{"id":1091,"date":"2019-02-26T15:14:09","date_gmt":"2019-02-26T15:14:09","guid":{"rendered":"https:\/\/www.domeassistance.be\/klant-worden\/"},"modified":"2020-10-22T08:18:33","modified_gmt":"2020-10-22T08:18:33","slug":"devenez-client","status":"publish","type":"page","link":"https:\/\/www.domeassistance.be\/fr\/devenez-client\/","title":{"rendered":"Devenez client"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"1091\" class=\"elementor elementor-1091 elementor-160\" data-elementor-settings=\"[]\">\n\t\t\t<div class=\"elementor-inner\">\n\t\t\t\t<div class=\"elementor-section-wrap\">\n\t\t\t\t\t\t\t<section class=\"elementor-element elementor-element-f5c0d09 elementor-section-boxed elementor-section-height-default elementor-section-height-default elementor-section elementor-top-section\" data-id=\"f5c0d09\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;gradient&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t<div class=\"elementor-row\">\n\t\t\t\t<div class=\"elementor-element elementor-element-5e936c5 elementor-column elementor-col-100 elementor-top-column\" data-id=\"5e936c5\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-column-wrap  elementor-element-populated\">\n\t\t\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t<div class=\"elementor-element elementor-element-33cad53 elementor-widget elementor-widget-heading\" data-id=\"33cad53\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Demander une aide-m\u00e9nag\u00e8re<\/h1>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-element elementor-element-cbef5e2 elementor-section-boxed elementor-section-height-default elementor-section-height-default elementor-section elementor-inner-section\" data-id=\"cbef5e2\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t<div class=\"elementor-row\">\n\t\t\t\t<div class=\"elementor-element elementor-element-acf57b4 elementor-column elementor-col-50 elementor-inner-column\" data-id=\"acf57b4\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-column-wrap  elementor-element-populated\">\n\t\t\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t<div class=\"elementor-element elementor-element-349e4a4 elementor-widget elementor-widget-text-editor\" data-id=\"349e4a4\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-text-editor elementor-clearfix\"><p>Si vous souhaitez utiliser nos services, veuillez prendre un moment pour soumettre une candidature en utilisant le formulaire ci-dessous. Ensuite, nous rechercherons l&rsquo;aide au nettoyage appropri\u00e9e pour vous \u00e0 la maison ou au bureau.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2748f38 elementor-column elementor-col-50 elementor-inner-column\" data-id=\"2748f38\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-column-wrap  elementor-element-populated\">\n\t\t\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t<div class=\"elementor-element elementor-element-840e0cf elementor-widget elementor-widget-image\" data-id=\"840e0cf\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-image\">\n\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"200\" src=\"https:\/\/www.domeassistance.be\/wp-content\/uploads\/2019\/04\/wasspelden-300x200.jpg\" class=\"attachment-medium size-medium\" alt=\"Wasspelden\" srcset=\"https:\/\/www.domeassistance.be\/wp-content\/uploads\/2019\/04\/wasspelden-300x200.jpg 300w, https:\/\/www.domeassistance.be\/wp-content\/uploads\/2019\/04\/wasspelden-768x512.jpg 768w, https:\/\/www.domeassistance.be\/wp-content\/uploads\/2019\/04\/wasspelden.jpg 1000w\" sizes=\"auto, (max-width: 34.9rem) calc(100vw - 2rem), (max-width: 53rem) calc(8 * (100vw \/ 12)), (min-width: 53rem) calc(6 * (100vw \/ 12)), 100vw\" \/>\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-element elementor-element-36323b2 elementor-section-boxed elementor-section-height-default elementor-section-height-default elementor-section elementor-top-section\" data-id=\"36323b2\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t<div class=\"elementor-row\">\n\t\t\t\t<div class=\"elementor-element elementor-element-09cdf1c elementor-column elementor-col-66 elementor-top-column\" data-id=\"09cdf1c\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-column-wrap  elementor-element-populated\">\n\t\t\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t<div class=\"elementor-element elementor-element-284b80e elementor-widget elementor-widget-shortcode\" data-id=\"284b80e\" data-element_type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-shortcode\"><div role=\"form\" class=\"wpcf7\" id=\"wpcf7-f1122-o1\" lang=\"en-US\" dir=\"ltr\">\n<div class=\"screen-reader-response\"><\/div>\n<form action=\"\/fr\/wp-json\/wp\/v2\/pages\/1091#wpcf7-f1122-o1\" method=\"post\" class=\"wpcf7-form\" novalidate=\"novalidate\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"1122\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"5.1.4\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f1122-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"_wpcf7cf_hidden_group_fields\" value=\"\" \/>\n<input type=\"hidden\" name=\"_wpcf7cf_hidden_groups\" value=\"\" \/>\n<input type=\"hidden\" name=\"_wpcf7cf_visible_groups\" value=\"\" \/>\n<input type=\"hidden\" name=\"_wpcf7cf_options\" value=\"{&quot;form_id&quot;:1122,&quot;conditions&quot;:[{&quot;then_field&quot;:&quot;Company-more-information-checked&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;more-information&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;Ik wil nog meer informatie doorgeven.&quot;},{&quot;if_field&quot;:&quot;onderneming&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;Bedrijf&quot;}]},{&quot;then_field&quot;:&quot;Company-billing-address-same-checked&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;company-billing-address-same&quot;,&quot;operator&quot;:&quot;not equals&quot;,&quot;if_value&quot;:&quot;Zelfde als leveringsadres&quot;}]},{&quot;then_field&quot;:&quot;Company-no-preference-time-checked&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;company-no-preference-time&quot;,&quot;operator&quot;:&quot;not equals&quot;,&quot;if_value&quot;:&quot;Geen voorkeur&quot;}]},{&quot;then_field&quot;:&quot;Private-more-information-checked&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;more-information&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;Ik wil nog meer informatie doorgeven.&quot;},{&quot;if_field&quot;:&quot;onderneming&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;Particulier&quot;}]},{&quot;then_field&quot;:&quot;private-registration-by-dome-checked-yes&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;private-registration-by-dome&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;Ja&quot;}]},{&quot;then_field&quot;:&quot;private-registration-by-dome-checked-no&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;private-registration-by-dome&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;Nee&quot;}]},{&quot;then_field&quot;:&quot;private-no-preference-time-checked&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;private-no-preference-time&quot;,&quot;operator&quot;:&quot;not equals&quot;,&quot;if_value&quot;:&quot;Geen voorkeur&quot;}]},{&quot;then_field&quot;:&quot;Company-information&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;onderneming&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;Bedrijf&quot;}]},{&quot;then_field&quot;:&quot;private-frequency-weekly&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;private-frequentie&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;Wekelijks&quot;}]},{&quot;then_field&quot;:&quot;private-frequency-two-weekly&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;private-frequentie&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;2-wekelijks&quot;}]}],&quot;settings&quot;:{&quot;animation&quot;:&quot;yes&quot;,&quot;animation_intime&quot;:200,&quot;animation_outtime&quot;:200,&quot;notice_dismissed&quot;:false}}\" \/>\n<input type=\"hidden\" name=\"g-recaptcha-response\" value=\"\" \/>\n<\/div>\n<h3>Vos coordinn\u00e9es<\/h3>\n<p><label> Je suis un ... <span class=\"required\">*<\/span><br \/>\n    <span class=\"wpcf7-form-control-wrap onderneming\"><select name=\"onderneming\" class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\"><option value=\"Priv\u00e9\">Priv\u00e9<\/option><option value=\"Bedrijf\">Bedrijf<\/option><\/select><\/span> <\/label><\/p>\n<div data-id=\"Company-information\" data-orig_id=\"Company-information\" data-clear_on_hide data-class=\"wpcf7cf_group\">\n\t<label>Naam van uw bedrijf<span class=\"required\">*<\/span><br \/>\n\t\t<span class=\"wpcf7-form-control-wrap company-name\"><input type=\"text\" name=\"company-name\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><br \/>\n\t<label>Ondernemingsnummer<span class=\"required\">*<\/span><br \/>\n\t\t<span class=\"wpcf7-form-control-wrap company-number\"><input type=\"text\" name=\"company-number\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label>\n<\/div>\n<p><label>Nom complet <span class=\"required\">*<\/span><\/label><\/p>\n<div class=\"elementor-row multi-input-row\">\n<div class=\"elementor-column elementor-col-50\">\n\t\t<span class=\"wpcf7-form-control-wrap first-name\"><input type=\"text\" name=\"first-name\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Pr\u00e9nom\" \/><\/span>\n\t<\/div>\n<div class=\"elementor-column elementor-col-50\">\n\t\t<span class=\"wpcf7-form-control-wrap last-name\"><input type=\"text\" name=\"last-name\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required last-input\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Nom de famille\" \/><\/span>\n\t<\/div>\n<\/div>\n<p><label>Code postal & ville <span class=\"required\">*<\/span><\/label><\/p>\n<div class=\"elementor-row multi-input-row\">\n<div class=\"elementor-column elementor-col-50\">\n\t\t<span class=\"wpcf7-form-control-wrap zipcode\"><input type=\"text\" name=\"zipcode\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Code postal\" \/><\/span>\n\t<\/div>\n<div class=\"elementor-column elementor-col-50\">\n\t\t<span class=\"wpcf7-form-control-wrap city\"><input type=\"text\" name=\"city\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required last-input\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Ville\" \/><\/span>\n\t<\/div>\n<\/div>\n<p><label>Adresse \u00e9lectronique <span class=\"required\">*<\/span><br \/>\n    <span class=\"wpcf7-form-control-wrap email\"><input type=\"email\" name=\"email\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-email wpcf7-validates-as-required wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label>Num\u00e9ro de t\u00e9l\u00e9phone <span class=\"required\">*<\/span><br \/>\n    <span class=\"wpcf7-form-control-wrap phone\"><input type=\"tel\" name=\"phone\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-tel wpcf7-validates-as-required wpcf7-validates-as-tel\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><span class=\"wpcf7-form-control-wrap more-information\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"more-information\" value=\"Je veux transmettre plus d&#039;informations.