{"id":246,"date":"2026-10-09T14:46:55","date_gmt":"2026-10-09T14:46:55","guid":{"rendered":"https:\/\/drupfix.com\/?page_id=246"},"modified":"2026-10-09T14:49:58","modified_gmt":"2026-10-09T14:49:58","slug":"aanvraag-formulier","status":"publish","type":"page","link":"https:\/\/drupfix.com\/index.php\/aanvraag-formulier\/","title":{"rendered":"Aanvraag formulier"},"content":{"rendered":"<div class=\"et_pb_section_0 et_pb_section et_section_regular et_flex_section\">\n<div class=\"et_pb_row_0 et_pb_row et_flex_row\">\n<div class=\"et_pb_column_0 et_pb_column et-last-child et_flex_column et_pb_css_mix_blend_mode_passthrough et_flex_column_24_24 et_flex_column_24_24_tablet et_flex_column_24_24_phone\">\n<div class=\"et_pb_text_0 et_pb_text et_pb_bg_layout_light et_pb_module et_flex_module\"><div class=\"et_pb_text_inner\"><h1><strong><span>Bestel een ruilset<\/span><\/strong><\/h1>\n<h4><em><span><\/span><\/em><\/h4>\n<h4><em><span>Vraag hieronder eenvoudig een ruilset Lechler 065.283 druppelafsluiters aan. Na ontvangst van uw aanvraag ontvangt u van DrupFix een bevestiging, betaalinformatie en instructies voor het opsturen van uw gebruikte kleppen.<\/span><\/em><\/h4>\n<\/div><\/div>\n\n<div class=\"et_pb_text_1 et_pb_text et_pb_bg_layout_light et_pb_module et_flex_module\"><div class=\"et_pb_text_inner\"><h3><strong>Uw bedrijfsgegevens:<\/strong><\/h3>\n<\/div><\/div>\n<\/div>\n<\/div>\n<\/div>\n\n<div class=\"et_pb_section_1 et_pb_section et_section_regular et_flex_section\"><\/div>\n\n<div class=\"et_pb_section_2 et_pb_section et_section_regular et_flex_section\">\n<div class=\"et_pb_row_1 et_pb_row et_flex_row\">\n<div class=\"et_pb_column_1 et_pb_column et-last-child et_flex_column et_pb_css_mix_blend_mode_passthrough et_flex_column_24_24 et_flex_column_24_24_tablet et_flex_column_24_24_phone\">\n<div class=\"et_pb_contact_form_0 et_pb_contact_form_container clearfix et_pb_module et_flex_module\" data-form_unique_num=\"0\" data-form_unique_id=\"bcd743a2-e9f0-4711-9876-9e0de7afeac3\" id=\"et_pb_contact_form_bcd743a2-e9f0-4711-9876-9e0de7afeac3\"><div class=\"et-pb-contact-message\"><\/div><div class=\"et_pb_contact\"><form class=\"et_pb_contact_form et_flex_module\" method=\"post\" action=\"https:\/\/drupfix.com\/index.php\/wp-json\/wp\/v2\/pages\/246\">\n<div class=\"et_pb_contact_field_0 et_pb_contact_field et_pb_module et_flex_module et_flex_column_12_24 et_flex_column_12_24_tablet et_flex_column_12_24_phone\" data-id=\"bedrijfsnaam\" data-type=\"input\"><label class=\"et_pb_contact_form_label\" for=\"et_pb_contact_0_bedrijfsnaam_0\">Bedrijfsnaam<\/label><input type=\"text\" name=\"et_pb_contact_0_bedrijfsnaam_0\" id=\"et_pb_contact_0_bedrijfsnaam_0\" class=\"input\" data-required_mark=\"required\" data-field_type=\"input\" data-original_id=\"bedrijfsnaam\" placeholder=\"Bedrijfsnaam\" title=\"\" value=\"\" \/><\/div>\n\n<div class=\"et_pb_contact_field_1 et_pb_contact_field et_pb_module et_flex_module et_flex_column_12_24 et_flex_column_12_24_tablet et_flex_column_12_24_phone\" data-id=\"contactpersoon\" data-type=\"input\"><label class=\"et_pb_contact_form_label\" for=\"et_pb_contact_0_contactpersoon_1\">Contactpersoon<\/label><input type=\"text\" name=\"et_pb_contact_0_contactpersoon_1\" id=\"et_pb_contact_0_contactpersoon_1\" class=\"input\" data-required_mark=\"required\" data-field_type=\"input\" data-original_id=\"contactpersoon\" placeholder=\"Contactpersoon\" title=\"\" value=\"\" \/><\/div>\n\n<div class=\"et_pb_contact_field_2 et_pb_contact_field et_pb_module et_flex_module et_flex_column_12_24 et_flex_column_12_24_tablet et_flex_column_12_24_phone\" data-id=\"email_2\" data-type=\"email\"><label class=\"et_pb_contact_form_label\" for=\"et_pb_contact_0_email_2_2\">E-mail adres<\/label><input type=\"text\" name=\"et_pb_contact_0_email_2_2\" id=\"et_pb_contact_0_email_2_2\" class=\"input\" data-required_mark=\"required\" data-field_type=\"email\" data-original_id=\"email_2\" placeholder=\"E-mail