{"id":7450,"date":"2022-11-30T12:22:11","date_gmt":"2022-11-30T17:22:11","guid":{"rendered":"https:\/\/antechimagingacademy.com\/registration\/"},"modified":"2023-03-16T00:58:52","modified_gmt":"2023-03-16T04:58:52","slug":"registratie","status":"publish","type":"page","link":"https:\/\/antechimagingacademy.com\/nl\/registratie\/","title":{"rendered":"Registratie"},"content":{"rendered":"<script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof 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gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n\/* ]]> *\/\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_6' >\n                        <div class='gform_heading'>\n                            <p class='gform_description'><\/p>\n\t\t\t\t\t\t\t<p class='gform_required_legend'>&quot;<span class=\"gfield_required gfield_required_asterisk\">*<\/span>&quot; geeft vereiste velden aan<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_6'  action='\/nl\/wp-json\/wp\/v2\/pages\/7450' data-formid='6' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_6' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_6_68\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_68'>Name<\/label><div class='ginput_container'><input name='input_68' id='input_6_68' type='text' value='' autocomplete='new-password'\/><\/div><div class='gfield_description' id='gfield_description_6_68'>Dit veld is bedoeld voor validatiedoeleinden en moet niet worden gewijzigd.<\/div><\/div><fieldset id=\"field_6_1\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Primair doel waarvoor u zich registreert bij AIS<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_6_1'>\n\t\t\t<div class='gchoice gchoice_6_1_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_1' type='radio' value='Stuur consulten voor vertolking'  id='choice_6_1_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_1_0' id='label_6_1_0' class='gform-field-label gform-field-label--type-inline'>Stuur consulten voor vertolking<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_1_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_1' type='radio' value='RapidRead (AI interpretation)'  id='choice_6_1_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_1_1' id='label_6_1_1' class='gform-field-label gform-field-label--type-inline'>RapidRead (AI interpretation)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_1_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_1' type='radio' value='PennHIP'  id='choice_6_1_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_1_2' id='label_6_1_2' class='gform-field-label gform-field-label--type-inline'>PennHIP<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_1_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_1' type='radio' value='Data Storage'  id='choice_6_1_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_1_3' id='label_6_1_3' class='gform-field-label gform-field-label--type-inline'>Data Storage<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_6_65\" class=\"gfield gfield--type-list gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Beoefenaars<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_list ginput_list ginput_container_list--columns'><div class='gfield_list gfield_list_container'><div class=\"gfield_list_header gform-grid-row\"><div class=\"gform-field-label gfield_header_item gform-grid-col\">Voornaam<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Achternaam<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">E-mail<\/div><div class=\"gfield_header_item gfield_header_item--icons gform-grid-col\">&nbsp;<\/div><\/div><div class=\"gfield_list_groups\"><div class='gfield_list_row_odd gfield_list_group gform-grid-row'><div class='gfield_list_group_item gfield_list_cell gfield_list_65_cell1 gform-grid-col' data-label='Voornaam'><input aria-invalid='false' aria-required=\"true\"  aria-label='Voornaam, Rij 1' data-aria-label-template='Voornaam, Rij {0}' type='text' name='input_65[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_65_cell2 gform-grid-col' data-label='Achternaam'><input aria-invalid='false' aria-required=\"true\"  aria-label='Achternaam, Rij 1' data-aria-label-template='Achternaam, Rij {0}' type='text' name='input_65[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_65_cell3 gform-grid-col' data-label='E-mail'><input aria-invalid='false' aria-required=\"true\"  aria-label='E-mail, Rij 1' data-aria-label-template='E-mail, Rij {0}' type='text' name='input_65[]' value=''   \/><\/div><div class='gfield_list_icons gform-grid-col'>   <button type='button'  