<div role="form" class="wpcf7" id="wpcf7-f100837-o2" lang="nl-NL" dir="ltr"> <div class="screen-reader-response" role="alert" aria-live="polite"></div> <form action="/sen-fr/#wpcf7-f100837-o2" method="post" class="wpcf7-form init" novalidate="novalidate"> <div style="display: none;"> <input type="hidden" name="_wpcf7" value="100837" /> <input type="hidden" name="_wpcf7_version" value="5.2.1" /> <input type="hidden" name="_wpcf7_locale" value="nl_NL" /> <input type="hidden" name="_wpcf7_unit_tag" value="wpcf7-f100837-o2" /> <input type="hidden" name="_wpcf7_container_post" value="0" /> <input type="hidden" name="_wpcf7_posted_data_hash" value="" /> </div> <!-- CF7 Modules --> <div style='display:none;'><input type="hidden" name="your-subject" value="GD675 / Request offer / zmb-en" class="wpcf7-form-control wpcf7-hidden" /> <input type="hidden" name="form-name" value="GD675 / Request offer / zmb-en" class="wpcf7-form-control wpcf7-hidden" /></div> <!-- End CF7 Modules --> <div class="contact-form-header"> <p>Please fill up the contact form</p> </div> <div class="contact-form-body"> <div class="contact-form-fields-col2"> <p>Name* <br /> <span class="wpcf7-form-control-wrap your-name"><input type="text" name="your-name" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" aria-required="true" aria-invalid="false" /></span> </p> <p>Email* <br /> <span class="wpcf7-form-control-wrap your-email"><input type="email" name="your-email" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-email wpcf7-validates-as-required wpcf7-validates-as-email" aria-required="true" aria-invalid="false" /></span> </p> <p>Company* <br /> <span class="wpcf7-form-control-wrap your-company"><input type="text" name="your-company" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" aria-required="true" aria-invalid="false" /></span> </p> <p>Phone* <br /> <span class="wpcf7-form-control-wrap your-phone"><input type="text" name="your-phone" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" aria-required="true" aria-invalid="false" /></span> </p> </p></div> <div class="contact-form-fields-col1"> <label>Sujet*</label><span class="wpcf7-form-control-wrap subject"><textarea name="subject" cols="40" rows="2" class="wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required formSubject" aria-required="true" aria-invalid="false"></textarea></span><br /> <span class="wpcf7-form-control-wrap optinGdpr"><span class="wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required"><span class="wpcf7-list-item first last"><input type="checkbox" name="optinGdpr[]" value="By submitting this form, I authorize BIA Group and its network of resellers to use this information in the context of the request for quotation and the commercial relationship which may result therefrom and I agree to receive commercial information." /><span class="wpcf7-list-item-label">By submitting this form, I authorize BIA Group and its network of resellers to use this information in the context of the request for quotation and the commercial relationship which may result therefrom and I agree to receive commercial information.</span></span></span></span><br /> &nbsp;</p> </p></div> </div> <!-- CF7 Modules --> <div style='display:none;'><input type="hidden" name="hidden-post-url" value="" class="wpcf7-form-control wpcf7-hidden hiddenPostUrl" /></div> <!-- End CF7 Modules --> <p class="wpcf7-submit-button"><input type="submit" value="Send" class="wpcf7-form-control wpcf7-submit" /><i class="icon icon-arrow-right"></i></p> <p class="wpcf7-close-button" style="display:none"><input type="button" value="Close" class="wpcf7-close" onclick="wpcf7Close();"><i class="icon icon-arrow-right"></i></p> <div class="wpcf7-response-output" role="alert" aria-hidden="true"></div></form></div>

