{"id":14756,"date":"2024-08-28T19:27:36","date_gmt":"2024-08-28T17:27:36","guid":{"rendered":"https:\/\/fountainfuel.com\/rates\/fuel-card\/fuel-card-application\/"},"modified":"2026-04-15T18:51:35","modified_gmt":"2026-04-15T16:51:35","slug":"fuel-card-application","status":"publish","type":"page","link":"https:\/\/fountainfuel.com\/en\/rates\/fuel-card\/fuel-card-application\/","title":{"rendered":"Fuel Card &#8211; Application"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"14756\" class=\"elementor elementor-14756 elementor-9294\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-eb41f49 e-flex e-con-boxed e-con e-parent\" data-id=\"eb41f49\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-0d486ff e-con-full e-flex e-con e-child\" data-id=\"0d486ff\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t<div class=\"elementor-element elementor-element-3bd95ea e-con-full e-flex e-con e-child\" data-id=\"3bd95ea\" data-element_type=\"container\" data-e-type=\"container\" id=\"tankpas-form-en\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-6db0bd4 tankpas-form elementor-widget elementor-widget-jet-form-builder-form\" data-id=\"6db0bd4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"jet-form-builder-form.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<link rel='stylesheet' id='wp-block-library-css' href='https:\/\/fountainfuel.com\/wp-includes\/css\/dist\/block-library\/common.min.css' media='all' \/>\n<style id=\"jet-form-builder-14764-inline-css\"><\/style><form  class=\"jet-form-builder layout-column submit-type-ajax\" action=\"https:\/\/fountainfuel.com\/en\/wp-json\/wp\/v2\/pages\/14756\/?1fo7ii=bG4Wl9o1Lh&amp;method=reload\" method=\"POST\" data-form-id=\"14764\" data-layout=\"column\" enctype=\"multipart\/form-data\" data-clear=\"1\" novalidate=\"null\" ssr_validation_method=\"rest\"><input type=\"hidden\" id=\"_wpnonce_14764\" name=\"_wpnonce\" value=\"3148f60f6e\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/en\/wp-json\/wp\/v2\/pages\/14756\" \/>\r\n<input type=\"hidden\" name=\"_jfb_current_render_states[]\" value=\"DEFAULT.STATE\" data-jfb-sync \/><input type=\"hidden\" class=\"jet-form-builder__field hidden-field\" name=\"_jet_engine_booking_form_id\" data-field-name=\"_jet_engine_booking_form_id\" value=\"14764\">\n<input type=\"hidden\" class=\"jet-form-builder__field hidden-field\" name=\"_jet_engine_refer\" data-field-name=\"_jet_engine_refer\" value=\"https:\/\/fountainfuel.com\/en\/wp-json\/wp\/v2\/pages\/14756\/\">\n<input type=\"hidden\" class=\"jet-form-builder__field hidden-field\" name=\"__queried_post_id\" data-field-name=\"__queried_post_id\" value=\"14756\">\n\n<input type=\"hidden\" class=\"jet-form-builder__field hidden-field\" name=\"post_id\" data-field-name=\"post_id\" data-jfb-sync=\"null\" value=\"14756\">\n\n\n\n\n<div class=\"jet-form-builder-page \" data-page=\"1\" data-page-offset=\"75\">\n\n\n\n<div class=\"wp-block-jet-engine-container form-container jet-container jet-container--content-direction-vertical jet-container--content-justify-flex-start jet-container--content-align-flex-start wp-block-jet-engine-container form-container\"><div class=\"jet-container__overlay  has-white-background-color \" style=\"opacity:1\"><\/div>\n<h3 class=\"wp-block-heading\">Apply for<\/h3>\n\n\n\n<h2 class=\"wp-block-heading tankpas-heading\">Fountain Fuel card<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">To qualify for the Fountain Fuel fuel card, you need to answer a few questions to assess your eligibility.<\/p>\n\n\n\n<div class=\"wp-block-jet-engine-container form-container jet-container jet-container--content-direction-vertical jet-container--content-justify-flex-start jet-container--content-align-flex-start wp-block-jet-engine-container form-container\"><div class=\"jet-container__overlay   \" style=\"background-color:#a9a9a9;opacity:0.1\"><\/div><div  class=\"jet-form-builder-row field-type-radio-field wp-block-jet-forms-radio-field\">\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">To qualify for the Fountain Fuel fuel card, you will need to answer a few questions to assess your eligibility. <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__fields-group checkradio-wrap\" data-jfb-sync><div class=\"jet-form-builder__field-wrap radio-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-radio\">\n<input type=\"radio\" name=\"ondernemer\" value=\"Yes\" data-field-name=\"ondernemer\"  class=\"jet-form-builder__field radio-field checkradio-field\" required=\"required\"><span>Yes<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap radio-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-radio\">\n<input type=\"radio\" name=\"ondernemer\" value=\"No\" data-field-name=\"ondernemer\"  class=\"jet-form-builder__field radio-field checkradio-field\" required=\"required\"><span>No<\/span><\/label><\/div><\/div>\n<\/div>\n\n<div  class=\"jet-form-builder-row field-type-radio-field wp-block-jet-forms-radio-field\">\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">I am (soon to be) the owner of a hydrogen vehicle <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__fields-group checkradio-wrap\" data-jfb-sync><div class=\"jet-form-builder__field-wrap radio-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-radio\">\n<input type=\"radio\" name=\"waterstof_voertuig\" value=\"Yes\" data-field-name=\"waterstof_voertuig\"  class=\"jet-form-builder__field radio-field checkradio-field\" required=\"required\"><span>Yes<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap radio-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-radio\">\n<input type=\"radio\" name=\"waterstof_voertuig\" value=\"No\" data-field-name=\"waterstof_voertuig\"  class=\"jet-form-builder__field radio-field checkradio-field\" required=\"required\"><span>No<\/span><\/label><\/div><\/div>\n<\/div>\n\n<div  class=\"jet-form-builder-row field-type-radio-field wp-block-jet-forms-radio-field\">\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">I am already in discussions with Fountain Fuel about the fuel card <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__fields-group checkradio-wrap\" data-jfb-sync><div class=\"jet-form-builder__field-wrap radio-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-radio\">\n<input type=\"radio\" name=\"lead\" value=\"Yes\" data-field-name=\"lead\"  class=\"jet-form-builder__field radio-field checkradio-field\" required=\"required\"><span>Yes<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap radio-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-radio\">\n<input type=\"radio\" name=\"lead\" value=\"No\" data-field-name=\"lead\"  class=\"jet-form-builder__field radio-field checkradio-field\" required=\"required\"><span>No<\/span><\/label><\/div><\/div>\n<\/div><\/div>\n<\/div>\n\n\n<div class=\"jet-form-builder__next-page-wrap\">\n\t\t\t\t\t<button class=\"jet-form-builder__next-page\" type=\"button\">Next step<\/button>\n\t<\/div>\n<\/div>\n<div class=\"jet-form-builder-page jet-form-builder-page--hidden\" data-page=\"2\" data-page-offset=\"75\">\n\n<div class=\"jet-form-builder__conditional \" data-jfb-conditional=\"[{&quot;operator&quot;:&quot;equal&quot;,&quot;value&quot;:&quot;Yes&quot;,&quot;field&quot;:&quot;ondernemer&quot;,&quot;use_preset&quot;:false},{&quot;operator&quot;:&quot;equal&quot;,&quot;value&quot;:&quot;Yes&quot;,&quot;field&quot;:&quot;waterstof_voertuig&quot;,&quot;use_preset&quot;:false}]\" data-jfb-func=\"show\"><div class=\"jet-form-builder-page \" data-page=\"1\" data-page-offset=\"75\">\n\n\n\n\n\n<div class=\"wp-block-jet-engine-container alert_accept jet-container jet-container--content-direction-vertical jet-container--content-justify-flex-start jet-container--content-align-flex-start wp-block-jet-engine-container alert_accept\"><div class=\"jet-container__overlay   \" style=\"background-color:#002e73;opacity:1\"><\/div>\n<p class=\"has-black-color has-text-color has-link-color wp-elements-1 wp-block-paragraph\"><strong>You are eligible for the Fountain Fuel fuel card.