{"id":119,"date":"2016-01-17T19:51:33","date_gmt":"2016-01-17T19:51:33","guid":{"rendered":"http:\/\/volvobertone.com\/wordpress\/?page_id=119"},"modified":"2016-07-12T20:40:07","modified_gmt":"2016-07-12T20:40:07","slug":"registratieformulier-264ne","status":"publish","type":"page","link":"https:\/\/volvobertone.com\/wordpress\/formulierenpagina-ne\/registratieformulier-264ne\/","title":{"rendered":"Formulier 264TE"},"content":{"rendered":"<div id=\"pl-119\"  class=\"panel-layout\" ><div id=\"pg-119-0\"  class=\"panel-grid panel-has-style\" ><div style=\"padding: 100px 0; \" data-overlay=\"true\" class=\"panel-row-style panel-row-style-for-119-0\" ><div id=\"pgc-119-0-0\"  class=\"panel-grid-cell\" ><div id=\"panel-119-0-0-0\" class=\"so-panel widget_black-studio-tinymce widget_black_studio_tinymce panel-first-child panel-last-child\" data-index=\"0\" ><div class=\"textwidget\"><p>\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f63-o1\" lang=\"nl-NL\" dir=\"ltr\" data-wpcf7-id=\"63\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/wordpress\/wp-json\/wp\/v2\/pages\/119#wpcf7-f63-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contactformulier\" enctype=\"multipart\/form-data\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"63\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.5\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"nl_NL\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f63-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/><input type=\"hidden\" name=\"_wpcf7_recaptcha_response\" value=\"\" \/>\n<\/fieldset>\n<p><B>Uw naam (verplicht)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-name\" \/><\/span> <\/b>\n<\/p>\n<p><B>Uw e-mail (verplicht)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"your-email\" \/><\/span> <\/b>\n<\/p>\n<p><B>Stad<\/b>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-city\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-city\" \/><\/span>\n<\/p>\n<p><B>Land<\/b>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"menu-713\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"menu-713\"><option value=\"Nederland\">Nederland<\/option><option value=\"Belgie\">Belgie<\/option><\/select><\/span>\n<\/p>\n<p><B>Motor type<\/b><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-engine\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"your-engine[]\" value=\"B27E\" \/><span class=\"wpcf7-list-item-label\">B27E<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"your-engine[]\" value=\"B27F\" \/><span class=\"wpcf7-list-item-label\">B27F<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"your-engine[]\" value=\"B28E\" \/><span class=\"wpcf7-list-item-label\">B28E<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"your-engine[]\" value=\"B28F\" \/><span class=\"wpcf7-list-item-label\">B28F<\/span><\/span><\/span><\/span><br \/>\nindien een andere motor geplaatst &nbsp; &nbsp;<span class=\"wpcf7-form-control-wrap\" data-name=\"text-625\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-625\" \/><\/span>\n<\/p>\n<p><B>Versnellingsbak<\/b><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-transmission\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"your-transmission[]\" value=\"Automatisch\" \/><span class=\"wpcf7-list-item-label\">Automatisch<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"your-transmission[]\" value=\"4 met hand schakelaar Overdrive\" \/><span class=\"wpcf7-list-item-label\">4 met hand schakelaar Overdrive<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"your-transmission[]\" value=\"4 met Puls-Elektisch Overdrive\" \/><span class=\"wpcf7-list-item-label\">4 met Puls-Elektisch Overdrive<\/span><\/span><\/span><\/span><br \/>\nIndien een andere versnellingsbak geplaatst &nbsp; &nbsp;<span class=\"wpcf7-form-control-wrap\" data-name=\"text-737\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-737\" \/><\/span>\n<\/p>\n<p><B>Jaar<\/b><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-year\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"your-year[]\" value=\"1976\" \/><span