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Inschrijfformulier
Voordat u bij mij op afspraak komt in de praktijk verzoek ik u vriendelijk onderstaand formulier zo compleet mogelijk in te vullen.
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Zoja welke?” fullwidth_field=”on” _builder_version=”3.0.105″ border_radii=”on||||”][/et_pb_contact_field][et_pb_contact_field field_id=”Vragen” field_title=”Vragen / opmerkingen” field_type=”text” fullwidth_field=”on” _builder_version=”3.0.105″ border_radii=”on||||”][/et_pb_contact_field][/et_pb_contact_form][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built=”1″ background_color=”rgba(184,209,156,0.98)” module_class=”spa spa8″ _builder_version=”3.0.95″ parallax=”on” parallax_method=”off” custom_padding=”0px|0px|0px|0px” custom_css_main_element=”overflow: hidden;” transparent_background=”off”][et_pb_row custom_padding=”0px|0px|0px|0px” _builder_version=”3.0.95″ background_size=”initial” background_position=”top_left” background_repeat=”repeat”][et_pb_column type=”4_4″ _builder_version=”3.0.47″ parallax=”off” parallax_method=”on”][et_pb_image src=”https://acupunctuurpraktijktao.nl/wp-content/uploads/2018/01/flower-1.png” align=”center” _builder_version=”3.0.47″ custom_margin=”20px|||” animation_style=”slide” animation_direction=”top” animation_duration=”500ms” animation_intensity_slide=”10%” use_border_color=”off” border_color=”#ffffff” border_style=”solid” animation=”top” sticky=”off”][/et_pb_image][et_pb_blurb title=”Pijnvrij paard en mens dat is mijn doel !” icon_color=”#000000″ background_layout=”dark” _builder_version=”3.0.95″ header_font=”Open Sans|on||on|” header_font_size=”24″ header_text_color=”#ffffff” body_font=”Open Sans||||” body_font_size=”18″ body_text_color=”#ffffff” background_size=”initial” background_position=”top_left” background_repeat=”repeat” text_orientation=”center” custom_margin=”4vw||4vw|” custom_margin_tablet=”6%||6%|” custom_margin_last_edited=”on|phone” custom_css_blurb_title=”padding-bottom:20px !important;” custom_css_blurb_content=”line-height: 150% !important;” use_border_color=”off” border_color=”#ffffff” border_style=”solid”][/et_pb_blurb][/et_pb_column][/et_pb_row][/et_pb_section]