class='add_list_item ' aria-label='Nog een rij toevoegen' onclick='gformAddListItem(this, 25)'>Toevoegen<\/button>   <button type='button'  class='delete_list_item' aria-label='Verwijder rij 1' data-aria-label-template='Verwijder rij {0}' onclick='gformDeleteListItem(this, 25)' style=\"visibility:hidden;\">Verwijder<\/button><\/div><\/div><\/div><\/div><\/div><\/fieldset><fieldset id=\"field_6_66\" class=\"gfield gfield--type-name gfield--width-full pointOfContact-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Naam contactpersoon<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_6_66'>\n                            \n                            <span id='input_6_66_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_66.3' id='input_6_66_3' value=''   aria-required='true'    autocomplete=\"given-name\" \/>\n                                                    <label for='input_6_66_3' class='gform-field-label gform-field-label--type-sub '>Voornaam<\/label>\n                                                <\/span>\n                            \n                            <span id='input_6_66_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_66.6' id='input_6_66_6' value=''   aria-required='true'    autocomplete=\"family-name\" \/>\n                                                    <label for='input_6_66_6' class='gform-field-label gform-field-label--type-sub '>Achternaam<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_6_56\" class=\"gfield gfield--type-phone gfield--width-full pointOfContact-phone gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_56'>POC-telefoonnummer<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_56' id='input_6_56' type='tel' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_6_57\" class=\"gfield gfield--type-email gfield--width-full pointOfContact-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >POC-e-mailadres<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container_email gform-grid-row' id='input_6_57_container'>\n                                <span id='input_6_57_1_container' class='ginput_left gform-grid-col gform-grid-col--size-auto'>\n                                    <input class='' type='email' name='input_57' id='input_6_57' value=''    aria-required=\"true\" aria-invalid=\"false\"  autocomplete=\"email\"\/>\n                                    <label for='input_6_57' class='gform-field-label gform-field-label--type-sub '>E-mailadres invoeren<\/label>\n                                <\/span>\n                                <span id='input_6_57_2_container' class='ginput_right gform-grid-col gform-grid-col--size-auto'>\n                                    <input class='' type='email' name='input_57_2' id='input_6_57_2' value=''    aria-required=\"true\" aria-invalid=\"false\"  autocomplete=\"email\"\/>\n                                    <label for='input_6_57_2' class='gform-field-label gform-field-label--type-sub '>E-mailadres bevestigen<\/label>\n                                <\/span>\n                                <div class='gf_clear gf_clear_complex'><\/div>\n                            <\/div><\/fieldset><div id=\"field_6_59\" class=\"gfield gfield--type-text gfield--width-full practice-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_59'>Praktijk naam<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_59' id='input_6_59' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_6_60\" class=\"gfield gfield--type-address gfield--width-full practice-address gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Adres<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip has_country ginput_container_address gform-grid-row' id='input_6_60' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_6_60_1_container' >\n                                        <input type='text' name='input_60.1' id='input_6_60_1' value=''    aria-required='true'    \/>\n                                        <label for='input_6_60_1' id='input_6_60_1_label' class='gform-field-label gform-field-label--type-sub '>Straat + huisnummer<\/label>\n                                    <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_6_60_2_container' >\n                                        <input type='text' name='input_60.2' id='input_6_60_2' value=''     aria-required='false'   \/>\n                                        <label for='input_6_60_2' id='input_6_60_2_label' class='gform-field-label gform-field-label--type-sub '>Adresregel 2<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_6_60_3_container' >\n                                    <input type='text' name='input_60.3' id='input_6_60_3' value=''    aria-required='true'    \/>\n                                    <label for='input_6_60_3' id='input_6_60_3_label' class='gform-field-label gform-field-label--type-sub '>Plaats<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_6_60_4_container' >\n                                        <input type='text' name='input_60.4' id='input_6_60_4' value=''      aria-required='true'    \/>\n                                        <label for='input_6_60_4' id='input_6_60_4_label' class='gform-field-label gform-field-label--type-sub '>Staat \/ provincie \/ regio<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_6_60_5_container' >\n                                    <input type='text' name='input_60.5' id='input_6_60_5' value=''    aria-required='true'    \/>\n                                    <label for='input_6_60_5' id='input_6_60_5_label' class='gform-field-label gform-field-label--type-sub '>Postcode<\/label>\n                                <\/span><span class='ginput_right address_country ginput_address_country gform-grid-col' id='input_6_60_6_container' >\n                                        <select name='input_60.6' id='input_6_60_6'   aria-required='true'    ><option value='' ><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Aland-eilanden' >Aland-eilanden<\/option><option value='Albani\u00eb' >Albani\u00eb<\/option><option value='Algerije' >Algerije<\/option><option value='Amerikaans Samoa' >Amerikaans Samoa<\/option><option value='Amerikaanse Maagdeneilanden' >Amerikaanse Maagdeneilanden<\/option><option value='Andorra' >Andorra<\/option><option value='Angola' >Angola<\/option><option value='Anguilla' >Anguilla<\/option><option value='Antarctica' >Antarctica<\/option><option value='Antigua en Barbuda' >Antigua en Barbuda<\/option><option value='Arabische Republiek Syri\u00eb' >Arabische Republiek Syri\u00eb<\/option><option value='Argentini\u00eb' >Argentini\u00eb<\/option><option value='Armeni\u00eb' >Armeni\u00eb<\/option><option value='Aruba' >Aruba<\/option><option value='Australi\u00eb' >Australi\u00eb<\/option><option value='Azerbeidzjan' >Azerbeidzjan<\/option><option value='Bahama&#039;s' >Bahama&#039;s<\/option><option value='Bahrein' >Bahrein<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Barbados' >Barbados<\/option><option value='Belgi\u00eb' >Belgi\u00eb<\/option><option value='Belize' >Belize<\/option><option value='Benin' >Benin<\/option><option value='Bermuda' >Bermuda<\/option><option value='Bhutan' >Bhutan<\/option><option value='Bolivia' >Bolivia<\/option><option value='Bonaire, Sint Eustatius en Saba' >Bonaire, Sint Eustatius en Saba<\/option><option value='Bosni\u00eb en Herzegovina' >Bosni\u00eb en Herzegovina<\/option><option value='Botswana' >Botswana<\/option><option value='Bouvet eiland' >Bouvet eiland<\/option><option value='Brazili\u00eb' >Brazili\u00eb<\/option><option value='Brits-Indisch oceaan gebied' >Brits-Indisch oceaan gebied<\/option><option value='Britse Maagdeneilanden' >Britse Maagdeneilanden<\/option><option value='Brunei Darussalam' >Brunei Darussalam<\/option><option value='Bulgarije' >Bulgarije<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cambodja' >Cambodja<\/option><option value='Canada' >Canada<\/option><option value='Centraal-Afrikaanse Republiek' >Centraal-Afrikaanse Republiek<\/option><option value='Chili' >Chili<\/option><option value='China' >China<\/option><option value='Cocoseilanden' >Cocoseilanden<\/option><option value='Colombia' >Colombia<\/option><option value='Comoren' >Comoren<\/option><option value='Congo' >Congo<\/option><option value='Congo, Democratische Republiek' >Congo, Democratische Republiek<\/option><option value='Cook eilanden' >Cook eilanden<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Cyprus' >Cyprus<\/option><option value='Denemarken' >Denemarken<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominica' >Dominica<\/option><option value='Dominicaanse Republiek' >Dominicaanse Republiek<\/option><option value='Duitsland' >Duitsland<\/option><option value='Ecuador' >Ecuador<\/option><option value='Egypte' >Egypte<\/option><option value='El Salvador' >El Salvador<\/option><option value='Equatoriaal-Guinea' >Equatoriaal-Guinea<\/option><option value='Eritrea' >Eritrea<\/option><option value='Estland' >Estland<\/option><option value='Eswatini' >Eswatini<\/option><option value='Ethiopi\u00eb' >Ethiopi\u00eb<\/option><option value='Faer\u00f6er' >Faer\u00f6er<\/option><option