Notice (8): Undefined variable: url [APP/webroot/index.php, line 93]
Warning (2): Cannot modify header information - headers already sent by (output started at /home/pxqu381770/domains/meritracing.nl/public_html/cake/libs/debugger.php:686) [APP/controllers/pages_controller.php, line 118]
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Merit Racing - Dealer Application
Notice (8): Undefined index: header [APP/webroot/themes/merit/default.php, line 40]
Warning (2): file_exists() [function.file-exists]: File name is longer than the maximum allowed path length on this platform (4096): /home/pxqu381770/domains/meritracing.nl/public_html/app/plugins/element/webroot/MainMenuMerit/index/dealer_application/location:mainmenu/elementid:1024/pagescontroller:/page[Page][id]:258/page[Page][type]:DealerApplication/page[Page][theme]:merit/page[Page][layout]:default/page[Page][language_id]:1/page[Page][contentnode_id]:110/page[Page][active]:1/page[Page][title]:Dealer Application/page[Page][description]:/page[Page][keywords]:/page[Page][author]:/page[Page][menutitle]:Dealer Application/page[Page][content]:<h1>Dealer Application</h1><table class='dafsteps'>
	<tr>
		<td class='active'>Stap 1</td>
		<td>Stap 2</td>
		<td>Stap 3</td>
		<td>Stap 4</td>
		<td>Stap 5</td>
	</tr>
</table>
<br class="clear" />
<hr />
<h2>Stap 1: Factuur adres</h2>
<hr class="space" />
<form action="/dealer_application/language:nl" method="post" accept-charset="utf-8"><div style="display:none;"><input type="hidden" name="_method" value="POST" /></div><input type="hidden" name="data[DealerApplication][step]" value="1" id="DealerApplicationStep" /><input type="hidden" name="data[DealerApplication][aflever_is_factuur]" id="DealerApplicationAfleverIsFactuur" /><input type="hidden" name="data[DealerApplication][afleverbedrijfsnaam]" id="DealerApplicationAfleverbedrijfsnaam" /><input type="hidden" name="data[DealerApplication][afleveradres]" id="DealerApplicationAfleveradres" /><input type="hidden" name="data[DealerApplication][afleverpostcode]" id="DealerApplicationAfleverpostcode" /><input type="hidden" name="data[DealerApplication][afleverplaats]" id="DealerApplicationAfleverplaats" /><input type="hidden" name="data[DealerApplication][afleverland]" id="DealerApplicationAfleverland" /><input type="hidden" name="data[DealerApplication][afleverbtw]" id="DealerApplicationAfleverbtw" /><input type="hidden" name="data[DealerApplication][telefoonwinkel]" id="DealerApplicationTelefoonwinkel" /><input type="hidden" name="data[DealerApplication][faxwinkel]" id="DealerApplicationFaxwinkel" /><input type="hidden" name="data[DealerApplication][emailwinkel]" id="DealerApplicationEmailwinkel" /><input type="hidden" name="data[DealerApplication][websitewinkel]" id="DealerApplicationWebsitewinkel" /><input type="hidden" name="data[DealerApplication][naamwinkeleigenaar]" id="DealerApplicationNaamwinkeleigenaar" /><input type="hidden" name="data[DealerApplication][emailwinkeleigenaar]" id="DealerApplicationEmailwinkeleigenaar" /><input type="hidden" name="data[DealerApplication][privetelefoonwinkeleigenaar]" id="DealerApplicationPrivetelefoonwinkeleigenaar" /><input type="hidden" name="data[DealerApplication][mobieltelefoonwinkeleigenaar]" id="DealerApplicationMobieltelefoonwinkeleigenaar" /><input type="hidden" name="data[DealerApplication][naamwinkelmanager]" id="DealerApplicationNaamwinkelmanager" /><input type="hidden" name="data[DealerApplication][emailwinkelmanager]" id="DealerApplicationEmailwinkelmanager" /><input