{"id":1298,"date":"2026-01-22T18:00:20","date_gmt":"2026-01-22T18:00:20","guid":{"rendered":"https:\/\/resmipass.com\/bestel-resmi-pass\/"},"modified":"2026-01-24T12:12:46","modified_gmt":"2026-01-24T12:12:46","slug":"bestel-resmi-pass","status":"publish","type":"page","link":"https:\/\/resmipass.com\/nl\/bestel-resmi-pass\/","title":{"rendered":"Bestel ResMi Pass"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"1298\" class=\"elementor elementor-1298 elementor-255\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-841af16 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"841af16\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;gradient&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-d9c228a\" data-id=\"d9c228a\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-e49f789 elementor-widget elementor-widget-text-editor\" data-id=\"e49f789\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><strong>ResMi Pass bestelformulier<\/strong> | Een relatieverklaring voor stellen die reizen naar bestemmingen met culturele en religieuze voorschriften.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e988830 elementor-widget elementor-widget-text-editor\" data-id=\"e988830\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gform-theme gform-theme--foundation gform-theme--framework gform-theme--orbital' data-form-theme='orbital' data-form-index='0' id='gform_wrapper_1' ><style>#gform_wrapper_1[data-form-index=\"0\"].gform-theme,[data-parent-form=\"1_0\"]{--gf-color-primary: #204ce5;--gf-color-primary-rgb: 32, 76, 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#112337;--gf-ctrl-choice-size: var(--gf-ctrl-choice-size-md);--gf-ctrl-checkbox-check-size: var(--gf-ctrl-checkbox-check-size-md);--gf-ctrl-radio-check-size: var(--gf-ctrl-radio-check-size-md);--gf-ctrl-btn-font-size: var(--gf-ctrl-btn-font-size-md);--gf-ctrl-btn-padding-x: var(--gf-ctrl-btn-padding-x-md);--gf-ctrl-btn-size: var(--gf-ctrl-btn-size-md);--gf-ctrl-btn-border-color-secondary: #686e77;--gf-ctrl-file-btn-bg-color-hover: #EBEBEB;--gf-field-img-choice-size: var(--gf-field-img-choice-size-md);--gf-field-img-choice-card-space: var(--gf-field-img-choice-card-space-md);--gf-field-img-choice-check-ind-size: var(--gf-field-img-choice-check-ind-size-md);--gf-field-img-choice-check-ind-icon-size: var(--gf-field-img-choice-check-ind-icon-size-md);--gf-field-pg-steps-number-color: rgba(17, 35, 55, 0.8);}<\/style><div id='gf_1' class='gform_anchor' tabindex='-1'><\/div><form method='post' enctype='multipart\/form-data' target='gform_ajax_frame_1' id='gform_1'  action='\/nl\/wp-json\/wp\/v2\/pages\/1298#gf_1' data-formid='1' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_page_1_1' class='gform_page ' data-js='page-field-id-0' >\n\t\t\t\t\t<div class='gform_page_fields'><div id='gform_fields_1' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_1_167\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><img decoding=\"async\" src=\"https:\/\/resmipass.com\/wp-content\/uploads\/2026\/01\/ResMi-Pass-Logotype-img-5555.png\" width=\"60\" height=\"60\" alt=\"ResMi Pass\" style=\"width:60px; height:60px; display:block;\">\n<\/br>\nEen relatieverklaring voor internationale reizen ter ondersteuning van wederzijdse erkenning van de relatie van een koppel voor verblijf en reizen samen.\n\n<\/br><\/br>\nPrijs: 39 EUR\n<\/br>U kunt bij het afrekenen overschakelen naar uw lokale valuta.<\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                         <input type='button' id='gform_next_button_1_168' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Start uw bestelling'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_1_2' class='gform_page' data-js='page-field-id-168' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_1_2' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_1_157\" class=\"gfield gfield--type-hidden gfield--input-type-hidden gfield--width-full gform_hidden field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><div class='ginput_container ginput_container_text'><input name='input_157' id='input_1_157' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='' \/><\/div><\/div><div id=\"field_1_39\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><p style=\"border: 1px solid;width:100%;text-align:left;border-radius: 2px;background: #f2f2f2;border-color:#000000;padding: 1em;\"><b>Reisgegevens:<\/b><\/p><\/div><div id=\"field_1_5\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_5'>Naar welke landen reist het koppel?:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Vereist)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_5' id='input_1_5' type='text' value='' class='large'  aria-describedby=\"gfield_description_1_5\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_1_5'>bijv. Saoedi-Arabi\u00eb, Oman, Marokko. (Schrijf de landnaam in het Engels.) <\/div><\/div><div id=\"field_1_164\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><p style=\"border: 1px solid;width:100%;text-align:left;border-radius: 2px;background: #f2f2f2;border-color:#000000;padding: 1em;\"><b>Reisdata:<\/b><\/p><\/div><div id=\"field_1_165\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_165'>Van<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Vereist)<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_165' id='input_1_165' type='text' value='' class='datepicker gform-datepicker ymd_dash datepicker_no_icon gdatepicker-no-icon'   placeholder='jjjj-mm-dd' aria-describedby=\"input_1_165_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_1_165_date_format' class='screen-reader-text'>JJJJ dash MM dash DD<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_165' class='gform_hidden' value='https:\/\/resmipass.