{"id":27412,"date":"2026-11-02T15:30:06","date_gmt":"2026-11-02T14:30:06","guid":{"rendered":"https:\/\/astrovac.nl\/?page_id=27412"},"modified":"2026-11-02T16:46:41","modified_gmt":"2026-11-02T15:46:41","slug":"storingsmelding-serviceverzoek","status":"publish","type":"page","link":"https:\/\/astrovac.nl\/en\/storingsmelding-serviceverzoek\/","title":{"rendered":"Storing melding"},"content":{"rendered":"<div class=\"row align-center\"  id=\"row-1570344122\">\n\n\t<div id=\"col-1713358669\" class=\"col medium-6 small-12 large-6\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n<h1>Storingsmelding \/ Serviceverzoek<\/h1>\n<script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_3' style='display:none'><div id='gf_3' class='gform_anchor' tabindex='-1'><\/div><form method='post' enctype='multipart\/form-data' target='gform_ajax_frame_3' id='gform_3'  action='\/en\/wp-json\/wp\/v2\/pages\/27412#gf_3' data-formid='3' novalidate>\n        <div id='gf_progressbar_wrapper_3' class='gf_progressbar_wrapper' data-start-at-zero=''>\n        \t<p class=\"gf_progressbar_title\">Step <span class='gf_step_current_page'>1<\/span> of <span class='gf_step_page_count'>4<\/span><span class='gf_step_page_name'><\/span>\n        \t<\/p>\n            <div class='gf_progressbar gf_progressbar_blue' aria-hidden='true'>\n                <div class='gf_progressbar_percentage percentbar_blue percentbar_25' style='width:25%;'><span>25%<\/span><\/div>\n            <\/div><\/div>\n                        <div class='gform-body gform_body'><div id='gform_page_3_1' class='gform_page ' data-js='page-field-id-0' >\n\t\t\t\t\t<div class='gform_page_fields'><div id='gform_fields_3' class='gform_fields top_label form_sublabel_above description_above validation_above' data-column-layout='fill'><div id=\"field_3_30\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible\" data-group-id=\"e7687c20\" data-field-span=\"12\"><h2>Uw gegevens<\/h2><\/div><div id=\"field_3_1\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible\" data-group-id=\"620dfed9\" data-field-span=\"6\"><label id='gfield_label_3_1' class='gfield_label gform-field-label' for='input_3_1'><span class='gform-field-label__text'>Voornaam<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_1' id='input_3_1' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_3_3\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible\" data-group-id=\"620dfed9\" data-field-span=\"6\"><label id='gfield_label_3_3' class='gfield_label gform-field-label' for='input_3_3'><span class='gform-field-label__text'>Achternaam<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_3' id='input_3_3' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_3_39\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--phone-format-formatted gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible\" data-group-id=\"7a8ba528\" data-field-span=\"12\"><legend id='gfield_label_3_39' class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Telefoonnummer<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_phone'>\n\t\t\t<div class=\"gform-phone gform-phone--show-dial-code\">\n\t\t\t\t<div class=\"gform-phone__input-wrapper\">\n\t\t\t\t\t<span class=\"ginput_country-selector_container\">\n\t\t\t\t\t\t<label for='country_selector_button_39' id='country_selector_button_39_label' class='gform-field-label gform-field-label--type-sub '>Country<\/label>\n\t\t\t\t\t\t<button type=\"button\" id=\"country_selector_button_39\" class=\"gform-phone__country-selector gform-theme-button gform-theme-button--tertiary\" aria-haspopup=\"listbox\" aria-expanded=\"false\" aria-controls=\"gform_phone_dropdown_6ae91b5f79a21\" aria-label=\"Select country\"  >\n\t\t\t\t\t\t\t<span class=\"gform-phone__flag-icon gform-phone__flag-icon--nl\"><\/span>\n\t\t\t\t\t\t\t<span class=\"gform-phone__dial-code\"><\/span>\n\t\t\t\t\t\t<\/button>\n\t\t\t\t\t\t\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<span class=\"ginput_phone_container\">\n\t\t\t\t\t\t<label for='input_3_39_visible' id='input_3_39_visible_label' class='gform-field-label gform-field-label--type-sub '>Phone Number<\/label>\n\t\t\t\t\t\t<input type=\"tel\" class=\"gform-phone__input\" id=\"input_3_39_visible\" name=\"\" autocomplete=\"tel\" value=\"\"   aria-required=\"true\" aria-invalid=\"false\"  >\n\t\t\t\t\t\t\n\t\t\t\t\t<\/span>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"gform-phone__dropdown gform-phone__dropdown--hidden\" role=\"listbox\" id=\"gform_phone_dropdown_6ae91b5f79a21\" tabindex=\"-1\">\n\t\t\t\t\t<div class=\"gform-phone__search-wrapper\">\n\t\t\t\t\t\t<input type=\"text\" class=\"gform-phone__search\" placeholder=\"Search countries\" aria-label=\"Search for a country\" aria-controls=\"gform_phone_dropdown_6ae91b5f79a21_list\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<ul class=\"gform-phone__country-list gform-ul-reset\" id=\"gform_phone_dropdown_6ae91b5f79a21_list\" role=\"listbox\" aria-label=\"Country list\">\n\t\t\t\t\t\t<!