{"id":5146,"date":"2024-03-29T14:01:52","date_gmt":"2024-03-29T13:01:52","guid":{"rendered":"https:\/\/www.wheeleo.eu\/test-overeenkomst\/"},"modified":"2025-08-29T15:56:56","modified_gmt":"2025-08-29T13:56:56","slug":"test","status":"publish","type":"page","link":"https:\/\/www.wheeleo.eu\/nl\/test\/","title":{"rendered":"Test overeenkomst"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"5146\" class=\"elementor elementor-5146 elementor-3876\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-5298bc49 e-con-full e-flex e-con e-parent\" data-id=\"5298bc49\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t<div class=\"elementor-element elementor-element-50d3dd0 e-con-full e-flex e-con e-child\" data-id=\"50d3dd0\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-3c6dec80 elementor-widget__width-inherit elementor-widget elementor-widget-heading\" data-id=\"3c6dec80\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<p class=\"elementor-heading-title elementor-size-default\">Testen is aannemen<\/p>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7783b258 elementor-widget__width-inherit elementor-widget elementor-widget-heading\" data-id=\"7783b258\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Test overeenkomst<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1c29ceab elementor-widget elementor-widget-text-editor\" data-id=\"1c29ceab\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Je hebt interesse getoond in Wheeleo\u00ae en wilt graag een exemplaar ontvangen om het effect ervan op jouw afdeling\/instelling\/kabinet te observeren. InnoRehab biedt je aan om gratis een Wheeleo\u00ae loophulp te sturen zodat je hem gedurende 2 weken kunt testen.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d3ac2c5 elementor-align-justify elementor-widget__width-inherit elementor-widget elementor-widget-button\" data-id=\"d3ac2c5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"#obtenirUnTest\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Laat je testen<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-131c8ccf e-con-full e-flex e-con e-child\" data-id=\"131c8ccf\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;background_motion_fx_motion_fx_scrolling&quot;:&quot;yes&quot;,&quot;background_motion_fx_translateX_effect&quot;:&quot;yes&quot;,&quot;background_motion_fx_translateX_direction&quot;:&quot;negative&quot;,&quot;background_motion_fx_translateX_speed&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:1,&quot;sizes&quot;:[]},&quot;jet_parallax_layout_list&quot;:[],&quot;background_motion_fx_translateX_affectedRange&quot;:{&quot;unit&quot;:&quot;%&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:{&quot;start&quot;:0,&quot;end&quot;:100}},&quot;background_motion_fx_devices&quot;:[&quot;desktop&quot;,&quot;tablet&quot;,&quot;mobile&quot;]}\">\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-34cc323 e-flex e-con-boxed e-con e-parent\" data-id=\"34cc323\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-710165b e-con-full e-flex e-con e-child\" data-id=\"710165b\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-e5de528 elementor-widget__width-inherit elementor-widget elementor-widget-text-editor\" data-id=\"e5de528\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<h2><strong>Voorstel:<\/strong><\/h2><div><p>We zijn bereid je de Wheeleo\u00ae te laten testen met je pati\u00ebnten. We sturen je een demo Wheeleo\u00ae via koerier.  Verzendkosten (heen en terug) zijn voor onze rekening (voor Belgi\u00eb, Frankrijk, Luxemburg, Nederland en Duitsland). We laten de Wheeleo\u00ae <strong>2 weken lang testen<\/strong>. Aan het einde van de testperiode maken we samen de balans op. Kopen of retourneren.<\/p><\/div><p><strong><span class=\"size\">Moet uw instelling een aanbesteding of een raamcontract doorlopen voor de aankoop van apparatuur? Kan het testmodel niet rechtstreeks worden aangeschaft? Neem dan contact op met uw dienstverlener om de test te organiseren.    <\/span><\/strong><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-515ef59 elementor-widget__width-inherit elementor-widget elementor-widget-text-editor\" data-id=\"515ef59\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<h2><strong>Testvoorwaarde :<\/strong><\/h2><div><p><strong>Je moet<\/strong> werkzaam zijn <strong>in de gezondheidszorg<\/strong> als fysiotherapeut, ergotherapeut of arts in een ziekenhuis, revalidatiecentrum, verpleeghuis, enz. Deze test is niet van toepassing op detailhandelaren, winkels of particulieren. Wheeleo\u00ae behoudt zich het recht voor om een testverzoek al dan niet te accepteren met betrekking tot deze voorwaarde. Meerdere mensen moeten de Wheeleo\u00ae testen om van deze beschikbaarheid te profiteren.  <\/p><p>Een test voor een individu of een pati\u00ebnt? Check onze pagina <a href=\"https:\/\/www.wheeleo.eu\/nl\/test-de-wheeleo\/\">\u201ctest de Wheeleo\u00ae&#8221;!<\/a><\/p><\/div><div>Voorafgaand aan de testperiode vragen we het team dat verantwoordelijk is voor de test een presentatie (maximaal 30-45 minuten) te volgen over \u201cWheeleo\u00ae: wat is het?&#8221; gegeven door Geoffroy, fysiotherapeut en ontwerper van Wheeleo\u00ae.<\/div><div> <\/div><div>Voor de online presentatie: https: <a href=\"https:\/\/wheeleo.zohobookings.eu\/#\/customer\/presentation\" target=\"_blank\" rel=\"noopener noreferrer\">\/\/wheeleo.zohobookings.eu\/#\/customer\/presentation<\/a><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-f68ecaa e-con-full e-flex e-con e-child\" data-id=\"f68ecaa\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-83716d6 elementor-align-justify elementor-widget__width-inherit elementor-widget elementor-widget-button\" data-id=\"83716d6\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"https:\/\/wheeleo.zohobookings.eu\/#\/customer\/presentation\" target=\"_blank\" rel=\"noopener\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Een online presentatie programmeren<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-09b78ec e-con-full e-flex e-con e-child\" data-id=\"09b78ec\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-17a7290 elementor-widget elementor-widget-text-editor\" data-id=\"17a7290\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<div><h2><strong>Aan het einde van de test :<\/strong><\/h2><p>Je hebt twee keuzes:<\/p><p>\u2013 Of je bent overtuigd door Wheeleo\u00ae.  <span class=\"size\">Je kunt de test Wheeleo\u00ae dan bewaren. Wheeleo\u00ae stuurt je dan de factuur. De prijs is \u20ac299 incl. btw. Gratis verzending. We kunnen u een offici\u00eble offerte sturen om budgetten te verkrijgen.  <\/span><\/p><\/div><div> <\/div><div>\u2013 Of je wilt op dit moment niet investeren in deze revalidatieapparatuur: we sturen je een retourlabel. U verbindt zich ertoe de Wheeleo\u00ae in de originele doos te retourneren door deze af te geven bij een <a href=\"https:\/\/relais.dpd.fr\/fr\/recherche-relais\" target=\"_blank\" rel=\"noopener\">DPD-relaispunt<\/a>.<\/div><div> <\/div><div>Na afloop van de test vragen we de zorgprofessionals die de Wheeleo\u00ae hebben getest om <a href=\"https:\/\/www.wheeleo.eu\/nl\/test-evaluatie\/\" target=\"_blank\" rel=\"noopener\">een tevredenheidsenqu\u00eate<\/a> in te vullen.<\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-caa34c9 elementor-widget elementor-widget-text-editor\" data-id=\"caa34c9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<h2><strong>Overweging :<\/strong><\/h2><p><strong>U gaat akkoord met :<\/strong><\/p><p>\u2013 Heb wekelijks snel contact met het Wheeleo\u00ae team tijdens de testperiode.<br>\u2013 Geef gedetailleerde feedback (feedback van pati\u00ebnten en therapeuten) zodat we Wheeleo\u00ae verder kunnen ontwikkelen. Om het voor jou gemakkelijker te maken om de effecten te objectiveren, nodigen we je uit om het formulier voor testobservatie af te drukken en in te vullen, dat je <a href=\"https:\/\/www.wheeleo.eu\/wp-content\/uploads\/2024\/04\/Feedback_test_V0.5-NL.pdf\">hier<\/a> kunt openen.<\/p><p>We twijfelen er niet aan dat u de unieke voordelen van Wheeleo\u00ae voor de revalidatie en het comfort van uw pati\u00ebnten zult ontdekken.  <br>We zijn benieuwd naar je feedback over dit innovatieve mobiliteitshulpmiddel.