value='Falkland eilanden' >Falkland eilanden<\/option><option value='Fiji' >Fiji<\/option><option value='Filipijnen' >Filipijnen<\/option><option value='Finland' >Finland<\/option><option value='Frankrijk' >Frankrijk<\/option><option value='Frans Guyana' >Frans Guyana<\/option><option value='Frans-Polynesi\u00eb' >Frans-Polynesi\u00eb<\/option><option value='Franse zuidelijke gebieden' >Franse zuidelijke gebieden<\/option><option value='Gabon' >Gabon<\/option><option value='Gambia' >Gambia<\/option><option value='Georgi\u00eb' >Georgi\u00eb<\/option><option value='Ghana' >Ghana<\/option><option value='Gibraltar' >Gibraltar<\/option><option value='Grenada' >Grenada<\/option><option value='Griekenland' >Griekenland<\/option><option value='Groenland' >Groenland<\/option><option value='Guadeloupe' >Guadeloupe<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guernsey' >Guernsey<\/option><option value='Guinee' >Guinee<\/option><option value='Guinee-Bissau' >Guinee-Bissau<\/option><option value='Guyana' >Guyana<\/option><option value='Ha\u00efti' >Ha\u00efti<\/option><option value='Heard Eiland en McDonald Eilanden' >Heard Eiland en McDonald Eilanden<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hongarije' >Hongarije<\/option><option value='IJsland' >IJsland<\/option><option value='Ierland' >Ierland<\/option><option value='India' >India<\/option><option value='Indonesi\u00eb' >Indonesi\u00eb<\/option><option value='Irak' >Irak<\/option><option value='Iran' >Iran<\/option><option value='Isra\u00ebl' >Isra\u00ebl<\/option><option value='Itali\u00eb' >Itali\u00eb<\/option><option value='Ivoorkust' >Ivoorkust<\/option><option value='Jamaica' >Jamaica<\/option><option value='Japan' >Japan<\/option><option value='Jersey' >Jersey<\/option><option value='Ji\u017en\u00ed Georgie a Ji\u017en\u00ed Sandwichovy ostrovy' >Ji\u017en\u00ed Georgie a Ji\u017en\u00ed Sandwichovy ostrovy<\/option><option value='Jordani\u00eb' >Jordani\u00eb<\/option><option value='Kaaimaneilanden' >Kaaimaneilanden<\/option><option value='Kaapverdi\u00eb' >Kaapverdi\u00eb<\/option><option value='Kameroen' >Kameroen<\/option><option value='Kazachstan' >Kazachstan<\/option><option value='Kenia' >Kenia<\/option><option value='Kersteiland' >Kersteiland<\/option><option value='Kirgizi\u00eb' >Kirgizi\u00eb<\/option><option value='Kiribati' >Kiribati<\/option><option value='Kleine eilanden van de Verenigde Staten' >Kleine eilanden van de Verenigde Staten<\/option><option value='Koeweit' >Koeweit<\/option><option value='Korea, Democratische Volksrepubliek' >Korea, Democratische Volksrepubliek<\/option><option value='Korea, Republiek van' >Korea, Republiek van<\/option><option value='Kroati\u00eb' >Kroati\u00eb<\/option><option value='Lao Democratische Volksrepubliek' >Lao Democratische Volksrepubliek<\/option><option value='Lesotho' >Lesotho<\/option><option value='Letland' >Letland<\/option><option value='Libanon' >Libanon<\/option><option value='Liberia' >Liberia<\/option><option value='Libi\u00eb' >Libi\u00eb<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Litouwen' >Litouwen<\/option><option value='Luxemburg' >Luxemburg<\/option><option value='Macau' >Macau<\/option><option value='Madagaskar' >Madagaskar<\/option><option value='Malawi' >Malawi<\/option><option value='Maldiven' >Maldiven<\/option><option value='Maleisi\u00eb' >Maleisi\u00eb<\/option><option value='Mali' >Mali<\/option><option value='Malta' >Malta<\/option><option value='Man' >Man<\/option><option value='Marokko' >Marokko<\/option><option value='Marshalleilanden' >Marshalleilanden<\/option><option value='Martinique' >Martinique<\/option><option value='Mauritani\u00eb' >Mauritani\u00eb<\/option><option value='Mauritius' >Mauritius<\/option><option value='Mayotte' >Mayotte<\/option><option value='Mexico' >Mexico<\/option><option value='Micronesia' >Micronesia<\/option><option value='Moldavi\u00eb' >Moldavi\u00eb<\/option><option value='Monaco' >Monaco<\/option><option value='Mongoli\u00eb' >Mongoli\u00eb<\/option><option value='Montenegro' >Montenegro<\/option><option value='Montserrat' >Montserrat<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibi\u00eb' >Namibi\u00eb<\/option><option value='Nauru' >Nauru<\/option><option value='Nederland' >Nederland<\/option><option value='Nepal' >Nepal<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Nieuw-Caledoni\u00eb' >Nieuw-Caledoni\u00eb<\/option><option value='Nieuw-Zeeland' >Nieuw-Zeeland<\/option><option value='Niger' >Niger<\/option><option value='Nigeria' >Nigeria<\/option><option