\" \/><span class=\"wpcf7-list-item-label\">Je veux transmettre plus d&#039;informations.<\/span><\/label><\/span><\/span><\/span><\/p>\n<div data-id=\"Private-more-information-checked\" data-orig_id=\"Private-more-information-checked\" data-clear_on_hide data-class=\"wpcf7cf_group\">\n\t<label>Adres<\/label><\/p>\n<div class=\"elementor-row multi-input-row\">\n<div class=\"elementor-column elementor-col-50\">\n\t\t\t<span class=\"wpcf7-form-control-wrap private-street-name\"><input type=\"text\" name=\"private-street-name\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Straat\" \/><\/span>\n\t\t<\/div>\n<div class=\"elementor-column elementor-col-50\">\n\t\t\t<span class=\"wpcf7-form-control-wrap private-street-number\"><input type=\"text\" name=\"private-street-number\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text last-input\" aria-invalid=\"false\" placeholder=\"Nummer\" \/><\/span>\n\t\t<\/div>\n<\/p><\/div>\n<p>\t<label>Land<br \/>\n\t\t<span class=\"wpcf7-form-control-wrap private-country\"><select name=\"private-country\" class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\"><option value=\"Belgium\">Belgium<\/option><option value=\"Aruba\">Aruba<\/option><option value=\"Afghanistan\">Afghanistan<\/option><option value=\"Angola\">Angola<\/option><option value=\"Albania\">Albania<\/option><option value=\"Andorra\">Andorra<\/option><option value=\"United Arab Emirates\">United Arab Emirates<\/option><option value=\"Argentina\">Argentina<\/option><option value=\"Armenia\">Armenia<\/option><option value=\"American Samoa\">American Samoa<\/option><option value=\"Antigua and Barbuda\">Antigua and Barbuda<\/option><option value=\"Australia\">Australia<\/option><option value=\"Austria\">Austria<\/option><option value=\"Azerbaijan\">Azerbaijan<\/option><option value=\"Burundi\">Burundi<\/option><option value=\"Belgium\">Belgium<\/option><option value=\"Benin\">Benin<\/option><option value=\"Burkina Faso\">Burkina Faso<\/option><option value=\"Bangladesh\">Bangladesh<\/option><option value=\"Bulgaria\">Bulgaria<\/option><option value=\"Bahrain\">Bahrain<\/option><option value=\"Bahamas\">Bahamas<\/option><option value=\"Bosnia and Herzegovina\">Bosnia and Herzegovina<\/option><option value=\"Belarus\">Belarus<\/option><option value=\"Belize\">Belize<\/option><option value=\"Bermuda\">Bermuda<\/option><option value=\"Bolivia, Plurinational State of\">Bolivia, Plurinational State of<\/option><option value=\"Brazil\">Brazil<\/option><option value=\"Barbados\">Barbados<\/option><option value=\"Brunei Darussalam\">Brunei Darussalam<\/option><option value=\"Bhutan\">Bhutan<\/option><option value=\"Botswana\">Botswana<\/option><option value=\"Central African Republic\">Central African Republic<\/option><option value=\"Canada\">Canada<\/option><option value=\"Switzerland\">Switzerland<\/option><option value=\"Chile\">Chile<\/option><option value=\"China\">China<\/option><option value=\"C\u00f4te d&#039;Ivoire\">C\u00f4te d&#039;Ivoire<\/option><option value=\"Cameroon\">Cameroon<\/option><option value=\"Congo, the Democratic Republic of the\">Congo, the Democratic Republic of the<\/option><option value=\"Congo\">Congo<\/option><option value=\"Cook Islands\">Cook Islands<\/option><option value=\"Colombia\">Colombia<\/option><option value=\"Comoros\">Comoros<\/option><option value=\"Cape Verde\">Cape Verde<\/option><option value=\"Costa Rica\">Costa Rica<\/option><option value=\"Cuba\">Cuba<\/option><option value=\"Cayman Islands\">Cayman Islands<\/option><option value=\"Cyprus\">Cyprus<\/option><option value=\"Czech Republic\">Czech Republic<\/option><option value=\"Germany\">Germany<\/option><option value=\"Djibouti\">Djibouti<\/option><option value=\"Dominica\">Dominica<\/option><option value=\"Denmark\">Denmark<\/option><option value=\"Dominican Republic\">Dominican Republic<\/option><option value=\"Algeria\">Algeria<\/option><option value=\"Ecuador\">Ecuador<\/option><option value=\"Egypt\">Egypt<\/option><option value=\"Eritrea\">Eritrea<\/option><option value=\"Spain\">Spain<\/option><option value=\"Estonia\">Estonia<\/option><option value=\"Ethiopia\">Ethiopia<\/option><option value=\"Finland\">Finland<\/option><option value=\"Fiji\">Fiji<\/option><option value=\"France\">France<\/option><option value=\"Micronesia, Federated States of\">Micronesia, Federated States of<\/option><option value=\"Gabon\">Gabon<\/option><option value=\"United Kingdom\">United Kingdom<\/option><option value=\"Georgia\">Georgia<\/option><option value=\"Ghana\">Ghana<\/option><option value=\"Guinea\">Guinea<\/option><option value=\"Gambia\">Gambia<\/option><option value=\"Guinea-Bissau\">Guinea-Bissau<\/option><option value=\"Equatorial Guinea\">Equatorial Guinea<\/option><option value=\"Greece\">Greece<\/option><option value=\"Grenada\">Grenada<\/option><option value=\"Guatemala\">Guatemala<\/option><option value=\"Guam\">Guam<\/option><option value=\"Guyana\">Guyana<\/option><option value=\"Hong Kong\">Hong Kong<\/option><option value=\"Honduras\">Honduras<\/option><option value=\"Croatia\">Croatia<\/option><option value=\"Haiti\">Haiti<\/option><option value=\"Hungary\">Hungary<\/option><option value=\"Indonesia\">Indonesia<\/option><option value=\"India\">India<\/option><option value=\"Ireland\">Ireland<\/option><option value=\"Iran, Islamic Republic of\">Iran, Islamic Republic of<\/option><option value=\"Iraq\">Iraq<\/option><option value=\"Iceland\">Iceland<\/option><option value=\"Israel\">Israel<\/option><option value=\"Italy\">Italy<\/option><option value=\"Jamaica\">Jamaica<\/option><option value=\"Jordan\">Jordan<\/option><option value=\"Japan\">Japan<\/option><option value=\"Kazakhstan\">Kazakhstan<\/option><option value=\"Kenya\">Kenya<\/option><option value=\"Kyrgyzstan\">Kyrgyzstan<\/option><option value=\"Cambodia\">Cambodia<\/option><option value=\"Kiribati\">Kiribati<\/option><option value=\"Saint Kitts and Nevis\">Saint Kitts and Nevis<\/option><option value=\"Korea, Republic of\">Korea, Republic of<\/option><option value=\"Kuwait\">Kuwait<\/option><option value=\"Lao People&#039;s Democratic Republic\">Lao People&#039;s Democratic Republic<\/option><option value=\"Lebanon\">Lebanon<\/option><option value=\"Liberia\">Liberia<\/option><option value=\"Libya\">Libya<\/option><option value=\"Saint Lucia\">Saint Lucia<\/option><option value=\"Liechtenstein\">Liechtenstein<\/option><option value=\"Sri Lanka\">Sri Lanka<\/option><option value=\"Lesotho\">Lesotho<\/option><option value=\"Lithuania\">Lithuania<\/option><option value=\"Luxembourg\">Luxembourg<\/option><option value=\"Latvia\">Latvia<\/option><option value=\"Morocco\">Morocco<\/option><option value=\"Monaco\">Monaco<\/option><option value=\"Moldova, Republic of\">Moldova, Republic of<\/option><option value=\"Madagascar\">Madagascar<\/option><option value=\"Maldives\">Maldives<\/option><option value=\"Mexico\">Mexico<\/option><option value=\"Marshall Islands\">Marshall Islands<\/option><option value=\"Macedonia, the former Yugoslav Republic of\">Macedonia, the former Yugoslav Republic of<\/option><option value=\"Mali\">Mali<\/option><option value=\"Malta\">Malta<\/option><option value=\"Myanmar\">Myanmar<\/option><option value=\"Montenegro\">Montenegro<\/option><option value=\"Mongolia\">Mongolia<\/option><option value=\"Mozambique\">Mozambique<\/option><option value=\"Mauritania\">Mauritania<\/option><option value=\"Mauritius\">Mauritius<\/option><option value=\"Malawi\">Malawi<\/option><option value=\"Malaysia\">Malaysia<\/option><option value=\"Namibia\">Namibia<\/option><option value=\"Niger\">Niger<\/option><option value=\"Nigeria\">Nigeria<\/option><option value=\"Nicaragua\">Nicaragua<\/option><option value=\"Netherlands\">Netherlands<\/option><option value=\"Norway\">Norway<\/option><option value=\"Nepal\">Nepal<\/option><option value=\"Nauru\">Nauru<\/option><option value=\"New Zealand\">New Zealand<\/option><option value=\"Oman\">Oman<\/option><option value=\"Pakistan\">Pakistan<\/option><option value=\"Panama\">Panama<\/option><option value=\"Peru\">Peru<\/option><option value=\"Philippines\">Philippines<\/option><option value=\"Palau\">Palau<\/option><option value=\"Papua New Guinea\">Papua New Guinea<\/option><option value=\"Poland\">Poland<\/option><option value=\"Puerto Rico\">Puerto Rico<\/option><option value=\"Korea, Democratic People&#039;s Republic of\">Korea, Democratic People&#039;s Republic of<\/option><option value=\"Portugal\">Portugal<\/option><option value=\"Paraguay\">Paraguay<\/option><option value=\"Palestine, State of\">Palestine, State of<\/option><option value=\"Qatar\">Qatar<\/option><option value=\"Romania\">Romania<\/option><option value=\"Russian Federation\">Russian Federation<\/option><option value=\"Rwanda\">Rwanda<\/option><option value=\"Saudi Arabia\">Saudi Arabia<\/option><option value=\"Sudan\">Sudan<\/option><option value=\"Senegal\">Senegal<\/option><option value=\"Singapore\">Singapore<\/option><option value=\"Solomon Islands\">Solomon Islands<\/option><option value=\"Sierra Leone\">Sierra Leone<\/option><option value=\"El Salvador\">El Salvador<\/option><option value=\"San Marino\">San Marino<\/option><option value=\"Somalia\">Somalia<\/option><option value=\"Serbia\">Serbia<\/option><option value=\"South Sudan\">South Sudan<\/option><option value=\"Sao Tome and Principe\">Sao Tome and Principe<\/option><option value=\"Suriname\">Suriname<\/option><option value=\"Slovakia\">Slovakia<\/option><option value=\"Slovenia\">Slovenia<\/option><option value=\"Sweden\">Sweden<\/option><option value=\"Swaziland\">Swaziland<\/option><option value=\"Seychelles\">Seychelles<\/option><option value=\"Syrian Arab Republic\">Syrian Arab Republic<\/option><option value=\"Chad\">Chad<\/option><option value=\"Togo\">Togo<\/option><option value=\"Thailand\">Thailand<\/option><option value=\"Tajikistan\">Tajikistan<\/option><option value=\"Turkmenistan\">Turkmenistan<\/option><option value=\"Timor-Leste\">Timor-Leste<\/option><option value=\"Tonga\">Tonga<\/option><option value=\"Trinidad and Tobago\">Trinidad and Tobago<\/option><option value=\"Tunisia\">Tunisia<\/option><option value=\"Turkey\">Turkey<\/option><option value=\"Tuvalu\">Tuvalu<\/option><option value=\"Taiwan, Province of China\">Taiwan, Province of China<\/option><option value=\"Tanzania, United Republic of\">Tanzania, United Republic of<\/option><option value=\"Uganda\">Uganda<\/option><option value=\"Ukraine\">Ukraine<\/option><option value=\"Uruguay\">Uruguay<\/option><option value=\"United States\">United States<\/option><option value=\"Uzbekistan\">Uzbekistan<\/option><option value=\"Saint Vincent and the Grenadines\">Saint Vincent and the Grenadines<\/option><option value=\"Venezuela, Bolivarian Republic of\">Venezuela, Bolivarian Republic of<\/option><option value=\"Virgin Islands, British\">Virgin Islands, British<\/option><option value=\"Virgin Islands, U.S.