<br><\/strong>Complete the form below to request the fuel card and accept the general terms and conditions. <strong>Have a question? Send us an email at <a>tankpas@fountainfuel.com<\/a><\/strong><\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-jet-engine-container form-container jet-container jet-container--content-direction-vertical jet-container--content-justify-flex-start jet-container--content-align-flex-start wp-block-jet-engine-container form-container\"><div class=\"jet-container__overlay  has-white-background-color \" style=\"opacity:1\"><\/div>\n<h2 class=\"wp-block-heading\">Authorized signatory contact person<\/h2>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-7387b849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><div  class=\"jet-form-builder-row field-type-text-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Firstname <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t\t\t\t<input required=\"required\" name=\"voornaam\" id=\"voornaam\" type=\"text\" data-field-name=\"voornaam\" class=\"jet-form-builder__field text-field\" data-jfb-sync=\"null\" autocomplete=\"off_XAav67FQ\">\n\t\t\t\t\t<\/div>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><div  class=\"jet-form-builder-row field-type-text-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">prefix<\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t\t\t\t<input name=\"tussenvoegsel\" id=\"tussenvoegsel\" type=\"text\" data-field-name=\"tussenvoegsel\" class=\"jet-form-builder__field text-field\" data-jfb-sync=\"null\" autocomplete=\"off_S1pQTL7z\">\n\t\t\t\t\t<\/div>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><div  class=\"jet-form-builder-row field-type-text-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Surname <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t\t\t\t<input required=\"required\" name=\"achternaam\" id=\"achternaam\" type=\"text\" data-field-name=\"achternaam\" class=\"jet-form-builder__field text-field\" data-jfb-sync=\"null\" autocomplete=\"off_ntoSXO5c\">\n\t\t\t\t\t<\/div>\n<\/div><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-7387b849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><div  class=\"jet-form-builder-row field-type-text-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Email address <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t\t\t\t<input required=\"required\" name=\"email\" id=\"email\" type=\"email\" data-field-name=\"email\" class=\"jet-form-builder__field text-field\" data-jfb-sync=\"null\" autocomplete=\"off_YbRGIJrs\">\n\t\t\t\t\t<\/div>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><div  class=\"jet-form-builder-row field-type-text-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Phone number <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t\t\t\t<input required=\"required\" name=\"tel\" id=\"tel\" type=\"tel\" data-field-name=\"tel\" class=\"jet-form-builder__field text-field\" data-jfb-sync=\"null\" autocomplete=\"off_aeN0GoMY\">\n\t\t\t\t\t<\/div>\n<\/div><\/div>\n<\/div>\n\n\n<div  class=\"jet-form-builder-row field-type-radio-field wp-block-jet-forms-radio-field\">\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Do you want to use a different email address for billing? <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__fields-group checkradio-wrap\" data-jfb-sync><div class=\"jet-form-builder__field-wrap radio-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-radio\">\n<input type=\"radio\" name=\"vraag_afwijkend_email\" value=\"Yes\" data-field-name=\"vraag_afwijkend_email\"  class=\"jet-form-builder__field radio-field checkradio-field\" required=\"required\"><span>Yes<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap radio-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-radio\">\n<input type=\"radio\" name=\"vraag_afwijkend_email\" value=\"No\" data-field-name=\"vraag_afwijkend_email\"  class=\"jet-form-builder__field radio-field checkradio-field\" required=\"required\"><span>No<\/span><\/label><\/div><\/div>\n<\/div>\n\n<div class=\"jet-form-builder__conditional \" data-jfb-conditional=\"[{&quot;operator&quot;:&quot;equal&quot;,&quot;value&quot;:&quot;Yes&quot;,&quot;field&quot;:&quot;vraag_afwijkend_email&quot;,&quot;use_preset&quot;:false}]\" data-jfb-func=\"show\">\n<div  class=\"jet-form-builder-row field-type-text-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Billing email address <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t\t\t\t<input required=\"required\" name=\"email_afwijkende_facturatie\" id=\"email_afwijkende_facturatie\" type=\"email\" data-field-name=\"email_afwijkende_facturatie\" class=\"jet-form-builder__field text-field\" data-jfb-sync=\"null\" autocomplete=\"off_BHt9biFn\">\n\t\t\t\t\t<\/div>\n<\/div>\n<\/div><\/div>\n\n\n<div class=\"jet-form-builder__next-page-wrap\">\n\t\t\t\t\t<button class=\"jet-form-builder__next-page\" type=\"button\">Next step<\/button>\n\t<\/div>\n<\/div>\n<div class=\"jet-form-builder-page jet-form-builder-page--hidden\" data-page=\"2\" data-page-offset=\"75\">\n\n\n<div class=\"wp-block-jet-engine-container form-container jet-container jet-container--content-direction-vertical jet-container--content-justify-flex-start jet-container--content-align-flex-start wp-block-jet-engine-container form-container\"><div class=\"jet-container__overlay  has-white-background-color \" style=\"opacity:1\"><\/div>\n<h2 class=\"wp-block-heading\">Company details<\/h2>\n\n\n<div  data-validation-type=\"advanced\" data-validation-rules=\"[{&quot;__visible&quot;:true,&quot;value&quot;:&quot;&quot;}]\" data-validation-messages=\"{&quot;empty&quot;:&quot;Vul jouw KvK nummer in&quot;,&quot;inputmask&quot;:&quot;Vul een correcte KvK nummer in.&quot;,&quot;char_max&quot;:&quot;Het nummer is te lang, vul een correcte KvK nummer in.&quot;}\" class=\"jet-form-builder-row field-type-text-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Chamber of Commerce number <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t\t\t\t<input required=\"required\" name=\"kvk_nummer_input\" id=\"kvk_nummer_input\" type=\"text\" data-field-name=\"kvk_nummer_input\" class=\"jet-form-builder__field text-field kvk_nummer_field jet-form-builder__masked-field\" maxlength=\"8\" data-jfb-sync=\"null\" autocomplete=\"off_GJWRgcb9\" data-inputmask=\"&#039;mask&#039;: &#039;99999999&#039;\" data-inputmask-placeholder=\"\u2022\" data-inputmask-showmaskonhover=\"false\">\n\t\t\t\t\t<\/div>\n<\/div>\n\n\n<div class=\"wp-block-buttons zoek_bedrijfsgegeven_btn is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button kvk_gegevens_zoeken\" id=\"kvk_gegevens_zoeken\"><a class=\"wp-block-button__link wp-element-button\">Search for company<\/a><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-jet-engine-container bedrijfs_cont jet-container jet-container--content-direction-vertical jet-container--content-justify-flex-start jet-container--content-align-flex-start wp-block-jet-engine-container bedrijfs_cont\"><div class=\"jet-container__overlay   \" style=\"opacity:0.5\"><\/div>\n<p class=\"bedrijfsnaam wp-block-paragraph\" id=\"bedrijfsnaam\">Bedrijfsnaam<\/p>\n\n\n\n<p class=\"adres wp-block-paragraph\" id=\"adres\">Straatnaam 123<\/p>\n\n\n\n<p class=\"postcode-plaats wp-block-paragraph\" id=\"postcode-plaats\">Postcode Plaats<\/p>\n\n\n\n<div style=\"height:10px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div class=\"wp-block-jet-engine-container message_naw jet-container jet-container--content-direction-horizontal jet-container--content-align-center jet-container--content-justify-space-between wp-block-jet-engine-container message_naw\"><div class=\"jet-container__overlay   \" style=\"background-color:#002e73;opacity:0.8\"><\/div>\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-7387b849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:4%\">\n<figure class=\"wp-block-image size-full is-resized\"><img decoding=\"async\" width=\"128\" height=\"128\" data-src=\"https:\/\/fountainfuel.com\/wp-content\/uploads\/2024\/11\/danger.png\" src=\"data:image\/gif;base64,R0lGODlhAQABAIAAAAAAAP\/\/\/yH5BAEAAAAALAAAAAABAAEAAAIBRAA7\" alt=\"\" class=\"wp-image-14066 lazyload\" style=\"width:15px\"\/><noscript><img decoding=\"async\" width=\"128\" height=\"128\" src=\"https:\/\/fountainfuel.com\/wp-content\/uploads\/2024\/11\/danger.png\" alt=\"\" class=\"wp-image-14066\" style=\"width:15px\"><\/noscript><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:96%\">\n<p class=\"has-small-font-size wp-block-paragraph\">We will send the fuel card to the address registered above. If this is incorrect, please update your company details with the Chamber of Commerce (KvK) before proceeding with the procedure.