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    <link href="https://postnl.tfaforms.net/dist/form-builder/5.0.0/wforms-layout.css?v=1686264471" rel="stylesheet" type="text/css" />

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<div class="wFormContainer" >
    <div class="wFormHeader"></div>
    <style type="text/css">
                #tfa_301,
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                label[id^="tfa_59["],
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                #tfa_275,
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            </style><div class=""><div class="wForm" id="4960019-WRPR" dir="ltr">
<div class="codesection" id="code-4960019"></div>
<form method="post" action="https://postnl.tfaforms.net/api_v2/rest/workflow/processor" class="hintsBelow labelsAbove" id="4960019" role="form">
<div class="oneField field-container-D    " id="tfa_143-D">
<label id="tfa_143-L" class="label preField reqMark" for="tfa_143">Voornaam</label><br><div class="inputWrapper"><input aria-required="true" type="text" id="tfa_143" name="tfa_143" value="" autocomplete="off" title="Voornaam" class="validate-alphanum required"></div>
</div>
<div class="oneField field-container-D    " id="tfa_145-D">
<label id="tfa_145-L" class="label preField reqMark" for="tfa_145">Achternaam</label><br><div class="inputWrapper"><input aria-required="true" type="text" id="tfa_145" name="tfa_145" value="" autocomplete="off" title="Achternaam" class="validate-alphanum required"></div>
</div>
<div class="oneField field-container-D   hintsBelow " id="tfa_19-D">
<label id="tfa_19-L" class="label preField reqMark" for="tfa_19">Telefoonnummer</label><br><div class="inputWrapper"><input aria-required="true" type="text" id="tfa_19" name="tfa_19" value="" autocomplete="off" title="Telefoonnummer" class="validate-integer required"></div>
</div>
<div class="oneField field-container-D    " id="tfa_262-D">
<label id="tfa_262-L" class="label preField reqMark" for="tfa_262">E-mailadres</label><br><div class="inputWrapper"><input aria-required="true" type="text" id="tfa_262" name="tfa_262" value="" autocomplete="off" title="E-mailadres" class="validate-email required"></div>
</div>
<div class="oneField field-container-D    " id="tfa_132-D">
<label id="tfa_132-L" class="label preField reqMark" for="tfa_132">Functie</label><br><div class="inputWrapper"><select aria-required="true" id="tfa_132" name="tfa_132" title="Functie" class="required"><option value="">Maak een keuze</option>
<option value="tfa_134" id="tfa_134" class="">Bedrijfsleider/Vestigingsmanager</option>
<option value="tfa_135" id="tfa_135" class="">Bestuurder</option>
<option value="tfa_136" id="tfa_136" class="">Directeur</option>
<option value="tfa_137" id="tfa_137" class="">Eigenaar</option>
<option value="tfa_138" id="tfa_138" class="">Teamleider</option>
<option value="tfa_139" id="tfa_139" class="">Manager</option>
<option value="tfa_140" id="tfa_140" class="">Medewerker</option>
<option value="tfa_141" id="tfa_141" class="">Overig</option></select></div>
</div>
<div class="oneField field-container-D    " id="tfa_326-D" role="radiogroup" aria-labelledby="tfa_326-L" data-tfa-labelledby="-L tfa_326-L">
<label id="tfa_326-L" class="label preField reqMark">Ben je al klant bij PostNL?</label><br><div class="inputWrapper"><span id="tfa_326" class="choices vertical required" aria-required="true"><span class="oneChoice"><input type="radio" value="tfa_327" class="" id="tfa_327" name="tfa_326" aria-required="true" data-conditionals="#tfa_332" aria-labelledby="tfa_327-L" data-tfa-labelledby="tfa_326-L tfa_327-L"><label class="label postField" id="tfa_327-L" for="tfa_327"><span class="input-radio-faux"></span>Ja</label></span><span class="oneChoice"><input type="radio" value="tfa_328" class="" id="tfa_328" name="tfa_326" aria-required="true" data-conditionals="#tfa_314" aria-labelledby="tfa_328-L" data-tfa-labelledby="tfa_326-L tfa_328-L"><label class="label postField" id="tfa_328-L" for="tfa_328"><span class="input-radio-faux"></span>Nee</label></span></span></div>
</div>
<div class="oneField field-container-D    " id="tfa_332-D">
