{"id":3469,"date":"2020-10-09T08:40:33","date_gmt":"2020-10-09T07:40:33","guid":{"rendered":"https:\/\/creman.com\/order-form-debt-recovery\/"},"modified":"2020-11-12T16:04:24","modified_gmt":"2020-11-12T15:04:24","slug":"order-form-debt-recovery","status":"publish","type":"page","link":"https:\/\/creman.com\/en\/order-form-debt-recovery","title":{"rendered":"order-form-debt-recovery"},"content":{"rendered":"\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-k8g4eg40-8c8cb08097e25ccd55b6168ebbeb69f3\">\n.avia-section.av-k8g4eg40-8c8cb08097e25ccd55b6168ebbeb69f3{\nbackground-repeat:no-repeat;\nbackground-image:url(https:\/\/creman.com\/wp-content\/uploads\/2020\/11\/Vordering-Indienen.png);\nbackground-position:50% 50%;\nbackground-attachment:scroll;\n}\n.avia-section.av-k8g4eg40-8c8cb08097e25ccd55b6168ebbeb69f3 .av-section-color-overlay{\nopacity:0.5;\nbackground-color:#000000;\n}\n<\/style>\n<div id='av_section_1'  class='avia-section av-k8g4eg40-8c8cb08097e25ccd55b6168ebbeb69f3 main_color avia-section-default avia-no-border-styling  avia-builder-el-0  el_before_av_section  avia-builder-el-first  avia-full-stretch avia-bg-style-scroll av-section-color-overlay-active av-minimum-height av-minimum-height-custom av-height-custom  container_wrap fullsize'  data-section-bg-repeat='stretch' data-av_minimum_height_px='350'><div class=\"av-section-color-overlay-wrap\"><div class=\"av-section-color-overlay\"><\/div><div class='container av-section-cont-open' style='height:350px'><main  role=\"main\" itemprop=\"mainContentOfPage\"  class='template-page content  av-content-full alpha units'><div class='post-entry post-entry-type-page post-entry-3469'><div class='entry-content-wrapper clearfix'>\r\n\r\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-gjgos-a9f815273e4612cc65fe32e8b889446f\">\n.flex_column.av-gjgos-a9f815273e4612cc65fe32e8b889446f{\nborder-radius:0px 0px 0px 0px;\npadding:0px 0px 0px 0px;\n}\n<\/style>\n<div  class='flex_column av-gjgos-a9f815273e4612cc65fe32e8b889446f av_one_full  avia-builder-el-1  avia-builder-el-no-sibling  first flex_column_div av-zero-column-padding  '     ><style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-k8g4eo2d-9bbeb14c3bb6eb0b66dd2532d08be103\">\n#top .av_textblock_section.av-k8g4eo2d-9bbeb14c3bb6eb0b66dd2532d08be103 .avia_textblock{\ncolor:#ffffff;\n}\n<\/style>\n<section  class='av_textblock_section av-k8g4eo2d-9bbeb14c3bb6eb0b66dd2532d08be103 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock av_inherit_color'  itemprop=\"text\" ><h1 class=\"uppercase\" style=\"text-align: center;\"><strong>UPLOAD YOUR CLAIM HERE<\/strong><\/h1>\n<\/div><\/section><\/div><\/div><\/div><\/main><!-- close content main element --><\/div><\/div><\/div><div id='av_section_2'  class='avia-section av-eer4b-6e905150ef5923409c2dba88d681cf1e main_color avia-section-default avia-no-border-styling  avia-builder-el-3  el_after_av_section  avia-builder-el-last  avia-bg-style-scroll container_wrap fullsize'  ><div class='container av-section-cont-open' ><div class='template-page content  av-content-full alpha units'><div class='post-entry post-entry-type-page post-entry-3469'><div class='entry-content-wrapper clearfix'>\r\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-cvxcr-9086333634f7020079b3df0f2453ce10\">\n.flex_column.av-cvxcr-9086333634f7020079b3df0f2453ce10{\nborder-radius:0px 0px 0px 0px;\npadding:0px 0px 0px 0px;\n}\n<\/style>\n<div  class='flex_column av-cvxcr-9086333634f7020079b3df0f2453ce10 av_one_fifth  avia-builder-el-4  el_before_av_three_fifth  avia-builder-el-first  first flex_column_div av-zero-column-padding  '     ><\/div>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-98tg3-68b216a7890dfdccdc3e4ec8befd5e8d\">\n@keyframes av_boxShadowEffect_av-98tg3-68b216a7890dfdccdc3e4ec8befd5e8d-column {\n0%   { box-shadow:  0 0 0 0 rgba(0,0,0,0.2); opacity: 1; }\n100% { box-shadow:  0 0 10px 0 rgba(0,0,0,0.2); opacity: 1; }\n}\n.flex_column.av-98tg3-68b216a7890dfdccdc3e4ec8befd5e8d{\nbox-shadow: 0 0 10px 0 rgba(0,0,0,0.2);\nborder-width:1px;\nborder-style:solid;\nborder-radius:30px 30px 30px 30px;\npadding:20px 20px 20px 20px;\nbackground-color:rgba(0,95,144,0.23);\n}\n<\/style>\n<div  class='flex_column av-98tg3-68b216a7890dfdccdc3e4ec8befd5e8d av_three_fifth  avia-builder-el-5  el_after_av_one_fifth  el_before_av_one_fifth  flex_column_div shadow-not-animated  '     ><section  class='av_textblock_section av-k8hb9kg3-719258d19222a9588bfa143427f7b85d '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><h3 style=\"text-align: center;\"><span style=\"font-size: 90%;\"><strong><span style=\"color: #333333;\">SUBMIT YOUR DEBT RECOVERY IMMEDIATELY<\/span><br \/>\n<\/strong><\/span><\/h3>\n<h6 style=\"text-align: center;\"><strong><em>Submit debit recovery (before 4:00 pm: action today (!)<\/em><\/strong><\/h6>\n<p style=\"text-align: center;\">\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f4126-o1\" lang=\"nl-NL\" dir=\"ltr\" data-wpcf7-id=\"4126\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/en\/wp-json\/wp\/v2\/pages\/3469#wpcf7-f4126-o1\" method=\"post\" class=\"wpcf7-form init cf7mls-no-scroll cf7mls-no-moving-animation\" aria-label=\"Contactformulier\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"4126\" \/><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-f4126-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/><input type=\"hidden\" name=\"_wpcf7_recaptcha_response\" value=\"\" \/>\n<\/fieldset>\n<ul data-id-form=\"4126\" data-bg-color=\"#446084\" data-bg-style-bar=\"navigation_horizontal_squaren\" data-style-text=\"vertical\" data-allow-choose-step=\"off\" class=\"cf7mls_progress_bar cf7mls_bar_style_navigation_horizontal_squaren cf7mls_bar_style_text_vertical\" style=\"; \"><li data-counter=\"1\" data-counter_rtl=\"4\" style=\"width: 25%\" class=\"cf7_mls_steps_item active current\"><div class=\"cf7_mls_steps_item_container\"><div class=\"cf7_mls_steps_item_icon\"><span class=\"cf7_mls_count_step\">1<\/span><span class=\"cf7_mls_check\"><i><svg viewBox=\"64 64 896 896\" data-icon=\"check\" width=\"14px\" height=\"14px\" fill=\"currentColor\" aria-hidden=\"true\" focusable=\"false\" class=\"\"><path d=\"M912 190h-69.9c-9.8 0-19.1 4.5-25.1 12.2L404.7 724.5 207 474a32 32 0 0 0-25.1-12.2H112c-6.7 0-10.4 7.7-6.3 12.9l273.9 347c12.8 16.2 37.4 16.2 50.3 0l488.4-618.9c4.1-5.1.4-12.8-6.3-12.8z\"><\/path><\/svg><\/i><\/span><\/div><div class=\"cf7_mls_steps_item_content\"><p class=\"cf7mls_progress_bar_title\">Client<\/p><span class=\"cf7_mls_arrow_point_to_righ\"><i><svg x=\"0px\" y=\"0px\" width=\"8px\" height=\"14px\" viewBox=\"0 0 451.846 451.847\" style=\"enable-background:new 0 0 451.846 451.847; xml:space=\"preserve\"><g><path d=\"M345.441,248.292L151.154,442.573c-12.359,12.365-32.397,12.365-44.75,0c-12.354-12.354-12.354-32.391,0-44.744\r\n                                        L278.318,225.92L106.409,54.017c-12.354-12.359-12.354-32.394,0-44.748c12.354-12.359,32.391-12.359,44.75,0l194.287,194.284\r\n                                        c6.177,6.18,9.262,14.271,9.262,22.366C354.708,234.018,351.617,242.115,345.441,248.292z\"\/><\/g><\/svg><\/i><\/span><\/div><\/div><\/li><li data-counter=\"2\" data-counter_rtl=\"3\" style=\"width: 