\">Virgin Islands, U.S.<\/option><option value=\"Viet Nam\">Viet Nam<\/option><option value=\"Vanuatu\">Vanuatu<\/option><option value=\"Samoa\">Samoa<\/option><option value=\"Yemen\">Yemen<\/option><option value=\"South Africa\">South Africa<\/option><option value=\"Zambia\">Zambia<\/option><option value=\"Zimbabwe\">Zimbabwe<\/option><\/select><\/span><\/label><br \/>\n\t<label>Gsm<br \/>\n\t\t<span class=\"wpcf7-form-control-wrap private-gsm\"><input type=\"text\" name=\"private-gsm\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p>\t<label>Registratie door Dome Assistence:<\/label><br \/>\n\t<span class=\"wpcf7-form-control-wrap private-registration-by-dome\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"private-registration-by-dome\" value=\"Ja\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Ja<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"private-registration-by-dome\" value=\"Nee\" \/><span class=\"wpcf7-list-item-label\">Nee<\/span><\/label><\/span><\/span><\/span><\/p>\n<div data-id=\"private-registration-by-dome-checked-yes\" data-orig_id=\"private-registration-by-dome-checked-yes\"  data-class=\"wpcf7cf_group\">\n\t\t<label>Rijksregisternummer<br \/>\n\t\t\t<span class=\"wpcf7-form-control-wrap private-registration-registernummer\"><input type=\"text\" name=\"private-registration-registernummer\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span> <\/label><br \/>\n\t\t<label>Bankrekeningnummer<br \/>\n\t\t\t<span class=\"wpcf7-form-control-wrap private-registration-bankaccount-number\"><input type=\"text\" name=\"private-registration-bankaccount-number\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span> <\/label>\n\t<\/div>\n<div data-id=\"private-registration-by-dome-checked-no\" data-orig_id=\"private-registration-by-dome-checked-no\"  data-class=\"wpcf7cf_group\">\n\t\t<label>Gebruikersnummer<br \/>\n\t\t\t<span class=\"wpcf7-form-control-wrap private-registration-gebruikersnummer\"><input type=\"text\" name=\"private-registration-gebruikersnummer\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span> <\/label>\n\t<\/div>\n<p>\t<label>Voorkeur type dienstencheques<\/label><br \/>\n\t\t<span class=\"wpcf7-form-control-wrap private-preference-servicecheques\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"private-preference-servicecheques\" value=\"Papier\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Papier<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"private-preference-servicecheques\" value=\"electronisch\" \/><span class=\"wpcf7-list-item-label\">electronisch<\/span><\/label><\/span><\/span><\/span><\/p>\n<p>\t<label>Frequentie<\/label><br \/>\n\t\t<span class=\"wpcf7-form-control-wrap private-frequentie\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"private-frequentie\" value=\"Wekelijks\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Wekelijks<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"private-frequentie\" value=\"2-wekelijks\" \/><span class=\"wpcf7-list-item-label\">2-wekelijks<\/span><\/label><\/span><\/span><\/span><\/p>\n<div data-id=\"private-frequency-weekly\" data-orig_id=\"private-frequency-weekly\"  data-class=\"wpcf7cf_group\">\n\t\t<label>Gewenst aantal uren<br \/>\n\t\t\t<span class=\"wpcf7-form-control-wrap private-preferenced-number-of-hours-weekly\"><input type=\"number\" name=\"private-preferenced-number-of-hours-weekly\" value=\"\" class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-number\" min=\"1\" max=\"38\" aria-invalid=\"false\" placeholder=\"1\" \/><\/span><\/label>\n\t<\/div>\n<div data-id=\"private-frequency-two-weekly\" data-orig_id=\"private-frequency-two-weekly\"  data-class=\"wpcf7cf_group\">\n\t\t<label>Gewenst aantal uren<br \/>\n\t\t\t<span class=\"wpcf7-form-control-wrap private-preferenced-number-of-hours-two-weekly\"><input type=\"number\" name=\"private-preferenced-number-of-hours-two-weekly\" value=\"\" class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-number\" min=\"1\" max=\"76\" aria-invalid=\"false\" placeholder=\"1\" \/><\/span><\/label>\n\t<\/div>\n<p>\t<label>Voor welke dienst wilt u beroep doen op een Dome Assistent?<\/label><br \/>\n\t\t<span class=\"wpcf7-form-control-wrap private-service-needed\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"private-service-needed[]\" value=\"Poetsen\" \/><span class=\"wpcf7-list-item-label\">Poetsen<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"private-service-needed[]\" value=\"Strijken\" \/><span class=\"wpcf7-list-item-label\">Strijken<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"private-service-needed[]\" value=\"Naaien\" \/><span class=\"wpcf7-list-item-label\">Naaien<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"private-service-needed[]\" value=\"Koken\" \/><span class=\"wpcf7-list-item-label\">Koken<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"private-service-needed[]\" value=\"Boodschappen\" \/><span class=\"wpcf7-list-item-label\">Boodschappen<\/span><\/label><\/span><\/span><\/span><\/p>\n<h4>Voorkeuren<\/h4>\n<p>\t<label>Wanneer mag de Dome Assistent langskomen?<\/label><br \/>\n\t<span class=\"wpcf7-form-control-wrap private-no-preference-time\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"private-no-preference-time[]\" value=\"Geen voorkeur\" \/><span class=\"wpcf7-list-item-label\">Geen voorkeur<\/span><\/label><\/span><\/span><\/span><\/p>\n<div data-id=\"private-no-preference-time-checked\" data-orig_id=\"private-no-preference-time-checked\"  data-class=\"wpcf7cf_group\">\n\t\t<label>Maandag:<\/label><br \/>\n\t\t\t<span class=\"wpcf7-form-control-wrap private-preference-time-monday-morning\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"private-preference-time-monday-morning\" value=\"Voormiddag kan\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Voormiddag kan<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"private-preference-time-monday-morning\" value=\"Voormiddag niet\" \/><span class=\"wpcf7-list-item-label\">Voormiddag niet<\/span><\/label><\/span><\/span><\/span><br \/>\n\t\t\t<span class=\"wpcf7-form-control-wrap private-preference-time-monday-afternoon\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"private-preference-time-monday-afternoon\" value=\"Namiddag kan\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Namiddag kan<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"private-preference-time-monday-afternoon\" value=\"Namiddag niet\" \/><span class=\"wpcf7-list-item-label\">Namiddag niet<\/span><\/label><\/span><\/span><\/span><br \/>\n\t\t<label>Dinsdag:<\/label><br \/>\n\t\t\t<span class=\"wpcf7-form-control-wrap private-preference-time-tuesday-morning\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"private-preference-time-tuesday-morning\" value=\"Voormiddag kan\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Voormiddag kan<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"private-preference-time-tuesday-morning\" value=\"Voormiddag niet\" \/><span class=\"wpcf7-list-item-label\">Voormiddag niet<\/span><\/label><\/span><\/span><\/span><br \/>\n\t\t\t<span class=\"wpcf7-form-control-wrap private-preference-time-tuesday-afternoon\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"private-preference-time-tuesday-afternoon\" value=\"Namiddag kan\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Namiddag kan<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"private-preference-time-tuesday-afternoon\" value=\"Namiddag niet\" \/><span class=\"wpcf7-list-item-label\">Namiddag niet<\/span><\/label><\/span><\/span><\/span><br \/>\n\t\t<label>Woensdag:<\/label><br \/>\n\t\t\t<span class=\"wpcf7-form-control-wrap private-preference-time-wednesday-morning\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"private-preference-time-wednesday-morning\" value=\"Voormiddag kan\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Voormiddag kan<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"private-preference-time-wednesday-morning\" value=\"Voormiddag niet\" \/><span class=\"wpcf7-list-item-label\">Voormiddag niet<\/span><\/label><\/span><\/span><\/span><br \/>\n\t\t\t<span class=\"wpcf7-form-control-wrap private-preference-time-wednesday-afternoon\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"private-preference-time-wednesday-afternoon\" value=\"Namiddag kan\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Namiddag kan<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"private-preference-time-wednesday-afternoon\" value=\"Namiddag niet\" \/><span class=\"wpcf7-list-item-label\">Namiddag niet<\/span><\/label><\/span><\/span><\/span><br \/>\n\t\t<label>Donderdag:<\/label><br \/>\n\t\t\t<span class=\"wpcf7-form-control-wrap