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_1_166\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_166'>Tot<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Vereist)<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_166' id='input_1_166' type='text' value='' class='datepicker gform-datepicker ymd_dash datepicker_no_icon gdatepicker-no-icon'   placeholder='jjjj-mm-dd' aria-describedby=\"input_1_166_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_1_166_date_format' class='screen-reader-text'>JJJJ dash MM dash DD<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_166' class='gform_hidden' value='https:\/\/resmipass.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_1_169' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='\u2190'  \/> <input type='button' id='gform_next_button_1_169' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Volgende'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_1_3' class='gform_page' data-js='page-field-id-169' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_1_3' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_1_25\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><!-- Basic Page Break -->\n    <pagebreak><\/pagebreak>\n<p style=\"border: 1px solid;width:100%;text-align:left;border-radius: 2px;background: #f2f2f2;border-color:#000000;padding: 1em;\"><b>De mannelijke partner in de relatie:<\/b><\/p><\/div><div id=\"field_1_161\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_161'>Nationaliteit:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Vereist)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_161' id='input_1_161' type='text' value='' class='large'  aria-describedby=\"gfield_description_1_161\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_1_161'>(Schrijf de landnaam in het Engels.)<\/div><\/div><div id=\"field_1_28\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_28'>Paspoortnummer, ID-kaartnummer of nationaal identificatienummer:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Vereist)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_28' id='input_1_28' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_37\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_37'>Voornaam:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Vereist)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_37' id='input_1_37' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_122\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_122'>Achternaam:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Vereist)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_122' id='input_1_122' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_27\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_27'>Geboortedatum:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Vereist)<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_27' id='input_1_27' type='text' value='' class='datepicker gform-datepicker ymd_dash datepicker_no_icon gdatepicker-no-icon'   placeholder='jjjj-mm-dd' aria-describedby=\"input_1_27_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_1_27_date_format' class='screen-reader-text'>JJJJ dash MM dash DD<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_27' class='gform_hidden' value='https:\/\/resmipass.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_1_29\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_29'>Woonadres:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Vereist)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_29' id='input_1_29' type='text' value='' class='large'  aria-describedby=\"gfield_description_1_29\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_1_29'>Voer uw volledige adres in, inclusief straatnaam en huisnummer, postcode en plaats (bijv. Hoofdstraat 55, 12345 Stad).