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-8de4c90 e-flex e-con-boxed e-con e-parent\" data-id=\"8de4c90\" data-element_type=\"container\" data-e-type=\"container\" id=\"obtenirUnTest\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-7bcdd8d e-con-full e-flex e-con e-child\" data-id=\"7bcdd8d\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-fd72a36 elementor-widget elementor-widget-image\" data-id=\"fd72a36\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;sticky&quot;:&quot;top&quot;,&quot;sticky_on&quot;:[&quot;desktop&quot;,&quot;tablet&quot;],&quot;sticky_offset&quot;:140,&quot;sticky_parent&quot;:&quot;yes&quot;,&quot;sticky_effects_offset&quot;:0,&quot;sticky_anchor_link_offset&quot;:0}\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" loading=\"lazy\" width=\"768\" height=\"432\" src=\"https:\/\/www.wheeleo.eu\/wp-content\/uploads\/2024\/04\/Wheeleo-kit-com19-768x432.jpg\" class=\"attachment-medium_large size-medium_large wp-image-4618\" alt=\"\" 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for=\"wpforms-14032-field_27_4\">Woonzorgcentrum \/ EHPAD \/ FAM \/ MAS \/ Tehuis<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"radio\" id=\"wpforms-14032-field_27_5\" name=\"wpforms[fields][27]\" value=\"Thuiszorg (SPASAD, ...)\" aria-errormessage=\"wpforms-14032-field_27_5-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-14032-field_27_5\">Thuiszorg (SPASAD, ...)<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"radio\" id=\"wpforms-14032-field_27_6\" name=\"wpforms[fields][27]\" value=\"Ziekenfonds\" aria-errormessage=\"wpforms-14032-field_27_6-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-14032-field_27_6\">Ziekenfonds<\/label><\/li><li class=\"choice-10 depth-1\"><input type=\"radio\" id=\"wpforms-14032-field_27_10\" name=\"wpforms[fields][27]\" value=\"Administratie\" aria-errormessage=\"wpforms-14032-field_27_10-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-14032-field_27_10\">Administratie<\/label><\/li><li class=\"choice-9 depth-1\"><input type=\"radio\" id=\"wpforms-14032-field_27_9\" name=\"wpforms[fields][27]\" value=\"Vereniging \/ Federatie\" aria-errormessage=\"wpforms-14032-field_27_9-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-14032-field_27_9\">Vereniging \/ Federatie<\/label><\/li><li class=\"choice-8 depth-1\"><input type=\"radio\" id=\"wpforms-14032-field_27_8\" name=\"wpforms[fields][27]\" value=\"School \/ universiteit\" aria-errormessage=\"wpforms-14032-field_27_8-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-14032-field_27_8\">School \/ universiteit<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"radio\" id=\"wpforms-14032-field_27_7\" name=\"wpforms[fields][27]\" value=\"Priv\u00e9praktijk\" aria-errormessage=\"wpforms-14032-field_27_7-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-14032-field_27_7\">Priv\u00e9praktijk<\/label><\/li><li class=\"choice-11 depth-1\"><input type=\"radio\" id=\"wpforms-14032-field_27_11\" name=\"wpforms[fields][27]\" value=\"Medisch centrum\" aria-errormessage=\"wpforms-14032-field_27_11-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-14032-field_27_11\">Medisch centrum<\/label><\/li><li class=\"choice-12 depth-1\"><input type=\"radio\" id=\"wpforms-14032-field_27_12\" name=\"wpforms[fields][27]\" value=\"Anders\" aria-errormessage=\"wpforms-14032-field_27_12-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-14032-field_27_12\">Anders<\/label><\/li><\/ul><\/fieldset><\/div>\t\t<div id=\"wpforms-14032-field_1-container\"\n\t\t\tclass=\"wpforms-field wpforms-field-text\"\n\t\t\tdata-field-type=\"text\"\n\t\t\tdata-field-id=\"1\"\n\t\t\t>\n\t\t\t<label class=\"wpforms-field-label\" for=\"wpforms-14032-field_1\" >welke Code u<\/label>\n\t\t\t<input type=\"text\" id=\"wpforms-14032-field_1\" class=\"wpforms-field-medium\" name=\"wpforms[fields][1]\" >\n\t\t<\/div>\n\t\t<div id=\"wpforms-14032-field_28-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"28\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-14032-field_28\">Specificeer &quot;anders&quot;<\/label><input type=\"text\" id=\"wpforms-14032-field_28\" class=\"wpforms-field-medium\" name=\"wpforms[fields][28]\" aria-errormessage=\"wpforms-14032-field_28-error\" ><\/div><div id=\"wpforms-14032-field_29-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"29\"><label class=\"wpforms-field-label\" for=\"wpforms-14032-field_29\">Functie binnen het bedrijf <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-14032-field_29\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][29]\" aria-errormessage=\"wpforms-14032-field_29-error\" required><\/div><div id=\"wpforms-14032-field_33-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"33\"><h3 id=\"wpforms-14032-field_33\" aria-errormessage=\"wpforms-14032-field_33-error\">Leveringsadres<\/h3><\/div><div id=\"wpforms-14032-field_34-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"34\"><label class=\"wpforms-field-label\" for=\"wpforms-14032-field_34\">Straat (levering) <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-14032-field_34\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][34]\" aria-errormessage=\"wpforms-14032-field_34-error\" required><\/div><div id=\"wpforms-14032-field_35-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"35\"><label class=\"wpforms-field-label\" for=\"wpforms-14032-field_35\">Code (levering) <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-14032-field_35\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][35]\" aria-errormessage=\"wpforms-14032-field_35-error\" required><\/div><div id=\"wpforms-14032-field_36-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"36\"><label class=\"wpforms-field-label\" for=\"wpforms-14032-field_36\">Stad (levering) <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-14032-field_36\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][36]\" aria-errormessage=\"wpforms-14032-field_36-error\" required><\/div><div id=\"wpforms-14032-field_24-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"24\"><label class=\"wpforms-field-label\" for=\"wpforms-14032-field_24\">Land (levering) <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><select id=\"wpforms-14032-field_24\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][24]\" required=\"required\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'>--- Maak een keuze ---<\/option><option value=\"Belg\u00efe\"  class=\"choice-4 depth-1\"  >Belgi\u00eb<\/option><option value=\"Belgique\"  class=\"choice-5 depth-1\"  >Belgi\u00eb<\/option><option value=\"Belgium\"  class=\"choice-6 depth-1\"  >Belgi\u00eb<\/option><option value=\"France\"  class=\"choice-7 depth-1\"  >Frankrijk<\/option><option value=\"Afghanistan\"  class=\"choice-8 depth-1\"  >Afghanistan<\/option><option value=\"\u00c5land Islands\"  class=\"choice-9 depth-1\"  >\u00c5landeilanden<\/option><option value=\"Albania\"  class=\"choice-10 depth-1\"  >Albani\u00eb<\/option><option value=\"Algeria\"  class=\"choice-11 depth-1\"  >Algerije<\/option><option value=\"American Samoa\"  class=\"choice-12 depth-1\"  >Amerikaans-Samoa<\/option><option value=\"Andorra\"  class=\"choice-13 depth-1\"  >Andorra<\/option><option value=\"Angola\"  class=\"choice-14 depth-1\"  >Angola<\/option><option value=\"Anguilla\"  class=\"choice-15 depth-1\"  >Anguilla<\/option><option value=\"Antarctica\"  class=\"choice-16 depth-1\"  >Antarctica<\/option><option value=\"Antigua and Barbuda\"  class=\"choice-17 depth-1\"  >Antigua en Barbuda<\/option><option value=\"Argentina\"  class=\"choice-18 depth-1\"  >Argentini\u00eb<\/option><option value=\"Armenia\"  class=\"choice-19 depth-1\"  >Armeni\u00eb<\/option><option value=\"Aruba\"  class=\"choice-20 depth-1\"  >Aruba<\/option><option value=\"Australia\"  class=\"choice-21 depth-1\"  >Australi\u00eb<\/option><option value=\"Austria\"  class=\"choice-22 depth-1\"  >Oostenrijk<\/option><option value=\"Azerbaijan\"  class=\"choice-23 depth-1\"  >Azerbeidzjan<\/option><option value=\"Bahamas\"  class=\"choice-24 depth-1\"  >Bahama's<\/option><option value=\"Bahrain\"  class=\"choice-25 depth-1\"  >Bahrein<\/option><option value=\"Bangladesh\"  class=\"choice-26 depth-1\"  >Bangladesh<\/option><option value=\"Barbados\"  class=\"choice-27 depth-1\"  >Barbados<\/option><option value=\"Belarus\"  class=\"choice-28 depth-1\"  >Wit-Rusland<\/option><option value=\"Belize\"  class=\"choice-29 depth-1\"  >Belize<\/option><option value=\"Benin\"  class=\"choice-30 depth-1\"  >Benin<\/option><option value=\"Bermuda\"  class=\"choice-31 depth-1\"  >Bermuda<\/option><option value=\"Bhutan\"  class=\"choice-32 depth-1\"  >Bhutan<\/option><option value=\"Bolivia (Plurinational State of)\"  