document.write('<link rel="stylesheet" href="http://mix.divide.nl/css/frm_standard.css" type="text/css"/>');function validateMixForm(f){return ( checkMixString(f.voornaam,'Voornaam') &&  checkMixString(f.achternaam,'Achternaam') &&  checkMixRadioButton(f.Aanhef,'Aanhef') &&  checkMixString(f.email,'E-mailadres') && isMixEmail(f.email,'E-mailadres'))}function sendMixForm(){if(validateMixForm(document.frmDivideMix)){document.frmDivideMix.submit();}else{return false;};}document.write('<form action="http://mix.divide.nl/post/default.asp" onSubmit="sendMixForm();" method="POST" name="frmDivideMix" id="frmDivideMix"><input type="hidden" name="formcode" value="5Q90VVSO"><table><tr><th class="voornaam required">Voornaam</th><td><input type="text" class="text voornaam required" name="voornaam"><span class="required">*</span><tr><th class="achternaam required">Achternaam</th><td><input type="text" class="text achternaam required" name="achternaam"><span class="required">*</span><tr><th class="Aanhef required">Aanhef<span class="required">*</span></th><td><ul class="Aanhef required"><li class="m"><input type="radio" class="radio" id="m" name="Aanhef" value="m"> <label for="m">Geachte heer</label></li><li class="f"><input type="radio" class="radio" id="f" name="Aanhef" value="f"> <label for="f">Geachte mevrouw</label></li><li class="o"><input type="radio" class="radio" id="o" name="Aanhef" value="o"> <label for="o">Geachte heer/mevrouw</label></li></ul></td><tr><th class="email required">E-mailadres</th><td><input type="text" class="text email required" name="email"><span class="required">*</span><tr><th class="interessegebieden">Ik ben geinteresseerd in:</th><td><ul class="interessegebieden"><li class="auto"><input type="checkbox" class="checkbox" id="auto" name="interessegebieden" value="auto"><label for="auto">Auto</label></li><li class="motor"><input type="checkbox" class="checkbox" id="motor" name="interessegebieden" value="motor"><label for="motor">Motor</label></li><li class="Transport"><input type="checkbox" class="checkbox" id="Transport" name="interessegebieden" value="Transport"><label for="Transport">Transport</label></li><li class="logistiek"><input type="checkbox" class="checkbox" id="logistiek" name="interessegebieden" value="logistiek"><label for="logistiek">Logistiek</label></li><li class="Antislip cursus"><input type="checkbox" class="checkbox" id="Antislip cursus" name="interessegebieden" value="Antislip cursus"><label for="Antislip cursus">Antislip cursus</label></li><li class="Bedrijfsuitjes"><input type="checkbox" class="checkbox" id="Bedrijfsuitjes" name="interessegebieden" value="Bedrijfsuitjes"><label for="Bedrijfsuitjes">Bedrijfsuitjes</label></li></ul></td><tr><th>&nbsp;</th><td><button type="button" onclick="sendMixForm();" class="button">Aanmelden</button></td></tr></table></form>');