value='Niue' >Niue<\/option><option value='Noord-Macedoni\u00eb' >Noord-Macedoni\u00eb<\/option><option value='Noordelijke Marianen' >Noordelijke Marianen<\/option><option value='Noorwegen' >Noorwegen<\/option><option value='Norfolk eiland' >Norfolk eiland<\/option><option value='Oeganda' >Oeganda<\/option><option value='Oekra\u00efne' >Oekra\u00efne<\/option><option value='Oezbekistan' >Oezbekistan<\/option><option value='Oman' >Oman<\/option><option value='Oostenrijk' >Oostenrijk<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='Palestina, Staat' >Palestina, Staat<\/option><option value='Panama' >Panama<\/option><option value='Papoea-Nieuw-Guinea' >Papoea-Nieuw-Guinea<\/option><option value='Paraguay' >Paraguay<\/option><option value='Peru' >Peru<\/option><option value='Pitcairn' >Pitcairn<\/option><option value='Polen' >Polen<\/option><option value='Portugal' >Portugal<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Roemeni\u00eb' >Roemeni\u00eb<\/option><option value='Russische Federatie' >Russische Federatie<\/option><option value='Rwanda' >Rwanda<\/option><option value='R\u00e9union' >R\u00e9union<\/option><option value='Saint Barth\u00e9lemy' >Saint Barth\u00e9lemy<\/option><option value='Saint Kitts en Nevis' >Saint Kitts en Nevis<\/option><option value='Saint Lucia' >Saint Lucia<\/option><option value='Saint Pierre en Miquelon' >Saint Pierre en Miquelon<\/option><option value='Saint Vincent en de Grenadines' >Saint Vincent en de Grenadines<\/option><option value='Salomonseilanden' >Salomonseilanden<\/option><option value='Samoa' >Samoa<\/option><option value='San Marino' >San Marino<\/option><option value='Sao Tom\u00e9 en Principe' >Sao Tom\u00e9 en Principe<\/option><option value='Saoedi-Arabi\u00eb' >Saoedi-Arabi\u00eb<\/option><option value='Senegal' >Senegal<\/option><option value='Servi\u00eb' >Servi\u00eb<\/option><option value='Seychellen' >Seychellen<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapore' >Singapore<\/option><option value='Sint Maarten' >Sint Maarten<\/option><option value='Sint Maarten' >Sint Maarten<\/option><option value='Sint-Helena, Hemelvaart en Tristan da Cunha' >Sint-Helena, Hemelvaart en Tristan da Cunha<\/option><option value='Sloveni\u00eb' >Sloveni\u00eb<\/option><option value='Slowakije' >Slowakije<\/option><option value='Soedan' >Soedan<\/option><option value='Somali\u00eb' >Somali\u00eb<\/option><option value='Spanje' >Spanje<\/option><option value='Spitsbergen en Jan Mayen' >Spitsbergen en Jan Mayen<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Suriname' >Suriname<\/option><option value='Tadzjikistan' >Tadzjikistan<\/option><option value='Taiwan' >Taiwan<\/option><option value='Tanzania, de Verenigde Republiek van' >Tanzania, de Verenigde Republiek van<\/option><option value='Thailand' >Thailand<\/option><option value='Timor-Leste' >Timor-Leste<\/option><option value='Togo' >Togo<\/option><option value='Tokelau' >Tokelau<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad en Tobago' >Trinidad en Tobago<\/option><option value='Tsjaad' >Tsjaad<\/option><option value='Tsjechi\u00eb' >Tsjechi\u00eb<\/option><option value='Tunesi\u00eb' >Tunesi\u00eb<\/option><option value='Turkije' >Turkije<\/option><option value='Turkmenistan' >Turkmenistan<\/option><option value='Turks- en Caicoseilanden' >Turks- en Caicoseilanden<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='Uruguay' >Uruguay<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Vaticaanstad' >Vaticaanstad<\/option><option value='Venezuela' >Venezuela<\/option><option value='Verenigd Koninkrijk' >Verenigd Koninkrijk<\/option><option value='Verenigde Arabische Emiraten' >Verenigde Arabische Emiraten<\/option><option value='Verenigde Staten' >Verenigde Staten<\/option><option value='Vietnam' >Vietnam<\/option><option value='Wallis en Futuna' >Wallis en Futuna<\/option><option value='Westelijke Sahara' >Westelijke Sahara<\/option><option value='Wit-Rusland' >Wit-Rusland<\/option><option value='Yemen' >Yemen<\/option><option value='Zambia' >Zambia<\/option><option value='Zimbabwe' >Zimbabwe<\/option><option value='Zuid Soedan' >Zuid Soedan<\/option><option value='Zuid-Afrika' >Zuid-Afrika<\/option><option value='Zweden' >Zweden<\/option><option value='Zwitserland' >Zwitserland<\/option><\/select>\n                                        <label for='input_6_60_6' id='input_6_60_6_label' class='gform-field-label gform-field-label--type-sub '>Land<\/label>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                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