<\/div><\/div><div id=\"field_1_30\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_30'>E-mail:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Vereist)<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_30' id='input_1_30' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_1_31\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_31'>Telefoonnummer:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Vereist)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_31' id='input_1_31' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_1_72' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='\u2190'  \/> <input type='button' id='gform_next_button_1_72' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Volgende'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_1_4' class='gform_page' data-js='page-field-id-72' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_1_4' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_1_38\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><p style=\"border: 1px solid;width:100%;text-align:left;border-radius: 2px;background: #f2f2f2;border-color:#000000;padding: 1em;\"><b>De vrouwelijke partner in de relatie:<\/b><\/p><\/div><div id=\"field_1_162\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_162'>Nationaliteit:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Vereist)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_162' id='input_1_162' type='text' value='' class='large'  aria-describedby=\"gfield_description_1_162\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_1_162'>(Schrijf de landnaam in het Engels.)<\/div><\/div><div id=\"field_1_35\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_35'>Paspoortnummer, ID-kaartnummer of nationaal identificatienummer:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Vereist)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_35' id='input_1_35' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_26\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_26'>Voornaam:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Vereist)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_26' id='input_1_26' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_123\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_123'>Achternaam:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Vereist)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_123' id='input_1_123' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_36\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_36'>Geboortedatum:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Vereist)<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_36' id='input_1_36' type='text' value='' class='datepicker gform-datepicker ymd_dash datepicker_no_icon gdatepicker-no-icon'   placeholder='jjjj-mm-dd' aria-describedby=\"input_1_36_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_1_36_date_format' class='screen-reader-text'>JJJJ dash MM dash DD<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_36' class='gform_hidden' value='https:\/\/resmipass.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_1_52\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_52'>Woonadres:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Vereist)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_52' id='input_1_52' type='text' value='' class='large'  aria-describedby=\"gfield_description_1_52\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_1_52'>Voer uw volledige adres in, inclusief straatnaam en huisnummer, postcode en plaats (bijv. Hoofdstraat 55, 12345 Stad).<\/div><\/div><div id=\"field_1_33\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_33'>E-mail:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Vereist)<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_33' id='input_1_33' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_1_32\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_32'>Telefoonnummer:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Vereist)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_32' id='input_1_32' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_1_73' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='\u2190'  \/> <input type='button' id='gform_next_button_1_73' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Volgende'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_1_5' class='gform_page' data-js='page-field-id-73' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_1_5' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_1_159\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><p style=\"border: 1px solid;width:100%;text-align:left;border-radius: 2px;background: #f2f2f2;border-color:#000000;padding: 1em;\"><b>Verklaring waarin wordt gesteld dat genoemde personen een relatie hebben:<\/b><\/p><\/div><fieldset id=\"field_1_160\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Relatie als volgt.