class=\"choice-33 depth-1\"  >Bolivia (Plurinationale Staat)<\/option><option value=\"Bonaire, Sint Eustatius and Saba\"  class=\"choice-34 depth-1\"  >Bonaire, Sint Eustatius en Saba<\/option><option value=\"Bosnia and Herzegovina\"  class=\"choice-35 depth-1\"  >Bosni\u00eb-Herzegovina<\/option><option value=\"Botswana\"  class=\"choice-36 depth-1\"  >Botswana<\/option><option value=\"Bouvet Island\"  class=\"choice-37 depth-1\"  >Bouveteiland<\/option><option value=\"Brazil\"  class=\"choice-38 depth-1\"  >Brazili\u00eb<\/option><option value=\"Brunei Darussalam\"  class=\"choice-39 depth-1\"  >Brunei<\/option><option value=\"Bulgaria\"  class=\"choice-40 depth-1\"  >Bulgarije<\/option><option value=\"Burkina Faso\"  class=\"choice-41 depth-1\"  >Burkina Faso<\/option><option value=\"Burundi\"  class=\"choice-42 depth-1\"  >Burundi<\/option><option value=\"Cabo Verde\"  class=\"choice-43 depth-1\"  >Kaapverdi\u00eb<\/option><option value=\"Cambodia\"  class=\"choice-44 depth-1\"  >Cambodja<\/option><option value=\"Cameroon\"  class=\"choice-45 depth-1\"  >Kameroen<\/option><option value=\"Canada\"  class=\"choice-46 depth-1\"  >Canada<\/option><option value=\"Cayman Islands\"  class=\"choice-47 depth-1\"  >Kaaimaneilanden<\/option><option value=\"Central African Republic\"  class=\"choice-48 depth-1\"  >Centraal-Afrikaanse Republiek<\/option><option value=\"Chad\"  class=\"choice-49 depth-1\"  >Tsjaad<\/option><option value=\"Chile\"  class=\"choice-50 depth-1\"  >Chili<\/option><option value=\"China\"  class=\"choice-51 depth-1\"  >China<\/option><option value=\"Christmas Island\"  class=\"choice-52 depth-1\"  >Christmaseiland<\/option><option value=\"Cocos (Keeling) Islands\"  class=\"choice-53 depth-1\"  >Cocoseilanden (Keeling)<\/option><option value=\"Colombia\"  class=\"choice-54 depth-1\"  >Colombia<\/option><option value=\"Comoros\"  class=\"choice-55 depth-1\"  >Comoren<\/option><option value=\"Congo\"  class=\"choice-56 depth-1\"  >Congo<\/option><option value=\"Congo, Democratic Republic of the\"  class=\"choice-57 depth-1\"  >Democratische Republiek Congo<\/option><option value=\"Cook Islands\"  class=\"choice-58 depth-1\"  >Cookeilanden<\/option><option value=\"Costa Rica\"  class=\"choice-59 depth-1\"  >Costa Rica<\/option><option value=\"Croatia\"  class=\"choice-60 depth-1\"  >Kroati\u00eb<\/option><option value=\"Cuba\"  class=\"choice-61 depth-1\"  >Cuba<\/option><option value=\"Cura\u00e7ao\"  class=\"choice-62 depth-1\"  >Cura\u00e7ao<\/option><option value=\"Cyprus\"  class=\"choice-63 depth-1\"  >Cyprus<\/option><option value=\"Czech Republic\"  class=\"choice-64 depth-1\"  >Tsjechische Republiek<\/option><option value=\"C\u00f4te d\u2019Ivoire\"  class=\"choice-65 depth-1\"  >Ivoorkust<\/option><option value=\"Denmark\"  class=\"choice-66 depth-1\"  >Denemarken<\/option><option value=\"Djibouti\"  class=\"choice-67 depth-1\"  >djibouti<\/option><option value=\"Dominica\"  class=\"choice-68 depth-1\"  >Dominica<\/option><option value=\"Dominican Republic\"  class=\"choice-69 depth-1\"  >Dominicaanse Republiek<\/option><option value=\"Ecuador\"  class=\"choice-70 depth-1\"  >Ecuador<\/option><option value=\"Egypt\"  class=\"choice-71 depth-1\"  >Egypte<\/option><option value=\"El Salvador\"  class=\"choice-72 depth-1\"  >El Salvador<\/option><option value=\"Equatorial Guinea\"  class=\"choice-73 depth-1\"  >Equatoriaal-Guinea<\/option><option value=\"Eritrea\"  class=\"choice-74 depth-1\"  >Eritrea<\/option><option value=\"Estonia\"  class=\"choice-75 depth-1\"  >Estland<\/option><option value=\"Eswatini\"  class=\"choice-76 depth-1\"  >Eswatini<\/option><option value=\"Ethiopia\"  class=\"choice-77 depth-1\"  >Ethiopi\u00eb<\/option><option value=\"Falkland Islands (Malvinas)\"  class=\"choice-78 depth-1\"  >Falklandeilanden<\/option><option value=\"Faroe Islands\"  class=\"choice-79 depth-1\"  >Faer\u00f6er<\/option><option value=\"Fiji\"  class=\"choice-80 depth-1\"  >Fiji<\/option><option value=\"Finland\"  class=\"choice-81 depth-1\"  >Finland<\/option><option value=\"French Guiana\"  class=\"choice-82 depth-1\"  >Frans-Guyana<\/option><option value=\"French Polynesia\"  class=\"choice-83 depth-1\"  >Frans-Polynesi\u00eb<\/option><option value=\"French Southern Territories\"  class=\"choice-84 depth-1\"  >Franse Zuidelijke Gebieden<\/option><option value=\"Gabon\"  class=\"choice-85 depth-1\"  >gabon<\/option><option value=\"Gambia\"  class=\"choice-86 depth-1\"  >Gambia<\/option><option value=\"Georgia\"  class=\"choice-87 depth-1\"  >Georgi\u00eb<\/option><option value=\"Germany\"  class=\"choice-88 depth-1\"  >Duitsland<\/option><option value=\"Ghana\"  class=\"choice-89 depth-1\"  >ghana<\/option><option value=\"Gibraltar\"  class=\"choice-90 depth-1\"  >gibraltar<\/option><option value=\"Greece\"  class=\"choice-91 depth-1\"  >Griekenland<\/option><option value=\"Greenland\"  class=\"choice-92 depth-1\"  >Groenland<\/option><option value=\"Grenada\"  class=\"choice-93 depth-1\"  >Grenada<\/option><option value=\"Guadeloupe\"  class=\"choice-94 depth-1\"  >guadeloupe<\/option><option value=\"Guam\"  class=\"choice-95 depth-1\"  >guam<\/option><option value=\"Guatemala\"  class=\"choice-96 depth-1\"  >guatemala<\/option><option value=\"Guernsey\"  class=\"choice-97 depth-1\"  >Guernsey<\/option><option value=\"Guinea\"  class=\"choice-98 depth-1\"  >Guinee<\/option><option value=\"Guinea-Bissau\"  class=\"choice-99 depth-1\"  >Guinee-Bissau<\/option><option value=\"Guyana\"  class=\"choice-100 depth-1\"  >Guyana<\/option><option value=\"Haiti\"  class=\"choice-101 depth-1\"  >Ha\u00efti<\/option><option value=\"Heard Island and McDonald Islands\"  class=\"choice-102 depth-1\"  >Heard en McDonaldeilanden<\/option><option value=\"Holy See\"  class=\"choice-103 depth-1\"  >Heilige Stoel<\/option><option value=\"Honduras\"  class=\"choice-104 depth-1\"  >honduras<\/option><option value=\"Hong Kong\"  class=\"choice-105 depth-1\"  >Hongkong<\/option><option value=\"Hungary\"  class=\"choice-106 depth-1\"  >Hongarije<\/option><option value=\"Iceland\"  class=\"choice-107 depth-1\"  >IJsland<\/option><option value=\"India\"  class=\"choice-108 depth-1\"  >India<\/option><option value=\"Indonesia\"  class=\"choice-109 depth-1\"  >Indonesi\u00eb<\/option><option value=\"Iran (Islamic Republic of)\"  class=\"choice-110 depth-1\"  >Iran (Islamitische Republiek)<\/option><option value=\"Iraq\"  class=\"choice-111 depth-1\"  >Irak<\/option><option value=\"Ireland\"  class=\"choice-112 depth-1\"  >Ierland<\/option><option value=\"Isle of Man\"  class=\"choice-113 depth-1\"  >Isle of Man<\/option><option value=\"Israel\"  class=\"choice-114 depth-1\"  >Isra\u00ebl<\/option><option value=\"Italy\"  class=\"choice-115 depth-1\"  >Itali\u00eb<\/option><option value=\"Jamaica\"  class=\"choice-116 depth-1\"  >Jamaica<\/option><option value=\"Japan\"  class=\"choice-117 depth-1\"  >Japan<\/option><option value=\"Jersey\"  class=\"choice-118 depth-1\"  >jersey<\/option><option value=\"Jordan\"  class=\"choice-119 depth-1\"  >Jordani\u00eb<\/option><option value=\"Kazakhstan\"  class=\"choice-120 depth-1\"  >Kazachstan<\/option><option value=\"Kenya\"  class=\"choice-121 depth-1\"  >Kenia<\/option><option value=\"Kiribati\"  class=\"choice-122 depth-1\"  >kiribati<\/option><option value=\"Korea (Democratic People\u2019s Republic of)\"  class=\"choice-123 depth-1\"  >Korea (Democratische Volksrepubliek)<\/option><option value=\"Korea (Republic of)\"  class=\"choice-124 depth-1\"  >Korea (Republiek)<\/option><option value=\"Kuwait\"  class=\"choice-125 depth-1\"  >Koeweit<\/option><option value=\"Kyrgyzstan\"  class=\"choice-126 depth-1\"  >Kirgizi\u00eb<\/option><option value=\"Lao People\u2019s Democratic Republic\"  class=\"choice-127 depth-1\"  >Laos<\/option><option value=\"Latvia\"  class=\"choice-128 depth-1\"  >Letland<\/option><option value=\"Lebanon\"  class=\"choice-129 depth-1\"  >Libanon<\/option><option value=\"Lesotho\"  class=\"choice-130 depth-1\"  >lesotho<\/option><option value=\"Liberia\"  class=\"choice-131 depth-1\"  >Liberia<\/option><option value=\"Libya\"  class=\"choice-132 depth-1\"  >Libi\u00eb<\/option><option value=\"Liechtenstein\"  class=\"choice-133 depth-1\"  >liechtenstein<\/option><option value=\"Lithuania\"  class=\"choice-134 depth-1\"  >Litouwen<\/option><option value=\"Luxembourg\"  class=\"choice-135 depth-1\"  >Luxemburg<\/option><option value=\"Macao\"  class=\"choice-136 depth-1\"  >Macau<\/option><option