-- Country items will be populated by JavaScript -->\n\t\t\t\t\t<\/ul>\n\t\t\t\t\t<div class=\"gform-phone__aria-live-search-status\" aria-live=\"polite\" aria-atomic=\"true\" style=\"position: absolute; width: 1px; height: 1px; margin: -1px; border: 0; padding: 0; overflow: hidden; clip: rect(0, 0, 0, 0); clip-path: inset(50%); white-space: nowrap;\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"gform-phone__aria-live\" aria-live=\"polite\" aria-atomic=\"true\" style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0 0 0 0); clip-path: inset(50%); border: 0; white-space: nowrap;\"><\/div>\n\t\t\t<\/div><input name='input_39' id='input_3_39' type='hidden' value='' class='large' data-phone-format='formatted' data-default-country='nl' data-show-country-code='true' aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/fieldset><div id=\"field_3_38\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible\" data-group-id=\"4b9dbf27\" data-field-span=\"12\"><label id='gfield_label_3_38' class='gfield_label gform-field-label' for='input_3_38'><span class='gform-field-label__text'>E-mailadres<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_38' id='input_3_38' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_3_20\" class=\"gfield gfield--type-gfgeo_geocoder gfield--input-type-gfgeo_geocoder gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_hidden\" data-group-id=\"eb7a1d76\" data-field-span=\"12\"><label id='gfield_label_3_20' class='gfield_label gform-field-label' for='input_3_20'><span class='gform-field-label__text'>Eigen locatie<\/span><\/label><div class=\"ginput_container ginput_container_gfgeo_geocoder\"><input type=\"hidden\" name=\"input_20\" id=\"input_3_20\" value=\"{}\"  \/><\/div><\/div><div id=\"field_3_14\" class=\"gfield gfield--type-gfgeo_address gfield--input-type-gfgeo_address gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_above gfield_visibility_visible\" data-group-id=\"e66983d1\" data-field-span=\"12\"><label id='gfield_label_3_14' class='gfield_label gform-field-label' for='input_3_14'><span class='gform-field-label__text'>Adres<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_3_14'>Let op dat het huisnummer ook is ingevuld.<\/div><div class='ginput_container ginput_container_gfgeo_address'><input name='input_14' id='input_3_14' type='text' value='' class='large'  aria-describedby=\"gfield_description_3_14\"  placeholder='Typ hier uw adres' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_3_15\" class=\"gfield gfield--type-gfgeo_geocoder gfield--input-type-gfgeo_geocoder gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_hidden\" data-group-id=\"5fd00369\" data-field-span=\"12\"><label id='gfield_label_3_15' class='gfield_label gform-field-label' for='input_3_15'><span class='gform-field-label__text'>Adres berekend<\/span><\/label><div class=\"ginput_container ginput_container_gfgeo_geocoder\"><input type=\"hidden\" name=\"input_15\" id=\"input_3_15\" value=\"{}\"  \/><\/div><\/div><div id=\"field_3_16\" class=\"gfield gfield--type-gfgeo_distance gfield--input-type-gfgeo_distance gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_hidden\" data-group-id=\"9bd3e59d\" data-field-span=\"12\"><label id='gfield_label_3_16' class='gfield_label gform-field-label' for='input_3_16'><span class='gform-field-label__text'>Reistijd<\/span><\/label><div class=\"ginput_complex gfgeo_complex ginput_container ginput_container_gfgeo_distance large gform-grid-row\" ><input type='hidden' name='input_16' id='input_3_16' value='{}'   \/><\/div><\/div><div id=\"field_3_24\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_hidden\" data-group-id=\"dd7e3318\" data-field-span=\"12\"><label id='gfield_label_3_24' class='gfield_label gform-field-label' for='input_3_24'><span class='gform-field-label__text'>Reistijd<\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_24' id='input_3_24' type='number' step='any'   value='' class='large'      aria-invalid=\"false\"  \/><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                         <button type='button' id='gform_next_button_3_60' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' >Volgende<\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_3_2' class='gform_page' data-js='page-field-id-60' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_3_2' class='gform_fields top_label form_sublabel_above description_above validation_above' data-column-layout='fill'><div id=\"field_3_5\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible\" data-group-id=\"9f6643d7\" data-field-span=\"12\"><h2>Inschatting kosten voor bezoek servicemonteur<\/h2><\/div><fieldset id=\"field_3_7\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible gfield--choice-align-vertical\" data-group-id=\"b09b6a80\" data-field-span=\"12\"><legend id='gfield_label_3_7' class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Urgentie<\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_7'>\n\t\t\t<div class='gchoice gchoice_3_7_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_7' type='radio' value='A1: Spoed'  id='choice_3_7_0' onchange='gformToggleRadioOther( this )'  aria-labelledby=\"label_3_7_0 gfield_label_3_7\"   \/>\n\t\t\t\t\t<label for='choice_3_7_0' id='label_3_7_0' class='gform-field-label gform-field-label--type-inline'>A1: Spoed<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_7_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_7' type='radio' value='A2: Urgent'  id='choice_3_7_1' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_3_7_1' id='label_3_7_1' class='gform-field-label gform-field-label--type-inline'>A2: Urgent<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_7_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_7' type='radio' value='A3: Geen haast'  id='choice_3_7_2' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_3_7_2' id='label_3_7_2' class='gform-field-label gform-field-label--type-inline'>A3: Geen haast<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_3_32\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible\" data-group-id=\"917fbc58\" data-field-span=\"12\"><span style=\"font-size: 1em; font-weight: 700\">Vul  bij de vorige stap uw adres in om de kosten te zien<\/span><\/div><div id=\"field_3_26\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_calculation field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible\" data-group-id=\"10d99731\" data-field-span=\"12\" data-currency-format='1'><label id='gfield_label_3_26' class='gfield_label gform-field-label' for='input_3_26'><span class='gform-field-label__text'>Kosten reistijd A1<\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_26' id='input_3_26' type='text' step='any'   value='' class='large gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_3_8\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible\" data-group-id=\"f3c3a73e\" data-field-span=\"12\">Wanneer uw storing of serviceverzoek echt niet kan wachten, kies dan voor urgentie A1. Hierbij betaalt u voor de reistijd heen en terug vanaf ons adres in De Moer \u2013 Noord-Brabant. Tevens betaalt u een spoedtoeslag van \u20ac 121,00 (incl. BTW). Wij streven ernaar u binnen 3 werkdagen te helpen.<\/div><div id=\"field_3_27\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_calculation field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible\" data-group-id=\"64ccb40b\" data-field-span=\"12\" data-currency-format='1'><label id='gfield_label_3_27' class='gfield_label gform-field-label' for='input_3_27'><span class='gform-field-label__text'>Kosten reistijd A2<\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_27' id='input_3_27' type='text' step='any'   value='' class='large gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_3_9\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible\" data-group-id=\"fe92b145\" data-field-span=\"12\">Wanneer uw storing of serviceverzoek niet te lang kan wachten, kies dan voor urgentie A2. Hierbij betaalt u voor de reistijd heen en terug vanaf ons adres in De Moer \u2013 Noord-Brabant. Wij streven ernaar u binnen 10 werkdagen te helpen.<\/div><div id=\"field_3_28\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_calculation field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible\" data-group-id=\"185803a5\" data-field-span=\"12\" data-currency-format='1'><label id='gfield_label_3_28' class='gfield_label gform-field-label' for='input_3_28'><span class='gform-field-label__text'>Kosten reistijd A3<\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_28' id='input_3_28' type='text' step='any'   value='' class='large gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_3_29\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible\" data-group-id=\"86e3d2a9\" data-field-span=\"12\">Wanneer uw storing of serviceverzoek kan wachten, kies dan voor urgentie A3. Bij urgentie A3 kiest u voor een afspraak gecombineerd op route. Hierbij betaalt u voor de enkele reistijd vanaf De Moer \u2013 Noord-Brabant. Wij nemen contact met u op wanneer er een route bij u in de buurt kan worden ingepland.<\/div><div id=\"field_3_53\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible\" data-group-id=\"6c124b11\" data-field-span=\"12\"><div class=\"is-divider divider clearfix\" style=\"background-color:rgb(191, 21, 34);\"><\/div><\/div><div id=\"field_3_33\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_calculation field_sublabel_above gfield--has-description field_description_above field_validation_above gfield_visibility_visible\" data-group-id=\"d302c0e6\" data-field-span=\"12\" data-currency-format='1'><label id='gfield_label_3_33' class='gfield_label gform-field-label' for='input_3_33'><span class='gform-field-label__text'>Kosten werktijd<\/span><\/label><div class='gfield_description' id='gfield_description_3_33'>Aangezien de werktijd op voorhand niet bekend is, werken wij met een stelpost van 1,5 uur.  Indien de monteur korter of langer bezig is dan 1,5u, zal dit uiteraard worden verrekend.<\/div><div class='ginput_container ginput_container_number'><input name='input_33' id='input_3_33' type='text' step='any'   value='' class='large gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\" aria-describedby=\"gfield_description_3_33\" \/><\/div><\/div><div id=\"field_3_54\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible\" data-group-id=\"4a3b7422\" data-field-span=\"12\"><div class=\"is-divider divider clearfix\" style=\"background-color:rgb(191, 21, 34);\"><\/div><\/div><div id=\"field_3_34\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_calculation field_sublabel_above gfield--has-description field_description_above field_validation_above gfield_visibility_visible\" data-group-id=\"e37b9468\" data-field-span=\"12\" data-currency-format='1'><label id='gfield_label_3_34' class='gfield_label gform-field-label' for='input_3_34'><span class='gform-field-label__text'>Kosten materiaal<\/span><\/label><div class='gfield_description' id='gfield_description_3_34'>Aangezien het op voorhand niet bekend is welke materialen er mogelijk gebruikt moeten worden, staan de kosten hiervan op \u20ac 0,00 euro. De kosten worden aan het eind van het bezoek door de monteur berekend en toegevoegd aan het totaal.