<label id="tfa_332-L" class="label preField reqMark" for="tfa_332">Klantnummer PostNL</label><br><div class="inputWrapper"><input aria-required="true" type="text" id="tfa_332" name="tfa_332" value="" data-condition="`#tfa_327`" title="Klantnummer PostNL" class="required"></div>
</div>
<div class="htmlSection" id="tfa_280"><div class="htmlContent" id="tfa_280-HTML">Bedrijf</div></div>
<div class="oneField field-container-D    " id="tfa_302-D" role="radiogroup" aria-labelledby="tfa_302-L" data-tfa-labelledby="-L tfa_302-L">
<label id="tfa_302-L" class="label preField reqMark">Ben je al een pakketpunt voor een andere vervoerder dan PostNL?</label><br><div class="inputWrapper"><span id="tfa_302" class="choices vertical required" aria-required="true"><span class="oneChoice"><input type="radio" value="tfa_303" class="" id="tfa_303" name="tfa_302" aria-required="true" aria-labelledby="tfa_303-L" data-tfa-labelledby="tfa_302-L tfa_303-L"><label class="label postField" id="tfa_303-L" for="tfa_303"><span class="input-radio-faux"></span>Ja</label></span><span class="oneChoice"><input type="radio" value="tfa_304" class="" id="tfa_304" name="tfa_302" aria-required="true" aria-labelledby="tfa_304-L" data-tfa-labelledby="tfa_302-L tfa_304-L"><label class="label postField" id="tfa_304-L" for="tfa_304"><span class="input-radio-faux"></span>Nee</label></span></span></div>
</div>
<div class="oneField field-container-D    " id="tfa_308-D" role="radiogroup" aria-labelledby="tfa_308-L" data-tfa-labelledby="-L tfa_308-L">
<label id="tfa_308-L" class="label preField reqMark">Is je winkel/locatie onderdeel van een keten?</label><br><div class="inputWrapper"><span id="tfa_308" class="choices vertical required" aria-required="true"><span class="oneChoice"><input type="radio" value="tfa_309" class="" id="tfa_309" name="tfa_308" aria-required="true" aria-labelledby="tfa_309-L" data-tfa-labelledby="tfa_308-L tfa_309-L"><label class="label postField" id="tfa_309-L" for="tfa_309"><span class="input-radio-faux"></span>Ja</label></span><span class="oneChoice"><input type="radio" value="tfa_310" class="" id="tfa_310" name="tfa_308" aria-required="true" aria-labelledby="tfa_310-L" data-tfa-labelledby="tfa_308-L tfa_310-L"><label class="label postField" id="tfa_310-L" for="tfa_310"><span class="input-radio-faux"></span>Nee</label></span></span></div>
</div>
<div class="oneField field-container-D    " id="tfa_340-D">
<label id="tfa_340-L" class="label preField reqMark" for="tfa_340">Welke branche</label><br><div class="inputWrapper"><select aria-required="true" id="tfa_340" name="tfa_340" title="Welke branche" class="required"><option value="">Maak een keuze</option>
<option value="tfa_341" id="tfa_341" class="">Benzine</option>
<option value="tfa_342" id="tfa_342" class="">Boekhandel</option>
<option value="tfa_343" id="tfa_343" class="">Bouwmarkt</option>
<option value="tfa_344" id="tfa_344" class="">Drogist</option>
<option value="tfa_345" id="tfa_345" class="">Kantoor</option>
<option value="tfa_346" id="tfa_346" class="">Maatschappelijk</option>
<option value="tfa_347" id="tfa_347" class="">Onderwijs</option>
<option value="tfa_348" id="tfa_348" class="">Recreatie</option>
<option value="tfa_349" id="tfa_349" class="">Supermarkt</option>
<option value="tfa_350" id="tfa_350" class="">Tabak &amp; Gemak</option>
<option value="tfa_351" id="tfa_351" class="">Tuin</option>
<option value="tfa_352" id="tfa_352" class="">Uitvaart</option>
<option value="tfa_353" id="tfa_353" class="">Warenhuis</option>
<option value="tfa_354" id="tfa_354" class="">Zorgcentra</option>
<option value="tfa_355" id="tfa_355" class="">Decoratie</option></select></div>
</div>
<div class="oneField field-container-D    " id="tfa_314-D" role="radiogroup" aria-labelledby="tfa_314-L" data-tfa-labelledby="-L tfa_314-L">