private-preference-time-thursday-morning\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"private-preference-time-thursday-morning\" value=\"Voormiddag kan\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Voormiddag kan<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"private-preference-time-thursday-morning\" value=\"Voormiddag niet\" \/><span class=\"wpcf7-list-item-label\">Voormiddag niet<\/span><\/label><\/span><\/span><\/span><br \/>\n\t\t\t<span class=\"wpcf7-form-control-wrap private-preference-time-thursday-afternoon\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"private-preference-time-thursday-afternoon\" value=\"Namiddag kan\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Namiddag kan<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"private-preference-time-thursday-afternoon\" value=\"Namiddag niet\" \/><span class=\"wpcf7-list-item-label\">Namiddag niet<\/span><\/label><\/span><\/span><\/span><br \/>\n\t\t<label>Vrijdag:<\/label><br \/>\n\t\t\t<span class=\"wpcf7-form-control-wrap private-preference-time-friday-morning\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"private-preference-time-friday-morning\" value=\"Voormiddag kan\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Voormiddag kan<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"private-preference-time-friday-morning\" value=\"Voormiddag niet\" \/><span class=\"wpcf7-list-item-label\">Voormiddag niet<\/span><\/label><\/span><\/span><\/span><br \/>\n\t\t\t<span class=\"wpcf7-form-control-wrap private-preference-time-friday-afternoon\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"private-preference-time-friday-afternoon\" value=\"Namiddag kan\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Namiddag kan<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"private-preference-time-friday-afternoon\" value=\"Namiddag niet\" \/><span class=\"wpcf7-list-item-label\">Namiddag niet<\/span><\/label><\/span><\/span><\/span><br \/>\n\t\t<label>Zaterdag:<\/label><br \/>\n\t\t\t<span class=\"wpcf7-form-control-wrap private-preference-time-saturday-morning\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"private-preference-time-saturday-morning\" value=\"Voormiddag kan\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Voormiddag kan<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"private-preference-time-saturday-morning\" value=\"Voormiddag niet\" \/><span class=\"wpcf7-list-item-label\">Voormiddag niet<\/span><\/label><\/span><\/span><\/span><br \/>\n\t\t\t<span class=\"wpcf7-form-control-wrap private-preference-time-saturday-afternoon\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"private-preference-time-saturday-afternoon\" value=\"Namiddag kan\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Namiddag kan<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"private-preference-time-saturday-afternoon\" value=\"Namiddag niet\" \/><span class=\"wpcf7-list-item-label\">Namiddag niet<\/span><\/label><\/span><\/span><\/span>\n\t<\/div>\n<h4>Bijkomende informatie<\/h4>\n<p>\t<label>Heeft u al ervaring met huishoudhulp?<br \/>\n\t\t<span class=\"wpcf7-form-control-wrap private-experience\"><input type=\"text\" name=\"private-experience\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span><\/label><br \/>\n\t<label>Bent u aanwezig wanneer de Dome assistent komt?<\/label><br \/>\n\t\t<span class=\"wpcf7-form-control-wrap private-presence\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"private-presence\" value=\"Ja\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Ja<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"private-presence\" value=\"Nee\" \/><span class=\"wpcf7-list-item-label\">Nee<\/span><\/label><\/span><\/span><\/span><br \/>\n\t<label>Heeft u huisdieren?<br \/>\n\t\t<span class=\"wpcf7-form-control-wrap private-house-animals\"><input type=\"text\" name=\"private-house-animals\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span><\/label><br \/>\n\t<label>Bent u makkelijk te bereiken via het openbaar vervoer?<\/label><br \/>\n\t\t<span class=\"wpcf7-form-control-wrap private-public-transport-accessibility\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"private-public-transport-accessibility\" value=\"Goed\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Goed<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"private-public-transport-accessibility\" value=\"Moeilijk\" \/><span class=\"wpcf7-list-item-label\">Moeilijk<\/span><\/label><\/span><\/span><\/span><br \/>\n\t<label>Heeft u speciale wensen?<br \/>\n\t\t<span class=\"wpcf7-form-control-wrap private-special-wishes\"><textarea name=\"private-special-wishes\" cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\"><\/textarea><\/span><\/label><br \/>\n\t<label>Hoe bent u met ons in contact gekomen?<\/label><br \/>\n\t\t<span class=\"wpcf7-form-control-wrap private-contact-via\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"private-contact-via\" value=\"Internet\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Internet<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"private-contact-via\" value=\"Mondreclame\" \/><span class=\"wpcf7-list-item-label\">Mondreclame<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"private-contact-via\" value=\"Kantoor\" \/><span class=\"wpcf7-list-item-label\">Kantoor<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"private-contact-via\" value=\"Promotiecampagne\" \/><span class=\"wpcf7-list-item-label\">Promotiecampagne<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"private-contact-via\" value=\"Andere\" \/><span class=\"wpcf7-list-item-label\">Andere<\/span><\/label><\/span><\/span><\/span>\n<\/div>\n<div data-id=\"Company-more-information-checked\" data-orig_id=\"Company-more-information-checked\" data-clear_on_hide data-class=\"wpcf7cf_group\">\n<h4>Bedrijfsgegevens<\/h4>\n<p>\t<label>Rechtsvorm<br \/>\n\t\t<span class=\"wpcf7-form-control-wrap company-legal-form\"><input type=\"text\" name=\"company-legal-form\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p>\t<label>Adres<\/label><\/p>\n<div class=\"elementor-row multi-input-row\">\n<div class=\"elementor-column elementor-col-67\">\n\t\t\t<span class=\"wpcf7-form-control-wrap company-street-name\"><input type=\"text\" name=\"company-street-name\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Straat\" \/><\/span>\n\t\t<\/div>\n<div class=\"elementor-column elementor-col-33\">\n\t\t\t<span class=\"wpcf7-form-control-wrap company-street-number\"><input type=\"text\" name=\"company-street-number\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text last-input\" aria-invalid=\"false\" placeholder=\"Nummer\" \/><\/span>\n\t\t<\/div>\n<\/p><\/div>\n<p>\t<label>Land<br \/>\n\t\t<span class=\"wpcf7-form-control-wrap company-country\"><select name=\"company-country\" class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\"><option value=\"Belgium\">Belgium<\/option><option value=\"Aruba\">Aruba<\/option><option value=\"Afghanistan\">Afghanistan<\/option><option value=\"Angola\">Angola<\/option><option value=\"Albania\">Albania<\/option><option value=\"Andorra\">Andorra<\/option><option value=\"United Arab Emirates\">United Arab Emirates<\/option><option value=\"Argentina\">Argentina<\/option><option value=\"Armenia\">Armenia<\/option><option value=\"American Samoa\">American Samoa<\/option><option value=\"Antigua and Barbuda\">Antigua and Barbuda<\/option><option value=\"Australia\">Australia<\/option><option value=\"Austria\">Austria<\/option><option value=\"Azerbaijan\">Azerbaijan<\/option><option value=\"Burundi\">Burundi<\/option><option value=\"Belgium\">Belgium<\/option><option value=\"Benin\">Benin<\/option><option value=\"Burkina Faso\">Burkina Faso<\/option><option value=\"Bangladesh\">Bangladesh<\/option><option value=\"Bulgaria\">Bulgaria<\/option><option value=\"Bahrain\">Bahrain<\/option><option value=\"Bahamas\">Bahamas<\/option><option value=\"Bosnia and Herzegovina\">Bosnia and Herzegovina<\/option><option value=\"Belarus\">Belarus<\/option><option value=\"Belize\">Belize<\/option><option value=\"Bermuda\">Bermuda<\/option><option value=\"Bolivia, Plurinational State of\">Bolivia, Plurinational State of<\/option><option value=\"Brazil\">Brazil<\/option><option value=\"Barbados\">Barbados<\/option><option value=\"Brunei Darussalam\">Brunei Darussalam<\/option><option value=\"Bhutan\">Bhutan<\/option><option value=\"Botswana\">Botswana<\/option><option value=\"Central African Republic\">Central African Republic<\/option><option value=\"Canada\">Canada<\/option><option value=\"Switzerland\">Switzerland<\/option><option value=\"Chile\">Chile<\/option><option value=\"China\">China<\/option><option value=\"C\u00f4te d&#039;Ivoire\">C\u00f4te d&#039;Ivoire<\/option><option value=\"Cameroon\">Cameroon<\/option><option value=\"Congo, the Democratic Republic of the\">Congo, the Democratic Republic of the<\/option><option value=\"Congo\">Congo<\/option><option value=\"Cook Islands\">Cook Islands<\/option><option value=\"Colombia\">Colombia<\/option><option value=\"Comoros\">Comoros<\/option><option value=\"Cape Verde\">Cape Verde<\/option><option value=\"Costa Rica\">Costa Rica<\/option><option value=\"Cuba\">Cuba<\/option><option value=\"Cayman Islands\">Cayman Islands<\/option><option value=\"Cyprus\">Cyprus<\/option><option value=\"Czech Republic\">Czech Republic<\/option><option value=\"Germany\">Germany<\/option><option value=\"Djibouti\">Djibouti<\/option><option value=\"Dominica\">Dominica<\/option><option value=\"Denmark\">Denmark<\/option><option value=\"Dominican Republic\">Dominican Republic<\/option><option value=\"Algeria\">Algeria<\/option><option value=\"Ecuador\">Ecuador<\/option><option value=\"Egypt\">Egypt<\/option><option value=\"Eritrea\">Eritrea<\/option><option value=\"Spain\">Spain<\/option><option value=\"Estonia\">Estonia<\/option><option value=\"Ethiopia\">Ethiopia<\/option><option value=\"Finland\">Finland<\/option><option value=\"Fiji\">Fiji<\/option><option value=\"France\">France<\/option><option value=\"Micronesia, Federated States of\">Micronesia, Federated States of<\/option><option value=\"Gabon\">Gabon<\/option><option value=\"United Kingdom\">United Kingdom<\/option><option value=\"Georgia\">Georgia<\/option><option value=\"Ghana\">Ghana<\/option><option