<\/div><div class='ginput_container ginput_container_number'><input name='input_34' id='input_3_34' type='text' step='any'   value='' class='large gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\" aria-describedby=\"gfield_description_3_34\" \/><\/div><\/div><div id=\"field_3_56\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible\" data-group-id=\"b2818cd1\" data-field-span=\"12\"><div class=\"is-divider divider clearfix\" style=\"background-color:rgb(191, 21, 34);\"><\/div><\/div><div id=\"field_3_55\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible\" data-group-id=\"aaf891b0\" data-field-span=\"12\"><span style=\"font-size: 1em; font-weight: 700\">Vul uw adres in om de totale kosten te zien<\/span><\/div><div id=\"field_3_35\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_calculation field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible\" data-group-id=\"e9269e52\" data-field-span=\"12\" data-currency-format='1'><label id='gfield_label_3_35' class='gfield_label gform-field-label' for='input_3_35'><span class='gform-field-label__text'>Totaal geschatte kosten bezoek servicemonteur<\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_35' id='input_3_35' type='text' step='any'   value='' class='large gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <button type='button' id='gform_previous_button_3_61' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' >Vorige<\/button> <button type='button' id='gform_next_button_3_61' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' >Volgende<\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_3_3' class='gform_page' data-js='page-field-id-61' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_3_3' class='gform_fields top_label form_sublabel_above description_above validation_above' data-column-layout='fill'><div id=\"field_3_31\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible\" data-group-id=\"20196d76\" data-field-span=\"12\"><h2>Benodigde gegevens<\/h2><\/div><fieldset id=\"field_3_47\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_above gfield_visibility_visible gfield--choice-align-vertical\" data-group-id=\"c73a35a4\" data-field-span=\"12\"><legend id='gfield_label_3_47' class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Omschrijving storing \/ serviceverzoek<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_3_47'>Meerdere opties mogelijk<\/div><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_3_47'><div class='gchoice gchoice_3_47_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_47.1' type='checkbox'  value='Onderhoud \u2013 geen problemen'  id='choice_3_47_1'   aria-describedby=\"gfield_description_3_47\" aria-labelledby=\"label_3_47_1 gfield_label_3_47\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_3_47_1' id='label_3_47_1' class='gform-field-label gform-field-label--type-inline'>Onderhoud \u2013 geen problemen<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_47_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_47.2' type='checkbox'  value='Verminderde zuigkracht'  id='choice_3_47_2'    \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_47_2' id='label_3_47_2' class='gform-field-label gform-field-label--type-inline'>Verminderde zuigkracht<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_47_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_47.3' type='checkbox'  value='Unit doet niets meer'  id='choice_3_47_3'    \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_47_3' id='label_3_47_3' class='gform-field-label gform-field-label--type-inline'>Unit doet niets meer<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_47_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_47.4' type='checkbox'  value='Unit pendelt'  id='choice_3_47_4'    \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_47_4' id='label_3_47_4' class='gform-field-label gform-field-label--type-inline'>Unit pendelt<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_47_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_47.5' type='checkbox'  value='Unit stinkt'  id='choice_3_47_5'    \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_47_5' id='label_3_47_5' class='gform-field-label gform-field-label--type-inline'>Unit stinkt<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_47_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_47.6' type='checkbox'  value='Unit wordt heet'  id='choice_3_47_6'    \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_47_6' id='label_3_47_6' class='gform-field-label gform-field-label--type-inline'>Unit wordt heet<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_47_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_47.7' type='checkbox'  value='Unit slaat de stoppen door'  id='choice_3_47_7'    \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_47_7' id='label_3_47_7' class='gform-field-label gform-field-label--type-inline'>Unit slaat de stoppen door<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_47_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_47.8' type='checkbox'  