<br><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div style=\"height:25px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div class=\"wp-block-jet-engine-container bank_cont form-container jet-container jet-container--content-direction-vertical jet-container--content-justify-flex-start jet-container--content-align-flex-start wp-block-jet-engine-container bank_cont form-container\"><div class=\"jet-container__overlay  has-white-background-color \" style=\"opacity:1\"><\/div>\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-7387b849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><div  data-validation-type=\"advanced\" data-validation-messages=\"{&quot;empty&quot;:&quot;Vul geldig IBAN in&quot;,&quot;inputmask&quot;:&quot;Vul geldig IBAN in&quot;}\" class=\"jet-form-builder-row field-type-text-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">IBAN account number <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t\t\t\t<input required=\"required\" name=\"IBAN_nr\" id=\"IBAN_nr\" type=\"text\" data-field-name=\"IBAN_nr\" class=\"jet-form-builder__field text-field jet-form-builder__masked-field\" data-jfb-sync=\"null\" autocomplete=\"off_2iXTZKnG\" data-inputmask=\"&#039;mask&#039;: &#039;NL 99 aaaa 9999999999&#039;\" data-inputmask-placeholder=\"\u2022\" data-inputmask-showmaskonhover=\"false\">\n\t\t\t\t\t<\/div>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><div  class=\"jet-form-builder-row field-type-text-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">BIC Code <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t\t\t\t<input required=\"required\" name=\"BIC_Code\" id=\"BIC_Code\" type=\"text\" data-field-name=\"BIC_Code\" class=\"jet-form-builder__field text-field\" data-jfb-sync=\"null\" autocomplete=\"off_0d9qQ6Xo\">\n\t\t\t\t\t<\/div>\n<\/div><\/div>\n<\/div>\n\n\n<div  data-validation-type=\"advanced\" data-validation-messages=\"{&quot;empty&quot;:&quot;Vul geldig BTW nummer in&quot;,&quot;inputmask&quot;:&quot;Vul geldig BTW nummer in&quot;}\" class=\"jet-form-builder-row field-type-text-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Company VAT number <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t\t\t\t<input required=\"required\" name=\"btw_nr\" id=\"btw_nr\" type=\"text\" data-field-name=\"btw_nr\" class=\"jet-form-builder__field text-field jet-form-builder__masked-field\" data-jfb-sync=\"null\" autocomplete=\"off_oAyMdaQi\" data-inputmask=\"&#039;mask&#039;: &#039;NL 999999999 B99&#039;\" data-inputmask-placeholder=\"\u2022\" data-inputmask-showmaskonhover=\"false\">\n\t\t\t\t\t<\/div>\n<\/div><\/div>\n\n\n<div class=\"jet-form-builder__next-page-wrap\">\n\t\t<button type=\"button\" class=\"jet-form-builder__prev-page\" data-to-page=\"1\">Back<\/button>\t\t\t<button class=\"jet-form-builder__next-page bedrijf_next\" type=\"button\">Next step<\/button>\n\t<\/div>\n<\/div>\n<div class=\"jet-form-builder-page jet-form-builder-page--hidden\" data-page=\"3\" data-page-offset=\"75\">\n\n\n<div class=\"wp-block-jet-engine-container form-container jet-container jet-container--content-direction-vertical jet-container--content-justify-flex-start jet-container--content-align-flex-start wp-block-jet-engine-container form-container\"><div class=\"jet-container__overlay  has-white-background-color \" style=\"opacity:1\"><\/div>\n<h2 class=\"wp-block-heading\">Vehicle type<\/h2>\n\n\n<div  class=\"jet-form-builder-row field-type-text-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Vehicle type <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t\t\t\t<input required=\"required\" name=\"type_voertuig\" id=\"type_voertuig\" type=\"text\" data-field-name=\"type_voertuig\" class=\"jet-form-builder__field text-field\" data-jfb-sync=\"null\" autocomplete=\"off_eBz1M0jD\">\n\t\t\t\t\t<\/div>\n<\/div>\n\n<div  class=\"jet-form-builder-row field-type-radio-field wp-block-jet-forms-radio-field\">\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Are you already using the vehicle, or does it still need to be delivered? <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__fields-group checkradio-wrap\" data-jfb-sync><div class=\"jet-form-builder__field-wrap radio-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-radio\">\n<input type=\"radio\" name=\"gebruik_voertuig\" value=\"Yes, the vehicle is already in use\" data-field-name=\"gebruik_voertuig\"  class=\"jet-form-builder__field radio-field checkradio-field\" required=\"required\"><span>Yes, the vehicle is already in use<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap radio-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-radio\">\n<input type=\"radio\" name=\"gebruik_voertuig\" value=\"No, we are preparing\" data-field-name=\"gebruik_voertuig\"  class=\"jet-form-builder__field radio-field checkradio-field\" required=\"required\"><span>No, we are preparing<\/span><\/label><\/div><\/div>\n<\/div>\n\n<div class=\"jet-form-builder__conditional \" data-jfb-conditional=\"[{&quot;operator&quot;:&quot;equal&quot;,&quot;value&quot;:[&quot;Yes&quot;,&quot;the vehicle is already in use&quot;],&quot;field&quot;:&quot;gebruik_voertuig&quot;,&quot;use_preset&quot;:false}]\" data-jfb-func=\"show\">\n<div  class=\"jet-form-builder-row field-type-text-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">License plate <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t\t\t\t<input required=\"required\" name=\"kenteken\" id=\"kenteken\" type=\"text\" data-field-name=\"kenteken\" class=\"jet-form-builder__field text-field\" data-jfb-sync=\"null\" autocomplete=\"off_LqFnv74g\">\n\t\t\t\t\t<\/div>\n<\/div>\n<\/div>\n\n<div class=\"jet-form-builder__conditional \" data-jfb-conditional=\"[{&quot;operator&quot;:&quot;equal&quot;,&quot;value&quot;:[&quot;No&quot;,&quot;we are preparing&quot;],&quot;field&quot;:&quot;gebruik_voertuig&quot;,&quot;use_preset&quot;:false}]\" data-jfb-func=\"show\">\n<div  class=\"jet-form-builder-row field-type-text-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Do you already know the license plate number of the vehicle?<\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t\t\t\t<input name=\"toekomstig_kenteken\" id=\"toekomstig_kenteken\" type=\"text\" data-field-name=\"toekomstig_kenteken\" class=\"jet-form-builder__field text-field\" data-jfb-sync=\"null\" autocomplete=\"off_rwlZB4EH\">\n\t\t\t\t\t<\/div>\n<\/div>\n\n<div  class=\"jet-form-builder-row field-type-date-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">When do you expect to put the vehicle into service?<\/div><\/div><input class=\"jet-form-builder__field date-field verwachting_voertuig_datum\" name=\"verwachting_voertuig_datum\" type=\"date\" data-field-name=\"verwachting_voertuig_datum\" id=\"verwachting_voertuig_datum\" data-jfb-sync=\"null\">\n<\/div>\n<\/div>\n\n<div  class=\"jet-form-builder-row field-type-number-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Expected number of KM per year <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t\t<input type=\"number\" class=\"jet-form-builder__field text-field\" required=\"required\" name=\"verwachte_aantal_km_pj\" data-field-name=\"verwachte_aantal_km_pj\" id=\"verwachte_aantal_km_pj\" data-jfb-sync=\"null\">\n\t<\/div>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-jet-engine-section algemene_voorwaarden jet-section wp-block-jet-engine-section algemene_voorwaarden jet-section--layout-fullwidth\"><div class=\"jet-section__content\"><div  class=\"jet-form-builder-row field-type-checkbox-field\" >\n<div class=\"jet-form-builder__fields-group checkradio-wrap\" data-jfb-sync><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n\t\t\t<input type=\"checkbox\" name=\"algemene_voorwaarden\" value=\"algemene_voorwaarden_accepteren\" data-field-name=\"algemene_voorwaarden\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\" data-default-val=\"[&quot;&quot;]\"><span><p>I have read and agree to the <a target=\"_blank\" href=\"https\/\/fountainfuel.com\/en\/general-terms-and-conditions\/fuel-card\">general terms and conditions<\/a> of the site<\/p><\/span><\/label><\/div><\/div>\n<\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-jet-engine-container submit-buttons jet-container jet-container--content-direction-horizontal jet-container--content-align-flex-start jet-container--content-justify-flex-start wp-block-jet-engine-container submit-buttons\"><div class=\"jet-container__overlay   \" style=\"opacity:0.5\"><\/div><div  class=\"jet-form-builder-row field-type-submit-field\" >\n\t<div data-type=\"prev\" class=\"jet-form-builder__action-button-wrapper\">\n\t<button class=\"jet-form-builder__action-button jet-form-builder__prev-page\" type=\"button\">Back<\/button>\n\t<\/div>\n\t\n<\/div>\n\n<div  class=\"jet-form-builder-row field-type-submit-field\" >\n\t<div data-type=\"submit\" class=\"jet-form-builder__action-button-wrapper jet-form-builder__submit-wrap\">\n\t<button class=\"jet-form-builder__action-button submit-tankpas-form jet-form-builder__submit submit-type-ajax\" type=\"submit\">Sent<\/button>\n\t<\/div>\n\t\n<\/div><\/div>\n\n\n\n<input type=\"hidden\" class=\"jet-form-builder__field hidden-field\" name=\"current_day\" data-field-name=\"current_day\" data-jfb-sync=\"null\" value=\"24 August 2026\">\n\n\n\n\n<input type=\"hidden\" class=\"jet-form-builder__field hidden-field\" name=\"current_time\" data-field-name=\"current_time\" data-jfb-sync=\"null\" value=\"18:07\">\n\n\n\n\n<input type=\"hidden\" class=\"jet-form-builder__field hidden-field bedrijfsnaam-hidden\" name=\"bedrijfsnaam\" data-field-name=\"bedrijfsnaam\" data-jfb-sync=\"null\">\n\n\n\n\n<input