{"id":331,"date":"2017-07-04T21:58:12","date_gmt":"2017-07-04T19:58:12","guid":{"rendered":"http:\/\/www.hergegenootschap.nl\/wp2\/?page_id=331"},"modified":"2025-01-27T23:59:45","modified_gmt":"2025-01-27T22:59:45","slug":"inschrijfformulier","status":"publish","type":"page","link":"https:\/\/hergegenootschap.nl\/wp2\/inschrijfformulier\/","title":{"rendered":"Inschrijfformulier"},"content":{"rendered":"\n<p><strong><em>Het Herg\u00e9 Genootschap is als vereniging geheel afhankelijk van vrijwilligers met vaak een dagelijkse baan. Houd er dus alstublieft rekening mee dat een reactie op dit formulier even op zich kan laten wachten. Alvast bedankt voor uw geduld!<\/em><\/strong><\/p>\n\n\n<p>Op het onderstaande formulier kunt u uw gegevens invullen.<\/p>\n<p><em><strong>Vul ook het SEPA machtigingsformulier in indien u er voor kiest om uw contributie via automatische incasso te voldoen.<\/strong><\/em> Door het machtigen heeft u recht op een korting van \u20ac 1,50 op de jaarlijkse contributie.<\/p>\n<p><a href=\"https:\/\/hergegenootschap.nl\/wp2\/wp-content\/uploads\/2022\/11\/SEPA-Machtigingsformulier-model-2022.pdf\"><em><strong>Download hier het SEPA machtigingformulier<\/strong><\/em><\/a><\/p>\n\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f330-o1\" lang=\"nl-NL\" dir=\"ltr\" data-wpcf7-id=\"330\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/wp2\/wp-json\/wp\/v2\/pages\/331#wpcf7-f330-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contactformulier\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"330\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.5\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"nl_NL\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f330-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/fieldset>\n<p><label> Aanhef (verplicht) <\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"radio-444\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><span class=\"wpcf7-list-item-label\">De heer<\/span><input type=\"radio\" name=\"radio-444\" value=\"De heer\" checked=\"checked\" \/><\/label><\/span><span class=\"wpcf7-list-item\"><label><span class=\"wpcf7-list-item-label\">Mevrouw<\/span><input type=\"radio\" name=\"radio-444\" value=\"Mevrouw\" \/><\/label><\/span><span class=\"wpcf7-list-item last\"><label><span class=\"wpcf7-list-item-label\">Geen van beiden (non-binair)<\/span><input type=\"radio\" name=\"radio-444\" value=\"Geen van beiden (non-binair)\" \/><\/label><\/span><\/span><\/span><br \/>\n<label> <\/label>\n<\/p>\n<p><label> Voornaam\/Roepnaam (verplicht)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"voornaam\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"voornaam\" \/><\/span> <\/label>\n<\/p>\n<p><label> Initialen (optioneel)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"initialen\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"initialen\" \/><\/span> <\/label>\n<\/p>\n<p><label> Tussenvoegsel (optioneel)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"tussenvoegsel\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"tussenvoegsel\" \/><\/span> <\/label>\n<\/p>\n<p><label> Achternaam (verplicht)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"achternaam\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"achternaam\" \/><\/span> <\/label>\n<\/p>\n<p><label> Straatnaam & huisnummer (verplicht)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"straat\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"straat\" \/><\/span> <\/label>\n<\/p>\n<p><label> Postcode (verplicht)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"postcode\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"postcode\" \/><\/span> <\/label>\n<\/p>\n<p><label> Plaatsnaam (verplicht)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"plaatsnaam\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"plaatsnaam\" \/><\/span> <\/label>\n<\/p>\n<p><label> Land (verplicht)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"land\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"land\" \/><\/span> <\/label>\n<\/p>\n<p><label> E-mail (verplicht)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"e-mail\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"e-mail\" \/><\/span> <\/label>\n<\/p>\n<p><label> Telefoon \/ Mobiel (verplicht)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"telefoon_mobiel_1\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"telefoon_mobiel_1\" \/><\/span> <\/label>\n<\/p>\n<p><label> Type abonnement (verplicht) <\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"abotype\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><span class=\"wpcf7-list-item-label\">Automatische Incasso (46,00 euro\/jaar)<\/span><input type=\"radio\" name=\"abotype\" value=\"Automatische Incasso (46,00 euro\/jaar)\" checked=\"checked\" \/><\/label><\/span><span class=\"wpcf7-list-item last\"><label><span class=\"wpcf7-list-item-label\">Jaarlijkse factuur (47,50 euro\/jaar)<\/span><input type=\"radio\" name=\"abotype\" value=\"Jaarlijkse factuur (47,50 euro\/jaar)\" \/><\/label><\/span><\/span><\/span><br \/>\n<label> <\/label>\n<\/p>\n<p><label> Telefoon \/ Mobiel (2e nummer, optioneel)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"mobiel_2\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"mobiel_2\" \/><\/span> <\/label>\n<\/p>\n<p><label> Geboortedatum (dd-mm-jjjj, optioneel)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"geboortedatum\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"geboortedatum\" \/><\/span> <\/label>\n<\/p>\n<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Verzenden\" \/>\n<\/p><p style=\"display: none !important;\" class=\"akismet-fields-container\" data-prefix=\"_wpcf7_ak_\"><label>&#916;<textarea name=\"_wpcf7_ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label><input type=\"hidden\" id=\"ak_js_1\" name=\"_wpcf7_ak_js\" value=\"199\"\/><script>document.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );<\/script><\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Het Herg\u00e9 Genootschap is als vereniging geheel afhankelijk van vrijwilligers met vaak een dagelijkse baan. Houd er dus alstublieft rekening mee dat een reactie op dit formulier even op zich&hellip;<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page-sidebar.php","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"class_list":["post-331","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/hergegenootschap.nl\/wp2\/wp-json\/wp\/v2\/pages\/331","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/hergegenootschap.nl\/wp2\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/hergegenootschap.nl\/wp2\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/hergegenootschap.nl\/wp2\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/hergegenootschap.nl\/wp2\/wp-json\/wp\/v2\/comments?post=331"}],"version-history":[{"count":12,"href":"https:\/\/hergegenootschap.nl\/wp2\/wp-json\/wp\/v2\/pages\/331\/revisions"}],"predecessor-version":[{"id":11796,"href":"https:\/\/hergegenootschap.nl\/wp2\/wp-json\/wp\/v2\/pages\/331\/revisions\/11796"}],"wp:attachment":[{"href":"https:\/\/hergegenootschap.nl\/wp2\/wp-json\/wp\/v2\/media?parent=331"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}