value=\"Madagascar\"  class=\"choice-137 depth-1\"  >Madagaskar<\/option><option value=\"Malawi\"  class=\"choice-138 depth-1\"  >malawi<\/option><option value=\"Malaysia\"  class=\"choice-139 depth-1\"  >Maleisi\u00eb<\/option><option value=\"Maldives\"  class=\"choice-140 depth-1\"  >Maldiven<\/option><option value=\"Mali\"  class=\"choice-141 depth-1\"  >mali<\/option><option value=\"Malta\"  class=\"choice-142 depth-1\"  >Malta<\/option><option value=\"Marshall Islands\"  class=\"choice-143 depth-1\"  >Marshalleilanden<\/option><option value=\"Martinique\"  class=\"choice-144 depth-1\"  >martinique<\/option><option value=\"Mauritania\"  class=\"choice-145 depth-1\"  >Mauritani\u00eb<\/option><option value=\"Mauritius\"  class=\"choice-146 depth-1\"  >Mauritius<\/option><option value=\"Mayotte\"  class=\"choice-147 depth-1\"  >mayotte<\/option><option value=\"Mexico\"  class=\"choice-148 depth-1\"  >Mexico<\/option><option value=\"Micronesia (Federated States of)\"  class=\"choice-149 depth-1\"  >Micronesi\u00eb (Federale Staten van)<\/option><option value=\"Moldova (Republic of)\"  class=\"choice-150 depth-1\"  >Moldavi\u00eb<\/option><option value=\"Monaco\"  class=\"choice-151 depth-1\"  >monaco<\/option><option value=\"Mongolia\"  class=\"choice-152 depth-1\"  >Mongoli\u00eb<\/option><option value=\"Montenegro\"  class=\"choice-153 depth-1\"  >Montenegro<\/option><option value=\"Montserrat\"  class=\"choice-154 depth-1\"  >montserrat<\/option><option value=\"Morocco\"  class=\"choice-155 depth-1\"  >Marokko<\/option><option value=\"Mozambique\"  class=\"choice-156 depth-1\"  >mozambique<\/option><option value=\"Myanmar\"  class=\"choice-157 depth-1\"  >myanmar<\/option><option value=\"Namibia\"  class=\"choice-158 depth-1\"  >Namibi\u00eb<\/option><option value=\"Nauru\"  class=\"choice-159 depth-1\"  >nauru<\/option><option value=\"Nepal\"  class=\"choice-160 depth-1\"  >Nepal<\/option><option value=\"Netherlands\"  class=\"choice-161 depth-1\"  >Nederland<\/option><option value=\"New Caledonia\"  class=\"choice-162 depth-1\"  >Nieuw-Caledoni\u00eb<\/option><option value=\"New Zealand\"  class=\"choice-163 depth-1\"  >Nieuw-Zeeland<\/option><option value=\"Nicaragua\"  class=\"choice-164 depth-1\"  >nicaragua<\/option><option value=\"Niger\"  class=\"choice-165 depth-1\"  >niger<\/option><option value=\"Nigeria\"  class=\"choice-166 depth-1\"  >Nigeria<\/option><option value=\"Niue\"  class=\"choice-167 depth-1\"  >niue<\/option><option value=\"Norfolk Island\"  class=\"choice-168 depth-1\"  >Norfolkeiland<\/option><option value=\"North Macedonia (former Yugoslav Republic of)\"  class=\"choice-169 depth-1\"  >Noord-Macedoni\u00eb<\/option><option value=\"Northern Mariana Islands\"  class=\"choice-170 depth-1\"  >Noordelijke Marianen<\/option><option value=\"Norway\"  class=\"choice-171 depth-1\"  >Noorwegen<\/option><option value=\"Oman\"  class=\"choice-172 depth-1\"  >oman<\/option><option value=\"Pakistan\"  class=\"choice-173 depth-1\"  >pakistan<\/option><option value=\"Palau\"  class=\"choice-174 depth-1\"  >palau<\/option><option value=\"Palestine, State of\"  class=\"choice-175 depth-1\"  >Staat Palestina<\/option><option value=\"Panama\"  class=\"choice-176 depth-1\"  >panama<\/option><option value=\"Papua New Guinea\"  class=\"choice-177 depth-1\"  >Papoea-Nieuw-Guinea<\/option><option value=\"Paraguay\"  class=\"choice-178 depth-1\"  >paraguay<\/option><option value=\"Peru\"  class=\"choice-179 depth-1\"  >Peru<\/option><option value=\"Philippines\"  class=\"choice-180 depth-1\"  >Filipijnen<\/option><option value=\"Pitcairn\"  class=\"choice-181 depth-1\"  >Pitcairneilanden<\/option><option value=\"Poland\"  class=\"choice-182 depth-1\"  >Polen<\/option><option value=\"Portugal\"  class=\"choice-183 depth-1\"  >portugal<\/option><option value=\"Puerto Rico\"  class=\"choice-184 depth-1\"  >Puerto Rico<\/option><option value=\"Qatar\"  class=\"choice-185 depth-1\"  >qatar<\/option><option value=\"R\u00e9union\"  class=\"choice-186 depth-1\"  >R\u00e9union<\/option><option value=\"Romania\"  class=\"choice-187 depth-1\"  >Roemeni\u00eb<\/option><option value=\"Russian Federation\"  class=\"choice-188 depth-1\"  >Russische Federatie<\/option><option value=\"Rwanda\"  class=\"choice-189 depth-1\"  >rwanda<\/option><option value=\"Saint Barth\u00e9lemy\"  class=\"choice-190 depth-1\"  >Saint-Barth\u00e9lemy<\/option><option value=\"Saint Helena, Ascension and Tristan da Cunha\"  class=\"choice-191 depth-1\"  >Sint-Helena, Ascension en Tristan da Cunha<\/option><option value=\"Saint Kitts and Nevis\"  class=\"choice-192 depth-1\"  >Saint Kitts en Nevis<\/option><option value=\"Saint Lucia\"  class=\"choice-193 depth-1\"  >Saint Lucia<\/option><option value=\"Saint Martin (French part)\"  class=\"choice-194 depth-1\"  >Sint-Maarten (Frans gedeelte)<\/option><option value=\"Saint Martin (Dutch part)\"  class=\"choice-195 depth-1\"  >Sint Maarten (Nederlands deel)<\/option><option value=\"Saint Pierre and Miquelon\"  class=\"choice-196 depth-1\"  >Saint-Pierre en Miquelon<\/option><option value=\"Saint Vincent and the Grenadines\"  class=\"choice-197 depth-1\"  >Saint Vincent en de Grenadines<\/option><option value=\"Samoa\"  class=\"choice-198 depth-1\"  >samoa<\/option><option value=\"San Marino\"  class=\"choice-199 depth-1\"  >San Marino<\/option><option value=\"Sao Tome and Principe\"  class=\"choice-200 depth-1\"  >Sao Tom\u00e9 en Principe<\/option><option value=\"Saudi Arabia\"  class=\"choice-201 depth-1\"  >Saoedi-Arabi\u00eb<\/option><option value=\"Senegal\"  class=\"choice-202 depth-1\"  >Senegal<\/option><option value=\"Serbia\"  class=\"choice-203 depth-1\"  >Servi\u00eb<\/option><option value=\"Seychelles\"  class=\"choice-204 depth-1\"  >Seychellen<\/option><option value=\"Sierra Leone\"  class=\"choice-205 depth-1\"  >Sierra Leone<\/option><option value=\"Singapore\"  class=\"choice-206 depth-1\"  >Singapore<\/option><option value=\"Sint Maarten (Dutch part)\"  class=\"choice-207 depth-1\"  >Sint Maarten (Nederlands deel)<\/option><option value=\"Slovakia\"  class=\"choice-208 depth-1\"  >Slowakije<\/option><option value=\"Slovenia\"  class=\"choice-209 depth-1\"  >Sloveni\u00eb<\/option><option value=\"Solomon Islands\"  class=\"choice-210 depth-1\"  >Salomonseilanden<\/option><option value=\"Somalia\"  class=\"choice-211 depth-1\"  >Somali\u00eb<\/option><option value=\"South Africa\"  class=\"choice-212 depth-1\"  >Zuid-Afrika<\/option><option value=\"South Georgia and the South Sandwich Islands\"  class=\"choice-213 depth-1\"  >Zuid-Georgi\u00eb en de Zuidelijke Sandwicheilanden<\/option><option value=\"South Sudan\"  class=\"choice-214 depth-1\"  >Zuid-Soedan<\/option><option value=\"Spain\"  class=\"choice-215 depth-1\"  >Spanje<\/option><option value=\"Sri Lanka\"  class=\"choice-216 depth-1\"  >Sri Lanka<\/option><option value=\"Sudan\"  class=\"choice-217 depth-1\"  >Soedan<\/option><option value=\"Suriname\"  class=\"choice-218 depth-1\"  >Suriname<\/option><option value=\"Svalbard and Jan Mayen\"  class=\"choice-219 depth-1\"  >Spitsbergen en Jan Mayen<\/option><option value=\"Sweden\"  class=\"choice-220 depth-1\"  >Zweden<\/option><option value=\"Switzerland\"  class=\"choice-221 depth-1\"  >Zwitserland<\/option><option value=\"Syrian Arab Republic\"  class=\"choice-222 depth-1\"  >Syrische Arabische Republiek<\/option><option value=\"Taiwan (Province of China)\"  class=\"choice-223 depth-1\"  >Taiwan<\/option><option value=\"Tajikistan\"  class=\"choice-224 depth-1\"  >Tadzjikistan<\/option><option value=\"Tanzania, United Republic of\"  class=\"choice-225 depth-1\"  >Tanzania<\/option><option value=\"Thailand\"  class=\"choice-226 depth-1\"  >Thailand<\/option><option value=\"Timor-Leste\"  class=\"choice-227 depth-1\"  >Oost-Timor<\/option><option value=\"Togo\"  class=\"choice-228 depth-1\"  >Togo<\/option><option value=\"Tokelau\"  class=\"choice-229 depth-1\"  >Tokelau<\/option><option value=\"Tonga\"  class=\"choice-230 depth-1\"  >Tonga<\/option><option value=\"Trinidad and Tobago\"  class=\"choice-231 depth-1\"  >Trinidad en Tobago<\/option><option value=\"Tunisia\"  class=\"choice-232 depth-1\"  >Tunesi\u00eb<\/option><option value=\"Turkey\"  class=\"choice-233 depth-1\"  >Turkije<\/option><option value=\"Turkmenistan\"  class=\"choice-234 depth-1\"  >Turkmenistan<\/option><option value=\"Turks and Caicos Islands\"  class=\"choice-235 depth-1\"  >Turks- en Caicoseilanden<\/option><option