class=\"wpcf7-list-item-label\">1976<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"your-year[]\" value=\"1977\" \/><span class=\"wpcf7-list-item-label\">1977<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"your-year[]\" value=\"1978\" \/><span class=\"wpcf7-list-item-label\">1978<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"your-year[]\" value=\"1979\" \/><span class=\"wpcf7-list-item-label\">1979<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"your-year[]\" value=\"1980\" \/><span class=\"wpcf7-list-item-label\">1980<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"your-year[]\" value=\"1981\" \/><span class=\"wpcf7-list-item-label\">1981<\/span><\/span><\/span><\/span>\n<\/p>\n<p><B>Bertone Chassisnummer voor 1980: voorbeeld: *2646..00....*<\/b><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"text-262\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-262\" \/><\/span>\n<\/p>\n<p><B>Bertone Chassisnummer na 1980: voorbeeld: YV1264...B11.....<\/b><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"text-78\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-78\" \/><\/span>\n<\/p>\n<p><B>Mijlen \/ Kilometers<\/b><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-M-K\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"your-M-K[]\" value=\"Mijlen\" \/><span class=\"wpcf7-list-item-label\">Mijlen<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"your-M-K[]\" value=\"Kilometers\" \/><span class=\"wpcf7-list-item-label\">Kilometers<\/span><\/span><\/span><\/span>\n<\/p>\n<p><B>Afstand <\/b><B\/><br \/>\n<\/b><B><span class=\"wpcf7-form-control-wrap\" data-name=\"your-rate\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-rate\" \/><\/span> <\/b>\n<\/p>\n<p>Foto 1 toevoegen\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"file-971\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file\" accept=\".doc,.docx,.pdf,.jpg,.gif,.zip,.rar\" aria-invalid=\"false\" type=\"file\" name=\"file-971\" \/><\/span>\n<\/p>\n<p>Foto 2 toevoegen\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"file-747\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file\" accept=\".doc,.docx,.pdf,.jpg,.gif,.zip,.rar\" aria-invalid=\"false\" type=\"file\" name=\"file-747\" \/><\/span>\n<\/p>\n<p>Foto 3 toevoegen\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"file-350\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file\" accept=\".doc,.docx,.pdf,.jpg,.gif,.zip,.rar\" aria-invalid=\"false\" type=\"file\" name=\"file-350\" \/><\/span>\n<\/p>\n<p>Foto 4 toevoegen\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"file-572\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file\" accept=\".doc,.docx,.pdf,.jpg,.gif,.zip,.rar\" aria-invalid=\"false\" type=\"file\" name=\"file-572\" \/><\/span>\n<\/p>\n<p>Foto 5 toevoegen\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"file-260\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file\" accept=\".doc,.docx,.pdf,.jpg,.gif,.zip,.rar\" aria-invalid=\"false\" type=\"file\" name=\"file-260\" \/><\/span>\n<\/p>\n<p><B>Foto's worden geplaatst zonder kenteken info.<\/b>\n<\/p>\n<p>Kleur van de auto\n<\/p>\n<table>\n\t<tr>\n\t\t<th>\n\t\t\t<p>&nbsp; &nbsp;Zwart 019\n\t\t\t<\/p>\n\t\t<\/th>\n\t\t<th>\n\t\t\t<p><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/volvobertone.com\/images\/black.jpg\" width=\"78\" height=\"94\" \/>\n\t\t\t<\/p>\n\t\t<\/th>\n\t\t<th>\n\t\t\t<p>&nbsp; &nbsp;Wit 189\n\t\t\t<\/p>\n\t\t<\/th>\n\t\t<td>\n\t\t\t<p><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/volvobertone.com\/images\/white.gif\" width=\"78\" height=\"94\" \/>\n\t\t\t<\/p>\n\t\t<\/td>\n\t\t<td>\n\t\t\t<p>&nbsp; &nbsp;Donkerblauw 121\n\t\t\t<\/p>\n\t\t<\/td>\n\t\t<td>\n\t\t\t<p><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/volvobertone.com\/images\/blue2.gif\" width=\"95\" height=\"89\" \/>\n\t\t\t<\/p>\n\t\t<\/td>\n\t\t<td>\n\t\t\t<p>&nbsp; &nbsp;Zilver 