<label id="tfa_314-L" class="label preField reqMark">Heb je al eerder zaken gedaan met PostNL?</label><br><div class="inputWrapper"><span id="tfa_314" class="choices vertical required" aria-required="true" data-condition="`#tfa_328`"><span class="oneChoice"><input type="radio" value="tfa_315" class="" id="tfa_315" name="tfa_314" aria-required="true" aria-labelledby="tfa_315-L" data-tfa-labelledby="tfa_314-L tfa_315-L"><label class="label postField" id="tfa_315-L" for="tfa_315"><span class="input-radio-faux"></span>Ja</label></span><span class="oneChoice"><input type="radio" value="tfa_316" class="" id="tfa_316" name="tfa_314" aria-required="true" aria-labelledby="tfa_316-L" data-tfa-labelledby="tfa_314-L tfa_316-L"><label class="label postField" id="tfa_316-L" for="tfa_316"><span class="input-radio-faux"></span>Nee</label></span></span></div>
</div>
<div class="oneField field-container-D    " id="tfa_320-D" role="radiogroup" aria-labelledby="tfa_320-L" data-tfa-labelledby="-L tfa_320-L">
<label id="tfa_320-L" class="label preField reqMark">Neem je een retailer over die al relaties heeft met PostNL?</label><br><div class="inputWrapper"><span id="tfa_320" class="choices vertical required" aria-required="true"><span class="oneChoice"><input type="radio" value="tfa_321" class="" id="tfa_321" name="tfa_320" aria-required="true" data-conditionals="#tfa_336" aria-labelledby="tfa_321-L" data-tfa-labelledby="tfa_320-L tfa_321-L"><label class="label postField" id="tfa_321-L" for="tfa_321"><span class="input-radio-faux"></span>Ja</label></span><span class="oneChoice"><input type="radio" value="tfa_322" class="" id="tfa_322" name="tfa_320" aria-required="true" aria-labelledby="tfa_322-L" data-tfa-labelledby="tfa_320-L tfa_322-L"><label class="label postField" id="tfa_322-L" for="tfa_322"><span class="input-radio-faux"></span>Nee</label></span></span></div>
</div>
<div class="oneField field-container-D    " id="tfa_336-D">
<label id="tfa_336-L" class="label preField reqMark" for="tfa_336">Vul hier het klantnummer in van de retailer die je overneemt</label><br><div class="inputWrapper"><input aria-required="true" type="text" id="tfa_336" name="tfa_336" value="" data-condition="`#tfa_321`" title="Vul hier het klantnummer in van de retailer die je overneemt" class="validate-integer required"></div>
</div>
<div class="oneField field-container-D    " id="tfa_1-D">
<label id="tfa_1-L" class="label preField reqMark" for="tfa_1">Bedrijfsnaam</label><br><div class="inputWrapper"><input aria-required="true" type="text" id="tfa_1" name="tfa_1" value="" autocomplete="off" title="Bedrijfsnaam" class="required"></div>
</div>
<div class="oneField field-container-D    " id="tfa_47-D">
<label id="tfa_47-L" class="label preField reqMark" for="tfa_47">Straat</label><br><div class="inputWrapper"><input aria-required="true" type="text" id="tfa_47" name="tfa_47" value="" autocomplete="off" title="Straat" class="required"></div>
</div>
<div class="oneField field-container-D    " id="tfa_21-D">
<label id="tfa_21-L" class="label preField reqMark" for="tfa_21">Huisnummer</label><br><div class="inputWrapper"><input aria-required="true" type="text" id="tfa_21" name="tfa_21" value="" autocomplete="off" title="Huisnummer" class="required"></div>
</div>
<div class="oneField field-container-D    " id="tfa_186-D">
<label id="tfa_186-L" class="label preField " for="tfa_186">Huisnummer toevoeging</label><br><div class="inputWrapper"><input type="text" id="tfa_186" name="tfa_186" value="" autocomplete="off" title="Huisnummer toevoeging" class=""></div>
</div>
<div class="oneField field-container-D    " id="tfa_17-D">
<label id="tfa_17-L" class="label preField reqMark" for="tfa_17">Postcode</label><br><div class="inputWrapper"><input aria-required="true" type="text" id="tfa_17" name="tfa_17" value="" autocomplete="off" placeholder="1234" title="Postcode" class="required"></div>
</div>
<div class="oneField field-container-D    " id="tfa_48-D">
<label id="tfa_48-L" class="label preField reqMark" for="tfa_48">Woonplaats</label><br><div class="inputWrapper"><input aria-required="true" type="text" id="tfa_48" name="tfa_48" value="" autocomplete="off" title="Woonplaats" class="required"></div>
</div>
<div class="oneField field-container-D    " id="tfa_12-D">
<label id="tfa_12-L" class="label preField reqMark" for="tfa_12">Land</label><br><div class="inputWrapper"><select aria-required="true" id="tfa_12" name="tfa_12" title="Land" class="required"><option value="">Maak een keuze</option>
<option value="tfa_299" id="tfa_299" class="">NL</option>
