Aanmelding deelname inzamelpunt Statiegeld voor Hommels
Vul onderstaande velden in.
Je ontvangt een email met alle informatie
Daarna kun je snel starten om te gaan inzamelen
{"blockElement":{"id":28056491,"pages_block_id":3046159,"uuid":"5afc8ee2-be68-42f8-8f09-36b42e20cac1","parent_id":28056487,"pages_block_element_type_id":28,"is_locked":false,"css_class":"element-5afc8ee2-be68-42f8-8f09-36b42e20cac1","position":5,"theme_style_type":null,"tag":null,"blockElements":[],"blockElementType":{"id":28,"name":"Form","tree_icon":"fa-sharp fa-light fa-pen-field","name_clean":"form","category":"element","default_content":null,"allow_nested_elements":true},"styles":[{"id":1000000037025150,"uuid":"dfdd9269-9e24-4616-a799-2f2097d1ace5","type":null,"identifier":".element-5afc8ee2-be68-42f8-8f09-36b42e20cac1","target_device":"desktop","media_query":null,"classes":["w-[100%]"],"hover_classes":[],"keyed_classes":{},"animations":[],"css":null,"meta":null},{"id":1000000037025151,"uuid":"a9801bf8-2b14-438e-845c-044d4d365291","type":null,"identifier":".element-5afc8ee2-be68-42f8-8f09-36b42e20cac1","target_device":"mobile","media_query":null,"classes":[],"hover_classes":[],"keyed_classes":{},"animations":[],"css":null,"meta":null}],"content":null,"content_options":{},"form":{"id":13090,"redirect_url":null,"name":"Aanmelding deelname Statiegeld","schema":[{"id":143371,"$formkit":"text","name":"first_name","label":"Bedrijfsnaam","placeholder":"Vul hier volledige bedrijfsnaam in","validation":"required","order":0,"options":{"pendingAttributes":[]}},{"id":143374,"$formkit":"text","name":"text","label":"Voornaam contactpersoon","placeholder":"Jan","validation":"required","order":1,"options":{"pendingAttributes":[]}},{"id":143375,"$formkit":"text","name":"last_name","label":"Achternaam contactpersoon","placeholder":"Doe","validation":"required","order":2,"options":{"pendingAttributes":[]}},{"id":143372,"$formkit":"email","name":"email","label":"E-mail contactpersoon","placeholder":"Vul hier je e-mailadres in","validation":"required|email","order":3,"options":{"pendingAttributes":[]}},{"id":143376,"$formkit":"text","name":"address","label":"Straatnaam en huisnummer","placeholder":"Adres","validation":"required","order":4,"options":{"pendingAttributes":[]}},{"id":143969,"$formkit":"text","name":"text_1","label":"Postcode","placeholder":"1756 TD","validation":"required","order":5,"options":{"pendingAttributes":[]}},{"id":143970,"$formkit":"text","name":"text_2","label":"Plaatsnaam","placeholder":"Amsterdam","validation":"required","order":6,"options":{"pendingAttributes":[]}},{"id":143526,"$formkit":"dropdown","name":"dropdown","label":"Wil je promotiemateriaal per post ontvangen of ontvang je liever een digitale versie om zelf te printen?","placeholder":"Maak een keuze","validation":"required","order":7,"options":{"id":740,"form_input_id":143526,"values":["Per post","Digitaal"]}},{"id":143373,"$formkit":"submit","name":"submit","label":"Versturen","placeholder":"Versturen","validation":"optional","order":8,"options":{"pendingAttributes":[]}}],"socialsSettings":null,"thank_you_confirmation_text":null,"type":"contact"},"linkable":null,"images":[],"copied_from_block_element_id":242},"theme":{"id":552550,"uuid":"a4f5cfcd-f682-4f66-a519-c5d4ddd5474f","name":"Plug&Pay