type="hidden" name="data[DealerApplication][mobieltelefoonwinkelmanager]" id="DealerApplicationMobieltelefoonwinkelmanager" /><input type="hidden" name="data[DealerApplication][naamwinkelboekhouder]" id="DealerApplicationNaamwinkelboekhouder" /><input type="hidden" name="data[DealerApplication][emailwinkelboekhouder]" id="DealerApplicationEmailwinkelboekhouder" /><input type="hidden" name="data[DealerApplication][mobieltelefoonwinkelboekhouder]" id="DealerApplicationMobieltelefoonwinkelboekhouder" /><input type="hidden" name="data[DealerApplication][winkeltype]" id="DealerApplicationWinkeltype" /><input type="hidden" name="data[DealerApplication][prijslijstemail]" id="DealerApplicationPrijslijstemail" /><input type="hidden" name="data[DealerApplication][nieuwsbrievenemail]" id="DealerApplicationNieuwsbrievenemail" /><input type="hidden" name="data[DealerApplication][huidigemerkenTamiya]" id="DealerApplicationHuidigemerkenTamiya" /><input type="hidden" name="data[DealerApplication][huidigemerkenProtech]" id="DealerApplicationHuidigemerkenProtech" /><input type="hidden" name="data[DealerApplication][huidigemerkenCarson]" id="DealerApplicationHuidigemerkenCarson" /><input type="hidden" name="data[DealerApplication][huidigemerkenSerpent]" id="DealerApplicationHuidigemerkenSerpent" /><input type="hidden" name="data[DealerApplication][huidigemerkenXray]" id="DealerApplicationHuidigemerkenXray" /><input type="hidden" name="data[DealerApplication][huidigemerkenTraxxas]" id="DealerApplicationHuidigemerkenTraxxas" /><input type="hidden" name="data[DealerApplication][huidigemerkenKyosho]" id="DealerApplicationHuidigemerkenKyosho" /><input type="hidden" name="data[DealerApplication][competitieverkoop]" id="DealerApplicationCompetitieverkoop" /><input type="hidden" name="data[DealerApplication][notes]" id="DealerApplicationNotes" /><div class="label  first-label"><label for="DealerApplicationFactuurbedrijfsnaam">Bedrijfsnaam</label></div><div class="field"><input name="data[DealerApplication][factuurbedrijfsnaam]" type="text" class="text" id="DealerApplicationFactuurbedrijfsnaam" /> *</div><div class="label  first-label"><label for="DealerApplicationFactuuradres">Adres</label></div><div class="field"><input name="data[DealerApplication][factuuradres]" type="text" class="text" id="DealerApplicationFactuuradres" /> *</div><div class="label  first-label"><label for="DealerApplicationFactuurpostcode">Postcode</label></div><div class="field"><input name="data[DealerApplication][factuurpostcode]" type="text" class="text" id="DealerApplicationFactuurpostcode" /> *</div><div class="label  first-label"><label for="DealerApplicationFactuurplaats">Plaats</label></div><div class="field"><input name="data[DealerApplication][factuurplaats]" type="text" class="text" id="DealerApplicationFactuurplaats" /> *</div><div class="label  first-label"><label for="DealerApplicationFactuurland">Land</label></div><div class="field"><input name="data[DealerApplication][factuurland]" type="text" class="text" id="DealerApplicationFactuurland" /> *</div><div class="label  first-label"><label for="DealerApplicationFactuurbtw">BTW / VAT nummer</label></div><div class="field"><input name="data[DealerApplication][factuurbtw]" type="text" class="text" id="DealerApplicationFactuurbtw" /> *</div><hr class="space" />
<p>Klanten binnen Nederland 19% BTW, buitenlandse klanten met BTW / VAT nummer: BTW verlegd.</p>
<hr class="space" />
<div class="span-2">
	&nbsp;
</div>