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Vereist)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_160'>\n\t\t\t<div class='gchoice gchoice_1_160_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_160' type='radio' value='Huwelijk'  id='choice_1_160_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_160_0' id='label_1_160_0' class='gform-field-label gform-field-label--type-inline'>Huwelijk<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_160_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_160' type='radio' value='Langdurige relatie'  id='choice_1_160_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_160_1' id='label_1_160_1' class='gform-field-label gform-field-label--type-inline'>Langdurige relatie<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_160_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_160' type='radio' value='Verloving'  id='choice_1_160_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_160_2' id='label_1_160_2' class='gform-field-label gform-field-label--type-inline'>Verloving<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_160_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_160' type='radio' value='Samenwonend'  id='choice_1_160_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_160_3' id='label_1_160_3' class='gform-field-label gform-field-label--type-inline'>Samenwonend<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_160_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_160' type='radio' value='Geregistreerd partnerschap'  id='choice_1_160_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_160_4' id='label_1_160_4' class='gform-field-label gform-field-label--type-inline'>Geregistreerd partnerschap<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_160_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_160' type='radio' value='In een relatie (niet samenwonend)'  id='choice_1_160_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_160_5' id='label_1_160_5' class='gform-field-label gform-field-label--type-inline'>In een relatie (niet samenwonend)<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_1_163\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_163'>Startdatum van de relatie<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_163' id='input_1_163' type='text' value='' class='datepicker gform-datepicker ymd_dash datepicker_no_icon gdatepicker-no-icon'   placeholder='jjjj-mm-dd' aria-describedby=\"input_1_163_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_1_163_date_format' class='screen-reader-text'>JJJJ dash MM dash DD<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_163' class='gform_hidden' value='https:\/\/resmipass.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_1_158' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='\u2190'  \/> <input type='button' id='gform_next_button_1_158' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Volgende'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_1_6' class='gform_page' data-js='page-field-id-158' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_1_6' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_1_151\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><p style=\"border: 1px solid;width:100%;text-align:left;border-radius: 2px;background: #f2f2f2;border-color:#000000;padding: 1em;\"><b>Samenvatting:<\/b><\/p><\/div><fieldset id=\"field_1_152\" class=\"gfield gfield--type-pdfpreview gfield--input-type-pdfpreview gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label screen-reader-text' ><\/legend><div\n\t\tid=\"input_1_152\"\n\t\tclass=\"gpdf-previewer-wrapper gform-theme__no-reset--children\"\n\t\tdata-field-id=\"152\"\n\t\tdata-pdf-id=\"5d720c0a206c3\"\n\t\tdata-settings=\"{&quot;height&quot;:600,&quot;download&quot;:false,&quot;theme&quot;:&quot;auto&quot;,&quot;zoomLevel&quot;:&quot;page-width&quot;,&quot;pageScrolling&quot;:&quot;vertical&quot;,&quot;spread&quot;:&quot;none&quot;,&quot;rightClickProtection&quot;:true,&quot;textCopyingProtection&quot;:true,&quot;automaticRefresh&quot;:true,&quot;watermark&quot;:true,&quot;watermarkText&quot;:&quot;SAMPLE ONLY - NOT PAID&quot;,&quot;rtl&quot;:false}\">\n\t\t<!-- Placeholder -->\n<\/div>\n<\/fieldset><div id=\"field_1_50\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><!-- Basic Page Break -->\n    <pagebreak><\/pagebreak>\n<p style=\"border: 1px solid;width:100%;text-align:left;border-radius: 2px;background: #f2f2f2;border-color:#000000;padding: 1em;\"><b>Bestelling wordt voltooid door:<\/b><\/p><\/div><div id=\"field_1_55\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_55'>Voornaam:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Vereist)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_55' id='input_1_55' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_124\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_124'>Achternaam:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Vereist)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_124' id='input_1_124' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_56\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_56'>Woonadres:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Vereist)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_56' id='input_1_56' type='text' value='' class='large'  aria-describedby=\"gfield_description_1_56\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_1_56'>Voer uw volledige adres in, inclusief straatnaam en huisnummer, postcode en plaats (bijv. Hoofdstraat 55, 12345 Stad).