>[\/vc_column_text][\/vc_column][\/vc_row]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>[vc_row top_padding=&#8221;20&#8243; bottom_padding=&#8221;20&#8243;][vc_column width=&#8221;1\/2&#8243;][\/vc_column][vc_column width=&#8221;1\/2&#8243;][vc_column_text] &nbsp; [\/vc_column_text][\/vc_column][\/vc_row]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"_links":{"self":[{"href":"https:\/\/www.holiday-taxi.at\/nl\/wp-json\/wp\/v2\/pages\/16156\/"}],"collection":[{"href":"https:\/\/www.holiday-taxi.at\/nl\/wp-json\/wp\/v2\/pages\/"}],"about":[{"href":"https:\/\/www.holiday-taxi.at\/nl\/wp-json\/wp\/v2\/types\/page\/"}],"author":[{"embeddable":true,"href":"https:\/\/www.holiday-taxi.at\/nl\/wp-json\/wp\/v2\/users\/1\/"}],"replies":[{"embeddable":true,"href":"https:\/\/www.holiday-taxi.at\/nl\/wp-json\/wp\/v2\/comments\/?post=16156"}],"version-history":[{"count":0,"href":"https:\/\/www.holiday-taxi.at\/nl\/wp-json\/wp\/v2\/pages\/16156\/revisions\/"}],"wp:attachment":[{"href":"https:\/\/www.holiday-taxi.at\/nl\/wp-json\/wp\/v2\/media\/?parent=16156"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}