<div role="form" class="wpcf7" id="wpcf7-f100836-o3" lang="nl-NL" dir="ltr"> <div class="screen-reader-response" role="alert" aria-live="polite"></div> <form action="/sen-fr/#wpcf7-f100836-o3" method="post" class="wpcf7-form init" novalidate="novalidate"> <div style="display: none;"> <input type="hidden" name="_wpcf7" value="100836" /> <input type="hidden" name="_wpcf7_version" value="5.2.1" /> <input type="hidden" name="_wpcf7_locale" value="nl_NL" /> <input type="hidden" name="_wpcf7_unit_tag" value="wpcf7-f100836-o3" /> <input type="hidden" name="_wpcf7_container_post" value="0" /> <input type="hidden" name="_wpcf7_posted_data_hash" value="" /> </div> <!-- CF7 Modules --> <div style='display:none;'><input type="hidden" name="your-subject" value="D65EX / Request offer / zmb-en" class="wpcf7-form-control wpcf7-hidden" /> <input type="hidden" name="form-name" value="D65EX / Request offer / zmb-en" class="wpcf7-form-control wpcf7-hidden" /></div> <!-- End CF7 Modules --> <div class="contact-form-header"> <p>Please fill up the contact form</p> </div> <div class="contact-form-body"> <div class="contact-form-fields-col2"> <p>Name* <br /> <span class="wpcf7-form-control-wrap your-name"><input type="text" name="your-name" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" aria-required="true" aria-invalid="false" /></span> </p> <p>Email* <br /> <span class="wpcf7-form-control-wrap your-email"><input type="email" name="your-email" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-email wpcf7-validates-as-required wpcf7-validates-as-email" aria-required="true" aria-invalid="false" /></span> </p> <p>Company* <br /> <span class="wpcf7-form-control-wrap your-company"><input type="text" name="your-company" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" aria-required="true" aria-invalid="false" /></span> </p> <p>Phone* <br /> <span class="wpcf7-form-control-wrap your-phone"><input type="text" name="your-phone" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" aria-required="true" aria-invalid="false" /></span> </p> </p></div> <div class="contact-form-fields-col1"> <label>Sujet*</label><span class="wpcf7-form-control-wrap subject"><textarea name="subject" cols="40" rows="2" class="wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required formSubject" aria-required="true" aria-invalid="false"></textarea></span><br /> <span class="wpcf7-form-control-wrap optinGdpr"><span class="wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required"><span class="wpcf7-list-item first last"><input type="checkbox" name="optinGdpr[]" value="By submitting this form, I authorize BIA Group and its network of resellers to use this information in the context of the request for quotation and the commercial relationship which may result therefrom and I agree to receive commercial information." /><span class="wpcf7-list-item-label">By submitting this form, I authorize BIA Group and its network of resellers to use this information in the context of the request for quotation and the commercial relationship which may result therefrom and I agree to receive commercial information.</span></span></span></span><br /> &nbsp;</p> </p></div> </div> <!-- CF7 Modules --> <div style='display:none;'><input type="hidden" name="hidden-post-url" value="" class="wpcf7-form-control wpcf7-hidden hiddenPostUrl" /></div> <!-- End CF7 Modules --> <p class="wpcf7-submit-button"><input type="submit" value="Send" class="wpcf7-form-control wpcf7-submit" /><i class="icon icon-arrow-right"></i></p> <p class="wpcf7-close-button" style="display:none"><input type="button" value="Close" class="wpcf7-close" onclick="wpcf7Close();"><i class="icon icon-arrow-right"></i></p> <div class="wpcf7-response-output" role="alert" aria-hidden="true"></div></form></div>

<div role="form" class="wpcf7" id="wpcf7-f100835-o4" lang="nl-NL" dir="ltr"> <div class="screen-reader-response" role="alert" aria-live="polite"></div> <form action="/sen-fr/#wpcf7-f100835-o4" method="post" class="wpcf7-form init" novalidate="novalidate"> <div style="display: none;"> <input type="hidden" name="_wpcf7" value="100835" /> <input type="hidden" name="_wpcf7_version" value="5.2.1" /> <input type="hidden" name="_wpcf7_locale" value="nl_NL" /> <input type="hidden" name="_wpcf7_unit_tag" value="wpcf7-f100835-o4" /> <input type="hidden" name="_wpcf7_container_post" value="0" /> <input type="hidden" name="_wpcf7_posted_data_hash" value="" /> </div> <!-- CF7 Modules --> <div style='display:none;'><input type="hidden" name="your-subject" value="PC210LC / Request offer / zmb-en" class="wpcf7-form-control wpcf7-hidden" /> <input type="hidden" name="form-name" value="PC210LC / Request offer / zmb-en" class="wpcf7-form-control wpcf7-hidden" /></div> <!