<\/div><\/div><div id=\"field_1_58\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_58'>Telefoonnummer:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Vereist)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_58' id='input_1_58' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_1_57\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >E-mail:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Vereist)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container_email gform-grid-row' id='input_1_57_container'>\n                                <span id='input_1_57_1_container' class='ginput_left gform-grid-col gform-grid-col--size-auto'>\n                                    <input class='' type='email' name='input_57' id='input_1_57' value=''    aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_1_57\" \/>\n                                    <label for='input_1_57' class='gform-field-label gform-field-label--type-sub '>E-mailadres invoeren<\/label>\n                                <\/span>\n                                <span id='input_1_57_2_container' class='ginput_right gform-grid-col gform-grid-col--size-auto'>\n                                    <input class='' type='email' name='input_57_2' id='input_1_57_2' value=''    aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_1_57\" \/>\n                                    <label for='input_1_57_2' class='gform-field-label gform-field-label--type-sub '>E-mailadres bevestigen<\/label>\n                                <\/span>\n                                <div class='gf_clear gf_clear_complex'><\/div>\n                            <\/div><div class='gfield_description' id='gfield_description_1_57'>ResMi Pass wordt naar dit e-mailadres verzonden. Zorg ervoor dat het e-mailadres correct is. <\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_1_156' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='\u2190'  \/> <input type='button' id='gform_next_button_1_156' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Volgende'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_1_7' class='gform_page' data-js='page-field-id-156' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_1_7' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_1_153\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><p style=\"border: 1px solid;width:100%;text-align:left;border-radius: 2px;background: #f2f2f2;border-color:#000000;padding: 1em;\"><b>Betaling:<\/b><\/p><\/div><div id=\"field_1_148\" class=\"gfield gfield--type-product gfield--input-type-hiddenproduct gfield--width-full gform_hidden gfield_price gfield_price_1_148 gfield_product_1_148 gfield_hidden_product field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_1_148_1'>ResMi Pass<\/label><div class='ginput_container ginput_container_product_price_hidden'><input type='hidden' name='input_148.3' value='1' id='ginput_quantity_1_148' class='gform_hidden' \/><input type='hidden' name='input_148.1' value='ResMi Pass' class='gform_hidden' \/><input name='input_148.2' id='ginput_base_price_1_148' type='hidden' value='39,00 &#8364;' class='gform_hidden ginput_amount' \/><\/div><\/div><div id=\"field_1_149\" class=\"gfield gfield--type-total gfield--input-type-total gfield--width-full gfield_price gfield_price_1_ gfield_total gfield_total_1_ field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  aria-atomic=\"true\" aria-live=\"polite\" ><label class='gfield_label gform-field-label' for='input_1_149'>Totaal:<\/label><div class='ginput_container ginput_container_total'>\n\t\t\t\t\t\t\t<input type='text' readonly name='input_149' id='input_1_149' value='0,00 &#8364;' class='gform-text-input-reset ginput_total ginput_total_1' \/>\n\t\t\t\t\t\t<\/div><\/div><div id=\"field_1_155\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >U kunt bij het afrekenen overschakelen naar uw lokale valuta.\n<br><br>ResMi Pass wordt 24\/7 verwerkt en de verklaring wordt <b>onmiddellijk uitgegeven.<\/b> <\/div><div id=\"field_1_41\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gf_hidden gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><p style=\"border: 1px solid;width:100%;text-align:left;border-radius: 2px;background: #f2f2f2;border-color:#000000;padding: 1em;\"><b>Handtekeningen van personen in de relatie:<\/b><\/p>\n\n<br><br><table>\n<tbody>\n<tr>\n<td align=\"left\" width=\"50%\">\n<strong>De man in de relatie:<\/strong><\/td>\n<td align=\"left\" width=\"50%\">\n<strong>De vrouw in de relatie:<\/strong><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<br><table>\n<tbody>\n<tr>\n<td align=\"left\" width=\"50%\">\nHandtekening:<\/td>\n<td align=\"left\" width=\"50%\">\nHandtekening:<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<br><table>\n<tbody>\n<tr>\n<td align=\"left\" width=\"50%\">\nDatum:<\/td>\n<td align=\"left\" width=\"50%\">\nDatum:<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<br><table>\n<tbody>\n<tr>\n<td align=\"left\" width=\"50%\">\nNaam:<\/td>\n<td align=\"left\" width=\"50%\">\nNaam:<\/td>\n<\/tr>\n<\/tbody>\n<\/table><\/div><div