type=\"hidden\" class=\"jet-form-builder__field hidden-field straatnaam-hidden\" name=\"straatnaam\" data-field-name=\"straatnaam\" data-jfb-sync=\"null\">\n\n\n\n\n<input type=\"hidden\" class=\"jet-form-builder__field hidden-field huisnummer-hidden\" name=\"huisnummer\" data-field-name=\"huisnummer\" data-jfb-sync=\"null\">\n\n\n\n\n<input type=\"hidden\" class=\"jet-form-builder__field hidden-field postcode-hidden\" name=\"postcode\" data-field-name=\"postcode\" data-jfb-sync=\"null\">\n\n\n\n\n<input type=\"hidden\" class=\"jet-form-builder__field hidden-field plaats-hidden\" name=\"plaats\" data-field-name=\"plaats\" data-jfb-sync=\"null\">\n\n\n<\/div><\/div>\n\n<div class=\"jet-form-builder__conditional \" data-jfb-conditional=\"[{&quot;operator&quot;:&quot;equal&quot;,&quot;value&quot;:&quot;Yes&quot;,&quot;field&quot;:&quot;ondernemer&quot;,&quot;use_preset&quot;:false},{&quot;operator&quot;:&quot;equal&quot;,&quot;value&quot;:&quot;No&quot;,&quot;field&quot;:&quot;waterstof_voertuig&quot;,&quot;use_preset&quot;:false},{&quot;__visible&quot;:false,&quot;or_operator&quot;:true},{&quot;operator&quot;:&quot;equal&quot;,&quot;value&quot;:&quot;No&quot;,&quot;field&quot;:&quot;ondernemer&quot;,&quot;use_preset&quot;:false},{&quot;operator&quot;:&quot;equal&quot;,&quot;value&quot;:&quot;Yes&quot;,&quot;field&quot;:&quot;waterstof_voertuig&quot;,&quot;use_preset&quot;:false},{&quot;__visible&quot;:false,&quot;or_operator&quot;:true},{&quot;operator&quot;:&quot;equal&quot;,&quot;value&quot;:&quot;No&quot;,&quot;field&quot;:&quot;ondernemer&quot;,&quot;use_preset&quot;:false},{&quot;operator&quot;:&quot;equal&quot;,&quot;value&quot;:&quot;No&quot;,&quot;field&quot;:&quot;waterstof_voertuig&quot;,&quot;use_preset&quot;:false}]\" data-jfb-func=\"show\">\n\n<div class=\"wp-block-jet-engine-container jet-container jet-container--content-direction-vertical jet-container--content-justify-flex-start jet-container--content-align-flex-start wp-block-jet-engine-container\"><div class=\"jet-container__overlay  has-white-background-color \" style=\"opacity:1\"><\/div>\n<p class=\"wp-block-paragraph\">Unfortunately, you are not eligible for the Fountain Fuel fuel card. Questions? Mail to <a href=\"mailto:tankpas@fountainfuel.com\">tankpas@fountainfuel.com<\/a><\/p>\n<\/div>\n\n<\/div><\/div>\t<div class=\"jet-form-builder-messages-wrap\" data-form-id=\"14764\"><\/div>\n<\/form>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f94270c elementor-widget elementor-widget-html\" data-id=\"f94270c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<script>document.addEventListener('DOMContentLoaded', function () {\n    const kvkField = document.querySelector('input[name=\"kvk_nummer_input\"]');\n    const nextButton = document.querySelector('.kvk_gegevens_zoeken'); \n    \n    \/\/ Pas aan naar de juiste knopklasse\n    const bedrijf_cont = document.querySelector('.bedrijfs_cont');\n    const bank_cont = document.querySelector('.bank_cont');\n    const bedrijf_next = document.querySelector('.bedrijf_next');\n\n    if (bedrijf_cont) {\n        \n                \/\/ Verbergen van container en next knop\n                bedrijf_cont.style.display = 'none';\n                bank_cont.style.display = 'none';\n                bedrijf_next.style.display = 'none';\n            }\n    \n    if (kvkField && nextButton) {\n        nextButton.addEventListener('click', function (event) {\n            const kvkNumber = kvkField.value.trim();\n\n            \/\/ Controleer of alleen cijfers worden ingevoerd\n            if (kvkNumber && \/^\\d+$\/.test(kvkNumber)) { \n                \n                \/\/ Voorkom dat de pagina direct doorgaat\n                event.preventDefault(); \n\n                \/\/ Stuur het KvK-nummer via AJAX naar PHP\n                const formData = new FormData();\n                formData.append('action', 'fetch_kvk_data');\n                formData.append('kvk_number', kvkNumber);\n\n                fetch(my_ajax_object.ajax_url, {\n                    method: 'POST',\n                    body: formData,\n                })\n                    .then(response => response.json())\n                    .then(data => {\n                        if (data.success) {\n            \n            \/\/Vul de gegevens van het bedrijf\n            document.querySelector('.bedrijfsnaam').textContent = data.data.bedrijfsnaam;\n             document.querySelector('.adres').textContent = data.data.straatnaam + \" \" + data.data.huisnummer;\n            document.querySelector('.postcode-plaats').textContent = data.data.postcode + \" \" + data.data.plaats;\n\n            \/\/Tonen van overige velden formulier\n            bedrijf_cont.style.display = 'block';\n            bank_cont.style.display = 'block';\n            bedrijf_next.style.display = 'block';\n            \n            \/\/Opslaan van gegevens\n            sessionStorage.setItem('nawData', JSON.stringify(data.data));\n\n            \/\/ Verwijder de event listener zodat deze niet opnieuw wordt uitgevoerd\n            nextButton.removeEventListener('click', arguments.callee);\n               \n                        } else {\n                            alert(data.message);\n                        }\n                    })\n                    .catch(error => console.error('Error:', error));\n            } else {\n                alert('Vul een geldig KvK-nummer in.');\n            }\n        });\n    }\n});\n<\/script>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-62acc77 elementor-widget elementor-widget-html\" data-id=\"62acc77\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<script>document.querySelector('.submit-tankpas-form').addEventListener('click', function (event) {\n    \/\/ Voorkom standaardactie\n    event.preventDefault();\n    \n    \/\/ Haal de opgeslagen gegevens op uit sessionStorage\n    const nawData = JSON.parse(sessionStorage.getItem('nawData'));\n\n    \/\/ Vul de verborgen velden met de tekstinhoud\n    document.querySelector('.bedrijfsnaam-hidden').value = nawData.bedrijfsnaam;\n    document.querySelector('.straatnaam-hidden').value = nawData.straatnaam;\n    document.querySelector('.huisnummer-hidden').value = nawData.huisnummer;\n    document.querySelector('.postcode-hidden').value = nawData.postcode;\n    document.querySelector('.plaats-hidden').value = nawData.plaats\n\n    \/\/ Verstuur het formulier\n    document.querySelector('.jet-form-builder').submit();\n});\n\n<\/script>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-9d24e04 e-con-full e-flex e-con e-child\" data-id=\"9d24e04\" data-element_type=\"container\" data-e-type=\"container\" id=\"tankpas-form-nl\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-2250dae tankpas-form elementor-widget elementor-widget-jet-form-builder-form\" data-id=\"2250dae\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"jet-form-builder-form.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<style id=\"jet-form-builder-13778-inline-css\"><\/style><form  class=\"jet-form-builder layout-column submit-type-ajax\" action=\"https:\/\/fountainfuel.com\/en\/wp-json\/wp\/v2\/pages\/14756\/?1fo7ii=bG4Wl9o1Lh&amp;method=reload\" method=\"POST\" data-form-id=\"13778\" data-layout=\"column\" enctype=\"multipart\/form-data\" novalidate=\"null\" ssr_validation_method=\"rest\">\r\n<input type=\"hidden\" name=\"_jfb_current_render_states[]\" value=\"DEFAULT.STATE\" data-jfb-sync \/><input type=\"hidden\" class=\"jet-form-builder__field hidden-field\" name=\"_jet_engine_booking_form_id\" data-field-name=\"_jet_engine_booking_form_id\" value=\"13778\">\n<input type=\"hidden\" class=\"jet-form-builder__field hidden-field\" name=\"_jet_engine_refer\" data-field-name=\"_jet_engine_refer\" value=\"https:\/\/fountainfuel.com\/en\/wp-json\/wp\/v2\/pages\/14756\/\">\n<input type=\"hidden\" class=\"jet-form-builder__field hidden-field\" name=\"__queried_post_id\" data-field-name=\"__queried_post_id\" value=\"14756\">\n\n<input type=\"hidden\" class=\"jet-form-builder__field hidden-field\" name=\"post_id\" data-field-name=\"post_id\" data-jfb-sync=\"null\" value=\"14756\">\n\n\n\n\n<div class=\"jet-form-builder-page \" data-page=\"1\" data-page-offset=\"75\">\n\n\n\n<div class=\" jet-container jet-container--content-direction-vertical jet-container--content-justify-flex-start jet-container--content-align-flex-start wp-block-jet-engine-container form-container\"><div class=\"jet-container__overlay  has-white-background-color \" style=\"opacity:1\"><\/div>\n<h3 class=\"wp-block-heading\">Aanvragen<\/h3>\n\n\n\n<h2 class=\"wp-block-heading tankpas-heading\">Fountain Fuel Tankpas<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Om in aanmerking te komen voor de Fountain Fuel tankpas, dient u enkele vragen te beantwoorden om uw geschiktheid te beoordelen.