<div class="span-2 push-8">
	<button type="submit" class="submit">Volgende</button></div>
</form>/page[Page][created]:2009-11-06 11:25:19/page[Page][modified]:2009-11-06 11:25:37/page[Page][group_id]:0/page[Language][id]:1/page[Language][code]:nl/page[Language][default]:1/page[ContentNode][id]:110/page[ContentNode][name]:dealer_application/page[ContentNode][url]:dealer_application/page[ContentNode][parent_id]:87/page[ContentNode][lft]:43/page[ContentNode][rght]:44/page[ContentNode][created]:2009-11-06 11:24:36/page[ContentNode][modified]:2009-11-06 11:24:36/page[Group][id]:/page[Group][name]:/page[Group][description]:/page[Element][0][id]:1023/page[Element][0][page_id]:258/page[Element][0][location]:header/page[Element][0][sortorder]:10/page[Element][0][class]:HeaderSlideMerit/page[Element][1][id]:1024/page[Element][1][page_id]:258/page[Element][1][location]:mainmenu/page[Element][1][sortorder]:10/page[Element][1][class]:MainMenuMerit/page[Element][2][id]:1025/page[Element][2][page_id]:258/page[Element][2][location]:quickmenu/page[Element][2][sortorder]:10/page[Element][2][class]:QuickMenuMerit/page[Element][3][id]:1026/page[Element][3][page_id]:258/page[Element][3][location]:sidebar/page[Element][3][sortorder]:10/page[Element][3][class]:QuickSearch/page[Element][4][id]:1028/page[Element][4][page_id]:258/page[Element][4][location]:footer/page[Element][4][sortorder]:10/page[Element][4][class]:FooterMerit/page[Element][5][id]:1027/page[Element][5][page_id]:258/page[Element][5][location]:sidebar/page[Element][5][sortorder]:20/page[Element][5][class]:PopularMerit/page[PageProperty][0][id]:236/page[PageProperty][0][page_id]:258/page[PageProperty][0][key]:image/page[PageProperty][0][val]:/page[PageProperty][0][type]:image/page[PageProperty][0][options]:/language:nl [CORE/cake/dispatcher.php, line 602]
Notice (8): Undefined variable: homeActive [APP/plugins/element/views/main_menu_merit/index.ctp, line 15]
Warning (2): file_exists() [function.file-exists]: File name is longer than the maximum allowed path length on this platform (4096): /home/pxqu381770/domains/meritracing.nl/public_html/app/plugins/element/webroot/QuickMenuMerit/index/dealer_application/location:quickmenu/elementid:1025/pagescontroller:/page[Page][id]:258/page[Page][type]:DealerApplication/page[Page][theme]:merit/page[Page][layout]:default/page[Page][language_id]:1/page[Page][contentnode_id]:110/page[Page][active]:1/page[Page][title]:Dealer Application/page[Page][description]:/page[Page][keywords]:/page[Page][author]:/page[Page][menutitle]:Dealer Application/page[Page][content]:<h1>Dealer Application</h1><table class='dafsteps'>
	<tr>
		<td class='active'>Stap 1</td>
		<td>Stap 2</td>
		<td>Stap 3</td>
		<td>Stap 4</td>
		<td>Stap 5</td>
	</tr>
</table>
<br class="clear" />
<hr />
<h2>Stap 1: Factuur adres</h2>
<hr class="space" />
<form action="/dealer_application/language:nl" method="post" accept-charset="utf-8"><div style="display:none;"><input type="hidden" name="_method" value="POST" /></div><input type="hidden" name="data[DealerApplication][step]" value="1" id="DealerApplicationStep" /><input type="hidden" name="data[DealerApplication][aflever_is_factuur]" id="DealerApplicationAfleverIsFactuur" /><input type="hidden" name="data[DealerApplication][afleverbedrijfsnaam]" id="DealerApplicationAfleverbedrijfsnaam" /><input type="hidden" name="data[DealerApplication][afleveradres]" id="DealerApplicationAfleveradres" /><input