value=\"Guinea\">Guinea<\/option><option value=\"Gambia\">Gambia<\/option><option value=\"Guinea-Bissau\">Guinea-Bissau<\/option><option value=\"Equatorial Guinea\">Equatorial Guinea<\/option><option value=\"Greece\">Greece<\/option><option value=\"Grenada\">Grenada<\/option><option value=\"Guatemala\">Guatemala<\/option><option value=\"Guam\">Guam<\/option><option value=\"Guyana\">Guyana<\/option><option value=\"Hong Kong\">Hong Kong<\/option><option value=\"Honduras\">Honduras<\/option><option value=\"Croatia\">Croatia<\/option><option value=\"Haiti\">Haiti<\/option><option value=\"Hungary\">Hungary<\/option><option value=\"Indonesia\">Indonesia<\/option><option value=\"India\">India<\/option><option value=\"Ireland\">Ireland<\/option><option value=\"Iran, Islamic Republic of\">Iran, Islamic Republic of<\/option><option value=\"Iraq\">Iraq<\/option><option value=\"Iceland\">Iceland<\/option><option value=\"Israel\">Israel<\/option><option value=\"Italy\">Italy<\/option><option value=\"Jamaica\">Jamaica<\/option><option value=\"Jordan\">Jordan<\/option><option value=\"Japan\">Japan<\/option><option value=\"Kazakhstan\">Kazakhstan<\/option><option value=\"Kenya\">Kenya<\/option><option value=\"Kyrgyzstan\">Kyrgyzstan<\/option><option value=\"Cambodia\">Cambodia<\/option><option value=\"Kiribati\">Kiribati<\/option><option value=\"Saint Kitts and Nevis\">Saint Kitts and Nevis<\/option><option value=\"Korea, Republic of\">Korea, Republic of<\/option><option value=\"Kuwait\">Kuwait<\/option><option value=\"Lao People&#039;s Democratic Republic\">Lao People&#039;s Democratic Republic<\/option><option value=\"Lebanon\">Lebanon<\/option><option value=\"Liberia\">Liberia<\/option><option value=\"Libya\">Libya<\/option><option value=\"Saint Lucia\">Saint Lucia<\/option><option value=\"Liechtenstein\">Liechtenstein<\/option><option value=\"Sri Lanka\">Sri Lanka<\/option><option value=\"Lesotho\">Lesotho<\/option><option value=\"Lithuania\">Lithuania<\/option><option value=\"Luxembourg\">Luxembourg<\/option><option value=\"Latvia\">Latvia<\/option><option value=\"Morocco\">Morocco<\/option><option value=\"Monaco\">Monaco<\/option><option value=\"Moldova, Republic of\">Moldova, Republic of<\/option><option value=\"Madagascar\">Madagascar<\/option><option value=\"Maldives\">Maldives<\/option><option value=\"Mexico\">Mexico<\/option><option value=\"Marshall Islands\">Marshall Islands<\/option><option value=\"Macedonia, the former Yugoslav Republic of\">Macedonia, the former Yugoslav Republic of<\/option><option value=\"Mali\">Mali<\/option><option value=\"Malta\">Malta<\/option><option value=\"Myanmar\">Myanmar<\/option><option value=\"Montenegro\">Montenegro<\/option><option value=\"Mongolia\">Mongolia<\/option><option value=\"Mozambique\">Mozambique<\/option><option value=\"Mauritania\">Mauritania<\/option><option value=\"Mauritius\">Mauritius<\/option><option value=\"Malawi\">Malawi<\/option><option value=\"Malaysia\">Malaysia<\/option><option value=\"Namibia\">Namibia<\/option><option value=\"Niger\">Niger<\/option><option value=\"Nigeria\">Nigeria<\/option><option value=\"Nicaragua\">Nicaragua<\/option><option value=\"Netherlands\">Netherlands<\/option><option value=\"Norway\">Norway<\/option><option value=\"Nepal\">Nepal<\/option><option value=\"Nauru\">Nauru<\/option><option value=\"New Zealand\">New Zealand<\/option><option value=\"Oman\">Oman<\/option><option value=\"Pakistan\">Pakistan<\/option><option value=\"Panama\">Panama<\/option><option value=\"Peru\">Peru<\/option><option value=\"Philippines\">Philippines<\/option><option value=\"Palau\">Palau<\/option><option value=\"Papua New Guinea\">Papua New Guinea<\/option><option value=\"Poland\">Poland<\/option><option value=\"Puerto Rico\">Puerto Rico<\/option><option value=\"Korea, Democratic People&#039;s Republic of\">Korea, Democratic People&#039;s Republic of<\/option><option value=\"Portugal\">Portugal<\/option><option value=\"Paraguay\">Paraguay<\/option><option value=\"Palestine, State of\">Palestine, State of<\/option><option value=\"Qatar\">Qatar<\/option><option value=\"Romania\">Romania<\/option><option value=\"Russian Federation\">Russian Federation<\/option><option value=\"Rwanda\">Rwanda<\/option><option value=\"Saudi Arabia\">Saudi Arabia<\/option><option value=\"Sudan\">Sudan<\/option><option value=\"Senegal\">Senegal<\/option><option value=\"Singapore\">Singapore<\/option><option value=\"Solomon Islands\">Solomon Islands<\/option><option value=\"Sierra Leone\">Sierra Leone<\/option><option value=\"El Salvador\">El Salvador<\/option><option value=\"San Marino\">San Marino<\/option><option value=\"Somalia\">Somalia<\/option><option value=\"Serbia\">Serbia<\/option><option value=\"South Sudan\">South Sudan<\/option><option value=\"Sao Tome and Principe\">Sao Tome and Principe<\/option><option value=\"Suriname\">Suriname<\/option><option value=\"Slovakia\">Slovakia<\/option><option value=\"Slovenia\">Slovenia<\/option><option value=\"Sweden\">Sweden<\/option><option value=\"Swaziland\">Swaziland<\/option><option value=\"Seychelles\">Seychelles<\/option><option value=\"Syrian Arab Republic\">Syrian Arab Republic<\/option><option value=\"Chad\">Chad<\/option><option value=\"Togo\">Togo<\/option><option value=\"Thailand\">Thailand<\/option><option value=\"Tajikistan\">Tajikistan<\/option><option value=\"Turkmenistan\">Turkmenistan<\/option><option value=\"Timor-Leste\">Timor-Leste<\/option><option value=\"Tonga\">Tonga<\/option><option value=\"Trinidad and Tobago\">Trinidad and Tobago<\/option><option value=\"Tunisia\">Tunisia<\/option><option value=\"Turkey\">Turkey<\/option><option value=\"Tuvalu\">Tuvalu<\/option><option value=\"Taiwan, Province of China\">Taiwan, Province of China<\/option><option value=\"Tanzania, United Republic of\">Tanzania, United Republic of<\/option><option value=\"Uganda\">Uganda<\/option><option value=\"Ukraine\">Ukraine<\/option><option value=\"Uruguay\">Uruguay<\/option><option value=\"United States\">United States<\/option><option value=\"Uzbekistan\">Uzbekistan<\/option><option value=\"Saint Vincent and the Grenadines\">Saint Vincent and the Grenadines<\/option><option value=\"Venezuela, Bolivarian Republic of\">Venezuela, Bolivarian Republic of<\/option><option value=\"Virgin Islands, British\">Virgin Islands, British<\/option><option value=\"Virgin Islands, U.S.\">Virgin Islands, U.S.<\/option><option value=\"Viet Nam\">Viet Nam<\/option><option value=\"Vanuatu\">Vanuatu<\/option><option value=\"Samoa\">Samoa<\/option><option value=\"Yemen\">Yemen<\/option><option value=\"South Africa\">South Africa<\/option><option value=\"Zambia\">Zambia<\/option><option value=\"Zimbabwe\">Zimbabwe<\/option><\/select><\/span><\/label><\/p>\n<p>\t<label>Facturatie adres:<\/label><br \/>\n\t<span class=\"wpcf7-form-control-wrap company-billing-address-same\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"company-billing-address-same[]\" value=\"Zelfde als leveringsadres\" \/><span class=\"wpcf7-list-item-label\">Zelfde als leveringsadres<\/span><\/span><\/span><\/span><\/p>\n<div data-id=\"Company-billing-address-same-checked\" data-orig_id=\"Company-billing-address-same-checked\"  data-class=\"wpcf7cf_group\">\n\t\t<label>Facturatie adres<br \/>\n\t\t\t<span class=\"wpcf7-form-control-wrap company-billing-address\"><input type=\"text\" name=\"company-billing-address\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span> <\/label><br \/>\n\t\t<label>Facturatie postcode<br \/>\n\t\t\t<span class=\"wpcf7-form-control-wrap company-billing-postalcode\"><input type=\"text\" name=\"company-billing-postalcode\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span> <\/label><br \/>\n\t\t<label>Facturatie gemeente<br \/>\n\t\t\t<span class=\"wpcf7-form-control-wrap company-billing-township\"><input type=\"text\" name=\"company-billing-township\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span> <\/label><br \/>\n\t\t<label>Facturatie land<br \/>\n\t\t\t<span class=\"wpcf7-form-control-wrap company-billing-country\"><select name=\"company-billing-country\" class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\"><option value=\"Belgium\">Belgium<\/option><option value=\"Aruba\">Aruba<\/option><option value=\"Afghanistan\">Afghanistan<\/option><option value=\"Angola\">Angola<\/option><option value=\"Albania\">Albania<\/option><option value=\"Andorra\">Andorra<\/option><option value=\"United Arab Emirates\">United Arab Emirates<\/option><option value=\"Argentina\">Argentina<\/option><option value=\"Armenia\">Armenia<\/option><option value=\"American Samoa\">American Samoa<\/option><option value=\"Antigua and Barbuda\">Antigua and Barbuda<\/option><option value=\"Australia\">Australia<\/option><option value=\"Austria\">Austria<\/option><option value=\"Azerbaijan\">Azerbaijan<\/option><option value=\"Burundi\">Burundi<\/option><option value=\"Belgium\">Belgium<\/option><option value=\"Benin\">Benin<\/option><option value=\"Burkina Faso\">Burkina Faso<\/option><option value=\"Bangladesh\">Bangladesh<\/option><option value=\"Bulgaria\">Bulgaria<\/option><option value=\"Bahrain\">Bahrain<\/option><option value=\"Bahamas\">Bahamas<\/option><option value=\"Bosnia and Herzegovina\">Bosnia and Herzegovina<\/option><option value=\"Belarus\">Belarus<\/option><option value=\"Belize\">Belize<\/option><option value=\"Bermuda\">Bermuda<\/option><option value=\"Bolivia, Plurinational State of\">Bolivia, Plurinational State of<\/option><option value=\"Brazil\">Brazil<\/option><option value=\"Barbados\">Barbados<\/option><option value=\"Brunei Darussalam\">Brunei Darussalam<\/option><option value=\"Bhutan\">Bhutan<\/option><option value=\"Botswana\">Botswana<\/option><option value=\"Central African Republic\">Central African Republic<\/option><option value=\"Canada\">Canada<\/option><option value=\"Switzerland\">Switzerland<\/option><option value=\"Chile\">Chile<\/option><option value=\"China\">China<\/option><option value=\"C\u00f4te d&#039;Ivoire\">C\u00f4te d&#039;Ivoire<\/option><option value=\"Cameroon\">Cameroon<\/option><option value=\"Congo, the Democratic Republic of the\">Congo, the Democratic Republic of the<\/option><option value=\"Congo\">Congo<\/option><option value=\"Cook Islands\">Cook