&nbsp;<\/p>\n\n\n\n<div class=\" jet-container jet-container--content-direction-vertical jet-container--content-justify-flex-start jet-container--content-align-flex-start wp-block-jet-engine-container form-container\"><div class=\"jet-container__overlay   \" style=\"background-color:#a9a9a9;opacity:0.1\"><\/div><div  data-validation-type=\"inherit\" class=\"jet-form-builder-row field-type-radio-field wp-block-jet-forms-radio-field cb-tptymk32\">\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Ik ben ondernemer en ingeschreven bij kvk <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__fields-group checkradio-wrap\" data-jfb-sync><div class=\"jet-form-builder__field-wrap radio-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-radio\">\n<input type=\"radio\" name=\"ondernemer\" value=\"Ja\" data-field-name=\"ondernemer\"  class=\"jet-form-builder__field radio-field checkradio-field\" required=\"required\"><span>Ja<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap radio-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-radio\">\n<input type=\"radio\" name=\"ondernemer\" value=\"Nee\" data-field-name=\"ondernemer\"  class=\"jet-form-builder__field radio-field checkradio-field\" required=\"required\"><span>Nee<\/span><\/label><\/div><\/div>\n<\/div>\n\n<div  data-validation-type=\"inherit\" class=\"jet-form-builder-row field-type-radio-field wp-block-jet-forms-radio-field cb-z5on5sh0\">\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Ik ben (binnenkort) in bezit van waterstof voertuig <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__fields-group checkradio-wrap\" data-jfb-sync><div class=\"jet-form-builder__field-wrap radio-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-radio\">\n<input type=\"radio\" name=\"waterstof_voertuig\" value=\"Ja\" data-field-name=\"waterstof_voertuig\"  class=\"jet-form-builder__field radio-field checkradio-field\" required=\"required\"><span>Ja<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap radio-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-radio\">\n<input type=\"radio\" name=\"waterstof_voertuig\" value=\"Nee\" data-field-name=\"waterstof_voertuig\"  class=\"jet-form-builder__field radio-field checkradio-field\" required=\"required\"><span>Nee<\/span><\/label><\/div><\/div>\n<\/div>\n\n<div  data-validation-type=\"inherit\" class=\"jet-form-builder-row field-type-radio-field wp-block-jet-forms-radio-field cb-lckvhcvc\">\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Ik ben al over de tankpas in gesprek met Fountain Fuel <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__fields-group checkradio-wrap\" data-jfb-sync><div class=\"jet-form-builder__field-wrap radio-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-radio\">\n<input type=\"radio\" name=\"lead\" value=\"Ja\" data-field-name=\"lead\"  class=\"jet-form-builder__field radio-field checkradio-field\" required=\"required\"><span>Ja<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap radio-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-radio\">\n<input type=\"radio\" name=\"lead\" value=\"Nee\" data-field-name=\"lead\"  class=\"jet-form-builder__field radio-field checkradio-field\" required=\"required\"><span>Nee<\/span><\/label><\/div><\/div>\n<\/div><\/div>\n<\/div>\n\n\n<div class=\"jet-form-builder__next-page-wrap\">\n\t\t\t\t\t<button class=\"jet-form-builder__next-page\" type=\"button\">Volgende stap<\/button>\n\t<\/div>\n<\/div>\n<div class=\"jet-form-builder-page jet-form-builder-page--hidden\" data-page=\"2\" data-page-offset=\"75\">\n\n<div class=\"jet-form-builder__conditional \" data-jfb-conditional=\"[{&quot;operator&quot;:&quot;equal&quot;,&quot;value&quot;:&quot;Ja&quot;,&quot;field&quot;:&quot;ondernemer&quot;,&quot;use_preset&quot;:false},{&quot;operator&quot;:&quot;equal&quot;,&quot;value&quot;:&quot;Ja&quot;,&quot;field&quot;:&quot;waterstof_voertuig&quot;,&quot;use_preset&quot;:false}]\" data-jfb-func=\"show\"><div class=\"jet-form-builder-page \" data-page=\"1\" data-page-offset=\"75\">\n\n\n\n\n\n<div class=\" jet-container jet-container--content-direction-vertical jet-container--content-justify-flex-start jet-container--content-align-flex-start wp-block-jet-engine-container alert_accept\"><div class=\"jet-container__overlay   \" style=\"background-color:#002e73;opacity:1\"><\/div>\n<p class=\"has-black-color has-text-color has-link-color wp-elements-2 wp-block-paragraph\"><strong>U komt in aanmerking voor de Fountain Fuel tankpas.<br><\/strong>Vul alle gegevens in het formulier in en volg alle stappen om de tankpas aan te vragen. Heb je een vraag? Stuur ons een email op <a href=\"mailto:tankpas@fountainfuel.com\">tankpas@fountainfuel.com<\/a><\/p>\n<\/div>\n\n\n\n<div class=\" jet-container jet-container--content-direction-vertical jet-container--content-justify-flex-start jet-container--content-align-flex-start wp-block-jet-engine-container form-container\"><div class=\"jet-container__overlay  has-white-background-color \" style=\"opacity:1\"><\/div>\n<h2 class=\"wp-block-heading\">Contactpersoon tekenbevoegde<\/h2>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-7387b849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><div  data-validation-type=\"inherit\" class=\"jet-form-builder-row field-type-text-field cb-ri7majuh\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Voornaam <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t\t\t\t<input required=\"required\" name=\"voornaam\" id=\"voornaam_1\" type=\"text\" data-field-name=\"voornaam\" class=\"jet-form-builder__field text-field\" data-jfb-sync=\"null\" autocomplete=\"off_0Pkjmi1O\">\n\t\t\t\t\t<\/div>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><div  data-validation-type=\"inherit\" class=\"jet-form-builder-row field-type-text-field cb-g2hkjk1q\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Tussenvoegsel<\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t\t\t\t<input name=\"tussenvoegsel\" id=\"tussenvoegsel_1\" type=\"text\" data-field-name=\"tussenvoegsel\" class=\"jet-form-builder__field text-field\" data-jfb-sync=\"null\" autocomplete=\"off_jkrF4OGb\">\n\t\t\t\t\t<\/div>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><div  data-validation-type=\"inherit\" class=\"jet-form-builder-row field-type-text-field cb-tp9qbplf\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Achternaam <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t\t\t\t<input required=\"required\" name=\"achternaam\" id=\"achternaam_1\" type=\"text\" data-field-name=\"achternaam\" class=\"jet-form-builder__field text-field\" data-jfb-sync=\"null\" autocomplete=\"off_uIsfSkKJ\">\n\t\t\t\t\t<\/div>\n<\/div><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-7387b849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><div  data-validation-type=\"inherit\" class=\"jet-form-builder-row field-type-text-field cb-xr233t2c\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">E-mailadres <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t\t\t\t<input required=\"required\" name=\"email\" id=\"email_1\" type=\"email\" data-field-name=\"email\" class=\"jet-form-builder__field text-field\" data-jfb-sync=\"null\" autocomplete=\"off_2WpdIXZ0\">\n\t\t\t\t\t<\/div>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><div  data-validation-type=\"inherit\" class=\"jet-form-builder-row field-type-text-field cb-ci8ot9l6\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Telefoonnummer <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t\t\t\t<input required=\"required\" name=\"tel\" id=\"tel_1\" type=\"tel\" data-field-name=\"tel\" class=\"jet-form-builder__field text-field\" data-jfb-sync=\"null\" autocomplete=\"off_dWlGpsY1\">\n\t\t\t\t\t<\/div>\n<\/div><\/div>\n<\/div>\n\n\n<div  data-validation-type=\"inherit\" class=\"jet-form-builder-row field-type-radio-field wp-block-jet-forms-radio-field cb-bf513bfj\">\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Wil je een afwijkend e-mailadres voor de facturatie gebruiken? <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__fields-group checkradio-wrap\" data-jfb-sync><div class=\"jet-form-builder__field-wrap radio-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-radio\">\n<input type=\"radio\" name=\"vraag_afwijkend_email\" value=\"Ja\" data-field-name=\"vraag_afwijkend_email\"  class=\"jet-form-builder__field radio-field checkradio-field\" required=\"required\"><span>Ja<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap radio-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-radio\">\n<input type=\"radio\" name=\"vraag_afwijkend_email\" value=\"Nee\" data-field-name=\"vraag_afwijkend_email\"  class=\"jet-form-builder__field radio-field