adres\" title=\"\" value=\"\" \/><\/div>\n\n<div class=\"et_pb_contact_field_3 et_pb_contact_field et_pb_module et_flex_module et_flex_column_12_24 et_flex_column_12_24_tablet et_flex_column_12_24_phone\" data-id=\"straat_en_huisnummer\" data-type=\"input\"><label class=\"et_pb_contact_form_label\" for=\"et_pb_contact_0_straat_en_huisnummer_3\">Straat en huisnummer<\/label><input type=\"text\" name=\"et_pb_contact_0_straat_en_huisnummer_3\" id=\"et_pb_contact_0_straat_en_huisnummer_3\" class=\"input\" data-required_mark=\"required\" data-field_type=\"input\" data-original_id=\"straat_en_huisnummer\" placeholder=\"Straat en huisnummer\" title=\"\" value=\"\" \/><\/div>\n\n<div class=\"et_pb_contact_field_4 et_pb_contact_field et_pb_module et_flex_module et_flex_column_12_24 et_flex_column_12_24_tablet et_flex_column_12_24_phone\" data-id=\"postcode\" data-type=\"input\"><label class=\"et_pb_contact_form_label\" for=\"et_pb_contact_0_postcode_4\">Postcode<\/label><input type=\"text\" name=\"et_pb_contact_0_postcode_4\" id=\"et_pb_contact_0_postcode_4\" class=\"input\" data-required_mark=\"required\" data-field_type=\"input\" data-original_id=\"postcode\" placeholder=\"Postcode\" title=\"\" value=\"\" \/><\/div>\n\n<div class=\"et_pb_contact_field_5 et_pb_contact_field et_pb_module et_flex_module et_flex_column_12_24 et_flex_column_12_24_tablet et_flex_column_12_24_phone\" data-id=\"plaats\" data-type=\"input\"><label class=\"et_pb_contact_form_label\" for=\"et_pb_contact_0_plaats_5\">Plaats<\/label><input type=\"text\" name=\"et_pb_contact_0_plaats_5\" id=\"et_pb_contact_0_plaats_5\" class=\"input\" data-required_mark=\"required\" data-field_type=\"input\" data-original_id=\"plaats\" placeholder=\"Plaats\" title=\"\" value=\"\" \/><\/div>\n\n<div class=\"et_pb_contact_field_6 et_pb_contact_field et_pb_module et_flex_module et_flex_column_12_24 et_flex_column_12_24_tablet et_flex_column_12_24_phone\" data-id=\"land\" data-type=\"input\"><label class=\"et_pb_contact_form_label\" for=\"et_pb_contact_0_land_6\">Land<\/label><input type=\"text\" name=\"et_pb_contact_0_land_6\" id=\"et_pb_contact_0_land_6\" class=\"input\" data-required_mark=\"required\" data-field_type=\"input\" data-original_id=\"land\" placeholder=\"Land\" title=\"\" value=\"\" \/><\/div>\n\n<div class=\"et_pb_contact_field_7 et_pb_contact_field et_pb_module et_flex_module et_flex_column_12_24 et_flex_column_12_24_tablet et_flex_column_12_24_phone\" data-id=\"kvk_bedrijfsregistratie\" data-type=\"input\"><label class=\"et_pb_contact_form_label\" for=\"et_pb_contact_0_kvk_bedrijfsregistratie_7\">KVK- bedrijfsregistratie<\/label><input type=\"text\" name=\"et_pb_contact_0_kvk_bedrijfsregistratie_7\" id=\"et_pb_contact_0_kvk_bedrijfsregistratie_7\" class=\"input\" data-required_mark=\"required\" data-field_type=\"input\" data-original_id=\"kvk_bedrijfsregistratie\" placeholder=\"KVK- bedrijfsregistratie\" title=\"\" value=\"\" \/><\/div>\n\n<div class=\"et_pb_contact_field_8 et_pb_contact_field et_pb_module et_flex_module et_flex_column_12_24 et_flex_column_12_24_tablet et_flex_column_12_24_phone\" data-id=\"btw_id_2\" data-type=\"input\"><label class=\"et_pb_contact_form_label\" for=\"et_pb_contact_0_btw_id_2_8\">BTW-ID<\/label><input type=\"text\" name=\"et_pb_contact_0_btw_id_2_8\" id=\"et_pb_contact_0_btw_id_2_8\" class=\"input\" data-required_mark=\"required\" data-field_type=\"input\" data-original_id=\"btw_id_2\" placeholder=\"BTW-ID\" title=\"\" value=\"\" \/><\/div>\n\n<div class=\"et_pb_contact_field_9 et_pb_contact_field et_pb_module et_flex_module et_flex_column_12_24 et_flex_column_12_24_tablet et_flex_column_12_24_phone\" data-id=\"aantal\" data-type=\"select\"><label class=\"et_pb_contact_form_label\" for=\"et_pb_contact_0_aantal_9\">Aantal<\/label><select