{"id":185,"date":"2017-02-16T15:29:53","date_gmt":"2017-02-16T15:29:53","guid":{"rendered":"http:\/\/www2.wijkbelangenroderveld.nl\/?page_id=185"},"modified":"2023-12-19T15:23:02","modified_gmt":"2023-12-19T15:23:02","slug":"aanmeldingsformulier","status":"publish","type":"page","link":"https:\/\/www2.wijkbelangenroderveld.nl\/?page_id=185","title":{"rendered":"Aanmeldingsformulier (contributie 5 euro per jaar)"},"content":{"rendered":"<div class=\"fm-form-container fm-theme67\"><div id=\"fm-pages37\" class=\"fm-pages wdform_page_navigation \" show_title=\"\" show_numbers=\"1\" type=\"none\"><\/div><form name=\"form37\" action=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F185\" method=\"post\" id=\"form37\" class=\"fm-form form37 \" enctype=\"multipart\/form-data\"><input type=\"hidden\" id=\"counter37\" value=\"13\" name=\"counter37\" \/><input type=\"hidden\" id=\"Itemid37\" value=\"\" name=\"Itemid37\" \/><div class=\"wdform-page-and-images\"><div id=\"37form_view1\" class=\"wdform_page\" page_title=\"Untitled page\" next_title=\"Next\" next_type=\"text\" next_class=\"wdform-page-button\" next_checkable=\"false\" previous_title=\"Previous\" previous_type=\"text\" previous_class=\"wdform-page-button\" previous_checkable=\"false\"><div class=\"wdform_section\"><div class=\"wdform_column\"><div wdid=\"2\" class=\"wdform_row\"><div type=\"type_text\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column\"><div class=\"wdform-label-section wd-width-100  wd-flex-row wd-align-items-center\">    <label for=\"wdform_2_element37\" class=\"wdform-label\">Voornaam\/letters<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex  wd-flex-row wd-align-items-center wd-width-100\" ><input type=\"text\"                           class=\"wd-width-100\"                           id=\"wdform_2_element37\"                           name=\"wdform_2_element37\"                           value=\"\"                           title=\"\"                           placeholder=\"\"                                                       \/><\/div><\/div><\/div><div wdid=\"3\" class=\"wdform_row\"><div type=\"type_text\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column\"><div class=\"wdform-label-section wd-width-100  wd-flex-row wd-align-items-center\">    <label for=\"wdform_3_element37\" class=\"wdform-label\">Achternaam<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex  wd-flex-row wd-align-items-center wd-width-100\" ><input type=\"text\"                           class=\"wd-width-100\"                           id=\"wdform_3_element37\"                           name=\"wdform_3_element37\"                           value=\"\"                           title=\"\"                           placeholder=\"\"                                                       \/><\/div><\/div><\/div><div wdid=\"4\" class=\"wdform_row\" style=\"position: relative; left: 0px; top: 0px;\"><div type=\"type_text\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column\"><div class=\"wdform-label-section wd-width-100  wd-flex-row wd-align-items-center\">    <label for=\"wdform_4_element37\" class=\"wdform-label\">Straat<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex  wd-flex-row wd-align-items-center wd-width-100\" ><input type=\"text\"                           class=\"wd-width-100\"                           id=\"wdform_4_element37\"                           name=\"wdform_4_element37\"                           value=\"\"                           title=\"\"                           placeholder=\"\"                                                       \/><\/div><\/div><\/div><div wdid=\"5\" class=\"wdform_row\"><div type=\"type_text\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column\"><div class=\"wdform-label-section wd-width-100  wd-flex-row wd-align-items-center\">    <label for=\"wdform_5_element37\" class=\"wdform-label\">Postcode<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex  wd-flex-row wd-align-items-center wd-width-100\" ><input type=\"text\"                           class=\"wd-width-100\"                           id=\"wdform_5_element37\"                           name=\"wdform_5_element37\"                           value=\"\"                           title=\"\"                           placeholder=\"\"                                                       \/><\/div><\/div><\/div><div wdid=\"6\" class=\"wdform_row\"><div type=\"type_text\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column\"><div class=\"wdform-label-section wd-width-100  wd-flex-row wd-align-items-center\">    <label for=\"wdform_6_element37\" class=\"wdform-label\">Woonplaats<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex  wd-flex-row wd-align-items-center wd-width-100\" ><input type=\"text\"                           class=\"wd-width-100\"                           id=\"wdform_6_element37\"                           name=\"wdform_6_element37\"                           value=\"Roden\"                           title=\"\"                           placeholder=\"\"                                                       \/><\/div><\/div><\/div><div wdid=\"7\" class=\"wdform_row\"><div type=\"type_text\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column\"><div class=\"wdform-label-section wd-width-100  wd-flex-row wd-align-items-center\">    <label for=\"wdform_7_element37\" class=\"wdform-label\">Telefoonnummer (vast of mobiel)<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex  wd-flex-row wd-align-items-center wd-width-100\" ><input type=\"text\"                           class=\"wd-width-100\"                           id=\"wdform_7_element37\"                           name=\"wdform_7_element37\"                           