130\n\t\t\t<\/p>\n\t\t<\/td>\n\t\t<td>\n\t\t\t<p><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/volvobertone.com\/images\/silver.gif\" width=\"95\" height=\"89\" \/>\n\t\t\t<\/p>\n\t\t<\/td>\n\t<\/tr>\n<\/table>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"menu-512\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"menu-512\"><option value=\"\">&#8212;Kies een optie&#8212;<\/option><option value=\"Zwart 019\">Zwart 019<\/option><option value=\"Wit 189\">Wit 189<\/option><option value=\"Donkerblauw 121\">Donkerblauw 121<\/option><option value=\"Zilver 130\">Zilver 130<\/option><\/select><\/span> &nbsp; &nbsp; Andere kleur &nbsp; &nbsp; <span class=\"wpcf7-form-control-wrap\" data-name=\"text-889\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-889\" \/><\/span>\n<\/p>\n<p>Kleur van het pluche interieur\n<\/p>\n<table>\n\t<tr>\n\t\t<th>\n\t\t\t<p>&nbsp; &nbsp;Grijs 4691\n\t\t\t<\/p>\n\t\t<\/th>\n\t\t<th>\n\t\t\t<p><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/volvobertone.com\/images\/2e264.jpg\" width=\"308\" height=\"159\" \/>\n\t\t\t<\/p>\n\t\t<\/th>\n\t\t<th>\n\t\t\t<p>&nbsp; &nbsp;Blauw 4693\n\t\t\t<\/p>\n\t\t<\/th>\n\t\t<td>\n\t\t\t<p>Geen foto beschikbaar\n\t\t\t<\/p>\n\t\t<\/td>\n\t<\/tr>\n<\/table>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"menu-108\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"menu-108\"><option value=\"\">&#8212;Kies een optie&#8212;<\/option><option value=\"Grijs 4691\">Grijs 4691<\/option><option value=\"Blauw 4693\">Blauw 4693<\/option><\/select><\/span> &nbsp; &nbsp; Indien andere kleur interieur &nbsp; &nbsp; <span class=\"wpcf7-form-control-wrap\" data-name=\"text-484\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-484\" \/><\/span>\n<\/p>\n<p>Uw Informatie cq opmerkingen\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-message\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"your-message\"><\/textarea><\/span>\n<\/p>\n<p><script src='https:\/\/www.google.com\/recaptcha\/api.js'><\/script>\n<\/p>\n<div class=\"g-recaptcha\" data-sitekey=\"6LcFTccUAAAAAJt629cT_IXB1Qp9DhPwTv1oW4Dk\">\n<\/div>\n<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Verzenden\" \/>\n<\/p><p style=\"display: none !important;\" class=\"akismet-fields-container\" data-prefix=\"_wpcf7_ak_\"><label>&#916;<textarea name=\"_wpcf7_ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label><input type=\"hidden\" id=\"ak_js_1\" name=\"_wpcf7_ak_js\" value=\"37\"\/><script>document.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );<\/script><\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n<\/p>\n<\/div><\/div><\/div><\/div><\/div><\/div>","protected":false},"excerpt":{"rendered":"<p>Uw naam (verplicht) Uw e-mail (verplicht) Stad Land NederlandBelgie Motor type B27EB27FB28EB28F indien een andere motor geplaatst &nbsp; &nbsp; Versnellingsbak [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":201,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page-templates\/page_fullwidth.php","meta":{"footnotes":""},"class_list":["post-119","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/volvobertone.com\/wordpress\/wp-json\/wp\/v2\/pages\/119","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/volvobertone.com\/wordpress\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/volvobertone.com\/wordpress\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/volvobertone.com\/wordpress\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/volvobertone.com\/wordpress\/wp-json\/wp\/v2\/comments?post=119"}],"version-history":[{"count":7,"href":"https:\/\/volvobertone.com\/wordpress\/wp-json\/wp\/v2\/pages\/119\/revisions"}],"predecessor-version":[{"id":144,"href":"https:\/\/volvobertone.com\/wordpress\/wp-json\/wp\/v2\/pages\/119\/revisions\/144"}],"up":[{"embeddable":true,"href":"https:\/\/volvobertone.com\/wordpress\/wp-json\/wp\/v2\/pages\/201"}],"wp:attachment":[{"href":"https:\/\/volvobertone.com\/wordpress\/wp-json\/wp\/v2\/media?parent=119"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}