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<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Strict//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-strict.dtd">
<html xmlns="http://www.w3.org/1999/xhtml" xml:lang="nl" lang="nl">
<head>
<meta http-equiv="content-type" content="text/html; charset=utf-8" />
<title>Content (formulier) | Starters Kit</title>
<meta name="description" content="" />
<meta name="keywords" content="" />
<meta name="distribution" content="global" />
<meta name="robots" content="index, follow" />
<meta name="language" content="nl" />
<link rel="stylesheet" href="css/screen.css" type="text/css" media="screen" />
<!--[if IE 8]><link rel="stylesheet" href="css/ie/ie8.css" type="text/css" media="screen" /><![endif]-->
<!--[if lte IE 7]><link rel="stylesheet" href="css/ie/ie7.css" type="text/css" media="screen" /><![endif]-->
<!--[if lte IE 6]><link rel="stylesheet" href="css/ie/ie6.css" type="text/css" media="screen" /><![endif]-->
<link rel="stylesheet" href="css/print.css" type="text/css" media="print" />
<link rel="shortcut icon" href="/favicon.ico" type="image/x-icon" />
</head>
<body id="content">
<div class="container moss_green">
<ul class="skiplink">
<li>Ga direct naar: <a href="#hoofd_content" title="Direct naar de inhoud">inhoud</a>, <a href="#subnavigatie" title="Direct naar de subnavigatie">subnavigatie</a>, <a href="#service_menu" title="Direct naar het service menu">service menu</a>, <a href="#zoeken" title="Direct naar zoeken">zoeken</a></li>
</ul>
<div class="header">
<span></span>
<div class="branding"><a href="#" title="Ga naar Ministerie van Algemenen Zaken homepagina"><img src="logos/RO_AZ_Logo_Homepage.png" alt="Ministerie van Algemenen Zaken" height="87" width="500" /></a></div>
<div class="nav_bar">
<ul class="nav_main">
<li><a href="#" title="Home">Home</a></li>
<li><a href="#" title="Reprehenderit">Reprehenderit</a></li>
<li><a href="#" title="Fugiat nulla">Fugiat nulla</a></li>
<li class="sel"><a href="#" title="Voluptate">Voluptate</a></li>
<li><a href="#" title="Fugiat">Fugiat</a></li>
<li><a href="#" title="Velit esse">Velit esse</a></li>
<li><a href="#" title="Dolore">Dolore</a></li>
</ul>
<div class="search">
<form method="post" action="#" id="zoeken">
<fieldset>
<legend>Zoeken</legend>
<ol>
<li>
<label for="zoekterm">Zoekterm</label>
<input type="text" class="text" name="zoekterm" id="zoekterm" />
<input type="submit" name="submit" value="zoek" class="submit" />
</li>
</ol>
</fieldset>
</form>
<ul>
<li class="advanced_search"><a href="#" title="Uitgebreid zoeken">Uitgebreid zoeken</a></li>
<li class="sitemap"><a href="#" title="Sitemap">Sitemap</a></li>
</ul>
</div>
</div>
</div>
<div class="content_wrapper1"><div class="content_wrapper2">
<div class="content">
<!-- START : CONTENT -->
<div class="breadcrumb">
<p>
<em>U bevindt zich op: </em>
<span><a href="#" title="Homepagina">Home</a> <span class="imgreplacement">›</span></span>
<span><a href="#" title="Voluptate">Voluptate</a> <span class="imgreplacement">›</span></span>
Formulier h1
</p>
</div>
<div class="content_main" id="hoofd_content">
<h1>Formulier h1</h1>
<p class="intro">Dit is een <em>intro</em> paragraaf. Duis aute irure dolor in reprehenderit in voluptate velit esse cillum dolore eu fugiat nulla pariatur. Excepteur sint occaecat cupidatat non proident, sunt in culpa qui <a href="#" title="officia deserunt">officia deserunt</a> mollit anim id est laborum.</p>
<form method="post" action="#" id="steljevraag" class="form_ll">
<p class="mandatory">Verplichte velden zijn gemarkeerd met een <em title="verplicht veld">*</em></p>
<fieldset>
<legend>Stel uw vraag</legend>
<ol>
<li>
<label for="onderwerp">Onderwerp <em title="verplicht veld">*</em></label>
<input type="text" class="text" name="onderwerp" id="onderwerp" />
</li>
<li>
<label for="bericht">Bericht <em title="verplicht veld">*</em></label>
<input type="text" class="text" name="bericht" id="bericht" />
</li>
</ol>
</fieldset>
<fieldset>
<legend>Uw persoonsgegevens</legend>
<ol>
<li>
<fieldset>
<legend>Aanspreekvorm <em title="verplicht veld">*</em></legend>