value=\"Tuvalu\"  class=\"choice-236 depth-1\"  >Tuvalu<\/option><option value=\"Uganda\"  class=\"choice-237 depth-1\"  >Oeganda<\/option><option value=\"Ukraine\"  class=\"choice-238 depth-1\"  >Oekra\u00efne<\/option><option value=\"United Arab Emirates\"  class=\"choice-239 depth-1\"  >Verenigde Arabische Emiraten<\/option><option value=\"United Kingdom of Great Britain and Northern Ireland\"  class=\"choice-240 depth-1\"  >Verenigd Koninkrijk<\/option><option value=\"United States Minor Outlying Islands\"  class=\"choice-241 depth-1\"  >Amerikaanse Kleine Afgelegen Eilanden<\/option><option value=\"United States of America\"  class=\"choice-242 depth-1\"  >Verenigde Staten van Amerika<\/option><option value=\"Uruguay\"  class=\"choice-243 depth-1\"  >Uruguay<\/option><option value=\"Uzbekistan\"  class=\"choice-244 depth-1\"  >Oezbekistan<\/option><option value=\"Vanuatu\"  class=\"choice-245 depth-1\"  >Vanuatu<\/option><option value=\"Venezuela (Bolivarian Republic of)\"  class=\"choice-246 depth-1\"  >Venezuela (Bolivariaanse Republiek)<\/option><option value=\"Viet Nam\"  class=\"choice-247 depth-1\"  >Vietnam<\/option><option value=\"Virgin Islands (British)\"  class=\"choice-248 depth-1\"  >Britse Maagdeneilanden<\/option><option value=\"Virgin Islands (U.S.)\"  class=\"choice-249 depth-1\"  >Amerikaanse Maagdeneilanden<\/option><option value=\"Wallis and Futuna\"  class=\"choice-250 depth-1\"  >Wallis en Futuna<\/option><option value=\"Western Sahara\"  class=\"choice-251 depth-1\"  >Westelijke Sahara<\/option><option value=\"Yemen\"  class=\"choice-252 depth-1\"  >Jemen<\/option><option value=\"Zambia\"  class=\"choice-253 depth-1\"  >Zambia<\/option><option value=\"Zimbabwe\"  class=\"choice-254 depth-1\"  >Zimbabwe<\/option><\/select><\/div><div id=\"wpforms-14032-field_38-container\" class=\"wpforms-field wpforms-field-content\" data-field-id=\"38\"><div id=\"wpforms-14032-field_38\" class=\"wpforms-field-medium wpforms-field-row\" aria-errormessage=\"wpforms-14032-field_38-error\"><h4><b><span class=\"size\">Factuuradres<\/span><\/b><\/h4>\n<div><i>De traceerbaarheid van medische apparatuur garanderen.<\/i><i><br \/>\n<\/i><\/div>\n<div><i>Zonder uw toestemming wordt u niet gefactureerd.<\/i><\/div>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><div id=\"wpforms-14032-field_50-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"50\"><label class=\"wpforms-field-label\" for=\"wpforms-14032-field_50\">Btw-nummer (intracommunautair)<\/label><input type=\"text\" id=\"wpforms-14032-field_50\" class=\"wpforms-field-medium\" name=\"wpforms[fields][50]\" aria-errormessage=\"wpforms-14032-field_50-error\" aria-describedby=\"wpforms-14032-field_50-description\" ><div id=\"wpforms-14032-field_50-description\" class=\"wpforms-field-description\">Indien van toepassing...<\/div><\/div><div id=\"wpforms-14032-field_39-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-trigger\" data-field-id=\"39\"><fieldset><legend class=\"wpforms-field-label\">Factuuradres is gelijk aan afleveradres <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-14032-field_39\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1 wpforms-selected\"><input type=\"radio\" id=\"wpforms-14032-field_39_1\" name=\"wpforms[fields][39]\" value=\"Ja\" aria-errormessage=\"wpforms-14032-field_39_1-error\" required  checked='checked'><label class=\"wpforms-field-label-inline\" for=\"wpforms-14032-field_39_1\">Ja<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-14032-field_39_2\" name=\"wpforms[fields][39]\" value=\"Nee\" aria-errormessage=\"wpforms-14032-field_39_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-14032-field_39_2\">Nee<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-14032-field_40-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-hide\" data-field-id=\"40\"><label class=\"wpforms-field-label\" for=\"wpforms-14032-field_40\">Straat (facturering)<\/label><input type=\"text\" id=\"wpforms-14032-field_40\" class=\"wpforms-field-medium\" name=\"wpforms[fields][40]\" aria-errormessage=\"wpforms-14032-field_40-error\" ><\/div><div id=\"wpforms-14032-field_41-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-hide\" data-field-id=\"41\"><label class=\"wpforms-field-label\" for=\"wpforms-14032-field_41\">Code (facturatie)<\/label><input type=\"text\" id=\"wpforms-14032-field_41\" class=\"wpforms-field-medium\" name=\"wpforms[fields][41]\" aria-errormessage=\"wpforms-14032-field_41-error\" ><\/div><div id=\"wpforms-14032-field_42-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-hide\" data-field-id=\"42\"><label class=\"wpforms-field-label\" for=\"wpforms-14032-field_42\">Stad (facturering)<\/label><input type=\"text\" id=\"wpforms-14032-field_42\" class=\"wpforms-field-medium\" name=\"wpforms[fields][42]\" aria-errormessage=\"wpforms-14032-field_42-error\" ><\/div><div id=\"wpforms-14032-field_43-container\" class=\"wpforms-field wpforms-field-select wpforms-conditional-field wpforms-conditional-hide wpforms-field-select-style-classic\" data-field-id=\"43\"><label class=\"wpforms-field-label\" for=\"wpforms-14032-field_43\">Land (facturering)<\/label><select id=\"wpforms-14032-field_43\" class=\"wpforms-field-large\" name=\"wpforms[fields][43]\"><option value=\"Belg\u00efe\"  class=\"choice-4 depth-1\"  >Belgi\u00eb<\/option><option value=\"Belgique\"  class=\"choice-5 depth-1\"  >Belgi\u00eb<\/option><option value=\"Belgium\"  class=\"choice-6 depth-1\"  >Belgi\u00eb<\/option><option value=\"France\"  class=\"choice-7 depth-1\"  >Frankrijk<\/option><option value=\"Afghanistan\"  class=\"choice-8 depth-1\"  >Afghanistan<\/option><option value=\"\u00c5land Islands\"  class=\"choice-9 depth-1\"  >\u00c5landeilanden<\/option><option value=\"Albania\"  class=\"choice-10 depth-1\"  >Albani\u00eb<\/option><option value=\"Algeria\"  class=\"choice-11 depth-1\"  >Algerije<\/option><option value=\"American Samoa\"  class=\"choice-12 depth-1\"  >Amerikaans-Samoa<\/option><option value=\"Andorra\"  class=\"choice-13 depth-1\"  >Andorra<\/option><option value=\"Angola\"  class=\"choice-14 depth-1\"  >Angola<\/option><option value=\"Anguilla\"  class=\"choice-15 depth-1\"  >Anguilla<\/option><option value=\"Antarctica\"  class=\"choice-16 depth-1\"  >Antarctica<\/option><option value=\"Antigua and Barbuda\"  class=\"choice-17 depth-1\"  >Antigua en Barbuda<\/option><option value=\"Argentina\"  class=\"choice-18 depth-1\"  >Argentini\u00eb<\/option><option value=\"Armenia\"  class=\"choice-19 depth-1\"  >Armeni\u00eb<\/option><option value=\"Aruba\"  class=\"choice-20 depth-1\"  >Aruba<\/option><option value=\"Australia\"  class=\"choice-21 depth-1\"  >Australi\u00eb<\/option><option value=\"Austria\"  class=\"choice-22 depth-1\"  >Oostenrijk<\/option><option value=\"Azerbaijan\"  class=\"choice-23 depth-1\"  >Azerbeidzjan<\/option><option value=\"Bahamas\"  class=\"choice-24 depth-1\"  >Bahama's<\/option><option value=\"Bahrain\"  class=\"choice-25 depth-1\"  >Bahrein<\/option><option value=\"Bangladesh\"  class=\"choice-26 depth-1\"  >Bangladesh<\/option><option value=\"Barbados\"  class=\"choice-27 depth-1\"  >Barbados<\/option><option value=\"Belarus\"  class=\"choice-28 depth-1\"  >Wit-Rusland<\/option><option value=\"Belize\"  class=\"choice-29 depth-1\"  >Belize<\/option><option value=\"Benin\"  class=\"choice-30 depth-1\"  >Benin<\/option><option value=\"Bermuda\"  class=\"choice-31 depth-1\"  >Bermuda<\/option><option value=\"Bhutan\"  class=\"choice-32 depth-1\"  >Bhutan<\/option><option value=\"Bolivia (Plurinational State of)\"  class=\"choice-33 depth-1\"  >Bolivia (Plurinationale Staat)<\/option><option value=\"Bonaire, Sint Eustatius and Saba\"  class=\"choice-34 depth-1\"  >Bonaire, Sint Eustatius en Saba<\/option><option value=\"Bosnia and Herzegovina\"  class=\"choice-35 depth-1\"  >Bosni\u00eb-Herzegovina<\/option><option value=\"Botswana\"  class=\"choice-36 depth-1\"  >Botswana<\/option><option value=\"Bouvet Island\"  class=\"choice-37 depth-1\"  >Bouveteiland<\/option><option value=\"Brazil\"  class=\"choice-38 depth-1\"  >Brazili\u00eb<\/option><option value=\"Brunei Darussalam\"  class=\"choice-39 depth-1\"  >Brunei<\/option><option value=\"Bulgaria\"  class=\"choice-40 depth-1\"  >Bulgarije<\/option><option value=\"Burkina Faso\"  class=\"choice-41 depth-1\"  >Burkina Faso<\/option><option value=\"Burundi\"  class=\"choice-42 depth-1\"  >Burundi<\/option><option value=\"Cabo Verde\"  class=\"choice-43 