checkradio-field\" required=\"required\"><span>Nee<\/span><\/label><\/div><\/div>\n<\/div>\n\n<div class=\"jet-form-builder__conditional \" data-jfb-conditional=\"[{&quot;operator&quot;:&quot;equal&quot;,&quot;value&quot;:&quot;Ja&quot;,&quot;field&quot;:&quot;vraag_afwijkend_email&quot;,&quot;use_preset&quot;:false}]\" data-jfb-func=\"show\">\n<div  data-validation-type=\"inherit\" class=\"jet-form-builder-row field-type-text-field cb-w6u9l85q\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">E-mailadres voor de facturatie  <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t\t\t\t<input required=\"required\" name=\"email_afwijkende_facturatie\" id=\"email_afwijkende_facturatie_1\" type=\"email\" data-field-name=\"email_afwijkende_facturatie\" class=\"jet-form-builder__field text-field\" data-jfb-sync=\"null\" autocomplete=\"off_R1OgGSte\">\n\t\t\t\t\t<\/div>\n<\/div>\n<\/div><\/div>\n\n\n<div class=\"jet-form-builder__next-page-wrap\">\n\t\t\t\t\t<button class=\"jet-form-builder__next-page\" type=\"button\">Volgende stap<\/button>\n\t<\/div>\n<\/div>\n<div class=\"jet-form-builder-page jet-form-builder-page--hidden\" data-page=\"2\" data-page-offset=\"75\">\n\n\n<div class=\" jet-container jet-container--content-direction-vertical jet-container--content-justify-flex-start jet-container--content-align-flex-start wp-block-jet-engine-container form-container\"><div class=\"jet-container__overlay  has-white-background-color \" style=\"opacity:1\"><\/div>\n<h2 class=\"wp-block-heading\">Bedrijfsgegevens<\/h2>\n\n\n<div  data-validation-type=\"advanced\" data-validation-rules=\"[{&quot;__visible&quot;:true,&quot;value&quot;:&quot;&quot;}]\" data-validation-messages=\"{&quot;empty&quot;:&quot;Vul jouw KvK nummer in&quot;,&quot;inputmask&quot;:&quot;Vul een correcte KvK nummer in.&quot;,&quot;char_max&quot;:&quot;Het nummer is te lang, vul een correcte KvK nummer in.&quot;}\" class=\"jet-form-builder-row field-type-text-field cb-wnnt4v1h\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">KVK nummer <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t\t\t\t<input required=\"required\" name=\"kvk_nummer_input\" id=\"kvk_nummer_input_1\" type=\"text\" data-field-name=\"kvk_nummer_input\" class=\"jet-form-builder__field text-field kvk_nummer_field jet-form-builder__masked-field\" maxlength=\"8\" data-jfb-sync=\"null\" autocomplete=\"off_qOXZBme2\" data-inputmask=\"&#039;mask&#039;: &#039;99999999&#039;\" data-inputmask-placeholder=\"\u2022\" data-inputmask-showmaskonhover=\"false\">\n\t\t\t\t\t<\/div>\n<\/div>\n\n\n<div class=\"wp-block-buttons zoek_bedrijfsgegeven_btn is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button kvk_gegevens_zoeken\" id=\"kvk_gegevens_zoeken\"><a class=\"wp-block-button__link wp-element-button\">Zoek bijbehorend bedrijf<\/a><\/div>\n<\/div>\n\n\n\n<div class=\" jet-container jet-container--content-direction-vertical jet-container--content-justify-flex-start jet-container--content-align-flex-start wp-block-jet-engine-container bedrijfs_cont\"><div class=\"jet-container__overlay   \" style=\"opacity:0.5\"><\/div>\n<p class=\"bedrijfsnaam wp-block-paragraph\" id=\"bedrijfsnaam\">Bedrijfsnaam<\/p>\n\n\n\n<p class=\"adres wp-block-paragraph\" id=\"adres\">Straatnaam 123<\/p>\n\n\n\n<p class=\"postcode-plaats wp-block-paragraph\" id=\"postcode-plaats\">Postcode Plaats<\/p>\n\n\n\n<div style=\"height:10px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div class=\" jet-container jet-container--content-direction-horizontal jet-container--content-align-center jet-container--content-justify-space-between wp-block-jet-engine-container message_naw\"><div class=\"jet-container__overlay   \" style=\"background-color:#002e73;opacity:0.8\"><\/div>\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-7387b849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:4%\">\n<figure class=\"wp-block-image size-full is-resized\"><img decoding=\"async\" width=\"128\" height=\"128\" data-src=\"https:\/\/fountainfuel.com\/wp-content\/uploads\/2024\/11\/danger.png\" src=\"data:image\/gif;base64,R0lGODlhAQABAIAAAAAAAP\/\/\/yH5BAEAAAAALAAAAAABAAEAAAIBRAA7\" alt=\"\" class=\"wp-image-14066 lazyload\" style=\"width:15px\"\/><noscript><img decoding=\"async\" width=\"128\" height=\"128\" src=\"https:\/\/fountainfuel.com\/wp-content\/uploads\/2024\/11\/danger.png\" alt=\"\" class=\"wp-image-14066\" style=\"width:15px\"><\/noscript><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:96%\">\n<p class=\"has-small-font-size wp-block-paragraph\">Wij sturen de tankpas naar het hierboven geregistreerde adres. Indien dit niet klopt, wijzig eerst uw bedrijfsgegevens bij de KvK voordat u de procedure voortzet.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div style=\"height:25px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div class=\" jet-container jet-container--content-direction-vertical jet-container--content-justify-flex-start jet-container--content-align-flex-start wp-block-jet-engine-container bank_cont form-container\"><div class=\"jet-container__overlay  has-white-background-color \" style=\"opacity:1\"><\/div>\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-7387b849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><div  data-validation-type=\"advanced\" data-validation-messages=\"{&quot;empty&quot;:&quot;Vul geldig IBAN in&quot;,&quot;inputmask&quot;:&quot;Vul geldig IBAN in&quot;}\" class=\"jet-form-builder-row field-type-text-field cb-lq0q95ic\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">IBAN rekeningnummer <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t\t\t\t<input required=\"required\" name=\"IBAN_nr\" id=\"IBAN_nr_1\" type=\"text\" data-field-name=\"IBAN_nr\" class=\"jet-form-builder__field text-field jet-form-builder__masked-field\" data-jfb-sync=\"null\" autocomplete=\"off_ZRC4lq9m\" data-inputmask=\"&#039;mask&#039;: &#039;NL 99 aaaa 9999999999&#039;\" data-inputmask-placeholder=\"\u2022\" data-inputmask-showmaskonhover=\"false\">\n\t\t\t\t\t<\/div>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><div  class=\"jet-form-builder-row field-type-text-field cb-z42ft4l8\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">BIC Code <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t\t\t\t<input required=\"required\" name=\"BIC_Code\" id=\"BIC_Code_1\" type=\"text\" data-field-name=\"BIC_Code\" class=\"jet-form-builder__field text-field\" data-jfb-sync=\"null\" autocomplete=\"off_lkx6JsZB\">\n\t\t\t\t\t<\/div>\n<\/div><\/div>\n<\/div>\n\n\n<div  data-validation-type=\"advanced\" data-validation-messages=\"{&quot;empty&quot;:&quot;Vul geldig BTW nummer in&quot;,&quot;inputmask&quot;:&quot;Vul geldig BTW nummer in&quot;}\" class=\"jet-form-builder-row field-type-text-field cb-na0s963a\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">BTW nummer <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t\t\t\t<input required=\"required\" name=\"btw_nr\" id=\"btw_nr_1\" type=\"text\" data-field-name=\"btw_nr\" class=\"jet-form-builder__field text-field jet-form-builder__masked-field\" data-jfb-sync=\"null\" autocomplete=\"off_e4r3Cdcl\" data-inputmask=\"&#039;mask&#039;: &#039;NL 999999999 B99&#039;\" data-inputmask-placeholder=\"\u2022\" data-inputmask-showmaskonhover=\"false\">\n\t\t\t\t\t<\/div>\n<\/div><\/div>\n\n\n<div class=\"jet-form-builder__next-page-wrap\">\n\t\t<button type=\"button\" class=\"jet-form-builder__prev-page\" data-to-page=\"1\">Vorige<\/button>\t\t\t<button class=\"jet-form-builder__next-page bedrijf_next\" type=\"button\">Volgende stap<\/button>\n\t<\/div>\n<\/div>\n<div class=\"jet-form-builder-page jet-form-builder-page--hidden\" data-page=\"3\" data-page-offset=\"75\">\n\n<div  data-validation-type=\"inherit\" class=\"jet-form-builder-row field-type-repeater-field cb-cv2rjcui\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Voertuigen <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap\"><div data-repeater=\"1\" data-field-name=\"voertuigen\" name=\"voertuigen\"  class=\"jet-form-builder-repeater jet-form-builder__field\" data-required=\"required\" data-jfb-sync=\"null\">\n<template class=\"jet-form-builder-repeater__initial\"><div class=\"jet-form-builder-repeater__row\" data-repeater-row=\"1\"><div class=\"jet-form-builder-repeater__row-fields\">\n\n<div class=\" jet-container jet-container--content-direction-vertical jet-container--content-justify-flex-start jet-container--content-align-flex-start wp-block-jet-engine-container form-container\"><div class=\"jet-container__overlay  has-white-background-color \" style=\"opacity:1\"><\/div><div  data-validation-type=\"inherit\" class=\"jet-form-builder-row field-type-text-field cb-yjmylltw\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Type voertuig <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t\t\t\t<input