25%\" class=\"cf7_mls_steps_item \"><div class=\"cf7_mls_steps_item_container\"><div class=\"cf7_mls_steps_item_icon\"><span class=\"cf7_mls_count_step\">2<\/span><span class=\"cf7_mls_check\"><i><svg viewBox=\"64 64 896 896\" data-icon=\"check\" width=\"14px\" height=\"14px\" fill=\"currentColor\" aria-hidden=\"true\" focusable=\"false\" class=\"\"><path d=\"M912 190h-69.9c-9.8 0-19.1 4.5-25.1 12.2L404.7 724.5 207 474a32 32 0 0 0-25.1-12.2H112c-6.7 0-10.4 7.7-6.3 12.9l273.9 347c12.8 16.2 37.4 16.2 50.3 0l488.4-618.9c4.1-5.1.4-12.8-6.3-12.8z\"><\/path><\/svg><\/i><\/span><\/div><div class=\"cf7_mls_steps_item_content\"><p class=\"cf7mls_progress_bar_title\">Debtor<\/p><span class=\"cf7_mls_arrow_point_to_righ\"><i><svg x=\"0px\" y=\"0px\" width=\"8px\" height=\"14px\" viewBox=\"0 0 451.846 451.847\" style=\"enable-background:new 0 0 451.846 451.847; xml:space=\"preserve\"><g><path d=\"M345.441,248.292L151.154,442.573c-12.359,12.365-32.397,12.365-44.75,0c-12.354-12.354-12.354-32.391,0-44.744\r\n                                        L278.318,225.92L106.409,54.017c-12.354-12.359-12.354-32.394,0-44.748c12.354-12.359,32.391-12.359,44.75,0l194.287,194.284\r\n                                        c6.177,6.18,9.262,14.271,9.262,22.366C354.708,234.018,351.617,242.115,345.441,248.292z\"\/><\/g><\/svg><\/i><\/span><\/div><\/div><\/li><li data-counter=\"3\" data-counter_rtl=\"2\" style=\"width: 25%\" class=\"cf7_mls_steps_item \"><div class=\"cf7_mls_steps_item_container\"><div class=\"cf7_mls_steps_item_icon\"><span class=\"cf7_mls_count_step\">3<\/span><span class=\"cf7_mls_check\"><i><svg viewBox=\"64 64 896 896\" data-icon=\"check\" width=\"14px\" height=\"14px\" fill=\"currentColor\" aria-hidden=\"true\" focusable=\"false\" class=\"\"><path d=\"M912 190h-69.9c-9.8 0-19.1 4.5-25.1 12.2L404.7 724.5 207 474a32 32 0 0 0-25.1-12.2H112c-6.7 0-10.4 7.7-6.3 12.9l273.9 347c12.8 16.2 37.4 16.2 50.3 0l488.4-618.9c4.1-5.1.4-12.8-6.3-12.8z\"><\/path><\/svg><\/i><\/span><\/div><div class=\"cf7_mls_steps_item_content\"><p class=\"cf7mls_progress_bar_title\">Claim<\/p><span class=\"cf7_mls_arrow_point_to_righ\"><i><svg x=\"0px\" y=\"0px\" width=\"8px\" height=\"14px\" viewBox=\"0 0 451.846 451.847\" style=\"enable-background:new 0 0 451.846 451.847; xml:space=\"preserve\"><g><path d=\"M345.441,248.292L151.154,442.573c-12.359,12.365-32.397,12.365-44.75,0c-12.354-12.354-12.354-32.391,0-44.744\r\n                                        L278.318,225.92L106.409,54.017c-12.354-12.359-12.354-32.394,0-44.748c12.354-12.359,32.391-12.359,44.75,0l194.287,194.284\r\n                                        c6.177,6.18,9.262,14.271,9.262,22.366C354.708,234.018,351.617,242.115,345.441,248.292z\"\/><\/g><\/svg><\/i><\/span><\/div><\/div><\/li><li data-counter=\"4\" data-counter_rtl=\"1\" style=\"width: 25%\" class=\"cf7_mls_steps_item \"><div class=\"cf7_mls_steps_item_container\"><div class=\"cf7_mls_steps_item_icon\"><span class=\"cf7_mls_count_step\">4<\/span><span class=\"cf7_mls_check\"><i><svg viewBox=\"64 64 896 896\" data-icon=\"check\" width=\"14px\" height=\"14px\" fill=\"currentColor\" aria-hidden=\"true\" focusable=\"false\" class=\"\"><path d=\"M912 190h-69.9c-9.8 0-19.1 4.5-25.1 12.2L404.7 724.5 207 474a32 32 0 0 0-25.1-12.2H112c-6.7 0-10.4 7.7-6.3 12.9l273.9 347c12.8 16.2 37.4 16.2 50.3 0l488.4-618.9c4.1-5.1.4-12.8-6.3-12.8z\"><\/path><\/svg><\/i><\/span><\/div><div class=\"cf7_mls_steps_item_content\"><p class=\"cf7mls_progress_bar_title\">Signature<\/p><span class=\"cf7_mls_arrow_point_to_righ\"><i><svg x=\"0px\" y=\"0px\" width=\"8px\" height=\"14px\" viewBox=\"0 