-- End CF7 Modules --> <div class="contact-form-header"> </div> <div class="contact-form-body"> <div class="contact-form-fields-col2"> <p>Name* <br /> <span class="wpcf7-form-control-wrap your-name"><input type="text" name="your-name" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" aria-required="true" aria-invalid="false" /></span> </p> <p>Email* <br /> <span class="wpcf7-form-control-wrap your-email"><input type="email" name="your-email" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-email wpcf7-validates-as-required wpcf7-validates-as-email" aria-required="true" aria-invalid="false" /></span> </p> <p>Company* <br /> <span class="wpcf7-form-control-wrap your-company"><input type="text" name="your-company" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" aria-required="true" aria-invalid="false" /></span> </p> <p>Phone* <br /> <span class="wpcf7-form-control-wrap your-phone"><input type="text" name="your-phone" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" aria-required="true" aria-invalid="false" /></span> </p> </p></div> <div class="contact-form-fields-col1"> <label>Subject*</label><span class="wpcf7-form-control-wrap subject"><textarea name="subject" cols="40" rows="2" class="wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required formSubject" aria-required="true" aria-invalid="false"></textarea></span></p> <p> &nbsp;</p> </p></div> </div> <!-- CF7 Modules --> <div style='display:none;'><input type="hidden" name="hidden-post-url" value="" class="wpcf7-form-control wpcf7-hidden hiddenPostUrl" /></div> <!-- End CF7 Modules --> <p class="wpcf7-submit-button"><input type="submit" value="Send" class="wpcf7-form-control wpcf7-submit" /><i class="icon icon-arrow-right"></i></p> <p class="wpcf7-close-button" style="display:none"><input type="button" value="Close" class="wpcf7-close" onclick="wpcf7Close();"><i class="icon icon-arrow-right"></i></p> <div class="wpcf7-response-output" role="alert" aria-hidden="true"></div></form></div>

<div role="form" class="wpcf7" id="wpcf7-f72286-o5" lang="nl-NL" dir="ltr"> <div class="screen-reader-response" role="alert" aria-live="polite"></div> <form action="/sen-fr/#wpcf7-f72286-o5" method="post" class="wpcf7-form init" novalidate="novalidate"> <div style="display: none;"> <input type="hidden" name="_wpcf7" value="72286" /> <input type="hidden" name="_wpcf7_version" value="5.2.1" /> <input type="hidden" name="_wpcf7_locale" value="nl_NL" /> <input type="hidden" name="_wpcf7_unit_tag" value="wpcf7-f72286-o5" /> <input type="hidden" name="_wpcf7_container_post" value="0" /> <input type="hidden" name="_wpcf7_posted_data_hash" value="" /> </div> <!-- CF7 Modules --> <div style='display:none;'><input type="hidden" name="your-subject" value="Utility / Request offer / ned-nl" class="wpcf7-form-control wpcf7-hidden" /> <input type="hidden" name="form-name" value="Utility / Request offer / ned-nl" class="wpcf7-form-control wpcf7-hidden" /></div> <!-- End CF7 Modules --> <div class="contact-form-header"> <h2>Prijsopgave aanvragen</h2> <p>Gelieve dit formulier in te vullen.</p> </div> <div class="contact-form-body"> <div class="contact-form-fields-col2"> <p>Naam* <br /> <span class="wpcf7-form-control-wrap your-name"><input type="text" name="your-name" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" aria-required="true" aria-invalid="false" /></span> </p> <p>E-mail* <br /> <span class="wpcf7-form-control-wrap your-email"><input type="email" name="your-email" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-email wpcf7-validates-as-required wpcf7-validates-as-email" aria-required="true" aria-invalid="false" /></span> </p> <p>Bedrijfsnaam* <br /> <span class="wpcf7-form-control-wrap your-company"><input type="text" name="your-company" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" aria-required="true" aria-invalid="false" /></span> </p> <p>Telefoon* <br /> <span class="wpcf7-form-control-wrap your-phone"><input type="text" name="your-phone" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" aria-required="true" aria-invalid="false" /></span> </p> <p>Postcode* <br /> <span class="wpcf7-form-control-wrap your-zipcode"><input type="text" name="your-zipcode" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" aria-required="true" aria-invalid="false" /></span> </p> <p>Plaats* <br /> <span class="wpcf7-form-control-wrap your-city"><input type="text" name="your-city" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" aria-required="true" aria-invalid="false" /></span> </p> </p></div> <div class="contact-form-fields-col1"> <label>Onderwerp*</label><span class="wpcf7-form-control-wrap