Islands<\/option><option value=\"Colombia\">Colombia<\/option><option value=\"Comoros\">Comoros<\/option><option value=\"Cape Verde\">Cape Verde<\/option><option value=\"Costa Rica\">Costa Rica<\/option><option value=\"Cuba\">Cuba<\/option><option value=\"Cayman Islands\">Cayman Islands<\/option><option value=\"Cyprus\">Cyprus<\/option><option value=\"Czech Republic\">Czech Republic<\/option><option value=\"Germany\">Germany<\/option><option value=\"Djibouti\">Djibouti<\/option><option value=\"Dominica\">Dominica<\/option><option value=\"Denmark\">Denmark<\/option><option value=\"Dominican Republic\">Dominican Republic<\/option><option value=\"Algeria\">Algeria<\/option><option value=\"Ecuador\">Ecuador<\/option><option value=\"Egypt\">Egypt<\/option><option value=\"Eritrea\">Eritrea<\/option><option value=\"Spain\">Spain<\/option><option value=\"Estonia\">Estonia<\/option><option value=\"Ethiopia\">Ethiopia<\/option><option value=\"Finland\">Finland<\/option><option value=\"Fiji\">Fiji<\/option><option value=\"France\">France<\/option><option value=\"Micronesia, Federated States of\">Micronesia, Federated States of<\/option><option value=\"Gabon\">Gabon<\/option><option value=\"United Kingdom\">United Kingdom<\/option><option value=\"Georgia\">Georgia<\/option><option value=\"Ghana\">Ghana<\/option><option value=\"Guinea\">Guinea<\/option><option value=\"Gambia\">Gambia<\/option><option value=\"Guinea-Bissau\">Guinea-Bissau<\/option><option value=\"Equatorial Guinea\">Equatorial Guinea<\/option><option value=\"Greece\">Greece<\/option><option value=\"Grenada\">Grenada<\/option><option value=\"Guatemala\">Guatemala<\/option><option value=\"Guam\">Guam<\/option><option value=\"Guyana\">Guyana<\/option><option value=\"Hong Kong\">Hong Kong<\/option><option value=\"Honduras\">Honduras<\/option><option value=\"Croatia\">Croatia<\/option><option value=\"Haiti\">Haiti<\/option><option value=\"Hungary\">Hungary<\/option><option value=\"Indonesia\">Indonesia<\/option><option value=\"India\">India<\/option><option value=\"Ireland\">Ireland<\/option><option value=\"Iran, Islamic Republic of\">Iran, Islamic Republic of<\/option><option value=\"Iraq\">Iraq<\/option><option value=\"Iceland\">Iceland<\/option><option value=\"Israel\">Israel<\/option><option value=\"Italy\">Italy<\/option><option value=\"Jamaica\">Jamaica<\/option><option value=\"Jordan\">Jordan<\/option><option value=\"Japan\">Japan<\/option><option value=\"Kazakhstan\">Kazakhstan<\/option><option value=\"Kenya\">Kenya<\/option><option value=\"Kyrgyzstan\">Kyrgyzstan<\/option><option value=\"Cambodia\">Cambodia<\/option><option value=\"Kiribati\">Kiribati<\/option><option value=\"Saint Kitts and Nevis\">Saint Kitts and Nevis<\/option><option value=\"Korea, Republic of\">Korea, Republic of<\/option><option value=\"Kuwait\">Kuwait<\/option><option value=\"Lao People&#039;s Democratic Republic\">Lao People&#039;s Democratic Republic<\/option><option value=\"Lebanon\">Lebanon<\/option><option value=\"Liberia\">Liberia<\/option><option value=\"Libya\">Libya<\/option><option value=\"Saint Lucia\">Saint Lucia<\/option><option value=\"Liechtenstein\">Liechtenstein<\/option><option value=\"Sri Lanka\">Sri Lanka<\/option><option value=\"Lesotho\">Lesotho<\/option><option value=\"Lithuania\">Lithuania<\/option><option value=\"Luxembourg\">Luxembourg<\/option><option value=\"Latvia\">Latvia<\/option><option value=\"Morocco\">Morocco<\/option><option value=\"Monaco\">Monaco<\/option><option value=\"Moldova, Republic of\">Moldova, Republic of<\/option><option value=\"Madagascar\">Madagascar<\/option><option value=\"Maldives\">Maldives<\/option><option value=\"Mexico\">Mexico<\/option><option value=\"Marshall Islands\">Marshall Islands<\/option><option value=\"Macedonia, the former Yugoslav Republic of\">Macedonia, the former Yugoslav Republic of<\/option><option value=\"Mali\">Mali<\/option><option value=\"Malta\">Malta<\/option><option value=\"Myanmar\">Myanmar<\/option><option value=\"Montenegro\">Montenegro<\/option><option value=\"Mongolia\">Mongolia<\/option><option value=\"Mozambique\">Mozambique<\/option><option value=\"Mauritania\">Mauritania<\/option><option value=\"Mauritius\">Mauritius<\/option><option value=\"Malawi\">Malawi<\/option><option value=\"Malaysia\">Malaysia<\/option><option value=\"Namibia\">Namibia<\/option><option value=\"Niger\">Niger<\/option><option value=\"Nigeria\">Nigeria<\/option><option value=\"Nicaragua\">Nicaragua<\/option><option value=\"Netherlands\">Netherlands<\/option><option value=\"Norway\">Norway<\/option><option value=\"Nepal\">Nepal<\/option><option value=\"Nauru\">Nauru<\/option><option value=\"New Zealand\">New Zealand<\/option><option value=\"Oman\">Oman<\/option><option value=\"Pakistan\">Pakistan<\/option><option value=\"Panama\">Panama<\/option><option value=\"Peru\">Peru<\/option><option value=\"Philippines\">Philippines<\/option><option value=\"Palau\">Palau<\/option><option value=\"Papua New Guinea\">Papua New Guinea<\/option><option value=\"Poland\">Poland<\/option><option value=\"Puerto Rico\">Puerto Rico<\/option><option value=\"Korea, Democratic People&#039;s Republic of\">Korea, Democratic People&#039;s Republic of<\/option><option value=\"Portugal\">Portugal<\/option><option value=\"Paraguay\">Paraguay<\/option><option value=\"Palestine, State of\">Palestine, State of<\/option><option value=\"Qatar\">Qatar<\/option><option value=\"Romania\">Romania<\/option><option value=\"Russian Federation\">Russian Federation<\/option><option value=\"Rwanda\">Rwanda<\/option><option value=\"Saudi Arabia\">Saudi Arabia<\/option><option value=\"Sudan\">Sudan<\/option><option value=\"Senegal\">Senegal<\/option><option value=\"Singapore\">Singapore<\/option><option value=\"Solomon Islands\">Solomon Islands<\/option><option value=\"Sierra Leone\">Sierra Leone<\/option><option value=\"El Salvador\">El Salvador<\/option><option value=\"San Marino\">San Marino<\/option><option value=\"Somalia\">Somalia<\/option><option value=\"Serbia\">Serbia<\/option><option value=\"South Sudan\">South Sudan<\/option><option value=\"Sao Tome and Principe\">Sao Tome and Principe<\/option><option value=\"Suriname\">Suriname<\/option><option value=\"Slovakia\">Slovakia<\/option><option value=\"Slovenia\">Slovenia<\/option><option value=\"Sweden\">Sweden<\/option><option value=\"Swaziland\">Swaziland<\/option><option value=\"Seychelles\">Seychelles<\/option><option value=\"Syrian Arab Republic\">Syrian Arab Republic<\/option><option value=\"Chad\">Chad<\/option><option value=\"Togo\">Togo<\/option><option value=\"Thailand\">Thailand<\/option><option value=\"Tajikistan\">Tajikistan<\/option><option value=\"Turkmenistan\">Turkmenistan<\/option><option value=\"Timor-Leste\">Timor-Leste<\/option><option value=\"Tonga\">Tonga<\/option><option value=\"Trinidad and Tobago\">Trinidad and Tobago<\/option><option value=\"Tunisia\">Tunisia<\/option><option value=\"Turkey\">Turkey<\/option><option value=\"Tuvalu\">Tuvalu<\/option><option value=\"Taiwan, Province of China\">Taiwan, Province of China<\/option><option value=\"Tanzania, United Republic of\">Tanzania, United Republic of<\/option><option value=\"Uganda\">Uganda<\/option><option value=\"Ukraine\">Ukraine<\/option><option value=\"Uruguay\">Uruguay<\/option><option value=\"United States\">United States<\/option><option value=\"Uzbekistan\">Uzbekistan<\/option><option value=\"Saint Vincent and the Grenadines\">Saint Vincent and the Grenadines<\/option><option value=\"Venezuela, Bolivarian Republic of\">Venezuela, Bolivarian Republic of<\/option><option value=\"Virgin Islands, British\">Virgin Islands, British<\/option><option value=\"Virgin Islands, U.S.\">Virgin Islands, U.S.<\/option><option value=\"Viet Nam\">Viet Nam<\/option><option value=\"Vanuatu\">Vanuatu<\/option><option value=\"Samoa\">Samoa<\/option><option value=\"Yemen\">Yemen<\/option><option value=\"South Africa\">South Africa<\/option><option value=\"Zambia\">Zambia<\/option><option value=\"Zimbabwe\">Zimbabwe<\/option><\/select><\/span><\/label>\n\t<\/div>\n<p>\t<label>Bedrijf tel<br \/>\n\t\t<span class=\"wpcf7-form-control-wrap company-phone\"><input type=\"tel\" name=\"company-phone\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-tel wpcf7-validates-as-tel\" aria-invalid=\"false\" \/><\/span> <\/label><br \/>\n\t<label>Bedrijf e-mailadres<br \/>\n\t\t<span class=\"wpcf7-form-control-wrap company-email\"><input type=\"email\" name=\"company-email\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-email wpcf7-validates-as-email\" aria-invalid=\"false\" \/><\/span> <\/label><br \/>\n\t<label>Naam contactpersoon<br \/>\n\t\t<span class=\"wpcf7-form-control-wrap company-contactperson-name\"><input type=\"text\" name=\"company-contactperson-name\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span> <\/label><br \/>\n\t<label>Tel contactpersoon<br \/>\n\t\t<span class=\"wpcf7-form-control-wrap company-contactperson-tel\"><input type=\"tel\" name=\"company-contactperson-tel\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-tel wpcf7-validates-as-tel\" aria-invalid=\"false\" \/><\/span> <\/label><br \/>\n\t<label>Gsm contactpersoon<br \/>\n\t\t<span class=\"wpcf7-form-control-wrap company-contactperson-gsm\"><input type=\"text\" name=\"company-contactperson-gsm\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span> <\/label><br \/>\n\t<label>E-mailadres contactpersoon<br \/>\n\t\t<span class=\"wpcf7-form-control-wrap company-contactperson-email\"><input type=\"email\" name=\"company-contactperson-email\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-email wpcf7-validates-as-email\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<h4>Taakomschrijving<\/h4>\n<p>\t<label>Gewenst aantal uren<br \/>\n\t\t<span class=\"wpcf7-form-control-wrap company-desired-hours\"><input type=\"number\" name=\"company-desired-hours\" value=\"\" class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-number\" min=\"1\" aria-invalid=\"false\" placeholder=\"1\" \/><\/span><\/label><br \/>\n\t<label>Voor welke dienst wilt u beroep doen op een Dome Assistent?