type="hidden" name="data[DealerApplication][afleverpostcode]" id="DealerApplicationAfleverpostcode" /><input type="hidden" name="data[DealerApplication][afleverplaats]" id="DealerApplicationAfleverplaats" /><input type="hidden" name="data[DealerApplication][afleverland]" id="DealerApplicationAfleverland" /><input type="hidden" name="data[DealerApplication][afleverbtw]" id="DealerApplicationAfleverbtw" /><input type="hidden" name="data[DealerApplication][telefoonwinkel]" id="DealerApplicationTelefoonwinkel" /><input type="hidden" name="data[DealerApplication][faxwinkel]" id="DealerApplicationFaxwinkel" /><input type="hidden" name="data[DealerApplication][emailwinkel]" id="DealerApplicationEmailwinkel" /><input type="hidden" name="data[DealerApplication][websitewinkel]" id="DealerApplicationWebsitewinkel" /><input type="hidden" name="data[DealerApplication][naamwinkeleigenaar]" id="DealerApplicationNaamwinkeleigenaar" /><input type="hidden" name="data[DealerApplication][emailwinkeleigenaar]" id="DealerApplicationEmailwinkeleigenaar" /><input type="hidden" name="data[DealerApplication][privetelefoonwinkeleigenaar]" id="DealerApplicationPrivetelefoonwinkeleigenaar" /><input type="hidden" name="data[DealerApplication][mobieltelefoonwinkeleigenaar]" id="DealerApplicationMobieltelefoonwinkeleigenaar" /><input type="hidden" name="data[DealerApplication][naamwinkelmanager]" id="DealerApplicationNaamwinkelmanager" /><input type="hidden" name="data[DealerApplication][emailwinkelmanager]" id="DealerApplicationEmailwinkelmanager" /><input type="hidden" name="data[DealerApplication][mobieltelefoonwinkelmanager]" id="DealerApplicationMobieltelefoonwinkelmanager" /><input type="hidden" name="data[DealerApplication][naamwinkelboekhouder]" id="DealerApplicationNaamwinkelboekhouder" /><input type="hidden" name="data[DealerApplication][emailwinkelboekhouder]" id="DealerApplicationEmailwinkelboekhouder" /><input type="hidden" name="data[DealerApplication][mobieltelefoonwinkelboekhouder]" id="DealerApplicationMobieltelefoonwinkelboekhouder" /><input type="hidden" name="data[DealerApplication][winkeltype]" id="DealerApplicationWinkeltype" /><input type="hidden" name="data[DealerApplication][prijslijstemail]" id="DealerApplicationPrijslijstemail" /><input type="hidden" name="data[DealerApplication][nieuwsbrievenemail]" id="DealerApplicationNieuwsbrievenemail" /><input type="hidden" name="data[DealerApplication][huidigemerkenTamiya]" id="DealerApplicationHuidigemerkenTamiya" /><input type="hidden" name="data[DealerApplication][huidigemerkenProtech]" id="DealerApplicationHuidigemerkenProtech" /><input type="hidden" name="data[DealerApplication][huidigemerkenCarson]" id="DealerApplicationHuidigemerkenCarson" /><input type="hidden" name="data[DealerApplication][huidigemerkenSerpent]" id="DealerApplicationHuidigemerkenSerpent" /><input type="hidden" name="data[DealerApplication][huidigemerkenXray]" id="DealerApplicationHuidigemerkenXray" /><input type="hidden" name="data[DealerApplication][huidigemerkenTraxxas]" id="DealerApplicationHuidigemerkenTraxxas" /><input type="hidden" name="data[DealerApplication][huidigemerkenKyosho]" id="DealerApplicationHuidigemerkenKyosho" /><input type="hidden" name="data[DealerApplication][competitieverkoop]" id="DealerApplicationCompetitieverkoop" /><input type="hidden" name="data[DealerApplication][notes]" id="DealerApplicationNotes" /><div class="label  first-label"><label for="DealerApplicationFactuurbedrijfsnaam">Bedrijfsnaam</label></div><div class="field"><input