theme","is_global":false,"is_default":false,"is_cloned_to_new_site":false,"shades":{"primary":{"base":"#f76d67","lightest":"#fdf6f4","lighter":"#f9ded8","light":"#f6b6ab","dark":"#9c0d15","darker":"#820c15","darkest":"#45070f","tailwind":null},"secondary":{"base":"#01751a","lightest":"#f4fdf8","lighter":"#d4f9e2","light":"#9df4bd","dark":"#028321","darker":"#01791d","darkest":"#044808","tailwind":null},"background":{"base":"#02542c","surface":"#03723c","border":"#03904b","inverse":"#f4fdfa","textStrong":"#f4fdfa","textBody":"#61efbc","textMuted":"#1aee9c","isDark":true,"tailwind":null}},"text_font_size":"18px","text_font_size_mobile":"16px","text_font_family":"Arimo","text_font_color":"#000000ff","text_font_weight":null,"text_line_height":"1.5","text_line_height_mobile":"1.25","text_letter_spacing":"0px","headings_1_font_size":"37px","headings_1_font_size_mobile":"32px","headings_1_font_family":"Bricolage Grotesque","headings_1_font_color":"#ffffff","headings_1_font_weight":"700","headings_1_line_height":"1.25","headings_1_line_height_mobile":"1","headings_1_letter_spacing":"normal","headings_2_font_size":"32px","headings_2_font_size_mobile":"25px","headings_2_font_family":"Bricolage Grotesque","headings_2_font_color":"#ffffff","headings_2_font_weight":"600","headings_2_line_height":"1.25","headings_2_line_height_mobile":"1.25","headings_2_letter_spacing":"normal","headings_3_font_size":"25px","headings_3_font_size_mobile":"22px","headings_3_font_family":"Bricolage Grotesque","headings_3_font_color":"#ffffff","headings_3_font_weight":"600","headings_3_line_height":"1.5","headings_3_line_height_mobile":"1.5","headings_3_letter_spacing":"normal","headings_4_font_size":"22px","headings_4_font_size_mobile":"20px","headings_4_font_family":"Bricolage Grotesque","headings_4_font_color":"#ffffff","headings_4_font_weight":"600","headings_4_line_height":"1","headings_4_line_height_mobile":"1","headings_4_letter_spacing":"0px","caption_font_size":"13px","caption_font_size_mobile":"12px","caption_font_family":"Inter","caption_font_color":"#304352","caption_font_weight":"400","caption_line_height":"1.5","caption_line_height_mobile":"1.5","caption_letter_spacing":"0px","primary_color":"#f76d67","secondary_color":"#01751aff","background_color":"#02542cff","max_width":"1170px","styles":[{"id":1000000036840886,"uuid":"06a9774f-e235-4f75-b7f2-d6b79b34b3ea","type":"button_primary","identifier":null,"target_device":"desktop","media_query":null,"classes":["inline-block","cursor-pointer","text-[#ffffff]","text-center","shadow-none","border-none","bg-[var(--primary-color)]","font-['Bricolage_Grotesque']","font-[600]","text-[length:16px]","leading-[1]","rounded-[9999px]","pt-[16px]","pb-[16px]","pl-[32px]","pr-[32px]","transition-all","duration-200","ease-in-out"],"hover_classes":["text-[#f76d67]","bg-[#ffffff]","border-[#f76d67]","scale-[1.06]"],"keyed_classes":{},"animations":[],"css":null,"meta":null},{"id":1000000036840887,"uuid":"42d4e6dd-02ab-426d-af6e-70316c1283c8","type":"button_primary","identifier":null,"target_device":"mobile","media_query":null,"classes":[],"hover_classes":[],"keyed_classes":{},"animations":[],"css":null,"meta":null},{"id":1000000036840888,"uuid":"ec4cb55e-4dfe-4037-80ed-0680e09b18b6","type":"button_secondary","identifier":null,"target_device":"desktop","media_query":null,"classes":["inline-block","cursor-pointer","text-base","bg-[var(--secondary-color)]","text-[#ffffff]","border-2","text-center","font-[500]","border-none","rounded-[9999px]","pt-[16px]","pb-[16px]","pl-[32px]","pr-[32px]","font-['Bricolage_Grotesque']","transition-all","duration-200","ease-in-out"],"hover_classes":["text-[#016b75]","bg-[#ffffff]","border-[#016b75]","scale-[1.06]"],"keyed_classes":{},"animations":[],"css":null,"meta":null},{"id":1000000036840889,"uuid":"ba11db64-0f4e-4760-b182-992d0b69f19a","type":"button_secondary","identifier":null,"target_device":"mobile","media_query":null,"classes":[],"hover_classes":[],"keyed_classes":{},"animations":[],"css":null,"meta":null},{"id":1000000036840890,"uuid":"