<\/label><br \/>\n\t\t<span class=\"wpcf7-form-control-wrap company-service\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"company-service[]\" value=\"Poetsen\" \/><span class=\"wpcf7-list-item-label\">Poetsen<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"company-service[]\" value=\"Andere\" \/><span class=\"wpcf7-list-item-label\">Andere<\/span><\/label><\/span><\/span><\/span><\/p>\n<h4>Voorkeuren<\/h4>\n<p>\t<label>Wanneer mag de Dome Assistent langskomen?<\/label><br \/>\n\t<span class=\"wpcf7-form-control-wrap company-no-preference-time\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"company-no-preference-time[]\" value=\"Geen voorkeur\" \/><span class=\"wpcf7-list-item-label\">Geen voorkeur<\/span><\/label><\/span><\/span><\/span><\/p>\n<div data-id=\"Company-no-preference-time-checked\" data-orig_id=\"Company-no-preference-time-checked\"  data-class=\"wpcf7cf_group\">\n\t\t<label>Maandag:<\/label><br \/>\n\t\t\t<span class=\"wpcf7-form-control-wrap company-preference-time-monday-morning\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"company-preference-time-monday-morning\" value=\"Voormiddag kan\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Voormiddag kan<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"company-preference-time-monday-morning\" value=\"Voormiddag niet\" \/><span class=\"wpcf7-list-item-label\">Voormiddag niet<\/span><\/label><\/span><\/span><\/span><br \/>\n\t\t\t<span class=\"wpcf7-form-control-wrap company-preference-time-monday-afternoon\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"company-preference-time-monday-afternoon\" value=\"Namiddag kan\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Namiddag kan<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"company-preference-time-monday-afternoon\" value=\"Namiddag niet\" \/><span class=\"wpcf7-list-item-label\">Namiddag niet<\/span><\/label><\/span><\/span><\/span><br \/>\n\t\t<label>Dinsdag:<\/label><br \/>\n\t\t\t<span class=\"wpcf7-form-control-wrap company-preference-time-tuesday-morning\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"company-preference-time-tuesday-morning\" value=\"Voormiddag kan\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Voormiddag kan<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"company-preference-time-tuesday-morning\" value=\"Voormiddag niet\" \/><span class=\"wpcf7-list-item-label\">Voormiddag niet<\/span><\/label><\/span><\/span><\/span><br \/>\n\t\t\t<span class=\"wpcf7-form-control-wrap company-preference-time-tuesday-afternoon\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"company-preference-time-tuesday-afternoon\" value=\"Namiddag kan\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Namiddag kan<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"company-preference-time-tuesday-afternoon\" value=\"Namiddag niet\" \/><span class=\"wpcf7-list-item-label\">Namiddag niet<\/span><\/label><\/span><\/span><\/span><br \/>\n\t\t<label>Woensdag:<\/label><br \/>\n\t\t\t<span class=\"wpcf7-form-control-wrap company-preference-time-wednesday-morning\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"company-preference-time-wednesday-morning\" value=\"Voormiddag kan\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Voormiddag kan<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"company-preference-time-wednesday-morning\" value=\"Voormiddag niet\" \/><span class=\"wpcf7-list-item-label\">Voormiddag niet<\/span><\/label><\/span><\/span><\/span><br \/>\n\t\t\t<span class=\"wpcf7-form-control-wrap company-preference-time-wednesday-afternoon\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"company-preference-time-wednesday-afternoon\" value=\"Namiddag kan\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Namiddag kan<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"company-preference-time-wednesday-afternoon\" value=\"Namiddag niet\" \/><span class=\"wpcf7-list-item-label\">Namiddag niet<\/span><\/label><\/span><\/span><\/span><br \/>\n\t\t<label>Donderdag:<\/label><br \/>\n\t\t\t<span class=\"wpcf7-form-control-wrap company-preference-time-thursday-morning\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"company-preference-time-thursday-morning\" value=\"Voormiddag kan\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Voormiddag kan<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"company-preference-time-thursday-morning\" value=\"Voormiddag niet\" \/><span class=\"wpcf7-list-item-label\">Voormiddag niet<\/span><\/label><\/span><\/span><\/span><br \/>\n\t\t\t<span class=\"wpcf7-form-control-wrap company-preference-time-thursday-afternoon\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"company-preference-time-thursday-afternoon\" value=\"Namiddag kan\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Namiddag kan<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"company-preference-time-thursday-afternoon\" value=\"Namiddag niet\" \/><span class=\"wpcf7-list-item-label\">Namiddag niet<\/span><\/label><\/span><\/span><\/span><br \/>\n\t\t<label>Vrijdag:<\/label><br \/>\n\t\t\t<span class=\"wpcf7-form-control-wrap company-preference-time-friday-morning\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"company-preference-time-friday-morning\" value=\"Voormiddag kan\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Voormiddag kan<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"company-preference-time-friday-morning\" value=\"Voormiddag niet\" \/><span class=\"wpcf7-list-item-label\">Voormiddag niet<\/span><\/label><\/span><\/span><\/span><br \/>\n\t\t\t<span class=\"wpcf7-form-control-wrap company-preference-time-friday-afternoon\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"company-preference-time-friday-afternoon\" value=\"Namiddag kan\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Namiddag kan<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"company-preference-time-friday-afternoon\" value=\"Namiddag niet\" \/><span class=\"wpcf7-list-item-label\">Namiddag niet<\/span><\/label><\/span><\/span><\/span><br \/>\n\t\t<label>Zaterdag:<\/label><br \/>\n\t\t\t<span class=\"wpcf7-form-control-wrap company-preference-time-saturday-morning\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"company-preference-time-saturday-morning\" value=\"Voormiddag kan\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Voormiddag kan<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"company-preference-time-saturday-morning\" value=\"Voormiddag niet\" \/><span class=\"wpcf7-list-item-label\">Voormiddag niet<\/span><\/label><\/span><\/span><\/span><br \/>\n\t\t\t<span class=\"wpcf7-form-control-wrap company-preference-time-saturday-afternoon\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"company-preference-time-saturday-afternoon\" value=\"Namiddag kan\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Namiddag kan<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"company-preference-time-saturday-afternoon\" value=\"Namiddag niet\" \/><span class=\"wpcf7-list-item-label\">Namiddag niet<\/span><\/label><\/span><\/span><\/span>\n\t<\/div>\n<h4>Bijkomende informatie<\/h4>\n<p>\t<label>Omschrijving opdracht?<br \/>\n\t\t<span class=\"wpcf7-form-control-wrap company-assignment-description\"><textarea name=\"company-assignment-description\" cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\"><\/textarea><\/span><\/label><br \/>\n\t<label>Heeft u speciale wensen?<br \/>\n\t\t<span class=\"wpcf7-form-control-wrap company-special-wishes\"><textarea name=\"company-special-wishes\" cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\"><\/textarea><\/span><\/label><br \/>\n\t<label>Hoe bent u met ons in contact gekomen?<\/label><br \/>\n\t\t<span class=\"wpcf7-form-control-wrap company-contact-via\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"company-contact-via\" value=\"Internet\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Internet<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"company-contact-via\" value=\"Mondreclame\" \/><span class=\"wpcf7-list-item-label\">Mondreclame<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"company-contact-via\" value=\"Kantoor\" \/><span class=\"wpcf7-list-item-label\">Kantoor<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"company-contact-via\" value=\"Promotiecampagne\" \/><span class=\"wpcf7-list-item-label\">Promotiecampagne<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"company-contact-via\" value=\"Andere\" \/><span class=\"wpcf7-list-item-label\">Andere<\/span><\/label><\/span><\/span><\/span>\n<\/div>\n<p><input type=\"submit\" value=\"Contacteer mij \u00bb\" class=\"wpcf7-form-control wpcf7-submit\" \/><\/p>\n<div class=\"wpcf7-response-output wpcf7-display-none\"><\/div><\/form><\/div><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f04ad8c elementor-column elementor-col-33 elementor-top-column\" data-id=\"f04ad8c\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-column-wrap  elementor-element-populated\">\n\t\t\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t<div class=\"elementor-element elementor-element-32a4536 elementor-widget elementor-widget-text-editor\" data-id=\"32a4536\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-text-editor elementor-clearfix\"><p>Pourquoi Dome Assistance?<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c119ed4 elementor-align-left elementor-icon-list--layout-traditional elementor-widget elementor-widget-icon-list\" data-id=\"c119ed4\" data-element_type=\"widget\" data-widget_type=\"icon-list.