name="data[DealerApplication][factuurbedrijfsnaam]" type="text" class="text" id="DealerApplicationFactuurbedrijfsnaam" /> *</div><div class="label  first-label"><label for="DealerApplicationFactuuradres">Adres</label></div><div class="field"><input name="data[DealerApplication][factuuradres]" type="text" class="text" id="DealerApplicationFactuuradres" /> *</div><div class="label  first-label"><label for="DealerApplicationFactuurpostcode">Postcode</label></div><div class="field"><input name="data[DealerApplication][factuurpostcode]" type="text" class="text" id="DealerApplicationFactuurpostcode" /> *</div><div class="label  first-label"><label for="DealerApplicationFactuurplaats">Plaats</label></div><div class="field"><input name="data[DealerApplication][factuurplaats]" type="text" class="text" id="DealerApplicationFactuurplaats" /> *</div><div class="label  first-label"><label for="DealerApplicationFactuurland">Land</label></div><div class="field"><input name="data[DealerApplication][factuurland]" type="text" class="text" id="DealerApplicationFactuurland" /> *</div><div class="label  first-label"><label for="DealerApplicationFactuurbtw">BTW / VAT nummer</label></div><div class="field"><input name="data[DealerApplication][factuurbtw]" type="text" class="text" id="DealerApplicationFactuurbtw" /> *</div><hr class="space" />
<p>Klanten binnen Nederland 19% BTW, buitenlandse klanten met BTW / VAT nummer: BTW verlegd.</p>
<hr class="space" />
<div class="span-2">
	&nbsp;
</div>
<div class="span-2 push-8">
	<button type="submit" class="submit">Volgende</button></div>
</form>/page[Page][created]:2009-11-06 11:25:19/page[Page][modified]:2009-11-06 11:25:37/page[Page][group_id]:0/page[Language][id]:1/page[Language][code]:nl/page[Language][default]:1/page[ContentNode][id]:110/page[ContentNode][name]:dealer_application/page[ContentNode][url]:dealer_application/page[ContentNode][parent_id]:87/page[ContentNode][lft]:43/page[ContentNode][rght]:44/page[ContentNode][created]:2009-11-06 11:24:36/page[ContentNode][modified]:2009-11-06 11:24:36/page[Group][id]:/page[Group][name]:/page[Group][description]:/page[Element][0][id]:1023/page[Element][0][page_id]:258/page[Element][0][location]:header/page[Element][0][sortorder]:10/page[Element][0][class]:HeaderSlideMerit/page[Element][1][id]:1024/page[Element][1][page_id]:258/page[Element][1][location]:mainmenu/page[Element][1][sortorder]:10/page[Element][1][class]:MainMenuMerit/page[Element][2][id]:1025/page[Element][2][page_id]:258/page[Element][2][location]:quickmenu/page[Element][2][sortorder]:10/page[Element][2][class]:QuickMenuMerit/page[Element][3][id]:1026/page[Element][3][page_id]:258/page[Element][3][location]:sidebar/page[Element][3][sortorder]:10/page[Element][3][class]:QuickSearch/page[Element][4][id]:1028/page[Element][4][page_id]:258/page[Element][4][location]:footer/page[Element][4][sortorder]:10/page[Element][4][class]:FooterMerit/page[Element][5][id]:1027/page[Element][5][page_id]:258/page[Element][5][location]:sidebar/page[Element][5][sortorder]:20/page[Element][5][class]:PopularMerit/page[PageProperty][0][id]:236/page[PageProperty][0][page_id]:258/page[PageProperty][0][key]:image/page[PageProperty][0][val]:/page[PageProperty][0][type]:image/page[PageProperty][0][options]:/language:nl [CORE/cake/dispatcher.php, line 602]
contact us RSS


Dealer Application

Stap 1 Stap 2 Stap 3 Stap 4 Stap 5


Stap 1: Factuur adres


*
*
*
*
*
*

Klanten binnen Nederland 19% BTW, buitenlandse klanten met BTW / VAT nummer: BTW verlegd.