subject"><textarea name="subject" cols="40" rows="2" class="wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required formSubject" aria-required="true" aria-invalid="false"></textarea></span><br /> <span class="wpcf7-form-control-wrap optinGdpr"><span class="wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required"><span class="wpcf7-list-item first last"><input type="checkbox" name="optinGdpr[]" value="Door het indienen van dit formulier, geef ik BIA Group en zijn dealernetwerk toestemming om deze informatie te gebruiken in het kader van deze aanvraag en van de commerciële relatie die eruit volgt en aanvaard ik om commerciële informatie te ontvangen." /><span class="wpcf7-list-item-label">Door het indienen van dit formulier, geef ik BIA Group en zijn dealernetwerk toestemming om deze informatie te gebruiken in het kader van deze aanvraag en van de commerciële relatie die eruit volgt en aanvaard ik om commerciële informatie te ontvangen.</span></span></span></span><br /> &nbsp;</p> </p></div> </div> <p class="wpcf7-submit-button"><input type="submit" value="Verzenden" class="wpcf7-form-control wpcf7-submit" /><i class="icon icon-arrow-right"></i></p> <p class="wpcf7-close-button" style="display:none"><input type="button" value="Close" class="wpcf7-close" onclick="wpcf7Close();"><i class="icon icon-arrow-right"></i></p> <!-- CF7 Modules --> <div style='display:none;'><input type="hidden" name="hidden-post-url" value="" class="wpcf7-form-control wpcf7-hidden hiddenPostUrl" /></div> <!-- End CF7 Modules --> <div class="wpcf7-response-output" role="alert" aria-hidden="true"></div></form></div>

<div role="form" class="wpcf7" id="wpcf7-f72285-o6" lang="nl-NL" dir="ltr"> <div class="screen-reader-response" role="alert" aria-live="polite"></div> <form action="/sen-fr/#wpcf7-f72285-o6" method="post" class="wpcf7-form init" novalidate="novalidate"> <div style="display: none;"> <input type="hidden" name="_wpcf7" value="72285" /> <input type="hidden" name="_wpcf7_version" value="5.2.1" /> <input type="hidden" name="_wpcf7_locale" value="nl_NL" /> <input type="hidden" name="_wpcf7_unit_tag" value="wpcf7-f72285-o6" /> <input type="hidden" name="_wpcf7_container_post" value="0" /> <input type="hidden" name="_wpcf7_posted_data_hash" value="" /> </div> <!-- CF7 Modules --> <div style='display:none;'><input type="hidden" name="your-subject" value="Utility / Request offer / bel-vl" class="wpcf7-form-control wpcf7-hidden" /> <input type="hidden" name="form-name" value="Utility / Request offer / bel-vl" class="wpcf7-form-control wpcf7-hidden" /></div> <!-- End CF7 Modules --> <div class="contact-form-header"> <h2>Prijsopgave aanvragen</h2> <p>Gelieve dit formulier in te vullen.</p> </div> <div class="contact-form-body"> <div class="contact-form-fields-col2"> <p>Naam* <br /> <span class="wpcf7-form-control-wrap your-name"><input type="text" name="your-name" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" aria-required="true" aria-invalid="false" /></span> </p> <p>E-mail* <br /> <span class="wpcf7-form-control-wrap your-email"><input type="email" name="your-email" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-email wpcf7-validates-as-required wpcf7-validates-as-email" aria-required="true" aria-invalid="false" /></span> </p> <p>Onderneming* <br /> <span class="wpcf7-form-control-wrap your-company"><input type="text" name="your-company" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" aria-required="true" aria-invalid="false" /></span> </p> <p>Telefoon* <br /> <span class="wpcf7-form-control-wrap your-phone"><input type="text" name="your-phone" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" aria-required="true" aria-invalid="false" /></span> </p> <p>Postcode* <br /> <span class="wpcf7-form-control-wrap your-zipcode"><input type="text" name="your-zipcode" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" aria-required="true" aria-invalid="false" /></span> </p> <p>Plaats* <br /> <span class="wpcf7-form-control-wrap your-city"><input type="text" name="your-city" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" aria-required="true" aria-invalid="false" /></span> </p> </p></div> <div class="contact-form-fields-col1"> <label>Merk en model*</label><span class="wpcf7-form-control-wrap subject"><textarea name="subject" cols="40" rows="2" class="wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required