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<ul class=\"elementor-icon-list-items\">\n\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\" >\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<i class=\"fa fa-check\" aria-hidden=\"true\"><\/i>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Application gratuite<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\" >\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<i class=\"fa fa-check\" aria-hidden=\"true\"><\/i>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Pas de frais fixes<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\" >\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<i class=\"fa fa-check\" aria-hidden=\"true\"><\/i>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Accords transparents<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\" >\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<i class=\"fa fa-check\" aria-hidden=\"true\"><\/i>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">La personne au centre<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\" >\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<i class=\"fa fa-check\" aria-hidden=\"true\"><\/i>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Services priv\u00e9s et au bureau<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\" >\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<i class=\"fa fa-check\" aria-hidden=\"true\"><\/i>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Devis sur mesure pour des prestations ponctuelles<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<\/ul>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-cd6cc04 elementor-arrows-yes elementor-pagination-type-bullets elementor-review--has-separator elementor--star-style-star_fontawesome elementor-widget elementor-widget-reviews\" data-id=\"cd6cc04\" data-element_type=\"widget\" data-settings=\"{&quot;autoplay_speed&quot;:10000,&quot;show_arrows&quot;:&quot;yes&quot;,&quot;pagination&quot;:&quot;bullets&quot;,&quot;speed&quot;:500,&quot;autoplay&quot;:&quot;yes&quot;,&quot;loop&quot;:&quot;yes&quot;,&quot;pause_on_interaction&quot;:&quot;yes&quot;,&quot;space_between&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:10,&quot;sizes&quot;:[]},&quot;space_between_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:10,&quot;sizes&quot;:[]},&quot;space_between_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:10,&quot;sizes&quot;:[]}}\" data-widget_type=\"reviews.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-swiper\">\n\t\t\t<div class=\"elementor-main-swiper swiper-container\">\n\t\t\t\t<div class=\"swiper-wrapper\">\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"swiper-slide\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-testimonial elementor-repeater-item-4c42c0f\">\n\t\t\t\t\t\t\t<div class=\"elementor-testimonial__header\">\n\t\t\t\t\t\t\t\t\t\t<cite class=\"elementor-testimonial__cite\"><span class=\"elementor-testimonial__name\">A. en H. uit De Pinte<\/span><div class=\"elementor-star-rating\"><i class=\"elementor-star-full\">&#61445;<\/i><i class=\"elementor-star-full\">&#61445;<\/i><i class=\"elementor-star-full\">&#61445;<\/i><i class=\"elementor-star-full\">&#61445;<\/i><i class=\"elementor-star-full\">&#61445;<\/i><\/div><span class=\"elementor-testimonial__title\">Klant sinds 11.12.2009<\/span><\/cite>\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"elementor-testimonial__content\">\n\t\t\t\t\t<div class=\"elementor-testimonial__text\">\n\t\t\t\t\t\tDomeassistance is een uitstekend en zeer correct bedrijf ! de medewerkers zijn steeds heel vriendelijk en behulpzaam . Onze poetshulp ,Islam, is gewoon \" schitterend\" !!! het is een lief en naarstig meisje waar we ontzettend gelukkig mee zijn .\nkortom : een dikke pluim voor Domeassistance en een hartelijk \"bedankt \" !!!\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"swiper-slide\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-testimonial elementor-repeater-item-798e501\">\n\t\t\t\t\t\t\t<div class=\"elementor-testimonial__header\">\n\t\t\t\t\t\t\t\t\t\t<cite class=\"elementor-testimonial__cite\"><span class=\"elementor-testimonial__name\">Veerle D. uit Lembeke<\/span><div class=\"elementor-star-rating\"><i class=\"elementor-star-full\">&#61445;<\/i><i class=\"elementor-star-full\">&#61445;<\/i><i class=\"elementor-star-full\">&#61445;<\/i><i class=\"elementor-star-full\">&#61445;<\/i><i class=\"elementor-star-full\">&#61445;<\/i><\/div><span class=\"elementor-testimonial__title\">Klant sinds 07.05.2010<\/span><\/cite>\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"elementor-testimonial__content\">\n\t\t\t\t\t<div class=\"elementor-testimonial__text\">\n\t\t\t\t\t\tVele jaren heb ik beroep kunnen doen op onze vaste huishoudhulp via Dome Assistance. Ik was ongelofelijk tevreden van haar en we waren diep bedroefd door haar plots overlijden. Het bureau heeft alles in het werk gesteld om zo vlug mogelijk een goede vervangster te sturen die voldeed aan onze eisen. Nu werkt Adelina voor ons.  Ze is van buitenlandse origine maar doet enorm haar best om alles te begrijpen en is heel leergierig en gedreven om alles zo perfect mogelijk te doen.  Als ik vragen heb of verandering van werkuren kan ik altijd beroep doen op het bureau, die dan probeert de juiste oplossing te vinden die voor iedereen zo aangenaam mogelijk is. Mijn dank voor de goede samenwerking \t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"swiper-slide\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-testimonial elementor-repeater-item-b3c6a60\">\n\t\t\t\t\t\t\t<div class=\"elementor-testimonial__header\">\n\t\t\t\t\t\t\t\t\t\t<cite class=\"elementor-testimonial__cite\"><span class=\"elementor-testimonial__name\">Saskia De Mits - 't Huis van Oordeghem<\/span><div class=\"elementor-star-rating\"><i class=\"elementor-star-full\">&#61445;<\/i><i class=\"elementor-star-full\">&#61445;<\/i><i class=\"elementor-star-full\">&#61445;<\/i><i class=\"elementor-star-full\">&#61445;<\/i><i class=\"elementor-star-full\">&#61445;<\/i><\/div><span class=\"elementor-testimonial__title\">Klant sinds 19.05.2018<\/span><\/cite>\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"elementor-testimonial__content\">\n\t\t\t\t\t<div class=\"elementor-testimonial__text\">\n\t\t\t\t\t\tWij hebben 18 jaar kunnen rekenen op onze trouwe huishoudster Victorine, zij kwam iedere dag en regelde gans mijn huishouden. Naast wassen plassen koken, stond ze ook in voor het schoonmaken van onze kantoren en showroom. Toen ze met pensioen ging zat ik letterlijk met mijn handen in het haar. Iemand die bijna deel uitmaakt van je familie, die de kinderen heeft zien opgroeien, vervang je niet in 123.\nNa een vriendelijk en vooral constructief gesprek met de medewerkers van Dome Assistance werd ik al heel snel uit de nood geholpen, dit in afwachting van een definitieve hulp.\nOndertussen is Mary Anne al twee jaar bij ons, iedereen voelt zich goed bij haar en ze is de zon in huis.Ze werkt voor ons zowel priv\u00e9 als op de zaak, ook dit werd administratief perfect geregeld. De uurregeling werd aansluitend bekeken en alles loopt op wieltjes.\nBij Dome Assistance staat het puntje echt op de i \u2026 en zo hebben we het graag.\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"swiper-slide\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-testimonial elementor-repeater-item-7a61219\">\n\t\t\t\t\t\t\t<div class=\"elementor-testimonial__header\">\n\t\t\t\t\t\t\t\t\t\t<cite class=\"elementor-testimonial__cite\"><span class=\"elementor-testimonial__name\">Christiaens R. uit Gent<\/span><div class=\"elementor-star-rating\"><i class=\"elementor-star-full\">&#61445;<\/i><i class=\"elementor-star-full\">&#61445;<\/i><i class=\"elementor-star-full\">&#61445;<\/i><i class=\"elementor-star-full\">&#61445;<\/i><i class=\"elementor-star-full\">&#61445;<\/i><\/div><span class=\"elementor-testimonial__title\">Klant sinds 16.01.2017<\/span><\/cite>\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"elementor-testimonial__content\">\n\t\t\t\t\t<div class=\"elementor-testimonial__text\">\n\t\t\t\t\t\tIntussen al drie jaar klant met als vaste huishoudhulp Sebil. Alles verloopt zeer goed, goede communicatie, goede werkkrachten zowel op kantoor als de mensen die langskomen.\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"swiper-pagination\"><\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"elementor-swiper-button elementor-swiper-button-prev\">\n\t\t\t\t\t\t\t<i class=\"eicon-chevron-left\" aria-hidden=\"true\"><\/i>\n\t\t\t\t\t\t\t<span class=\"elementor-screen-only\">Previous<\/span>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"elementor-swiper-button elementor-swiper-button-next\">\n\t\t\t\t\t\t\t<i class=\"eicon-chevron-right\" aria-hidden=\"true\"><\/i>\n\t\t\t\t\t\t\t<span class=\"elementor-screen-only\">Next<\/span>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-element elementor-element-97f311b elementor-section-boxed elementor-section-height-default elementor-section-height-default elementor-section elementor-top-section\" data-id=\"97f311b\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t<div class=\"elementor-row\">\n\t\t\t\t<div class=\"elementor-element elementor-element-bf25cf4 elementor-column elementor-col-100 elementor-top-column\" data-id=\"bf25cf4\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-column-wrap  elementor-element-populated\">\n\t\t\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t<div class=\"elementor-element elementor-element-a0be248 elementor-widget elementor-widget-spacer\" data-id=\"a0be248\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Demander une aide-m\u00e9nag\u00e8re Si vous souhaitez utiliser nos services, veuillez prendre un moment pour soumettre une candidature en utilisant le formulaire ci-dessous. Ensuite, nous rechercherons l&rsquo;aide au nettoyage appropri\u00e9e pour vous \u00e0 la maison ou au bureau. Pourquoi Dome Assistance? Application gratuite Pas de frais fixes Accords transparents La personne au centre Services priv\u00e9s et [&hellip;]<\/p>\n","protected":false},"author":8,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-1091","page","type-page","status-publish","hentry","entry"],"_links":{"self":[{"href":"https:\/\/www.domeassistance.be\/fr\/wp-json\/wp\/v2\/pages\/1091\/"}],"collection":[{"href":"https:\/\/www.domeassistance.be\/fr\/wp-json\/wp\/v2\/pages\/"}],"about":[{"href":"https:\/\/www.domeassistance.be\/fr\/wp-json\/wp\/v2\/types\/page\/"}],"author":[{"embeddable":true,"href":"https:\/\/www.domeassistance.be\/fr\/wp-json\/wp\/v2\/users\/8\/"}],"replies":[{"embeddable":true,"href":"https:\/\/www.domeassistance.be\/fr\/wp-json\/wp\/v2\/comments\/?post=1091"}],"version-history":[{"count":9,"href":"https:\/\/www.domeassistance.be\/fr\/wp-json\/wp\/v2\/pages\/1091\/revisions\/"}],"predecessor-version":[{"id":1125,"href":"https:\/\/www.domeassistance.be\/fr\/wp-json\/wp\/v2\/pages\/1091\/revisions\/1125\/"}],"wp:attachment":[{"href":"https:\/\/www.domeassistance.be\/fr\/wp-json\/wp\/v2\/media\/?parent=1091"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}