0 451.846 451.847\" style=\"enable-background:new 0 0 451.846 451.847; xml:space=\"preserve\"><g><path d=\"M345.441,248.292L151.154,442.573c-12.359,12.365-32.397,12.365-44.75,0c-12.354-12.354-12.354-32.391,0-44.744\r\n                                        L278.318,225.92L106.409,54.017c-12.354-12.359-12.354-32.394,0-44.748c12.354-12.359,32.391-12.359,44.75,0l194.287,194.284\r\n                                        c6.177,6.18,9.262,14.271,9.262,22.366C354.708,234.018,351.617,242.115,345.441,248.292z\"\/><\/g><\/svg><\/i><\/span><\/div><\/div><\/li><\/ul><div class=\"cf7mls_number_step_wrap\" data-bg-color=\"#446084\" data-number-step=\"4\"><p class=\"cf7mls_number\">1\/4<\/p><p class=\"cf7mls_step_current\">Client<\/p><div class=\"cf7mls_progress_percent\"><div class=\"cf7mls_progress_bar_percent\"><div class=\"cf7mls_progress_barinner\"><\/div><\/div><\/div><\/div><div class=\"fieldset-cf7mls-wrapper\" data-transition-effects=\"\"><fieldset class=\"fieldset-cf7mls cf7mls_current_fs\"><p><label> Company Name*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"company-name\"><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=\"company-name\" \/><\/span> <\/label>\n<\/p>\n<p><label> Address*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"company-address\"><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=\"company-address\" \/><\/span> <\/label>\n<\/p>\n<p><label> Contact*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"contact-client\"><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=\"contact-client\" \/><\/span> <\/label>\n<\/p>\n<p><label> Phone Number*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"phone-client\"><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=\"phone-client\" \/><\/span> <\/label>\n<\/p>\n<p><i>*required<\/i>\n<\/p>\n<p><div class=\"cf7mls-btns\"><button type=\"button\" class=\"cf7mls_next cf7mls_btn action-button\" name=\"cf7mls_next\" id=\"cf7mls-next-btn-cf7mls_step-1\">Next<img decoding=\"async\" src=\"https:\/\/creman.com\/wp-content\/plugins\/contact-form-7-multi-step-pro\/assets\/frontend\/img\/loader.svg\" alt=\"\" \/><\/button><\/div><\/fieldset><fieldset class=\"fieldset-cf7mls\"><label> Name Debtor*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"debtor-name\"><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=\"debtor-name\" \/><\/span> <\/label>\n<\/p>\n<p><label> Address*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"debtor-address\"><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=\"debtor-address\" \/><\/span> <\/label>\n<\/p>\n<p><label> Contact*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"debtor-contact\"><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=\"debtor-contact\" \/><\/span> <\/label>\n<\/p>\n<p><label> Phone Number<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"debtor-phone\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"debtor-phone\" \/><\/span> <\/label>\n<\/p>\n<p><label> E-mail<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"debtor-email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"debtor-email\" \/><\/span> <\/label>\n<\/p>\n<p><label> Reference Client<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"debtor-reference-client\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"debtor-reference-client\" \/><\/span> <\/label>\n<\/p>\n<p><i>*required<\/i>\n<\/p>\n<p><div class=\"cf7mls-btns\"><button type=\"button\" class=\"cf7mls_back action-button\" name=\"cf7mls_back\" id=\"cf7mls-back-btn-cf7mls_step-2\">Back<\/button><button type=\"button\" class=\"cf7mls_next cf7mls_btn