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<label id="tfa_1-L" class="label preField reqMark" for="tfa_1">Prénom</label><br><div class="inputWrapper"><input aria-required="true" type="text" id="tfa_1" name="tfa_1" value="" autocomplete="off" title="Prénom" class="validate-alphanum required"></div>
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<label id="tfa_27-L" class="label preField reqMark" for="tfa_27">Nom de la société</label><br><div class="inputWrapper"><input aria-required="true" type="text" id="tfa_27" name="tfa_27" value="" title="Nom de la société" class="required"></div>
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<label id="tfa_81-L" class="label preField reqMark" for="tfa_81">Numéro de TVA</label><br><div class="inputWrapper">
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<div class="oneField field-container-D   hintsBelow " id="tfa_19-D">
<label id="tfa_19-L" class="label preField reqMark" for="tfa_19">Numéro de téléphone</label><br><div class="inputWrapper"><input aria-required="true" type="text" id="tfa_19" name="tfa_19" value="" autocomplete="off" title="Numéro de téléphone" class="validate-integer required"></div>
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<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="fr_BE" default="fr_BE" maxlength="50" title="Taal" class="required"></div>
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<label id="tfa_59-L" class="label preField " for="tfa_59">E-mail tekst</label><br><div class="inputWrapper"><textarea default="Nous vous remercions de la confiance que vous accordez à notre service. Nous vous répondrons dans les plus brefs délais. Nous vous souhaitons une excellente journée de travail !" maxlength="250" id="tfa_59" name="tfa_59" title="E-mail tekst" class="">Nous vous remercions de la confiance que vous accordez à notre service. Nous vous répondrons dans les plus brefs délais. Nous vous souhaitons une excellente journée de travail !</textarea></div>
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<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="contact pakket" default="contact pakket" maxlength="50" title="Categorie" class="required"></div>
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<label id="tfa_63-L" class="label preField " for="tfa_63">Subjectline bevestigingsmail (bij leeg veld wordt default Marketing Cloud waarde gebruikt)</label><br><div class="inputWrapper"><textarea maxlength="300" id="tfa_63" name="tfa_63" title="Subjectline bevestigingsmail (bij leeg veld wordt default Marketing Cloud waarde gebruikt)" class=""></textarea></div>
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  <p class="supportInfo" >
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