value='Slang defect'  id='choice_3_47_8'    \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_47_8' id='label_3_47_8' class='gform-field-label gform-field-label--type-inline'>Slang defect<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_47_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_47.9' type='checkbox'  value='Stofcontact defect'  id='choice_3_47_9'    \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_47_9' id='label_3_47_9' class='gform-field-label gform-field-label--type-inline'>Stofcontact defect<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_47_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_47.11' type='checkbox'  value='Overig'  id='choice_3_47_11'    \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_47_11' id='label_3_47_11' class='gform-field-label gform-field-label--type-inline'>Overig<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_3_50\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible\" data-group-id=\"8a3f794e\" data-field-span=\"12\"><label id='gfield_label_3_50' class='gfield_label gform-field-label' for='input_3_50'><span class='gform-field-label__text'>Aantal defecte stofcontacten<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_50' id='input_3_50' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Maak een keuze<\/option><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><\/select><\/div><\/div><div id=\"field_3_49\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_above gfield_visibility_visible\" data-group-id=\"3bf2a4ad\" data-field-span=\"12\"><label id='gfield_label_3_49' class='gfield_label gform-field-label' for='input_3_49'><span class='gform-field-label__text'>Overig<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_3_49'>Omschrijving klacht<\/div><div class='ginput_container ginput_container_text'><input name='input_49' id='input_3_49' type='text' value='' class='large'  aria-describedby=\"gfield_description_3_49\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_3_37\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full field_sublabel_above gfield--has-description field_description_above field_validation_above gfield_visibility_visible gfield--choice-align-vertical\" data-group-id=\"d72d98e2\" data-field-span=\"12\"><legend id='gfield_label_3_37' class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Garantie?<\/span><\/legend><div class='gfield_description gfield_consent_description' id='gfield_consent_description_3_37'><div class='gfield_consent_description_text gform-theme__no-reset--children' tabindex='0'><strong>Let op!<\/strong> Denkt u dat uw reparatie onder de garantieregeling valt? Geeft dit dan expliciet aan ons door via de e-mail. Garantiegevallen worden altijd onder optie A3 verholpen. Uiteraard kunt u nog steeds kiezen voor optie A1 of A2, maar het verschil in reistijd zal dan door u moeten worden voldaan, los van of de reparatie een garantiegeval is of niet. Of de reparatie al dan niet een garantiegeval betreft wordt ter plaatse bepaald.<\/div><\/div><div class='ginput_container ginput_container_consent'><input name='input_37.1' id='input_3_37_1' type='checkbox' value='1'  aria-describedby=\"gfield_consent_description_3_37\" aria-labelledby=\"input_3_37_1_label gfield_label_3_37\"  aria-invalid=\"false\"   \/> <label id='input_3_37_1_label' class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_3_37_1' ><span class='gform-field-label__text'>Ik denk dat garantie van toepassing is.<\/span><\/label><input type='hidden' name='input_37.2' value='Ik denk dat garantie van toepassing is.' class='gform_hidden' \/><input type='hidden' name='input_37.3' value='5' class='gform_hidden' \/><\/div><\/fieldset><div id=\"field_3_11\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_above gfield_visibility_visible\" data-group-id=\"b234a3fd\" data-field-span=\"12\"><label id='gfield_label_3_11' class='gfield_label gform-field-label' for='input_3_11'><span class='gform-field-label__text'>Type unit<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_3_11'>Het typeplaatje zit meestal links of rechts op de machine.<\/div><div class='ginput_container ginput_container_text'><input name='input_11' id='input_3_11' type='text' value='' class='large'  aria-describedby=\"gfield_description_3_11\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_3_41\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_above gfield--has-description field_description_above field_validation_above gfield_visibility_visible\" data-group-id=\"a3200e92\" data-field-span=\"12\"><label id='gfield_label_3_41' class='gfield_label gform-field-label' for='input_3_41'><span class='gform-field-label__text'>Serienummer<\/span><\/label><div class='gfield_description' id='gfield_description_3_41'>Indien deze nog leesbaar is.<\/div><div class='ginput_container ginput_container_text'><input name='input_41' id='input_3_41' type='text' value='' class='large'  aria-describedby=\"gfield_description_3_41\"    aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_3_44\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_above gfield_visibility_visible\" data-group-id=\"4f2b9b87\" data-field-span=\"12\"><label id='gfield_label_3_44' class='gfield_label gform-field-label' for='input_3_44'><span class='gform-field-label__text'>Aantal stofcontacten in de woning<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_3_44'>Dit zijn de punten waarbij de slang de muur in gaat.