name=\"et_pb_contact_0_aantal_9\" id=\"et_pb_contact_0_aantal_9\" class=\"et_pb_contact_select input\" data-required_mark=\"required\" data-field_type=\"select\" data-original_id=\"aantal\"><option value=\"\">Aantal<\/option><option value=\"10 stuks\" data-id=\"\">10 stuks<\/option><option value=\"20 stuks\" data-id=\"\">20 stuks<\/option><option value=\"30 stuks\" data-id=\"\">30 stuks<\/option><option value=\"40 of meer\" data-id=\"\">40 of meer<\/option><\/select><\/div>\n\n<div class=\"et_pb_contact_field_10 et_pb_contact_field et_pb_module et_flex_module et_flex_column_12_24 et_flex_column_12_24_tablet et_flex_column_12_24_phone\" data-id=\"\" data-type=\"checkbox\"><input type=\"hidden\" name=\"et_pb_contact_0__10\" class=\"et_pb_checkbox_handle\" data-required_mark=\"required\" data-field_type=\"checkbox\" data-original_id=\"\" \/><span class=\"et_pb_contact_field_options_wrapper et_pb_field_module_checkbox\"><span class=\"et_pb_contact_field_options_title\"><\/span><span class=\"et_pb_contact_field_options_list\"><span class=\"et_pb_contact_field_checkbox\"><input type=\"checkbox\" id=\"et_pb_contact_0__10_0\" class=\"input\" value=\"Ik bestel zakelijk en lever 10 complete Lechler 065.283-kleppen in\" data-required_mark=\"required\" data-field_type=\"checkbox\" data-original_id=\"\" \/><label for=\"et_pb_contact_0__10_0\"><i><\/i>Ik bestel zakelijk en lever 10 complete Lechler 065.283-kleppen in<\/label><\/span><\/span><\/span><\/div>\n\n<div class=\"et_pb_contact_field_11 et_pb_contact_field et_pb_module et_flex_module et_flex_column_12_24 et_flex_column_12_24_tablet et_flex_column_12_24_phone\" data-id=\"_2_2\" data-type=\"email\"><input type=\"text\" name=\"et_pb_contact_0__2_2_11\" id=\"et_pb_contact_0__2_2_11\" class=\"input\" data-required_mark=\"required\" data-field_type=\"email\" data-original_id=\"_2_2\" placeholder=\"\" title=\"\" value=\"\" \/><\/div>\n<input type=\"hidden\" name=\"et_pb_contactform_submit_bcd743a2-e9f0-4711-9876-9e0de7afeac3\" value=\"et_contact_proccess\" \/><div class=\"et_contact_bottom_container\"><div class=\"et_pb_contact_right et_pb_contact_field\"><p class=\"clearfix\"><label><span class=\"et_pb_contact_captcha_question\">14 + 15<\/span> = <input type=\"text\" size=\"2\" class=\"input et_pb_contact_captcha\" data-first_digit=\"14\" data-second_digit=\"15\" data-required_mark=\"required\" name=\"et_pb_contact_captcha_bcd743a2-e9f0-4711-9876-9e0de7afeac3\" autocomplete=\"off\" \/><\/label><\/p><\/div><div class=\"et_pb_button_wrapper\"><button type=\"submit\" name=\"et_builder_submit_button\" class=\"et_pb_button et_pb_contact_submit\">Submit<\/button><\/div><\/div><input type=\"hidden\" id=\"_wpnonce-et-pb-contact-form-submitted-bcd743a2-e9f0-4711-9876-9e0de7afeac3\" name=\"_wpnonce-et-pb-contact-form-submitted-bcd743a2-e9f0-4711-9876-9e0de7afeac3\" value=\"edb06c9595\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/index.php\/wp-json\/wp\/v2\/pages\/246\" \/><\/form><\/div><\/div>\n<\/div>\n<\/div>\n<\/div>","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-246","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/drupfix.com\/index.php\/wp-json\/wp\/v2\/pages\/246","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/drupfix.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/drupfix.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/drupfix.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/drupfix.com\/index.php\/wp-json\/wp\/v2\/comments?post=246"}],"version-history":[{"count":8,"href":"https:\/\/drupfix.com\/index.php\/wp-json\/wp\/v2\/pages\/246\/revisions"}],"predecessor-version":[{"id":257,"href":"https:\/\/drupfix.com\/index.php\/wp-json\/wp\/v2\/pages\/246\/revisions\/257"}],"wp:attachment":[{"href":"https:\/\/drupfix.com\/index.php\/wp-json\/wp\/v2\/media?parent=246"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}