depth-1\"  >Kaapverdi\u00eb<\/option><option value=\"Cambodia\"  class=\"choice-44 depth-1\"  >Cambodja<\/option><option value=\"Cameroon\"  class=\"choice-45 depth-1\"  >Kameroen<\/option><option value=\"Canada\"  class=\"choice-46 depth-1\"  >Canada<\/option><option value=\"Cayman Islands\"  class=\"choice-47 depth-1\"  >Kaaimaneilanden<\/option><option value=\"Central African Republic\"  class=\"choice-48 depth-1\"  >Centraal-Afrikaanse Republiek<\/option><option value=\"Chad\"  class=\"choice-49 depth-1\"  >Tsjaad<\/option><option value=\"Chile\"  class=\"choice-50 depth-1\"  >Chili<\/option><option value=\"China\"  class=\"choice-51 depth-1\"  >China<\/option><option value=\"Christmas Island\"  class=\"choice-52 depth-1\"  >Christmaseiland<\/option><option value=\"Cocos (Keeling) Islands\"  class=\"choice-53 depth-1\"  >Cocoseilanden (Keeling)<\/option><option value=\"Colombia\"  class=\"choice-54 depth-1\"  >Colombia<\/option><option value=\"Comoros\"  class=\"choice-55 depth-1\"  >Comoren<\/option><option value=\"Congo\"  class=\"choice-56 depth-1\"  >Congo<\/option><option value=\"Congo, Democratic Republic of the\"  class=\"choice-57 depth-1\"  >Democratische Republiek Congo<\/option><option value=\"Cook Islands\"  class=\"choice-58 depth-1\"  >Cookeilanden<\/option><option value=\"Costa Rica\"  class=\"choice-59 depth-1\"  >Costa Rica<\/option><option value=\"Croatia\"  class=\"choice-60 depth-1\"  >Kroati\u00eb<\/option><option value=\"Cuba\"  class=\"choice-61 depth-1\"  >Cuba<\/option><option value=\"Cura\u00e7ao\"  class=\"choice-62 depth-1\"  >Cura\u00e7ao<\/option><option value=\"Cyprus\"  class=\"choice-63 depth-1\"  >Cyprus<\/option><option value=\"Czech Republic\"  class=\"choice-64 depth-1\"  >Tsjechische Republiek<\/option><option value=\"C\u00f4te d\u2019Ivoire\"  class=\"choice-65 depth-1\"  >Ivoorkust<\/option><option value=\"Denmark\"  class=\"choice-66 depth-1\"  >Denemarken<\/option><option value=\"Djibouti\"  class=\"choice-67 depth-1\"  >djibouti<\/option><option value=\"Dominica\"  class=\"choice-68 depth-1\"  >Dominica<\/option><option value=\"Dominican Republic\"  class=\"choice-69 depth-1\"  >Dominicaanse Republiek<\/option><option value=\"Ecuador\"  class=\"choice-70 depth-1\"  >Ecuador<\/option><option value=\"Egypt\"  class=\"choice-71 depth-1\"  >Egypte<\/option><option value=\"El Salvador\"  class=\"choice-72 depth-1\"  >El Salvador<\/option><option value=\"Equatorial Guinea\"  class=\"choice-73 depth-1\"  >Equatoriaal-Guinea<\/option><option value=\"Eritrea\"  class=\"choice-74 depth-1\"  >Eritrea<\/option><option value=\"Estonia\"  class=\"choice-75 depth-1\"  >Estland<\/option><option value=\"Eswatini\"  class=\"choice-76 depth-1\"  >Eswatini<\/option><option value=\"Ethiopia\"  class=\"choice-77 depth-1\"  >Ethiopi\u00eb<\/option><option value=\"Falkland Islands (Malvinas)\"  class=\"choice-78 depth-1\"  >Falklandeilanden<\/option><option value=\"Faroe Islands\"  class=\"choice-79 depth-1\"  >Faer\u00f6er<\/option><option value=\"Fiji\"  class=\"choice-80 depth-1\"  >Fiji<\/option><option value=\"Finland\"  class=\"choice-81 depth-1\"  >Finland<\/option><option value=\"French Guiana\"  class=\"choice-82 depth-1\"  >Frans-Guyana<\/option><option value=\"French Polynesia\"  class=\"choice-83 depth-1\"  >Frans-Polynesi\u00eb<\/option><option value=\"French Southern Territories\"  class=\"choice-84 depth-1\"  >Franse Zuidelijke Gebieden<\/option><option value=\"Gabon\"  class=\"choice-85 depth-1\"  >gabon<\/option><option value=\"Gambia\"  class=\"choice-86 depth-1\"  >Gambia<\/option><option value=\"Georgia\"  class=\"choice-87 depth-1\"  >Georgi\u00eb<\/option><option value=\"Germany\"  class=\"choice-88 depth-1\"  >Duitsland<\/option><option value=\"Ghana\"  class=\"choice-89 depth-1\"  >ghana<\/option><option value=\"Gibraltar\"  class=\"choice-90 depth-1\"  >gibraltar<\/option><option value=\"Greece\"  class=\"choice-91 depth-1\"  >Griekenland<\/option><option value=\"Greenland\"  class=\"choice-92 depth-1\"  >Groenland<\/option><option value=\"Grenada\"  class=\"choice-93 depth-1\"  >Grenada<\/option><option value=\"Guadeloupe\"  class=\"choice-94 depth-1\"  >guadeloupe<\/option><option value=\"Guam\"  class=\"choice-95 depth-1\"  >guam<\/option><option value=\"Guatemala\"  class=\"choice-96 depth-1\"  >guatemala<\/option><option value=\"Guernsey\"  class=\"choice-97 depth-1\"  >Guernsey<\/option><option value=\"Guinea\"  class=\"choice-98 depth-1\"  >Guinee<\/option><option value=\"Guinea-Bissau\"  class=\"choice-99 depth-1\"  >Guinee-Bissau<\/option><option value=\"Guyana\"  class=\"choice-100 depth-1\"  >Guyana<\/option><option value=\"Haiti\"  class=\"choice-101 depth-1\"  >Ha\u00efti<\/option><option value=\"Heard Island and McDonald Islands\"  class=\"choice-102 depth-1\"  >Heard en McDonaldeilanden<\/option><option value=\"Holy See\"  class=\"choice-103 depth-1\"  >Heilige Stoel<\/option><option value=\"Honduras\"  class=\"choice-104 depth-1\"  >honduras<\/option><option value=\"Hong Kong\"  class=\"choice-105 depth-1\"  >Hongkong<\/option><option value=\"Hungary\"  class=\"choice-106 depth-1\"  >Hongarije<\/option><option value=\"Iceland\"  class=\"choice-107 depth-1\"  >IJsland<\/option><option value=\"India\"  class=\"choice-108 depth-1\"  >India<\/option><option value=\"Indonesia\"  class=\"choice-109 depth-1\"  >Indonesi\u00eb<\/option><option value=\"Iran (Islamic Republic of)\"  class=\"choice-110 depth-1\"  >Iran (Islamitische Republiek)<\/option><option value=\"Iraq\"  class=\"choice-111 depth-1\"  >Irak<\/option><option value=\"Ireland\"  class=\"choice-112 depth-1\"  >Ierland<\/option><option value=\"Isle of Man\"  class=\"choice-113 depth-1\"  >Isle of Man<\/option><option value=\"Israel\"  class=\"choice-114 depth-1\"  >Isra\u00ebl<\/option><option value=\"Italy\"  class=\"choice-115 depth-1\"  >Itali\u00eb<\/option><option value=\"Jamaica\"  class=\"choice-116 depth-1\"  >Jamaica<\/option><option value=\"Japan\"  class=\"choice-117 depth-1\"  >Japan<\/option><option value=\"Jersey\"  class=\"choice-118 depth-1\"  >jersey<\/option><option value=\"Jordan\"  class=\"choice-119 depth-1\"  >Jordani\u00eb<\/option><option value=\"Kazakhstan\"  class=\"choice-120 depth-1\"  >Kazachstan<\/option><option value=\"Kenya\"  class=\"choice-121 depth-1\"  >Kenia<\/option><option value=\"Kiribati\"  class=\"choice-122 depth-1\"  >kiribati<\/option><option value=\"Korea (Democratic People\u2019s Republic of)\"  class=\"choice-123 depth-1\"  >Korea (Democratische Volksrepubliek)<\/option><option value=\"Korea (Republic of)\"  class=\"choice-124 depth-1\"  >Korea (Republiek)<\/option><option value=\"Kuwait\"  class=\"choice-125 depth-1\"  >Koeweit<\/option><option value=\"Kyrgyzstan\"  class=\"choice-126 depth-1\"  >Kirgizi\u00eb<\/option><option value=\"Lao People\u2019s Democratic Republic\"  class=\"choice-127 depth-1\"  >Laos<\/option><option value=\"Latvia\"  class=\"choice-128 depth-1\"  >Letland<\/option><option value=\"Lebanon\"  class=\"choice-129 depth-1\"  >Libanon<\/option><option value=\"Lesotho\"  class=\"choice-130 depth-1\"  >lesotho<\/option><option value=\"Liberia\"  class=\"choice-131 depth-1\"  >Liberia<\/option><option value=\"Libya\"  class=\"choice-132 depth-1\"  >Libi\u00eb<\/option><option value=\"Liechtenstein\"  class=\"choice-133 depth-1\"  >liechtenstein<\/option><option value=\"Lithuania\"  class=\"choice-134 depth-1\"  >Litouwen<\/option><option value=\"Luxembourg\"  class=\"choice-135 depth-1\"  >Luxemburg<\/option><option value=\"Macao\"  class=\"choice-136 depth-1\"  >Macau<\/option><option value=\"Madagascar\"  class=\"choice-137 depth-1\"  >Madagaskar<\/option><option value=\"Malawi\"  class=\"choice-138 depth-1\"  >malawi<\/option><option value=\"Malaysia\"  class=\"choice-139 depth-1\"  >Maleisi\u00eb<\/option><option value=\"Maldives\"  class=\"choice-140 depth-1\"  >Maldiven<\/option><option value=\"Mali\"  class=\"choice-141 depth-1\"  >mali<\/option><option value=\"Malta\"  class=\"choice-142 depth-1\"  >Malta<\/option><option value=\"Marshall Islands\"  class=\"choice-143 depth-1\"  >Marshalleilanden<\/option><option value=\"Martinique\"  class=\"choice-144 depth-1\"  >martinique<\/option><option value=\"Mauritania\"  class=\"choice-145 depth-1\"  >Mauritani\u00eb<\/option><option value=\"Mauritius\"  class=\"choice-146 depth-1\"  >Mauritius<\/option><option value=\"Mayotte\"  class=\"choice-147 depth-1\"  >mayotte<\/option><option value=\"Mexico\"  