<\/div><div class='ginput_container ginput_container_select'><select name='input_44' id='input_3_44' class='large gfield_select'  aria-describedby=\"gfield_description_3_44\"  aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Maak een keuze<\/option><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><option value='6' >6<\/option><option value='7' >7<\/option><option value='8' >8<\/option><option value='9' >9<\/option><option value='10' >10<\/option><option value='11' >11<\/option><option value='12' >12<\/option><option value='13' >13<\/option><option value='14' >14<\/option><option value='15' >15<\/option><option value='16' >16<\/option><option value='17' >17<\/option><option value='18' >18<\/option><option value='19' >19<\/option><option value='20' >20<\/option><option value='21' >21<\/option><option value='22' >22<\/option><option value='23' >23<\/option><option value='24' >24<\/option><option value='25' >25<\/option><option value='26' >26<\/option><option value='27' >27<\/option><option value='28' >28<\/option><option value='29' >29<\/option><option value='30' >30<\/option><\/select><\/div><\/div><div id=\"field_3_46\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible\" data-group-id=\"1c51b08b\" data-field-span=\"12\"><label id='gfield_label_3_46' class='gfield_label gform-field-label' for='input_3_46'><span class='gform-field-label__text'>Locatie van de unit<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_46' id='input_3_46' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Maak een keuze<\/option><option value='Kelder' >Kelder<\/option><option value='Begane grond' >Begane grond<\/option><option value='Eerste verdieping' >Eerste verdieping<\/option><option value='Tweede  verdieping' >Tweede  verdieping<\/option><option value='Derde verdieping' >Derde verdieping<\/option><option value='Zolder' >Zolder<\/option><\/select><\/div><\/div><div id=\"field_3_13\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_above gfield_visibility_visible\" data-group-id=\"85339a40\" data-field-span=\"12\"><label id='gfield_label_3_13' class='gfield_label gform-field-label' for='gform_browse_button_3_13'><span class='gform-field-label__text'>Foto unit<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_3_13'>Op afstand genomen zodat leidingwerk zichtbaar is.<\/div><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_3_13' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_3_13&quot;,&quot;container&quot;:&quot;gform_multifile_upload_3_13&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_3_13&quot;,&quot;filelist&quot;:&quot;gform_preview_3_13&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/astrovac.nl\\\/?gf_page=91c99081f630285&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/astrovac.nl\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/astrovac.nl\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Allowed Files&quot;,&quot;extensions&quot;:&quot;jpg,gif,png,pdf,webp&quot;}],&quot;max_file_size&quot;:&quot;20971520b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:3,&quot;field_id&quot;:13,&quot;_gform_file_upload_nonce_3_13&quot;:&quot;fe19d322de&quot;},&quot;gf_vars&quot;:{&quot;max_files&quot;:&quot;2&quot;,&quot;message_id&quot;:&quot;gform_multifile_messages_3_13&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phar&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_3_13' class='gform_drop_area gform-theme-field-control'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>Drop files here or <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<button type='button' id='gform_browse_button_3_13' class='button gform_button_select_files gform-theme-button gform-theme-button--control' aria-describedby=\"gfield_upload_rules_3_13 gfield_description_3_13\"  >Select files<\/button>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_3_13'>Accepted file types: jpg, gif, png, pdf, webp, Max. file size: 20 MB, Max. files: 2.<\/span><ul class='validation_message--hidden-on-empty gform-ul-reset' id='gform_multifile_messages_3_13'><\/ul> <div id='gform_preview_3_13' class='ginput_preview_list'><\/div><\/div><\/div><div id=\"field_3_42\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible\" data-group-id=\"3ce10765\" data-field-span=\"12\"><label id='gfield_label_3_42' class='gfield_label gform-field-label' for='gform_browse_button_3_42'><span class='gform-field-label__text'>Foto typeplaatje \/ serienummer<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_3_42' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_3_42&quot;,&quot;container&quot;:&quot;gform_multifile_upload_3_42&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_3_42&quot;,&quot;filelist&quot;:&quot;gform_preview_3_42&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/astrovac.nl\\\/?gf_page=91c99081f630285&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/astrovac.nl\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/astrovac.nl\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Allowed