formSubject" aria-required="true" aria-invalid="false"></textarea></span><br /> <span class="wpcf7-form-control-wrap optinGdpr"><span class="wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required"><span class="wpcf7-list-item first last"><input type="checkbox" name="optinGdpr[]" value="Door het indienen van dit formulier, geef ik BIA Group en zijn dealernetwerk toestemming om deze informatie te gebruiken in het kader van deze aanvraag en van de commerciële relatie die eruit volgt en aanvaard ik om commerciële informatie te ontvangen." /><span class="wpcf7-list-item-label">Door het indienen van dit formulier, geef ik BIA Group en zijn dealernetwerk toestemming om deze informatie te gebruiken in het kader van deze aanvraag en van de commerciële relatie die eruit volgt en aanvaard ik om commerciële informatie te ontvangen.</span></span></span></span><br /> &nbsp;</p> </p></div> </div> <p class="wpcf7-submit-button"><input type="submit" value="Verzenden" class="wpcf7-form-control wpcf7-submit" /><i class="icon icon-arrow-right"></i></p> <p class="wpcf7-close-button" style="display:none"><input type="button" value="Close" class="wpcf7-close" onclick="wpcf7Close();"><i class="icon icon-arrow-right"></i></p> <!-- CF7 Modules --> <div style='display:none;'><input type="hidden" name="hidden-post-url" value="" class="wpcf7-form-control wpcf7-hidden hiddenPostUrl" /></div> <!-- End CF7 Modules --> <div class="wpcf7-response-output" role="alert" aria-hidden="true"></div></form></div>

<div role="form" class="wpcf7" id="wpcf7-f72284-o7" lang="nl-NL" dir="ltr"> <div class="screen-reader-response" role="alert" aria-live="polite"></div> <form action="/sen-fr/#wpcf7-f72284-o7" method="post" class="wpcf7-form init" novalidate="novalidate"> <div style="display: none;"> <input type="hidden" name="_wpcf7" value="72284" /> <input type="hidden" name="_wpcf7_version" value="5.2.1" /> <input type="hidden" name="_wpcf7_locale" value="nl_NL" /> <input type="hidden" name="_wpcf7_unit_tag" value="wpcf7-f72284-o7" /> <input type="hidden" name="_wpcf7_container_post" value="0" /> <input type="hidden" name="_wpcf7_posted_data_hash" value="" /> </div> <!-- CF7 Modules --> <div style='display:none;'><input type="hidden" name="your-subject" value="Utility / Request offer / bel-fr" class="wpcf7-form-control wpcf7-hidden" /> <input type="hidden" name="form-name" value="Utility / Request offer / bel-fr" class="wpcf7-form-control wpcf7-hidden" /></div> <!-- End CF7 Modules --> <div class="contact-form-header"> <h2>Demandez un devis</h2> <p>Veuillez remplir ce formulaire.</p> </div> <div class="contact-form-body"> <div class="contact-form-fields-col2"> <p>Nom* <br /> <span class="wpcf7-form-control-wrap your-name"><input type="text" name="your-name" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" aria-required="true" aria-invalid="false" /></span> </p> <p>E-mail* <br /> <span class="wpcf7-form-control-wrap your-email"><input type="email" name="your-email" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-email wpcf7-validates-as-required wpcf7-validates-as-email" aria-required="true" aria-invalid="false" /></span> </p> <p>Société* <br /> <span class="wpcf7-form-control-wrap your-company"><input type="text" name="your-company" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" aria-required="true" aria-invalid="false" /></span> </p> <p>Téléphone* <br /> <span class="wpcf7-form-control-wrap your-phone"><input type="text" name="your-phone" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" aria-required="true" aria-invalid="false" /></span> </p> <p>Code postal* <br /> <span class="wpcf7-form-control-wrap your-zipcode"><input type="text" name="your-zipcode" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" aria-required="true" aria-invalid="false" /></span> </p> <p>Ville* <br /> <span class="wpcf7-form-control-wrap your-city"><input type="text" name="your-city" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" aria-required="true" aria-invalid="false" /></span> </p> </p></div> <div class="contact-form-fields-col1"> <label>Marque et modèle*</label><span class="wpcf7-form-control-wrap subject"><textarea name="subject" cols="40" rows="2" class="wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required formSubject" aria-required="true" aria-invalid="false"></textarea></span><br /> <span class="wpcf7-form-control-wrap