document.write("    <!-- Web Form Generator 2.0 -->    <center><form method=\"post\" action=\"http://www.aweber.com/scripts/addlead.pl\">    <input type=\"hidden\" name=\"meta_web_form_id\" value=\"682109\">    <input type=\"hidden\" name=\"meta_split_id\" value=\"\">    <input type=\"hidden\" name=\"unit\" value=\"offerteaanvraag\">    <input type=\"hidden\" name=\"redirect\" value=\"http://www.zonnepanelenadviezen.nl/dankuoffertezp.html\" id=\"redirect_3313512a9b5ee517b59c686eb79d2e3e\">    <input type=\"hidden\" name=\"meta_redirect_onlist\" value=\"\">    <input type=\"hidden\" name=\"meta_adtracking\" value=\"\">    <input type=\"hidden\" name=\"meta_message\" value=\"1\">    <input type=\"hidden\" name=\"meta_required\" value=\"custom Type aanvraag,from,name,custom Achternaam,custom Straat en huisnummer,custom Postcode,custom Woonplaats,custom Provincie,custom Land,custom Telefoon overdag\">    <input type=\"hidden\" name=\"meta_forward_vars\" value=\"0\">    <table>    <tr><td colspan=2><center><DIV align=center>&nbsp;</DIV></center></td></tr><tr><td>Type aanvraag:</td><td><select name=\"custom Type aanvraag\"><option value=\"Particulier / woonhuis\">Particulier / woonhuis</option><option value=\"Zakelijk / bedrijfspand\">Zakelijk / bedrijfspand</option></select></td></tr><tr><td>Email:</td><td><input type=\"text\" name=\"from\" value=\"\" size=\"20\"></td></tr><tr><td>Voornaam:</td><td><input type=\"text\" name=\"name\" value=\"\" size=\"20\"></td></tr><tr><td>Achternaam/bedrijfsnaam:</td><td><input type=\"text\" name=\"custom Achternaam\" value=\"\" size=\"20\"></td></tr><tr><td>Straat en huisnummer:</td><td><input type=\"text\" name=\"custom Straat en huisnummer\" value=\"\" size=\"20\"></td></tr><tr><td>Postcode:</td><td><input type=\"text\" name=\"custom Postcode\" value=\"\" size=\"20\"></td></tr><tr><td>Woonplaats:</td><td><input type=\"text\" name=\"custom Woonplaats\" value=\"\" size=\"20\"></td></tr><tr><td>Provincie:</td><td><input type=\"text\" name=\"custom Provincie\" value=\"\" size=\"20\"></td></tr><tr><td>Land:</td><td><select name=\"custom Land\"><option value=\"Nederland\">Nederland</option><option value=\"Belgie\">Belgie</option></select></td></tr><tr><td>Telefoon nummer:</td><td><input type=\"text\" name=\"custom Telefoon overdag\" value=\"\" size=\"20\"></td></tr><tr><td>Telefoon nummer 2 (optioneel):</td><td><input type=\"text\" name=\"custom Telefoon nummer 2 (optioneel)\" value=\"\" size=\"20\"></td></tr>        <tr><td colspan=2><center><DIV><FONT face=Verdana size=1></FONT>&nbsp;</DIV></center></td></tr>    <tr><td align=\"center\" colspan=\"2\"><input type=\"submit\" name=\"submit\" value=\"NU AANVRAGEN\"></td></tr>    </table>    </form>        </center>");

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