action-button\" name=\"cf7mls_next\" id=\"cf7mls-next-btn-cf7mls_step-2\">Next<img decoding=\"async\" src=\"https:\/\/creman.com\/wp-content\/plugins\/contact-form-7-multi-step-pro\/assets\/frontend\/img\/loader.svg\" alt=\"\" \/><\/button><\/div><\/fieldset><fieldset class=\"fieldset-cf7mls\"><label> Add Document(s)*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"files\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-drag-n-drop-file d-none\" aria-required=\"true\" aria-invalid=\"false\" type=\"file\" multiple=\"multiple\" data-name=\"files\" data-type=\"zip|doc|docx|xls|txt|pdf|jpg|jpeg|png\" data-min=\"1\" data-max=\"10\" data-id=\"4126\" data-version=\"free version 1.3.9.6\" accept=\".zip, .doc, .docx, .xls, .txt, .pdf, .jpg, .jpeg, .png\" \/><\/span> <\/label>\n<\/p>\n<p><label> Totaal amount incl. VAT*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"claim-total-amount\"><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=\"claim-total-amount\" \/><\/span> <\/label>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"currency\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"currency\"><option value=\"Euro\">Euro<\/option><option value=\"Amerikaanse Dollar\">Amerikaanse Dollar<\/option><option value=\"Britse Pond\">Britse Pond<\/option><option value=\"Deense Kroon\">Deense Kroon<\/option><option value=\"Noorse Kroon\">Noorse Kroon<\/option><option value=\"Zweedse Kroon\">Zweedse Kroon<\/option><option value=\"Zwitserse Frank\">Zwitserse Frank<\/option><option value=\"Other (Please note)\">Other (Please note)<\/option><\/select><\/span>\n<\/p>\n<p><label> Note<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"claim-note\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"claim-note\"><\/textarea><\/span> <\/label>\n<\/p>\n<p><i>*required<\/i>\n<\/p>\n<p><div class=\"cf7mls-btns\"><button type=\"button\" class=\"cf7mls_back action-button\" name=\"cf7mls_back\" id=\"cf7mls-back-btn-cf7mls_step-3\">Back<\/button><button type=\"button\" class=\"cf7mls_next cf7mls_btn action-button\" name=\"cf7mls_next\" id=\"cf7mls-next-btn-cf7mls_step-3\">Next<img decoding=\"async\" src=\"https:\/\/creman.com\/wp-content\/plugins\/contact-form-7-multi-step-pro\/assets\/frontend\/img\/loader.svg\" alt=\"\" \/><\/button><\/div><\/fieldset><fieldset class=\"fieldset-cf7mls\"><label> By (digitally) signing this form, you provide CreMan B.V. with one or more collection order(s). These assignments are carried out according to the <a href=\"https:\/\/creman.com\/wp-content\/uploads\/2020\/11\/Terms-and-Conditions-CreMan.pdf\" style=\"text-decoration: underline; color: blue;\" target=\"_blank\">Terms and Conditions<\/a> of CreMan B.V. You declare that you are familiar with the content of these documents. <\/label>\n<\/p>\n<p><label> For Accord, date*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"signature-date\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"signature-date\" \/><\/span> <\/label>\n<\/p>\n<p><label> Signing (By entering email address)*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"signature-accord-email\"><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=\"signature-accord-email\" \/><\/span><\/label>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"signature-accord\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"signature-accord\" value=\"1\" aria-invalid=\"false\" \/><span class=\"wpcf7-list-item-label\">I agree with the <a href=\"https:\/\/creman.com\/wp-content\/uploads\/2020\/11\/Terms-and-Conditions-CreMan.pdf\" style=\"text-decoration: underline; 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