value=\"\"                           title=\"\"                           placeholder=\"\"                                                       \/><\/div><\/div><\/div><div wdid=\"8\" class=\"wdform_row\"><div type=\"type_text\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column\"><div class=\"wdform-label-section wd-width-100  wd-flex-row wd-align-items-center\">    <label for=\"wdform_8_element37\" class=\"wdform-label\">Bankrekening (IBAN) voor incasseren van contributie<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex  wd-flex-row wd-align-items-center wd-width-100\" ><input type=\"text\"                           class=\"wd-width-100\"                           id=\"wdform_8_element37\"                           name=\"wdform_8_element37\"                           value=\"\"                           title=\"\"                           placeholder=\"\"                                                       \/><\/div><\/div><\/div><div wdid=\"9\" class=\"wdform_row\"><div type=\"type_submitter_mail\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column\"><div class=\"wdform-label-section wd-width-100  wd-flex-row\">    <label for=\"wdform_9_element37\" class=\"wdform-label\">Email<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex  wd-flex-row wd-width-100\" ><input type=\"text\" class=\"wd-width-100\" id=\"wdform_9_element37\" name=\"wdform_9_element37\" value=\"\" title=\"\" placeholder=\"\"   onchange=\"wd_check_email('9', '37', 'Dit is geen geldig e-mailadres.'); wd_check_confirmation_email('9', '37', 'De e-mailadressen komen niet overeen')\" \/><\/div><\/div><div type=\"type_submitter_mail\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column\"><div class=\"wdform-label-section wd-width-100  wd-flex-row\">    <label for=\"wdform_9_1_element37\" class=\"wdform-label\">Email bevestiging<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex  wd-flex-row wd-width-100\" ><input type=\"text\" class=\"wd-width-100\" id=\"wdform_9_1_element37\" name=\"wdform_9_1_element37\" placeholder=\"\" title=\"\"  onchange=\"wd_check_confirmation_email('9', '37', 'De e-mailadressen komen niet overeen')\" \/><\/div><\/div><\/div><div wdid=\"10\" class=\"wdform_row\"><div type=\"type_textarea\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column\"><div class=\"wdform-label-section wd-width-100 \">    <label for=\"wdform_10_element37\" class=\"wdform-label\">Opmerkingen en\/of verbeterpunten<\/label><\/div><div class=\"wdform-element-section wd-flex  wd-width-100\" style=\"max-width: 500px;\"><textarea class=\"wd-width-100\"                      id=\"wdform_10_element37\"                      name=\"wdform_10_element37\"                      placeholder=\"\"                      style=\"height: 200px;\"                      ><\/textarea><\/div><\/div><\/div><div wdid=\"11\" class=\"wdform_row\" style=\"position: relative; left: 0px; top: 0px;\"><div type=\"type_editor\" class=\"wdform-field\"><p>Met het versturen van dit formulier ga ik akkoord met jaarlijks incasseren van de contributie van het door mij opgegeven IBAN rekeningnummer.\u00a0 U ontvangt een bevestiging van uw aanmelding op het door u opgegeven e-mailadres.<\/p><\/div><\/div><div wdid=\"12\" class=\"wdform_row\" style=\"position: relative; left: 0px; top: 0px;\"><div type=\"type_submit_reset\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column\"><div class=\"wdform-element-section wd-flex  wd-flex-row wd-justify-content-left wd-width-100\" ><button type=\"button\" class=\"button-submit\" onclick=\"fm_submit_form('37');\" >Versturen<\/button><button type=\"button\" class=\"button-reset \" onclick=\"fm_reset_form(37);\" >Herstellen<\/button><\/div><\/div><\/div><div wdid=\"1\" class=\"wdform_row\" style=\"position: relative; left: 0px; top: 0px;\"><div type=\"type_submit_reset\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column\"><div class=\"wdform-element-section wd-flex  wd-flex-row wd-justify-content-left wd-width-100\" ><button type=\"button\" class=\"button-submit\" onclick=\"fm_submit_form('37');\" >Formulier leeg maken<\/button><button type=\"button\" class=\"button-reset wd-hidden\" onclick=\"fm_reset_form(37);\" >Reset<\/button><\/div><\/div><\/div><\/div><\/div><div valign=\"top\" class=\"wdform_footer wd-width-100\"><div class=\"wd-width-100\"><div class=\"wd-width-100 wd-table\" style=\"padding-top:10px;\"><div class=\"wd-table-group\"><div id=\"37page_nav1\" class=\"wd-table-row\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"wdform_preload\"><\/div><\/form><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":4,"comment_status":"closed","ping_status":"closed","template":"","meta":{"ngg_post_thumbnail":0,"footnotes":""},"class_list":["post-185","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www2.wijkbelangenroderveld.nl\/index.php?rest_route=\/wp\/v2\/pages\/185","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www2.wijkbelangenroderveld.nl\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www2.wijkbelangenroderveld.nl\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www2.wijkbelangenroderveld.nl\/index.php?rest_route=\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www2.wijkbelangenroderveld.nl\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=185"}],"version-history":[{"count":8,"href":"https:\/\/www2.wijkbelangenroderveld.nl\/index.php?rest_route=\/wp\/v2\/pages\/185\/revisions"}],"predecessor-version":[{"id":2465,"href":"https:\/\/www2.wijkbelangenroderveld.nl\/index.php?rest_route=\/wp\/v2\/pages\/185\/revisions\/2465"}],"wp:attachment":[{"href":"https:\/\/www2.wijkbelangenroderveld.nl\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=185"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}