class=\"choice-148 depth-1\"  >Mexico<\/option><option value=\"Micronesia (Federated States of)\"  class=\"choice-149 depth-1\"  >Micronesi\u00eb (Federale Staten van)<\/option><option value=\"Moldova (Republic of)\"  class=\"choice-150 depth-1\"  >Moldavi\u00eb<\/option><option value=\"Monaco\"  class=\"choice-151 depth-1\"  >monaco<\/option><option value=\"Mongolia\"  class=\"choice-152 depth-1\"  >Mongoli\u00eb<\/option><option value=\"Montenegro\"  class=\"choice-153 depth-1\"  >Montenegro<\/option><option value=\"Montserrat\"  class=\"choice-154 depth-1\"  >montserrat<\/option><option value=\"Morocco\"  class=\"choice-155 depth-1\"  >Marokko<\/option><option value=\"Mozambique\"  class=\"choice-156 depth-1\"  >mozambique<\/option><option value=\"Myanmar\"  class=\"choice-157 depth-1\"  >myanmar<\/option><option value=\"Namibia\"  class=\"choice-158 depth-1\"  >Namibi\u00eb<\/option><option value=\"Nauru\"  class=\"choice-159 depth-1\"  >nauru<\/option><option value=\"Nepal\"  class=\"choice-160 depth-1\"  >Nepal<\/option><option value=\"Netherlands\"  class=\"choice-161 depth-1\"  >Nederland<\/option><option value=\"New Caledonia\"  class=\"choice-162 depth-1\"  >Nieuw-Caledoni\u00eb<\/option><option value=\"New Zealand\"  class=\"choice-163 depth-1\"  >Nieuw-Zeeland<\/option><option value=\"Nicaragua\"  class=\"choice-164 depth-1\"  >nicaragua<\/option><option value=\"Niger\"  class=\"choice-165 depth-1\"  >niger<\/option><option value=\"Nigeria\"  class=\"choice-166 depth-1\"  >Nigeria<\/option><option value=\"Niue\"  class=\"choice-167 depth-1\"  >niue<\/option><option value=\"Norfolk Island\"  class=\"choice-168 depth-1\"  >Norfolkeiland<\/option><option value=\"North Macedonia (former Yugoslav Republic of)\"  class=\"choice-169 depth-1\"  >Noord-Macedoni\u00eb<\/option><option value=\"Northern Mariana Islands\"  class=\"choice-170 depth-1\"  >Noordelijke Marianen<\/option><option value=\"Norway\"  class=\"choice-171 depth-1\"  >Noorwegen<\/option><option value=\"Oman\"  class=\"choice-172 depth-1\"  >oman<\/option><option value=\"Pakistan\"  class=\"choice-173 depth-1\"  >pakistan<\/option><option value=\"Palau\"  class=\"choice-174 depth-1\"  >palau<\/option><option value=\"Palestine, State of\"  class=\"choice-175 depth-1\"  >Staat Palestina<\/option><option value=\"Panama\"  class=\"choice-176 depth-1\"  >panama<\/option><option value=\"Papua New Guinea\"  class=\"choice-177 depth-1\"  >Papoea-Nieuw-Guinea<\/option><option value=\"Paraguay\"  class=\"choice-178 depth-1\"  >paraguay<\/option><option value=\"Peru\"  class=\"choice-179 depth-1\"  >Peru<\/option><option value=\"Philippines\"  class=\"choice-180 depth-1\"  >Filipijnen<\/option><option value=\"Pitcairn\"  class=\"choice-181 depth-1\"  >Pitcairneilanden<\/option><option value=\"Poland\"  class=\"choice-182 depth-1\"  >Polen<\/option><option value=\"Portugal\"  class=\"choice-183 depth-1\"  >portugal<\/option><option value=\"Puerto Rico\"  class=\"choice-184 depth-1\"  >Puerto Rico<\/option><option value=\"Qatar\"  class=\"choice-185 depth-1\"  >qatar<\/option><option value=\"R\u00e9union\"  class=\"choice-186 depth-1\"  >R\u00e9union<\/option><option value=\"Romania\"  class=\"choice-187 depth-1\"  >Roemeni\u00eb<\/option><option value=\"Russian Federation\"  class=\"choice-188 depth-1\"  >Russische Federatie<\/option><option value=\"Rwanda\"  class=\"choice-189 depth-1\"  >rwanda<\/option><option value=\"Saint Barth\u00e9lemy\"  class=\"choice-190 depth-1\"  >Saint-Barth\u00e9lemy<\/option><option value=\"Saint Helena, Ascension and Tristan da Cunha\"  class=\"choice-191 depth-1\"  >Sint-Helena, Ascension en Tristan da Cunha<\/option><option value=\"Saint Kitts and Nevis\"  class=\"choice-192 depth-1\"  >Saint Kitts en Nevis<\/option><option value=\"Saint Lucia\"  class=\"choice-193 depth-1\"  >Saint Lucia<\/option><option value=\"Saint Martin (French part)\"  class=\"choice-194 depth-1\"  >Sint-Maarten (Frans gedeelte)<\/option><option value=\"Saint Martin (Dutch part)\"  class=\"choice-195 depth-1\"  >Sint Maarten (Nederlands deel)<\/option><option value=\"Saint Pierre and Miquelon\"  class=\"choice-196 depth-1\"  >Saint-Pierre en Miquelon<\/option><option value=\"Saint Vincent and the Grenadines\"  class=\"choice-197 depth-1\"  >Saint Vincent en de Grenadines<\/option><option value=\"Samoa\"  class=\"choice-198 depth-1\"  >samoa<\/option><option value=\"San Marino\"  class=\"choice-199 depth-1\"  >San Marino<\/option><option value=\"Sao Tome and Principe\"  class=\"choice-200 depth-1\"  >Sao Tom\u00e9 en Principe<\/option><option value=\"Saudi Arabia\"  class=\"choice-201 depth-1\"  >Saoedi-Arabi\u00eb<\/option><option value=\"Senegal\"  class=\"choice-202 depth-1\"  >Senegal<\/option><option value=\"Serbia\"  class=\"choice-203 depth-1\"  >Servi\u00eb<\/option><option value=\"Seychelles\"  class=\"choice-204 depth-1\"  >Seychellen<\/option><option value=\"Sierra Leone\"  class=\"choice-205 depth-1\"  >Sierra Leone<\/option><option value=\"Singapore\"  class=\"choice-206 depth-1\"  >Singapore<\/option><option value=\"Sint Maarten (Dutch part)\"  class=\"choice-207 depth-1\"  >Sint Maarten (Nederlands deel)<\/option><option value=\"Slovakia\"  class=\"choice-208 depth-1\"  >Slowakije<\/option><option value=\"Slovenia\"  class=\"choice-209 depth-1\"  >Sloveni\u00eb<\/option><option value=\"Solomon Islands\"  class=\"choice-210 depth-1\"  >Salomonseilanden<\/option><option value=\"Somalia\"  class=\"choice-211 depth-1\"  >Somali\u00eb<\/option><option value=\"South Africa\"  class=\"choice-212 depth-1\"  >Zuid-Afrika<\/option><option value=\"South Georgia and the South Sandwich Islands\"  class=\"choice-213 depth-1\"  >Zuid-Georgi\u00eb en de Zuidelijke Sandwicheilanden<\/option><option value=\"South Sudan\"  class=\"choice-214 depth-1\"  >Zuid-Soedan<\/option><option value=\"Spain\"  class=\"choice-215 depth-1\"  >Spanje<\/option><option value=\"Sri Lanka\"  class=\"choice-216 depth-1\"  >Sri Lanka<\/option><option value=\"Sudan\"  class=\"choice-217 depth-1\"  >Soedan<\/option><option value=\"Suriname\"  class=\"choice-218 depth-1\"  >Suriname<\/option><option value=\"Svalbard and Jan Mayen\"  class=\"choice-219 depth-1\"  >Spitsbergen en Jan Mayen<\/option><option value=\"Sweden\"  class=\"choice-220 depth-1\"  >Zweden<\/option><option value=\"Switzerland\"  class=\"choice-221 depth-1\"  >Zwitserland<\/option><option value=\"Syrian Arab Republic\"  class=\"choice-222 depth-1\"  >Syrische Arabische Republiek<\/option><option value=\"Taiwan (Province of China)\"  class=\"choice-223 depth-1\"  >Taiwan<\/option><option value=\"Tajikistan\"  class=\"choice-224 depth-1\"  >Tadzjikistan<\/option><option value=\"Tanzania, United Republic of\"  class=\"choice-225 depth-1\"  >Tanzania<\/option><option value=\"Thailand\"  class=\"choice-226 depth-1\"  >Thailand<\/option><option value=\"Timor-Leste\"  class=\"choice-227 depth-1\"  >Oost-Timor<\/option><option value=\"Togo\"  class=\"choice-228 depth-1\"  >Togo<\/option><option value=\"Tokelau\"  class=\"choice-229 depth-1\"  >Tokelau<\/option><option value=\"Tonga\"  class=\"choice-230 depth-1\"  >Tonga<\/option><option value=\"Trinidad and Tobago\"  class=\"choice-231 depth-1\"  >Trinidad en Tobago<\/option><option value=\"Tunisia\"  class=\"choice-232 depth-1\"  >Tunesi\u00eb<\/option><option value=\"Turkey\"  class=\"choice-233 depth-1\"  >Turkije<\/option><option value=\"Turkmenistan\"  class=\"choice-234 depth-1\"  >Turkmenistan<\/option><option value=\"Turks and Caicos Islands\"  class=\"choice-235 depth-1\"  >Turks- en Caicoseilanden<\/option><option value=\"Tuvalu\"  class=\"choice-236 depth-1\"  >Tuvalu<\/option><option value=\"Uganda\"  class=\"choice-237 depth-1\"  >Oeganda<\/option><option value=\"Ukraine\"  class=\"choice-238 depth-1\"  >Oekra\u00efne<\/option><option value=\"United Arab Emirates\"  class=\"choice-239 depth-1\"  >Verenigde Arabische Emiraten<\/option><option value=\"United Kingdom of Great Britain and Northern Ireland\"  class=\"choice-240 depth-1\"  >Verenigd Koninkrijk<\/option><option value=\"United States Minor Outlying Islands\"  class=\"choice-241 depth-1\"  >Amerikaanse Kleine Afgelegen Eilanden<\/option><option value=\"United States of America\"  class=\"choice-242 depth-1\"  >Verenigde Staten van Amerika<\/option><option value=\"Uruguay\"  class=\"choice-243 depth-1\"  >Uruguay<\/option><option value=\"Uzbekistan\"  class=\"choice-244 depth-1\"  >Oezbekistan<\/option><option value=\"Vanuatu\"  class=\"choice-245 depth-1\"  >Vanuatu<\/option><option value=\"Venezuela (Bolivarian Republic of)\"  class=\"choice-246 depth-1\"  >Venezuela (Bolivariaanse Republiek)<\/option><option value=\"Viet Nam\"  class=\"choice-247 depth-1\"  >Vietnam<\/option><option value=\"Virgin Islands (British)\"  class=\"choice-248 depth-1\"  >Britse Maagdeneilanden<\/option><option value=\"Virgin Islands (U.S.)