 


Warning (2): file_exists() [function.file-exists]: File name is longer than the maximum allowed path length on this platform (4096): /home/pxqu381770/domains/meritracing.nl/public_html/app/plugins/element/webroot/FooterMerit/index/dealer_application/location:footer/elementid:1028/pagescontroller:/page[Page][id]:258/page[Page][type]:DealerApplication/page[Page][theme]:merit/page[Page][layout]:default/page[Page][language_id]:1/page[Page][contentnode_id]:110/page[Page][active]:1/page[Page][title]:Dealer Application/page[Page][description]:/page[Page][keywords]:/page[Page][author]:/page[Page][menutitle]:Dealer Application/page[Page][content]:<h1>Dealer Application</h1><table class='dafsteps'>
	<tr>
		<td class='active'>Stap 1</td>
		<td>Stap 2</td>
		<td>Stap 3</td>
		<td>Stap 4</td>
		<td>Stap 5</td>
	</tr>
</table>
<br class="clear" />
<hr />
<h2>Stap 1: Factuur adres</h2>
<hr class="space" />
<form action="/dealer_application/language:nl" method="post" accept-charset="utf-8"><div style="display:none;"><input type="hidden" name="_method" value="POST" /></div><input type="hidden" name="data[DealerApplication][step]" value="1" id="DealerApplicationStep" /><input type="hidden" name="data[DealerApplication][aflever_is_factuur]" id="DealerApplicationAfleverIsFactuur" /><input type="hidden" name="data[DealerApplication][afleverbedrijfsnaam]" id="DealerApplicationAfleverbedrijfsnaam" /><input type="hidden" name="data[DealerApplication][afleveradres]" id="DealerApplicationAfleveradres" /><input type="hidden" name="data[DealerApplication][afleverpostcode]" id="DealerApplicationAfleverpostcode" /><input type="hidden" name="data[DealerApplication][afleverplaats]" id="DealerApplicationAfleverplaats" /><input type="hidden" name="data[DealerApplication][afleverland]" id="DealerApplicationAfleverland" /><input type="hidden" name="data[DealerApplication][afleverbtw]" id="DealerApplicationAfleverbtw" /><input type="hidden" name="data[DealerApplication][telefoonwinkel]" id="DealerApplicationTelefoonwinkel" /><input type="hidden" name="data[DealerApplication][faxwinkel]" id="DealerApplicationFaxwinkel" /><input type="hidden" name="data[DealerApplication][emailwinkel]" id="DealerApplicationEmailwinkel" /><input type="hidden" name="data[DealerApplication][websitewinkel]" id="DealerApplicationWebsitewinkel" /><input type="hidden" name="data[DealerApplication][naamwinkeleigenaar]" id="DealerApplicationNaamwinkeleigenaar" /><input type="hidden" name="data[DealerApplication][emailwinkeleigenaar]" id="DealerApplicationEmailwinkeleigenaar" /><input type="hidden" name="data[DealerApplication][privetelefoonwinkeleigenaar]" id="DealerApplicationPrivetelefoonwinkeleigenaar" /><input type="hidden" name="data[DealerApplication][mobieltelefoonwinkeleigenaar]" id="DealerApplicationMobieltelefoonwinkeleigenaar" /><input type="hidden" name="data[DealerApplication][naamwinkelmanager]" id="DealerApplicationNaamwinkelmanager" /><input type="hidden" name="data[DealerApplication][emailwinkelmanager]" id="DealerApplicationEmailwinkelmanager" /><input type="hidden" name="data[DealerApplication][mobieltelefoonwinkelmanager]" id="DealerApplicationMobieltelefoonwinkelmanager" /><input type="hidden" name="data[DealerApplication][naamwinkelboekhouder]" id="DealerApplicationNaamwinkelboekhouder" /><input