required=\"required\" name=\"voertuigen[__i__][type_voertuig]\" id=\"voertuigen___i___type_voertuig\" type=\"text\" data-field-name=\"type_voertuig\" class=\"jet-form-builder__field text-field\" data-jfb-sync=\"null\" autocomplete=\"off_IyGDBn3r\">\n\t\t\t\t\t<\/div>\n<\/div>\n\n<div  data-validation-type=\"inherit\" class=\"jet-form-builder-row field-type-radio-field wp-block-jet-forms-radio-field cb-v2iwo9wq\">\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Gebruikt u het voertuig al, of moet het nog afgeleverd worden? <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__fields-group checkradio-wrap\" data-jfb-sync><div class=\"jet-form-builder__field-wrap radio-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-radio\">\n<input type=\"radio\" name=\"voertuigen[__i__][gebruik_voertuig]\" value=\"Ja het voertuig wordt al gebruikt\" data-field-name=\"gebruik_voertuig\"  class=\"jet-form-builder__field radio-field checkradio-field\" required=\"required\"><span>Ja, het voertuig wordt al gebruikt<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap radio-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-radio\">\n<input type=\"radio\" name=\"voertuigen[__i__][gebruik_voertuig]\" value=\"Nee we zijn aan het voorbereiden\" data-field-name=\"gebruik_voertuig\"  class=\"jet-form-builder__field radio-field checkradio-field\" required=\"required\"><span>Nee, we zijn aan het voorbereiden<\/span><\/label><\/div><\/div>\n<\/div>\n\n<div class=\"jet-form-builder__conditional \" data-jfb-conditional=\"[{&quot;operator&quot;:&quot;equal&quot;,&quot;value&quot;:&quot;Ja het voertuig wordt al gebruikt&quot;,&quot;field&quot;:&quot;gebruik_voertuig&quot;,&quot;use_preset&quot;:false}]\" data-jfb-func=\"show\">\n<div  data-validation-type=\"inherit\" data-validation-rules=\"[{&quot;__visible&quot;:true,&quot;value&quot;:&quot;&quot;}]\" class=\"jet-form-builder-row field-type-text-field cb-hb6y4f8x\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Kenteken <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t\t\t\t<input required=\"required\" name=\"voertuigen[__i__][kenteken]\" id=\"voertuigen___i___kenteken\" type=\"text\" data-field-name=\"kenteken\" class=\"jet-form-builder__field text-field\" data-jfb-sync=\"null\" autocomplete=\"off_h7j8r2vc\">\n\t\t\t\t\t<\/div>\n<\/div>\n<\/div>\n\n<div class=\"jet-form-builder__conditional \" data-jfb-conditional=\"[{&quot;operator&quot;:&quot;equal&quot;,&quot;value&quot;:&quot;Nee we zijn aan het voorbereiden&quot;,&quot;field&quot;:&quot;gebruik_voertuig&quot;,&quot;use_preset&quot;:false}]\" data-jfb-func=\"show\">\n<div  data-validation-type=\"inherit\" data-validation-rules=\"[{&quot;__visible&quot;:true,&quot;value&quot;:&quot;&quot;}]\" class=\"jet-form-builder-row field-type-text-field cb-e3csim4g\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Weet je het kenteken van het voertuig al?<\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t\t\t\t<input name=\"voertuigen[__i__][toekomstig_kenteken]\" id=\"voertuigen___i___toekomstig_kenteken\" type=\"text\" data-field-name=\"toekomstig_kenteken\" class=\"jet-form-builder__field text-field\" data-jfb-sync=\"null\" autocomplete=\"off_qb4SrjAz\">\n\t\t\t\t\t<\/div>\n<\/div>\n\n<div  data-validation-type=\"inherit\" class=\"jet-form-builder-row field-type-date-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Per wanneer verwacht je het voertuig in gebruik te nemen?<\/div><\/div><input class=\"jet-form-builder__field date-field verwachting_voertuig_datum\" name=\"voertuigen[__i__][verwachting_voertuig_datum]\" type=\"date\" data-field-name=\"verwachting_voertuig_datum\" id=\"voertuigen___i___verwachting_voertuig_datum\" data-jfb-sync=\"null\">\n<\/div>\n<\/div>\n\n<div  data-validation-type=\"inherit\" class=\"jet-form-builder-row field-type-number-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Verwachte aantal KM per jaar <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t\t<input type=\"number\" class=\"jet-form-builder__field text-field\" required=\"required\" min=\"0\" step=\"1000\" name=\"voertuigen[__i__][verwachte_aantal_km_pj]\" data-field-name=\"verwachte_aantal_km_pj\" id=\"voertuigen___i___verwachte_aantal_km_pj\" data-jfb-sync=\"null\">\n\t<\/div>\n<\/div><\/div>\n\n<\/div><div class=\"jet-form-builder-repeater__row-remove\"><button type=\"button\" class=\"jet-form-builder-repeater__remove\">&times;<\/button><\/div><\/div><\/template>\n<div class=\"jet-form-builder-repeater__items\"><\/div><div class=\"jet-form-builder-repeater__actions\">\n                <button type=\"button\" class=\"jet-form-builder-repeater__new\">Nieuw voertuig<\/button>\n                <\/div><\/div><\/div>\n<\/div>\n\n\n<div class=\" jet-section wp-block-jet-engine-section algemene_voorwaarden jet-section--layout-fullwidth\"><div class=\"jet-section__content\"><div  data-validation-type=\"inherit\" class=\"jet-form-builder-row field-type-checkbox-field cb-ydwdoi9v\" >\n<div class=\"jet-form-builder__fields-group checkradio-wrap\" data-jfb-sync><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n\t\t\t<input type=\"checkbox\" name=\"algemene_voorwaarden\" value=\"algemene_voorwaarden_accepteren\" data-field-name=\"algemene_voorwaarden\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\" data-default-val=\"[&quot;&quot;]\"><span><p class=\"label_alg_voorw\">Ik heb de <a target=\"_blank\" href=\"https:\/\/fountainfuel.com\/algemene-voorwaarden-tankpas\">algemene voorwaarden<\/a> van de site gelezen en ga hiermee akkoord<\/p><\/span><\/label><\/div><\/div>\n<\/div><\/div><\/div>\n\n\n\n<div class=\" jet-container jet-container--content-direction-horizontal jet-container--content-align-flex-start jet-container--content-justify-flex-start wp-block-jet-engine-container submit-buttons\"><div class=\"jet-container__overlay   \" style=\"opacity:0.5\"><\/div><div  data-validation-type=\"inherit\" class=\"jet-form-builder-row field-type-submit-field cb-gfjdlzf2\" >\n\t<div data-type=\"prev\" class=\"jet-form-builder__action-button-wrapper\">\n\t<button class=\"jet-form-builder__action-button jet-form-builder__prev-page\" type=\"button\">Vorige<\/button>\n\t<\/div>\n\t\n<\/div>\n\n<div  data-validation-type=\"inherit\" class=\"jet-form-builder-row field-type-submit-field cb-i6m3elxa\" >\n\t<div data-type=\"submit\" class=\"jet-form-builder__action-button-wrapper jet-form-builder__submit-wrap\">\n\t<button class=\"jet-form-builder__action-button submit-tankpas-form jet-form-builder__submit submit-type-ajax\" type=\"submit\">Versturen<\/button>\n\t<\/div>\n\t\n<\/div><\/div>\n\n\n\n<input type=\"hidden\" class=\"jet-form-builder__field hidden-field\" name=\"current_day\" data-field-name=\"current_day\" data-jfb-sync=\"null\" value=\"24 August 2026\">\n\n\n\n\n<input type=\"hidden\" class=\"jet-form-builder__field hidden-field\" name=\"current_time\" data-field-name=\"current_time\" data-jfb-sync=\"null\" value=\"18:07\">\n\n\n\n\n<input type=\"hidden\" class=\"jet-form-builder__field hidden-field bedrijfsnaam-hidden\" name=\"bedrijfsnaam\" data-field-name=\"bedrijfsnaam\" data-jfb-sync=\"null\">\n\n\n\n\n<input type=\"hidden\" class=\"jet-form-builder__field hidden-field straatnaam-hidden\" name=\"straatnaam\" data-field-name=\"straatnaam\" data-jfb-sync=\"null\">\n\n\n\n\n<input type=\"hidden\" class=\"jet-form-builder__field hidden-field huisnummer-hidden\" name=\"huisnummer\" data-field-name=\"huisnummer\" data-jfb-sync=\"null\">\n\n\n\n\n<input type=\"hidden\" class=\"jet-form-builder__field hidden-field postcode-hidden\" name=\"postcode\" data-field-name=\"postcode\" data-jfb-sync=\"null\">\n\n\n\n\n<input type=\"hidden\" class=\"jet-form-builder__field hidden-field plaats-hidden\" name=\"plaats\" data-field-name=\"plaats\" data-jfb-sync=\"null\">\n\n\n<\/div><\/div>\n\n<div class=\"jet-form-builder__conditional \" data-jfb-conditional=\"[{&quot;operator&quot;:&quot;equal&quot;,&quot;value&quot;:&quot;Ja&quot;,&quot;field&quot;:&quot;ondernemer&quot;,&quot;use_preset&quot;:false},{&quot;operator&quot;:&quot;equal&quot;,&quot;value&quot;:&quot;Nee&quot;,&quot;field&quot;:&quot;waterstof_voertuig&quot;,&quot;use_preset&quot;:false},{&quot;__visible&quot;:false,&quot;or_operator&quot;:true},{&quot;operator&quot;:&quot;equal&quot;,&quot;value&quot;:&quot;Nee&quot;,&quot;field&quot;:&quot;ondernemer&quot;,&quot;use_preset&quot;:false},{&quot;operator&quot;:&quot;equal&quot;,&quot;value&quot;:&quot;Ja&quot;,&quot;field&quot;:&quot;waterstof_voertuig&quot;,&quot;use_preset&quot;:false},{&quot;__visible&quot;:false,&quot;or_operator&quot;:true},{&quot;operator&quot;:&quot;equal&quot;,&quot;value&quot;:&quot;Nee&quot;,&quot;field&quot;:&quot;ondernemer&quot;,&quot;use_preset&quot;:false},{&quot;operator&quot;:&quot;equal&quot;,&quot;value&quot;:&quot;Nee&quot;,&quot;field&quot;:&quot;waterstof_voertuig&quot;,&quot;use_preset&quot;:false}]\" data-jfb-func=\"show\">\n\n<div