33def992-41bf-4440-9cf4-ad88565ceed9","type":"button_line","identifier":null,"target_device":"desktop","media_query":null,"classes":["inline-block","cursor-pointer","font-semibold","text-base","pt-[8px]","pb-[8px]","pl-[24px]","pr-[24px]","bg-[var(--body-color)]","text-[var(--primary-color)]","rounded-md","border-2","border-solid","text-center","border-[var(--primary-color)]","font-['Roboto']","transition-all","duration-200","ease-in-out"],"hover_classes":["text-[#FBFAF4]","bg-[#ff754d]","border-[#FBFAF4]"],"keyed_classes":{},"animations":[],"css":null,"meta":null},{"id":1000000036840891,"uuid":"0baf2389-b78e-46ad-a74e-6aebb3276d5b","type":"button_line","identifier":null,"target_device":"mobile","media_query":null,"classes":[],"hover_classes":[],"keyed_classes":{},"animations":[],"css":null,"meta":null},{"id":1000000036840892,"uuid":"6643ca2c-a8f1-4b43-b93d-9cd74b7fadeb","type":"button_transparent","identifier":null,"target_device":"desktop","media_query":null,"classes":["inline-block","cursor-pointer","font-semibold","text-base","pt-[8px]","pb-[8px]","pl-[24px]","pr-[24px]","bg-[#ffffff00]","text-[var(--secondary-color)]","rounded-none","border-none","text-center","border-0","font-['Roboto']","transition-all","duration-200","ease-in-out"],"hover_classes":["text-[#ffffff00]","bg-[#01B57A]","border-[#ffffff00]"],"keyed_classes":{},"animations":[],"css":null,"meta":null},{"id":1000000036840893,"uuid":"a4f3a672-dd40-44bb-b7e7-0bd619e6a4ad","type":"button_transparent","identifier":null,"target_device":"mobile","media_query":null,"classes":[],"hover_classes":[],"keyed_classes":{},"animations":[],"css":null,"meta":null},{"id":1000000036840894,"uuid":"6909ab67-4712-4e0b-b503-1e0b308a7163","type":"card","identifier":null,"target_device":"desktop","media_query":null,"classes":["rounded-lg","shadow-material","border-none","p-[28px]","bg-[#fff7d9]"],"hover_classes":[],"keyed_classes":{},"animations":[],"css":null,"meta":null},{"id":1000000036840895,"uuid":"eb0ebe67-4b3c-43eb-bea4-d61c97b301e8","type":"card","identifier":null,"target_device":"mobile","media_query":null,"classes":[],"hover_classes":[],"keyed_classes":{},"animations":[],"css":null,"meta":null},{"id":1000000036840896,"uuid":"c60c3b2f-c8f1-4a3f-b4ea-2eb8c272c1ba","type":"shadow","identifier":null,"target_device":"desktop","media_query":null,"classes":["shadow-material"],"hover_classes":[],"keyed_classes":{},"animations":[],"css":null,"meta":null},{"id":1000000036840897,"uuid":"665a85ae-e153-43d4-bda5-248fcb52e1c6","type":"shadow","identifier":null,"target_device":"mobile","media_query":null,"classes":[],"hover_classes":[],"keyed_classes":{},"animations":[],"css":null,"meta":null},{"id":1000000036840898,"uuid":"0e635ef4-532d-46ea-be77-fc963b27d9fe","type":"corner","identifier":null,"target_device":"desktop","media_query":null,"classes":["rounded-md"],"hover_classes":[],"keyed_classes":{},"animations":[],"css":null,"meta":null},{"id":1000000036840899,"uuid":"3a4ee594-7a18-4ffe-957b-a1f7109f9cb7","type":"corner","identifier":null,"target_device":"mobile","media_query":null,"classes":[],"hover_classes":[],"keyed_classes":{},"animations":[],"css":null,"meta":null},{"id":1000000036840900,"uuid":"f312b57d-94cc-4fb3-990b-4ad78f6c3244","type":"image","identifier":null,"target_device":"desktop","media_query":null,"classes":["rounded-md","shadow-material"],"hover_classes":[],"keyed_classes":{},"animations":[],"css":null,"meta":null},{"id":1000000036840901,"uuid":"6c281df9-6da9-4ff1-8823-7e4b1a29cb71","type":"image","identifier":null,"target_device":"mobile","media_query":null,"classes":[],"hover_classes":[],"keyed_classes":{},"animations":[],"css":null,"meta":null}]}}