type="hidden" name="data[DealerApplication][emailwinkelboekhouder]" id="DealerApplicationEmailwinkelboekhouder" /><input type="hidden" name="data[DealerApplication][mobieltelefoonwinkelboekhouder]" id="DealerApplicationMobieltelefoonwinkelboekhouder" /><input type="hidden" name="data[DealerApplication][winkeltype]" id="DealerApplicationWinkeltype" /><input type="hidden" name="data[DealerApplication][prijslijstemail]" id="DealerApplicationPrijslijstemail" /><input type="hidden" name="data[DealerApplication][nieuwsbrievenemail]" id="DealerApplicationNieuwsbrievenemail" /><input type="hidden" name="data[DealerApplication][huidigemerkenTamiya]" id="DealerApplicationHuidigemerkenTamiya" /><input type="hidden" name="data[DealerApplication][huidigemerkenProtech]" id="DealerApplicationHuidigemerkenProtech" /><input type="hidden" name="data[DealerApplication][huidigemerkenCarson]" id="DealerApplicationHuidigemerkenCarson" /><input type="hidden" name="data[DealerApplication][huidigemerkenSerpent]" id="DealerApplicationHuidigemerkenSerpent" /><input type="hidden" name="data[DealerApplication][huidigemerkenXray]" id="DealerApplicationHuidigemerkenXray" /><input type="hidden" name="data[DealerApplication][huidigemerkenTraxxas]" id="DealerApplicationHuidigemerkenTraxxas" /><input type="hidden" name="data[DealerApplication][huidigemerkenKyosho]" id="DealerApplicationHuidigemerkenKyosho" /><input type="hidden" name="data[DealerApplication][competitieverkoop]" id="DealerApplicationCompetitieverkoop" /><input type="hidden" name="data[DealerApplication][notes]" id="DealerApplicationNotes" /><div class="label  first-label"><label for="DealerApplicationFactuurbedrijfsnaam">Bedrijfsnaam</label></div><div class="field"><input name="data[DealerApplication][factuurbedrijfsnaam]" type="text" class="text" id="DealerApplicationFactuurbedrijfsnaam" /> *</div><div class="label  first-label"><label for="DealerApplicationFactuuradres">Adres</label></div><div class="field"><input name="data[DealerApplication][factuuradres]" type="text" class="text" id="DealerApplicationFactuuradres" /> *</div><div class="label  first-label"><label for="DealerApplicationFactuurpostcode">Postcode</label></div><div class="field"><input name="data[DealerApplication][factuurpostcode]" type="text" class="text" id="DealerApplicationFactuurpostcode" /> *</div><div class="label  first-label"><label for="DealerApplicationFactuurplaats">Plaats</label></div><div class="field"><input name="data[DealerApplication][factuurplaats]" type="text" class="text" id="DealerApplicationFactuurplaats" /> *</div><div class="label  first-label"><label for="DealerApplicationFactuurland">Land</label></div><div class="field"><input name="data[DealerApplication][factuurland]" type="text" class="text" id="DealerApplicationFactuurland" /> *</div><div class="label  first-label"><label for="DealerApplicationFactuurbtw">BTW / VAT nummer</label></div><div class="field"><input name="data[DealerApplication][factuurbtw]" type="text" class="text" id="DealerApplicationFactuurbtw" /> *</div><hr class="space" />
<p>Klanten binnen Nederland 19% BTW, buitenlandse klanten met BTW / VAT nummer: BTW verlegd.</p>
<hr class="space" />
<div class="span-2">
	&nbsp;
</div>
<div class="span-2 push-8">
	<button type="submit" class="submit">Volgende</button></div>
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