optinGdpr"><span class="wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required"><span class="wpcf7-list-item first last"><input type="checkbox" name="optinGdpr[]" value="En soumettant ce formulaire, j’autorise BIA Group et son réseau de revendeurs à exploiter ces informations dans le cadre de la demande d’offre et de la relation commerciale qui peut en découler et j’accepte de recevoir de l’information commerciale." /><span class="wpcf7-list-item-label">En soumettant ce formulaire, j’autorise BIA Group et son réseau de revendeurs à exploiter ces informations dans le cadre de la demande d’offre et de la relation commerciale qui peut en découler et j’accepte de recevoir de l’information commerciale.</span></span></span></span><br /> &nbsp;</p> </p></div> </div> <!-- CF7 Modules --> <div style='display:none;'><input type="hidden" name="hidden-post-url" value="" class="wpcf7-form-control wpcf7-hidden hiddenPostUrl" /></div> <!-- End CF7 Modules --> <p class="wpcf7-submit-button"><input type="submit" value="Envoyer" class="wpcf7-form-control wpcf7-submit" /><i class="icon icon-arrow-right"></i></p> <p class="wpcf7-close-button" style="display:none"><input type="button" value="Close" class="wpcf7-close" onclick="wpcf7Close();"><i class="icon icon-arrow-right"></i></p> <div class="wpcf7-response-output" role="alert" aria-hidden="true"></div></form></div>

<div role="form" class="wpcf7" id="wpcf7-f79675-o8" lang="en-US" dir="ltr"> <div class="screen-reader-response" role="alert" aria-live="polite"></div> <form action="/sen-fr/#wpcf7-f79675-o8" method="post" class="wpcf7-form init" novalidate="novalidate"> <div style="display: none;"> <input type="hidden" name="_wpcf7" value="79675" /> <input type="hidden" name="_wpcf7_version" value="5.2.1" /> <input type="hidden" name="_wpcf7_locale" value="en_US" /> <input type="hidden" name="_wpcf7_unit_tag" value="wpcf7-f79675-o8" /> <input type="hidden" name="_wpcf7_container_post" value="0" /> <input type="hidden" name="_wpcf7_posted_data_hash" value="" /> </div> <!-- CF7 Modules --> <div style='display:none;'><input type="hidden" name="form-name" value="Lubrifiants Komatsu BEL-VL" class="wpcf7-form-control wpcf7-hidden" /> <label> Naam* <span class="wpcf7-form-control-wrap your-name"><input type="text" name="your-name" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" aria-required="true" aria-invalid="false" /></span> </label></div> <!-- End CF7 Modules --> <p><label> Bedrijfsnaam*<br /> <span class="wpcf7-form-control-wrap your-company"><input type="text" name="your-company" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" aria-required="true" aria-invalid="false" /></span> </label></p> <p><label> E-mail*<br /> <span class="wpcf7-form-control-wrap your-email"><input type="email" name="your-email" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-email wpcf7-validates-as-required wpcf7-validates-as-email" aria-required="true" aria-invalid="false" /></span> </label></p> <p><label> GSM*<br /> <span class="wpcf7-form-control-wrap your-phone"><input type="tel" name="your-phone" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-tel wpcf7-validates-as-required wpcf7-validates-as-tel" aria-required="true" aria-invalid="false" /></span> </label></p> <p><label> Onderwerp<br /> <span class="wpcf7-form-control-wrap your-subject"><input type="text" name="your-subject" value="" size="40" class="wpcf7-form-control wpcf7-text" aria-invalid="false" /></span> </label></p> <p><label> Bericht<br /> <span class="wpcf7-form-control-wrap your-message"><textarea name="your-message" cols="40" rows="10" class="wpcf7-form-control wpcf7-textarea" aria-invalid="false"></textarea></span> </label></p> <p><input type="submit" value="Versturen" class="wpcf7-form-control wpcf7-submit" /></p> <div class="wpcf7-response-output" role="alert" aria-hidden="true"></div></form></div>