Files&quot;,&quot;extensions&quot;:&quot;jpg,gif,png,pdf,webp&quot;}],&quot;max_file_size&quot;:&quot;20971520b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:3,&quot;field_id&quot;:42,&quot;_gform_file_upload_nonce_3_42&quot;:&quot;e82a863dfb&quot;},&quot;gf_vars&quot;:{&quot;max_files&quot;:&quot;2&quot;,&quot;message_id&quot;:&quot;gform_multifile_messages_3_42&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phar&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_3_42' class='gform_drop_area gform-theme-field-control'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>Drop files here or <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<button type='button' id='gform_browse_button_3_42' class='button gform_button_select_files gform-theme-button gform-theme-button--control' aria-describedby=\"gfield_upload_rules_3_42\"  >Select files<\/button>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_3_42'>Accepted file types: jpg, gif, png, pdf, webp, Max. file size: 20 MB, Max. files: 2.<\/span><ul class='validation_message--hidden-on-empty gform-ul-reset' id='gform_multifile_messages_3_42'><\/ul> <div id='gform_preview_3_42' class='ginput_preview_list'><\/div><\/div><\/div><div id=\"field_3_48\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible\" data-group-id=\"c723e6e1\" data-field-span=\"12\"><label id='gfield_label_3_48' class='gfield_label gform-field-label' for='gform_browse_button_3_48'><span class='gform-field-label__text'>Foto defect stofcontact<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_3_48' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_3_48&quot;,&quot;container&quot;:&quot;gform_multifile_upload_3_48&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_3_48&quot;,&quot;filelist&quot;:&quot;gform_preview_3_48&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/astrovac.nl\\\/?gf_page=91c99081f630285&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/astrovac.nl\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/astrovac.nl\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Allowed Files&quot;,&quot;extensions&quot;:&quot;jpg,gif,png,pdf,webp&quot;}],&quot;max_file_size&quot;:&quot;20971520b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:3,&quot;field_id&quot;:48,&quot;_gform_file_upload_nonce_3_48&quot;:&quot;5b76a0777d&quot;},&quot;gf_vars&quot;:{&quot;max_files&quot;:&quot;5&quot;,&quot;message_id&quot;:&quot;gform_multifile_messages_3_48&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phar&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_3_48' class='gform_drop_area gform-theme-field-control'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>Drop files here or <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<button type='button' id='gform_browse_button_3_48' class='button gform_button_select_files gform-theme-button gform-theme-button--control' aria-describedby=\"gfield_upload_rules_3_48\"  >Select files<\/button>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_3_48'>Accepted file types: jpg, gif, png, pdf, webp, Max. file size: 20 MB, Max. files: 5.<\/span><ul class='validation_message--hidden-on-empty gform-ul-reset' id='gform_multifile_messages_3_48'><\/ul> <div id='gform_preview_3_48' class='ginput_preview_list'><\/div><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <button type='button' id='gform_previous_button_3_62' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' >Vorige<\/button> <button type='button' id='gform_next_button_3_62' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' >Volgende<\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_3_4' class='gform_page' data-js='page-field-id-62' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_3_4' class='gform_fields top_label form_sublabel_above description_above validation_above' data-column-layout='fill'><div id=\"field_3_59\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible\" data-group-id=\"544556fa\" data-field-span=\"12\"><h2>Voorwaarden<\/h2><\/div><fieldset id=\"field_3_57\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_above gfield_visibility_visible gfield--choice-align-vertical\" data-group-id=\"f56c689e\" data-field-span=\"12\"><legend id='gfield_label_3_57' class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Betaling<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='gfield_description gfield_consent_description' id='gfield_consent_description_3_57'><div class='gfield_consent_description_text gform-theme__no-reset--children' tabindex='0'>Standaard dient u het volledige factuurbedrag direct na afloop van de werkzaamheden bij de monteur te voldoen. Dit kan door middel van een pin-betaling. Voor betalingen met een credit-card worden extra kosten in rekening gebracht. Ook kan het nodig zijn dat uw (pas)limieten tijdelijk moeten worden verhoogd om bij de monteur af te kunnen rekenen. Houdt er a.u.b. rekening mee dat dit 4 uur kan duren.