class=\" jet-container jet-container--content-direction-vertical jet-container--content-justify-flex-start jet-container--content-align-flex-start wp-block-jet-engine-container\"><div class=\"jet-container__overlay  has-white-background-color \" style=\"opacity:1\"><\/div>\n<p class=\"wp-block-paragraph\">Helaas, u komt niet in aanmerking voor de Fountain Fuel tankpas. Vragen? Mail naar <a href=\"mailto:tankpas@fountainfuel.com\">tankpas@fountainfuel.com<\/a><\/p>\n<\/div>\n\n<\/div>\n\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n<\/div>\t<div class=\"jet-form-builder-messages-wrap\" data-form-id=\"13778\"><\/div>\n<\/form>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7e38242 elementor-widget elementor-widget-html\" data-id=\"7e38242\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<script>document.addEventListener('DOMContentLoaded', function () {\n    const kvkField = document.querySelector('input[name=\"kvk_nummer_input\"]');\n    const nextButton = document.querySelector('.kvk_gegevens_zoeken'); \n    \n    \/\/ Pas aan naar de juiste knopklasse\n    const bedrijf_cont = document.querySelector('.bedrijfs_cont');\n    const bank_cont = document.querySelector('.bank_cont');\n    const bedrijf_next = document.querySelector('.bedrijf_next');\n\n    if (bedrijf_cont) {\n        \n                \/\/ Verbergen van container en next knop\n                bedrijf_cont.style.display = 'none';\n                bank_cont.style.display = 'none';\n                bedrijf_next.style.display = 'none';\n            }\n    \n    if (kvkField && nextButton) {\n        nextButton.addEventListener('click', function (event) {\n            const kvkNumber = kvkField.value.trim();\n\n            \/\/ Controleer of alleen cijfers worden ingevoerd\n            if (kvkNumber && \/^\\d+$\/.test(kvkNumber)) { \n                \n                \/\/ Voorkom dat de pagina direct doorgaat\n                event.preventDefault(); \n\n                \/\/ Stuur het KvK-nummer via AJAX naar PHP\n                const formData = new FormData();\n                formData.append('action', 'fetch_kvk_data');\n                formData.append('kvk_number', kvkNumber);\n\n                fetch(my_ajax_object.ajax_url, {\n                    method: 'POST',\n                    body: formData,\n                })\n                    .then(response => response.json())\n                    .then(data => {\n                        if (data.success) {\n            \n            \/\/Vul de gegevens van het bedrijf\n            document.querySelector('.bedrijfsnaam').textContent = data.data.bedrijfsnaam;\n             document.querySelector('.adres').textContent = data.data.straatnaam + \" \" + data.data.huisnummer;\n            document.querySelector('.postcode-plaats').textContent = data.data.postcode + \" \" + data.data.plaats;\n\n            \/\/Tonen van overige velden formulier\n            bedrijf_cont.style.display = 'block';\n            bank_cont.style.display = 'block';\n            bedrijf_next.style.display = 'block';\n            \n            \/\/Opslaan van gegevens\n            sessionStorage.setItem('nawData', JSON.stringify(data.data));\n\n            \/\/ Verwijder de event listener zodat deze niet opnieuw wordt uitgevoerd\n            nextButton.removeEventListener('click', arguments.callee);\n               \n                        } else {\n                            alert(data.message);\n                        }\n                    })\n                    .catch(error => console.error('Error:', error));\n            } else {\n                alert('Vul een geldig KvK-nummer in.');\n            }\n        });\n    }\n});\n<\/script>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1db44b3 elementor-widget elementor-widget-html\" data-id=\"1db44b3\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<script>document.querySelector('.submit-tankpas-form').addEventListener('click', function (event) {\n    \/\/ Voorkom standaardactie\n    event.preventDefault();\n    \n    \/\/ Haal de opgeslagen gegevens op uit sessionStorage\n    const nawData = JSON.parse(sessionStorage.getItem('nawData'));\n\n    \/\/ Vul de verborgen velden met de tekstinhoud\n    document.querySelector('.bedrijfsnaam-hidden').value = nawData.bedrijfsnaam;\n    document.querySelector('.straatnaam-hidden').value = nawData.straatnaam;\n    document.querySelector('.huisnummer-hidden').value = nawData.huisnummer;\n    document.querySelector('.postcode-hidden').value = nawData.postcode;\n    document.querySelector('.plaats-hidden').value = nawData.plaats\n\n    \/\/ Verstuur het formulier\n    document.querySelector('.jet-form-builder').submit();\n});\n\n<\/script>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-bcaf91e e-con-full e-flex e-con e-child\" data-id=\"bcaf91e\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[],&quot;sticky&quot;:&quot;top&quot;,&quot;sticky_on&quot;:[&quot;desktop&quot;],&quot;sticky_parent&quot;:&quot;yes&quot;,&quot;sticky_offset&quot;:0,&quot;sticky_effects_offset&quot;:0,&quot;sticky_anchor_link_offset&quot;:0}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-e07f52d elementor-widget elementor-widget-image\" data-id=\"e07f52d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" data-src=\"https:\/\/fountainfuel.com\/wp-content\/uploads\/2024\/09\/Fountain-Fuel-Fuel-Card-2024-1-1024x803.png\" data-srcset=\"https:\/\/fountainfuel.com\/wp-content\/uploads\/2024\/09\/Fountain-Fuel-Fuel-Card-2024-1-1024x803.png 1024w, https:\/\/fountainfuel.com\/wp-content\/uploads\/2024\/09\/Fountain-Fuel-Fuel-Card-2024-1-300x235.png 300w, https:\/\/fountainfuel.com\/wp-content\/uploads\/2024\/09\/Fountain-Fuel-Fuel-Card-2024-1-768x602.png 768w, https:\/\/fountainfuel.com\/wp-content\/uploads\/2024\/09\/Fountain-Fuel-Fuel-Card-2024-1-1536x1204.png 1536w, https:\/\/fountainfuel.com\/wp-content\/uploads\/2024\/09\/Fountain-Fuel-Fuel-Card-2024-1-2048x1606.png 2048w\" width=\"800\" height=\"627\" src=\"data:image\/gif;base64,R0lGODlhAQABAIAAAAAAAP\/\/\/yH5BAEAAAAALAAAAAABAAEAAAIBRAA7\" class=\"attachment-large size-large wp-image-12457 lazyload\" alt=\"\"  sizes=\"(max-width: 800px) 100vw, 800px\" \/><noscript><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"627\" src=\"https:\/\/fountainfuel.com\/wp-content\/uploads\/2024\/09\/Fountain-Fuel-Fuel-Card-2024-1-1024x803.png\" class=\"attachment-large size-large wp-image-12457\" alt=\"\" srcset=\"https:\/\/fountainfuel.com\/wp-content\/uploads\/2024\/09\/Fountain-Fuel-Fuel-Card-2024-1-1024x803.png 1024w, https:\/\/fountainfuel.com\/wp-content\/uploads\/2024\/09\/Fountain-Fuel-Fuel-Card-2024-1-300x235.png 300w, https:\/\/fountainfuel.com\/wp-content\/uploads\/2024\/09\/Fountain-Fuel-Fuel-Card-2024-1-768x602.png 768w, https:\/\/fountainfuel.com\/wp-content\/uploads\/2024\/09\/Fountain-Fuel-Fuel-Card-2024-1-1536x1204.png 1536w, https:\/\/fountainfuel.com\/wp-content\/uploads\/2024\/09\/Fountain-Fuel-Fuel-Card-2024-1-2048x1606.png 2048w\" sizes=\"(max-width: 800px) 100vw, 800px\"><\/noscript>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9f9d3d1 elementor-widget elementor-widget-heading\" data-id=\"9f9d3d1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">We are here for you!\n<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-387d4a6 elementor-widget elementor-widget-text-editor\" data-id=\"387d4a6\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Can&#8217;t figure it out? We are happy to help you. Please contact us at <strong><a href=\"mailto:tankpas@fountainfuel.com\">tankpas@fountainfuel.com<\/a><\/strong>.<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Apply for Fountain Fuel card To qualify for the Fountain Fuel fuel card, you need to answer a few questions to assess your eligibility. To qualify for the Fountain Fuel fuel card, you will need to answer a few questions to assess your eligibility. * Yes No I am (soon to be) the owner of [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":10484,"menu_order":2,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"_jf_save_progress":"","footnotes":""},"class_list":["post-14756","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Fuel Card - Application - Fountain Fuel<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/fountainfuel.com\/en\/rates\/fuel-card\/fuel-card-application\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Fuel Card - Application - Fountain Fuel\" \/>\n<meta property=\"og:description\" content=\"Apply for Fountain Fuel card To qualify for the Fountain Fuel fuel card, you need to answer a few questions to assess your eligibility. 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