<div role="form" class="wpcf7" id="wpcf7-f77104-o9" lang="en-US" dir="ltr"> <div class="screen-reader-response" role="alert" aria-live="polite"></div> <form action="/sen-fr/#wpcf7-f77104-o9" method="post" class="wpcf7-form init" novalidate="novalidate"> <div style="display: none;"> <input type="hidden" name="_wpcf7" value="77104" /> <input type="hidden" name="_wpcf7_version" value="5.2.1" /> <input type="hidden" name="_wpcf7_locale" value="en_US" /> <input type="hidden" name="_wpcf7_unit_tag" value="wpcf7-f77104-o9" /> <input type="hidden" name="_wpcf7_container_post" value="0" /> <input type="hidden" name="_wpcf7_posted_data_hash" value="" /> </div> <!-- CF7 Modules --> <div style='display:none;'><input type="hidden" name="form-name" value="Lubrifiants Komatsu BEL-FR" class="wpcf7-form-control wpcf7-hidden" /></div> <!-- End CF7 Modules --> <p><label> Votre nom*<br /> <span class="wpcf7-form-control-wrap your-name"><input type="text" name="your-name" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" aria-required="true" aria-invalid="false" /></span> </label></p> <p><label> Votre société*<br /> <span class="wpcf7-form-control-wrap your-company"><input type="text" name="your-company" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" aria-required="true" aria-invalid="false" /></span> </label></p> <p><label> Votre email*<br /> <span class="wpcf7-form-control-wrap your-email"><input type="email" name="your-email" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-email wpcf7-validates-as-required wpcf7-validates-as-email" aria-required="true" aria-invalid="false" /></span> </label></p> <p><label> Votre GSM*<br /> <span class="wpcf7-form-control-wrap your-phone"><input type="tel" name="your-phone" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-tel wpcf7-validates-as-required wpcf7-validates-as-tel" aria-required="true" aria-invalid="false" /></span> </label></p> <p><label> Sujet<br /> <span class="wpcf7-form-control-wrap your-subject"><input type="text" name="your-subject" value="" size="40" class="wpcf7-form-control wpcf7-text" aria-invalid="false" /></span> </label></p> <p><label> Votre Message<br /> <span class="wpcf7-form-control-wrap your-message"><textarea name="your-message" cols="40" rows="10" class="wpcf7-form-control wpcf7-textarea" aria-invalid="false"></textarea></span> </label></p> <p><input type="submit" value="Envoyer" class="wpcf7-form-control wpcf7-submit" /></p> <div class="wpcf7-response-output" role="alert" aria-hidden="true"></div></form></div>

<div role="form" class="wpcf7" id="wpcf7-f72293-o10" lang="en-US" dir="ltr"> <div class="screen-reader-response" role="alert" aria-live="polite"></div> <form action="/sen-fr/#wpcf7-f72293-o10" method="post" class="wpcf7-form init" novalidate="novalidate"> <div style="display: none;"> <input type="hidden" name="_wpcf7" value="72293" /> <input type="hidden" name="_wpcf7_version" value="5.2.1" /> <input type="hidden" name="_wpcf7_locale" value="en_US" /> <input type="hidden" name="_wpcf7_unit_tag" value="wpcf7-f72293-o10" /> <input type="hidden" name="_wpcf7_container_post" value="0" /> <input type="hidden" name="_wpcf7_posted_data_hash" value="" /> </div> <p><label> Votre nom*<br /> <span class="wpcf7-form-control-wrap your-name"><input type="text" name="your-name" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" aria-required="true" aria-invalid="false" /></span> </label></p> <p><label> Votre société*<br /> <span class="wpcf7-form-control-wrap your-company"><input type="text" name="your-company" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" aria-required="true" aria-invalid="false" /></span> </label></p> <p><label> Votre email*<br /> <span class="wpcf7-form-control-wrap your-email"><input type="email" name="your-email" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-email wpcf7-validates-as-required wpcf7-validates-as-email" aria-required="true" aria-invalid="false" /></span> </label></p> <p><label> Votre GSM*<br /> <span class="wpcf7-form-control-wrap your-phone"><input type="tel" name="your-phone" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-tel wpcf7-validates-as-required wpcf7-validates-as-tel" aria-required="true" aria-invalid="false" /></span> </label></p> <p><label> Sujet<br /> <span class="wpcf7-form-control-wrap your-subject"><input type="text" name="your-subject" value="" size="40" class="wpcf7-form-control wpcf7-text" aria-invalid="false" /></span> </label></p> <p><label> Votre Message<br /> <span class="wpcf7-form-control-wrap your-message"><textarea name="your-message" cols="40" rows="10" class="wpcf7-form-control wpcf7-textarea" aria-invalid="false"></textarea></span> </label></p> <p><input type="submit" value="Envoyer" class="wpcf7-form-control wpcf7-submit" /><br /> <script>pushGaGoal('K24-FR', 'view');</script></p> <div class="wpcf7-response-output" role="alert" aria-hidden="true"></div></form></div>