<option value="tfa_300" id="tfa_300" class="">BE</option></select></div>
</div>
<div class="oneField field-container-D    " id="tfa_301-D">
<label id="tfa_301-L" class="label preField " for="tfa_301">Andere info dat je graag wilt delen</label><br><div class="inputWrapper"><textarea maxlength="300" id="tfa_301" name="tfa_301" title="Andere info dat je graag wilt delen" class=""></textarea></div>
</div>
<div class="oneField field-container-D     wf-acl-hidden" id="tfa_49-D">
<label id="tfa_49-L" class="label preField reqMark" for="tfa_49">Taal</label><br><div class="inputWrapper"><input aria-required="true" type="text" id="tfa_49" name="tfa_49" value="nl_BE" default="nl_BE" maxlength="50" title="Taal" class="required"></div>
</div>
<div class="oneField field-container-D     wf-acl-hidden" id="tfa_59-D">
<label id="tfa_59-L" class="label preField " for="tfa_59">E-mail tekst</label><br><div class="inputWrapper"><textarea maxlength="300" id="tfa_59" name="tfa_59" title="E-mail tekst" class=""></textarea></div>
</div>
<div class="oneField field-container-D     wf-acl-hidden" id="tfa_51-D">
<label id="tfa_51-L" class="label preField reqMark" for="tfa_51">Categorie</label><br><div class="inputWrapper"><input aria-required="true" type="text" id="tfa_51" name="tfa_51" value="postnl punt" default="postnl punt" maxlength="50" title="Categorie" class="required"></div>
</div>
<div class="oneField field-container-D     wf-acl-hidden" id="tfa_53-D">
<label id="tfa_53-L" class="label preField reqMark" for="tfa_53">Webform Source</label><br><div class="inputWrapper"><input aria-required="true" type="text" id="tfa_53" name="tfa_53" value="postnl punt be" default="postnl punt be" title="Webform Source" class="required"></div>
</div>
<div class="oneField field-container-D     wf-acl-hidden" id="tfa_243-D">
<label id="tfa_243-L" class="label preField reqMark" for="tfa_243">Record Type ID</label><br><div class="inputWrapper"><input aria-required="true" type="text" id="tfa_243" name="tfa_243" value="0120J000000opbTQAQ" default="0120J000000opbTQAQ" title="Record Type ID" class="required"></div>
</div>
<div class="oneField field-container-D     wf-acl-hidden" id="tfa_273-D">
<label id="tfa_273-L" class="label preField reqMark" for="tfa_273">Formulier_titel</label><br><div class="inputWrapper"><input aria-required="true" type="text" id="tfa_273" name="tfa_273" value="Word een PostNL-punt" default="Word een PostNL-punt" title="Formulier_titel" class="required"></div>
</div>
<div class="oneField field-container-D     wf-acl-hidden" id="tfa_275-D">
<label id="tfa_275-L" class="label preField " for="tfa_275">Subjectline bevestigingsmail (bij leeg veld wordt default Marketing Cloud waarde gebruikt)</label><br><div class="inputWrapper"><textarea maxlength="300" id="tfa_275" name="tfa_275" title="Subjectline bevestigingsmail (bij leeg veld wordt default Marketing Cloud waarde gebruikt)" class=""></textarea></div>
</div>
<div class="actions" id="4960019-A" data-contentid="submit_button"><input type="submit" data-label="Verzenden" class="primaryAction" id="submit_button" value="Verzenden"></div>
<div style="clear:both"></div>
<input type="hidden" value="35-a8a455643430088262b8a3b3fc0e8b37" name="tfa_dbCounters" id="tfa_dbCounters" autocomplete="off"><input type="hidden" value="4960019" name="tfa_dbFormId" id="tfa_dbFormId"><input type="hidden" value="" name="tfa_dbResponseId" id="tfa_dbResponseId"><input type="hidden" value="e5cb127582d0ba14bd22bbc767844848" name="tfa_dbControl" id="tfa_dbControl"><input type="hidden" value="" name="tfa_dbWorkflowSessionUuid" id="tfa_dbWorkflowSessionUuid"><input type="hidden" value="1686264470" name="tfa_dbTimeStarted" id="tfa_dbTimeStarted" autocomplete="off"><input type="hidden" value="17" name="tfa_dbVersionId" id="tfa_dbVersionId"><input type="hidden" value="" name="tfa_switchedoff" id="tfa_switchedoff">
</form>
</div></div><div class="wFormFooter"><p class="supportInfo"><br></p></div>
  <p class="supportInfo" >
      </p>
 </div>

Word PostNL-locatie                                                                                               

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