id=\"field_1_46\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gf_hidden gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><p style=\"border: 1px solid;width:100%;text-align:left;border-radius: 2px;background: #f2f2f2;border-color:#000000;padding: 1em;\"><b>Handtekeningen van getuigen:<\/b><\/p>\n\n<br><br><table>\n<tbody>\n<tr>\n<td align=\"left\" width=\"50%\">\n<strong>Getuige 1:<\/strong><\/td>\n<td align=\"left\" width=\"50%\">\n<strong>Getuige 2:\n<\/strong><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<br><table>\n<tbody>\n<tr>\n<td align=\"left\" width=\"50%\">\nHandtekening:<\/td>\n<td align=\"left\" width=\"50%\">\nHandtekening:<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<br><table>\n<tbody>\n<tr>\n<td align=\"left\" width=\"50%\">\nDatum:<\/td>\n<td align=\"left\" width=\"50%\">\nDatum:<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<br><table>\n<tbody>\n<tr>\n<td align=\"left\" width=\"50%\">\nNaam:<\/td>\n<td align=\"left\" width=\"50%\">\nNaam:<\/td>\n<\/tr>\n<\/tbody>\n<\/table><\/div><div id=\"field_1_47\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gf_hidden gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><p style=\"border: 1px solid;width:100%;text-align:left;border-radius: 2px;background: #f2f2f2;border-color:#000000;padding: 1em;\"><b>Informatie:<\/b><\/p>\n\n<br><br>\nDit relatieverklaringsdocument blijft alleen geldig voor de gespecificeerde periode van het genoemde verblijf in het buitenland. Voor verificatie van geldigheid en consulaire vragen betreffende dit relatiecertificaat, neem contact op met: e-mail: info@resmipass.com Deze relatieverklaring is ondertekend door beide personen in de relatie en bevestigd door twee personen die ten minste 18 jaar oud zijn en de handtekeningen van het koppel hebben geverifieerd. <\/div><\/div><\/div>\n        <div class='gform-page-footer gform_page_footer top_label'><input type='submit' id='gform_previous_button_1' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='\u2190'  \/> <input type='submit' id='gform_submit_button_1' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' value='Betalen'  \/> <input type='hidden' name='gform_ajax' value='form_id=1&amp;title=&amp;description=&amp;tabindex=0&amp;theme=orbital&amp;styles=[]&amp;hash=d7d5af2855d753b25e32eb5e2c45e635' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_1' value='iframe' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_1' id='gform_theme_1' value='orbital' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_1' id='gform_style_settings_1' value='[]' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_1' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='1' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_currency' data-currency='EUR' value='s4yGWMRLP6I8nkr6I0H0QhCgeRHAUOKLe+t82bLurZZGkLPlZhmS6aEtCwEAQeURtKjy1nhjTk4jOcZYNZjg3cYGoMrdQzfhDRvncwYUV5JfHio=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_1' value='WyJ7XCIxNDguMVwiOlwiNGRlNWM1NTY1ZWJmMGVlYjcwMzY0YWRhZjc2Y2RlYmVcIixcIjE0OC4yXCI6XCJkZGMzNjM1OTUwZjhmNjA5MWYzNDI2N2NiZTAzMzcxNlwifSIsImY2ZDA1YTdjZTRmZjJmMmJhMzMwYzU3OWE3ODg2ODUwIl0=' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_target_page_number_1' id='gform_target_page_number_1' value='2' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_source_page_number_1' id='gform_source_page_number_1' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            \n        <\/div>\n             <\/div><\/div>\n                        <\/form>\n                        <\/div>\n\t\t                <iframe style='display:none;width:0px;height:0px;' src='about:blank' name='gform_ajax_frame_1' id='gform_ajax_frame_1' title='Dit iframe bevat de vereiste logica om Ajax aangedreven Gravity Forms te verwerken.'><\/iframe>\n\t\t                <script>\ngform.initializeOnLoaded( function() {gformInitSpinner( 1, 'https:\/\/resmipass.com\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', false );jQuery('#gform_ajax_frame_1').on('load',function(){var contents = jQuery(this).contents().find('*').html();var is_postback = contents.indexOf('GF_AJAX_POSTBACK') >= 0;if(!is_postback){return;}var form_content = jQuery(this).contents().find('#gform_wrapper_1');var is_confirmation = jQuery(this).contents().find('#gform_confirmation_wrapper_1').length > 0;var is_redirect = contents.indexOf('gformRedirect(){') >= 0;var is_form = form_content.length > 0 && ! is_redirect && ! is_confirmation;var mt = parseInt(jQuery('html').css('margin-top'), 10) + parseInt(jQuery('body').css('margin-top'), 10) + 100;if(is_form){jQuery('#gform_wrapper_1').html(form_content.html());if(form_content.hasClass('gform_validation_error')){jQuery('#gform_wrapper_1').addClass('gform_validation_error');} else {jQuery('#gform_wrapper_1').removeClass('gform_validation_error');}setTimeout( function() { \/* delay the scroll by 50 milliseconds to fix a bug in chrome *\/ jQuery(document).scrollTop(jQuery('#gform_wrapper_1').offset().top - mt); 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