<\/div><\/div><div class='ginput_container ginput_container_consent'><input name='input_57.1' id='input_3_57_1' type='checkbox' value='1'  aria-describedby=\"gfield_consent_description_3_57\" aria-labelledby=\"input_3_57_1_label gfield_label_3_57\" aria-required=\"true\" aria-invalid=\"false\"   \/> <label id='input_3_57_1_label' class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_3_57_1' ><span class='gform-field-label__text'>Ik heb de betalingsvoorwaarden gelezen en ga hiermee akkoord<\/span><\/label><input type='hidden' name='input_57.2' value='Ik heb de betalingsvoorwaarden gelezen en ga hiermee akkoord' class='gform_hidden' \/><input type='hidden' name='input_57.3' value='5' class='gform_hidden' \/><\/div><\/fieldset><fieldset id=\"field_3_40\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_above gfield_visibility_visible gfield--choice-align-vertical\" data-group-id=\"5bdac862\" data-field-span=\"12\"><legend id='gfield_label_3_40' class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Akkoord offerte<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='gfield_description gfield_consent_description' id='gfield_consent_description_3_40'><div class='gfield_consent_description_text gform-theme__no-reset--children' tabindex='0'>Ik ga akkoord met deze offerte en begrijp dat hiermee een opdracht aan AstroVac wordt gegeven om een servicemonteur langs te laten komen. <br \/>\n<br \/>\nAstroVac zal -altijd- telefonisch contact met u opnemen om de afspraak in te plannen. Wij komen nooit onaangekondigd langs.<\/div><\/div><div class='ginput_container ginput_container_consent'><input name='input_40.1' id='input_3_40_1' type='checkbox' value='1'  aria-describedby=\"gfield_consent_description_3_40\" aria-labelledby=\"input_3_40_1_label gfield_label_3_40\" aria-required=\"true\" aria-invalid=\"false\"   \/> <label id='input_3_40_1_label' class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_3_40_1' ><span class='gform-field-label__text'>Ik ga akkoord met deze offerte<\/span><\/label><input type='hidden' name='input_40.2' value='Ik ga akkoord met deze offerte' class='gform_hidden' \/><input type='hidden' name='input_40.3' value='5' class='gform_hidden' \/><\/div><\/fieldset><fieldset id=\"field_3_58\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_above gfield_visibility_visible gfield--choice-align-vertical\" data-group-id=\"301c6939\" data-field-span=\"12\"><legend id='gfield_label_3_58' class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Algemene voorwaarden<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='gfield_description gfield_consent_description' id='gfield_consent_description_3_58'><div class='gfield_consent_description_text gform-theme__no-reset--children' tabindex='0'><a href=\"https:\/\/astrovac.nl\/wp-content\/uploads\/2025\/10\/AV-ASTROVAC-okt-25.pdf\" target=\"_blank\">Klik hier voor de Algemene Voorwaarden<\/a><br \/>\n<\/div><\/div><div class='ginput_container ginput_container_consent'><input name='input_58.1' id='input_3_58_1' type='checkbox' value='1'  aria-describedby=\"gfield_consent_description_3_58\" aria-labelledby=\"input_3_58_1_label gfield_label_3_58\" aria-required=\"true\" aria-invalid=\"false\"   \/> <label id='input_3_58_1_label' class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_3_58_1' ><span class='gform-field-label__text'>Ik ga akkoord met de algemene voorwaarden van AstroVac<\/span><\/label><input type='hidden' name='input_58.2' value='Ik ga akkoord met de algemene voorwaarden van AstroVac' class='gform_hidden' \/><input type='hidden' name='input_58.3' value='5' class='gform_hidden' \/><\/div><\/fieldset><\/div><\/div>\n        <div class='gform-page-footer gform_page_footer top_label'><button type='submit' id='gform_previous_button_3' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' >Vorige<\/button> <div class=\"gf-turnstile-container\"> <div id=\"cf-turnstile-gf-3\" class=\"cf-turnstile\" data-sitekey=\"0x4AAAAAAFwpuuJGt4nK_aLD\" data-theme=\"light\" data-language=\"auto\" data-size=\"normal\" data-retry=\"auto\" data-retry-interval=\"1000\" data-refresh-expired=\"auto\" data-refresh-timeout=\"auto\" data-action=\"gravity-form-3\" data-callback=\"turnstileGravityCallback\" data-appearance=\"always\"><\/div> <script data-cfasync=\"false\">(window.cfturnstileQueue=window.cfturnstileQueue||[]).push(\"-gf-3\");if(window.cfturnstileRender)window.cfturnstileRender();<\/script> <br class=\"cf-turnstile-br cf-turnstile-br-gf-3\"> <style>#cf-turnstile-gf-3 { margin-left: -15px; }<\/style> <\/div> <style> .gf-turnstile-container { width: 100%; } .gform_footer.top_label { display: flex; flex-wrap: wrap; } <\/style> <script>document.addEventListener(\"DOMContentLoaded\", function() {document.addEventListener('gform\/post_render', function handlePostRender(event) {if (event.detail.formId !== 3) {return;}gform.utils.addAsyncFilter('gform\/submission\/pre_submission', async function handlePreSubmission(data) {document.addEventListener('gform\/post_render', function rerenderTurnstile(event) {if (event.detail.formId !== 3) {return;}const turnstileElement = document.getElementById('cf-turnstile-gf-3');if (turnstileElement) {turnstile.remove('#cf-turnstile-gf-3');turnstile.render('#cf-turnstile-gf-3', (typeof window.cfturnstileOpts === \"function\" ? window.cfturnstileOpts(turnstileElement) : {}));}document.removeEventListener('gform\/post_render', rerenderTurnstile);});gform.utils.removeFilter('gform\/submission\/pre_submission', handlePreSubmission);return data;});document.removeEventListener('gform\/post_render', handlePostRender);});});<\/script><button type='submit' id='gform_submit_button_3' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' >Versturen<\/button> <input type='hidden' name='gform_ajax' 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