Warning! JavaScript must be enabled for this form to work properly. Afspraak jQuery(document).ready(function () { jQuery('#mod-visform1').validate({ submitHandler: function (form) { var returnVal = true; if (window["mod-visform1SubmitAction"] && typeof window["mod-visform1SubmitAction"] !== "undefined") { returnVal = window["mod-visform1SubmitAction"](this); } if (!returnVal) { return false; } form.submit(); jQuery(form).find('input[type="submit"]').prop("disabled", true); jQuery(form).find('input[type="reset"]').prop("disabled", true); jQuery(form).find('input[type="image"]').prop("disabled", true); }, wrapper: "p", //absolutly necessary when working with tinymce! ignore: ".ignore", rules: { "modvisform112naam" : {minlength: 3,},"modvisform112adres" : {minlength: 3,},"modvisform112postcode" : {minlength: 6,},"modvisform112plaats" : {minlength: 2,},"modvisform112telefoonnummer" : {minlength: 10,},"modvisform112datum" : {dateDMY: true,},"modvisform112tijdstip" : {minlength: 5,}, }, messages: { "modvisform112naam": {required: "Vul hier uw naam in",minlength: "Vul hier uw naam in",maxlength: "Vul hier uw naam in",},"modvisform112adres": {required: "Geef hier het adres op (straat + huisnummer)",minlength: "Geef hier het adres op (straat + huisnummer)",maxlength: "Geef hier het adres op (straat + huisnummer)",},"modvisform112postcode": {required: "Postcode niet (juist) gevuld",minlength: "Postcode niet (juist) gevuld",maxlength: "Postcode niet (juist) gevuld",},"modvisform112plaats": {required: "Vul hier de plaatsnaam in",minlength: "Vul hier de plaatsnaam in",maxlength: "Vul hier de plaatsnaam in",},"modvisform112telefoonnummer": {required: "Geef hier uw telefoon nummer op (10 cijfers zonder streepjes)",minlength: "Geef hier uw telefoon nummer op (10 cijfers zonder streepjes)",maxlength: "Geef hier uw telefoon nummer op (10 cijfers zonder streepjes)",},"modvisform112mailadres": {email: "Voer een geldig mailadres in",required: "Voer een geldig mailadres in",},"modvisform112contact": {required: "Geen keuze gemaakt. Maak een keuze.",},"modvisform112datum": { dateDMY: "Geef een datum op",required: "Geef een datum op",},"modvisform112tijdstip": {required: "Geef een tijd op (uu:mm)",minlength: "Geef een tijd op (uu:mm)",maxlength: "Geef een tijd op (uu:mm)",}, }, //in accordion view, display a summary message, that form contains errors errorPlacement: function (error, element) { var errorfieldid = element.attr("data-error-container-id"); if (!errorfieldid && element.attr("id") === "g-recaptcha-response") { errorfieldid = 'fc-tbxrecaptcha_response_field'; } jQuery('#mod-visform1' + ' div.' + errorfieldid).html(''); error.appendTo('#mod-visform1' + ' div.' + errorfieldid); error.addClass("errorcontainer"); }, }); jQuery('.captcharefresh1').on( 'click', function () { if (jQuery('#captchacode1')) { jQuery('#captchacode1').attr('src', '/index.php?option=com_visforms&task=visforms.captcha&sid=' + Math.random() + '&id=1'); } }); jQuery('#mod-visform1').initVisform({ visform: {"fid":"1","initEditor":false,"parentFormId":"mod-visform1","steps":1,"nbFields":11,"summaryLayout":"table","summaryLayoutClass":"table","summaryRowLayout":"tr","oSummaryFirstElementLayout":"","cSummaryFirstElementLayout":"","oSummarySecondElementLayout":"","cSummarySecondElementLayout":"","displaysummarypage":false,"hideemptyfieldsinsummary":false,"summaryemptycaliszero":false,"fields":{"0":{"id":1,"type":"text","label":"Naam"},"1":{"id":2,"type":"text","label":"Adres"},"2":{"id":3,"type":"text","label":"Postcode"},"3":{"id":4,"type":"text","label":"Plaats"},"4":{"id":5,"type":"text","label":"Telefoonnummer"},"5":{"id":6,"type":"email","label":"E-mailadres"},"6":{"id":7,"type":"radio","label":"Contact"},"7":{"id":8,"type":"date","label":"Gewenste datum"},"8":{"id":9,"type":"text","label":"Gewenst tijdstip (uu:mm)"},"9":{"id":13,"type":"textarea","label":"Opmerking"},"10":{"id":14,"type":"submit","label":"Verzend"}}}, restrictData: {}, userInputs: [{"type":"text","label":"field1","value":"","isDisabled":false,"isForbidden":false},{"type":"text","label":"field2","value":"","isDisabled":false,"isForbidden":false},{"type":"text","label":"field3","value":"","isDisabled":false,"isForbidden":false},{"type":"text","label":"field4","value":"","isDisabled":false,"isForbidden":false},{"type":"text","label":"field5","value":"","isDisabled":false,"isForbidden":false},{"type":"email","label":"field6","value":"","isDisabled":false,"isForbidden":false},{"type":"radio","label":"field7","value":"Telefoon","isDisabled":false,"isForbidden":false},{"type":"date","label":"field8","value":"","isDisabled":false,"isForbidden":false},{"type":"text","label":"field9","value":"","isDisabled":false,"isForbidden":false},{"type":"textarea","label":"field13","value":"","isDisabled":false,"isForbidden":false}]}); }); Maak een online afspraak met onze werkplaats.Ongeacht het merk kunt u bij onze vakmensen terecht en kunt u profiteren van onze service. Verplicht * Naam Adres Postcode Plaats Telefoonnummer E-mailadresContactTelefoonE-mailGewenste datum Gewenst tijdstip (uu:mm)Opmerking