<label><input type="radio" class="radio" name="aanspreekvorm" value="Mevrouw" /> Mevrouw</label>
<label><input type="radio" class="radio" name="aanspreekvorm" value="De heer" /> De heer</label>
</fieldset>
</li>
<li>
<label for="naam">Naam <em title="verplicht veld">*</em></label>
<input type="text" class="text" name="naam" id="naam" />
</li>
<li>
<label for="achternaam">Achternaam <em title="verplicht veld">*</em></label>
<input type="text" class="text" name="achternaam" id="achternaam" />
</li>
<li>
<label for="gbd">Geboortedatum <em class="sr">(dag)</em> <em title="verplicht veld">*</em></label>
<select id="gbd">
<option value="1">1</option>
<option value="2">2</option>
</select>
<label for="gbd-m" class="sr">Geboortedatum (maand) <em title="verplicht veld">*</em></label>
<select id="gbd-m">
<option value="1">Jan</option>
<option value="2">Feb</option>
</select>
<label for="gbd-j" class="sr">Geboortedatum (jaar) <em title="verplicht veld">*</em></label>
<select id="gbd-j">
<option value="1979">1979</option>
<option value="1980">1980</option>
</select>
</li>
<li>
<label for="organisatie">Organisatie</label>
<input type="text" class="text" name="organisatie" id="organisatie"/>
</li>
<li>
<label for="straat">Straat</label>
<input type="text" class="text" name="straat" id="straat" />
</li>
<li>
<label for="huisnummer">Huisnummer</label>
<input type="text" class="text" name="huisnummer" id="huisnummer" />
</li>
<li>
<label for="postcode">Postcode</label>
<input type="text" class="text" name="postcode" id="postcode" />
</li>
<li>
<label for="woonplaats">Woonplaats</label>
<input type="text" class="text" name="woonplaats" id="woonplaats" />
</li>
<li>
<label for="land">Land</label>
<input type="text" class="text" name="land" id="land" />
</li>
<li>
<label for="email">E-mailadres <em title="verplicht veld">*</em></label>
<input type="text" class="text email" name="email" id="email" />
</li>
<li>
<label for="telefoon">Telefoonnummer</label>
<input type="text" class="text" name="telefoon" id="telefoon" />
</li>
<li>
<fieldset>
<legend>Sporten die u actief beoefent <em title="verplicht veld">*</em></legend>
<label><input type="checkbox" class="checkbox" name="sporten" value="Voetballen" /> Voetballen</label>
<label><input type="checkbox" class="checkbox" name="sporten" value="Zwemmen" /> Zwemmen</label>
<label><input type="checkbox" class="checkbox" name="sporten" value="Volleyball" /> Volleyball</label>
<label><input type="checkbox" class="checkbox" name="sporten" value="Paardrijden" /> Paardrijden</label>
</fieldset>
</li>
<li>
<label for="opmerkingen">Opmerkingen</label>
<textarea id="opmerkingen" rows="7" cols="37"></textarea>
</li>
<li>
<p>Uw persoonsgegevens worden alleen gebruikt voor het beantwoorden van de door u gestelde vraag. Ze worden niet langer bewaard dan voor dat doel nodig is. U kunt dit nalezen in onze <a href="#" title="privacyverklaring">privacyverklaring</a>.</p>
</li>
</ol>
</fieldset>
<p><input type="submit" name="submit" value="Versturen" class="submit" /></p>
</form>
</div>
<div class="content_add">
<h2>Header h2</h2>
<p>Pellentesque habitant morbi tristique senectus et netus et malesuada fames ac turpis egestas.</p>
</div>
<div class="nav_sub" id="subnavigatie">
<h3>Subnavigatie</h3>
<ul>
<li class="first"><a href="#" title="Level 0.1">Level 0.1</a></li> <!-- class="first" is necessary for a rendering bug in IE6 -->
<li><a href="#" title="Level 0.2">Level 0.2</a></li>
<li class="active"><a href="#" title="Formulier h1 (level 0.3)">Formulier h1 (level 0.3)</a></li>
<li><a href="#" title="Level 0.4">Level 0.4</a></li>
</ul>
</div>
<!-- END : CONTENT -->
</div>
</div></div>
<div class="func_links" id="service_menu">
<h3>Service menu</h3>
<ul class="right">
<li><a href="#" title="">Registreren</a></li>
<li><a href="#" title="">Inloggen</a></li>
<li><a href="#" title="">Hulp nodig?</a></li>
</ul>
<ul class="left">
<li><a href="#" title="Abonneer op de RSS nieuws feed" class="rss">RSS nieuws feed</a></li>
</ul>
</div>
<div class="footer">
<div class="ref"><img src="logos/RO_footer.png" alt="" height="25" width="500" /></div>
<span></span>
</div>
</div>
</body>
</html>