\"  class=\"choice-249 depth-1\"  >Amerikaanse Maagdeneilanden<\/option><option value=\"Wallis and Futuna\"  class=\"choice-250 depth-1\"  >Wallis en Futuna<\/option><option value=\"Western Sahara\"  class=\"choice-251 depth-1\"  >Westelijke Sahara<\/option><option value=\"Yemen\"  class=\"choice-252 depth-1\"  >Jemen<\/option><option value=\"Zambia\"  class=\"choice-253 depth-1\"  >Zambia<\/option><option value=\"Zimbabwe\"  class=\"choice-254 depth-1\"  >Zimbabwe<\/option><\/select><\/div><div id=\"wpforms-14032-field_45-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"45\"><label class=\"wpforms-field-label\" for=\"wpforms-14032-field_45\">Waarom de Wheeleo\u00ae testen? Voor welk pati\u00ebntenprofiel? Op welke afdelingen?   <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><textarea id=\"wpforms-14032-field_45\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][45]\" aria-errormessage=\"wpforms-14032-field_45-error\" required><\/textarea><\/div><div id=\"wpforms-14032-field_46-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"46\"><label class=\"wpforms-field-label\" for=\"wpforms-14032-field_46\">Hoe heeft u de link naar deze overeenkomst ontvangen? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><textarea id=\"wpforms-14032-field_46\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][46]\" aria-errormessage=\"wpforms-14032-field_46-error\" required><\/textarea><\/div><div id=\"wpforms-14032-field_47-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"47\"><label class=\"wpforms-field-label\" for=\"wpforms-14032-field_47\">Met welke leverancier(s) van medische hulpmiddelen werkt u regelmatig samen?<\/label><textarea id=\"wpforms-14032-field_47\" class=\"wpforms-field-medium\" name=\"wpforms[fields][47]\" aria-errormessage=\"wpforms-14032-field_47-error\" ><\/textarea><\/div><div id=\"wpforms-14032-field_48-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-id=\"48\"><label class=\"wpforms-field-label\" for=\"wpforms-14032-field_48\">Gewenste startdatum: <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-14032-field_48\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-required wpforms-field-medium\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][48][date]\" aria-errormessage=\"wpforms-14032-field_48-error\" aria-describedby=\"wpforms-14032-field_48-description\" required><a title=\"Wis datum\" data-clear role=\"button\" tabindex=\"0\" class=\"wpforms-datepicker-clear\" aria-label=\"Wis datum\" style=\"display:none;\"><\/a><\/div><div id=\"wpforms-14032-field_48-description\" class=\"wpforms-field-description\">De (online) training\/presentatie moet georganiseerd worden voordat de test kan beginnen.<\/div><\/div><div id=\"wpforms-14032-field_49-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"49\"><fieldset><legend class=\"wpforms-field-label\">Voorwaarden <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-14032-field_49\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-14032-field_49_1\" name=\"wpforms[fields][49][]\" value=\"Hierbij accepteer ik de testvoorwaarden van Wheeleo\u00ae:\" aria-errormessage=\"wpforms-14032-field_49_1-error\" aria-describedby=\"wpforms-14032-field_49-description\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-14032-field_49_1\">Hierbij accepteer ik de testvoorwaarden van Wheeleo\u00ae:<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-14032-field_49_2\" name=\"wpforms[fields][49][]\" value=\"Ik ga ermee akkoord dat InnoRehab SRL mijn persoonlijke gegevens gebruikt om met mij te communiceren over mijn aanvraag en andere diensten.\" aria-errormessage=\"wpforms-14032-field_49_2-error\" aria-describedby=\"wpforms-14032-field_49-description\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-14032-field_49_2\">Ik ga ermee akkoord dat InnoRehab SRL mijn persoonlijke gegevens gebruikt om met mij te communiceren over mijn aanvraag en andere diensten.<\/label><\/li><\/ul><div id=\"wpforms-14032-field_49-description\" class=\"wpforms-field-description\">\u2022 2 weken testperiode \u2022 Retour op kosten van Wheeleo\u00ae (in de originele verpakking) \u2022 Online presentatie volgen, regelmatig contact tijdens de testperiode en volledige feedback aan het einde van de test \u2022 Na de test: aankoop of retour \u2022 Mijn instelling heeft de mogelijkheid om direct te bestellen zonder aanbesteding of raamovereenkomst.<\/div><\/fieldset><\/div><div id=\"wpforms-14032-field_9-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"9\"><label class=\"wpforms-field-label\" for=\"wpforms-14032-field_9\">Bericht<\/label><textarea id=\"wpforms-14032-field_9\" class=\"wpforms-field-medium\" name=\"wpforms[fields][9]\" aria-errormessage=\"wpforms-14032-field_9-error\" ><\/textarea><\/div><script>\n\t\t\t\t( function() {\n\t\t\t\t\tconst style = document.createElement( 'style' );\n\t\t\t\t\tstyle.appendChild( document.createTextNode( '#wpforms-14032-field_1-container { position: absolute !important; overflow: hidden !important; display: inline !important; height: 1px !important; width: 1px !important; z-index: -1000 !important; padding: 0 !important; } #wpforms-14032-field_1-container input { visibility: hidden; } #wpforms-conversational-form-page #wpforms-14032-field_1-container label { counter-increment: none; }' ) );\n\t\t\t\t\tdocument.head.appendChild( style );\n\t\t\t\t\tdocument.currentScript?.remove();\n\t\t\t\t} )();\n\t\t\t<\/script><\/div><!-- .wpforms-field-container --><div class=\"wpforms-recaptcha-container wpforms-is-recaptcha wpforms-is-recaptcha-type-v3\" ><input type=\"hidden\" name=\"wpforms[recaptcha]\" value=\"\"><\/div><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"14032\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/www.wheeleo.eu\/nl\/wp-json\/wp\/v2\/pages\/5146\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-14032\" class=\"wpforms-submit\" data-alt-text=\"Bezig met versturen...\" data-submit-text=\"Versturen\" aria-live=\"assertive\" value=\"wpforms-submit\">Versturen<\/button><img decoding=\"async\" src=\"https:\/\/www.wheeleo.eu\/wp-content\/plugins\/wpforms\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Bezig met laden\"><\/div><\/form><\/div>  <!-- .wpforms-container -->\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-95b4521 e-flex e-con-boxed e-con e-parent\" data-id=\"95b4521\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-e240822 elementor-widget elementor-widget-text-editor\" data-id=\"e240822\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<h2><strong>Meer informatie nodig?<\/strong><\/h2><p>Neem <strong>contact op met <\/strong><b>Geoffroy Dellicour<\/b>,<\/p><div>Fysiotherapeut en Wheeleo\u00ae-ontwerper<\/div><div><a href=\"mailto:geoffroy@wheeleo.eu\">geoffroy@wheeleo.eu<\/a><\/div><div>+32479728897<\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Testen is aannemen Je hebt interesse getoond in Wheeleo\u00ae en wilt graag een exemplaar ontvangen om het effect ervan op jouw afdeling\/instelling\/kabinet te observeren. InnoRehab biedt je aan om gratis een Wheeleo\u00ae loophulp te sturen zodat je hem gedurende 2 weken kunt testen. Laat je testen Voorstel: We zijn bereid je de Wheeleo\u00ae te laten [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"footnotes":""},"class_list":["post-5146","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.wheeleo.eu\/nl\/wp-json\/wp\/v2\/pages\/5146","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.wheeleo.eu\/nl\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.wheeleo.eu\/nl\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.wheeleo.eu\/nl\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.wheeleo.eu\/nl\/wp-json\/wp\/v2\/comments?post=5146"}],"version-history":[{"count":2,"href":"https:\/\/www.wheeleo.eu\/nl\/wp-json\/wp\/v2\/pages\/5146\/revisions"}],"predecessor-version":[{"id":14046,"href":"https:\/\/www.wheeleo.eu\/nl\/wp-json\/wp\/v2\/pages\/5146\/revisions\/14046"}],"wp:attachment":[{"href":"https:\/\/www.wheeleo.eu\/nl\/wp-json\/wp\/v2\/media?parent=5146"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}