{"id":11139,"date":"2024-04-30T10:57:05","date_gmt":"2024-04-30T08:57:05","guid":{"rendered":"https:\/\/www.portbase.com\/change-details\/"},"modified":"2026-03-26T13:43:00","modified_gmt":"2026-03-26T12:43:00","slug":"change-details","status":"publish","type":"page","link":"https:\/\/www.portbase.com\/en\/change-details\/","title":{"rendered":"Change details"},"content":{"rendered":"\n<div class=\"wp-block-group alignfull is-layout-constrained wp-block-group-is-layout-constrained\" style=\"padding-top:0\">\n<div class=\"wp-block-cover alignwide is-light has-dark-blue-color has-text-color has-link-color wp-elements-42dd4778daef3b81c0219af6d9641178\" style=\"min-height:45vh;aspect-ratio:unset;\"><img decoding=\"async\" width=\"1824\" height=\"869\" class=\"wp-block-cover__image-background wp-image-9542\" alt=\"\" src=\"https:\/\/www.portbase.com\/wp-content\/uploads\/2024\/05\/Contact-2.jpg\" style=\"object-position:48% 100%\" data-object-fit=\"cover\" data-object-position=\"48% 100%\" srcset=\"https:\/\/www.portbase.com\/wp-content\/uploads\/2024\/05\/Contact-2.jpg 1824w, https:\/\/www.portbase.com\/wp-content\/uploads\/2024\/05\/Contact-2-300x143.jpg 300w, https:\/\/www.portbase.com\/wp-content\/uploads\/2024\/05\/Contact-2-1024x488.jpg 1024w, https:\/\/www.portbase.com\/wp-content\/uploads\/2024\/05\/Contact-2-768x366.jpg 768w, https:\/\/www.portbase.com\/wp-content\/uploads\/2024\/05\/Contact-2-1536x732.jpg 1536w\" sizes=\"(max-width: 1824px) 100vw, 1824px\" \/><span aria-hidden=\"true\" class=\"wp-block-cover__background has-white-background-color has-background-dim-20 has-background-dim\"><\/span><div class=\"wp-block-cover__inner-container is-layout-constrained wp-container-core-cover-is-layout-18af65a0 wp-block-cover-is-layout-constrained\">\n<h1 class=\"wp-block-heading alignwide has-text-align-center\" style=\"margin-top:var(--wp--preset--spacing--90);margin-bottom:var(--wp--preset--spacing--90);font-size:clamp(25.984px, 1.624rem + ((1vw - 3.2px) * 1.408), 44px);\">Easily update your <br><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-orange-color\">company information <\/mark><\/h1>\n<\/div><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-sowmedia-tabbladnavigatie alignfull wp-block-sowmedia-tabbladnavigatie\" id=\"sowmedia-tabnavigatie\">\n    <nav class=\"no-wrap is-fallback alignfull wp-block-navigation is-nowrap is-layout-flex wp-container-core-navigation-layout-1 wp-block-navigation-is-layout-flex\">\n        <ul class=\"wp-block-navigation__container  no-wrap is-fallback alignfull wp-block-navigation\"><li class=\"wp-block-navigation-item\" ><a href=\"https:\/\/www.portbase.com\/en\/contact\/\">Contact <\/a><\/li><li class=\"wp-block-navigation-item current-menu-item\" >Change details<\/li><li class=\"wp-block-navigation-item\" ><a href=\"https:\/\/www.portbase.com\/en\/cancel-service\/\">Cancel my service subscription<\/a><\/li><\/ul>    <\/nav>\n<\/div>\n\n\n<div class=\"wp-block-group alignfull is-layout-constrained wp-container-core-group-is-layout-a7c27be1 wp-block-group-is-layout-constrained\">\n<div class=\"wp-block-columns alignwide is-layout-flex wp-container-core-columns-is-layout-28f84493 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-content-justification-left is-layout-constrained wp-container-core-column-is-layout-89582f14 wp-block-column-is-layout-constrained\"><script>\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 InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of 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0.65)'\/%3E%3C\/svg%3E\");--gf-label-space-y-secondary: var(--gf-label-space-y-md-secondary);--gf-ctrl-border-color: #686e77;--gf-ctrl-size: var(--gf-ctrl-size-md);--gf-ctrl-label-color-primary: #112337;--gf-ctrl-label-color-secondary: #112337;--gf-ctrl-choice-size: var(--gf-ctrl-choice-size-md);--gf-ctrl-checkbox-check-size: var(--gf-ctrl-checkbox-check-size-md);--gf-ctrl-radio-check-size: var(--gf-ctrl-radio-check-size-md);--gf-ctrl-btn-font-size: var(--gf-ctrl-btn-font-size-md);--gf-ctrl-btn-padding-x: var(--gf-ctrl-btn-padding-x-md);--gf-ctrl-btn-size: var(--gf-ctrl-btn-size-md);--gf-ctrl-btn-border-color-secondary: #686e77;--gf-ctrl-file-btn-bg-color-hover: #EBEBEB;--gf-field-img-choice-size: var(--gf-field-img-choice-size-md);--gf-field-img-choice-card-space: var(--gf-field-img-choice-card-space-md);--gf-field-img-choice-check-ind-size: var(--gf-field-img-choice-check-ind-size-md);--gf-field-img-choice-check-ind-icon-size: var(--gf-field-img-choice-check-ind-icon-size-md);--gf-field-pg-steps-number-color: rgba(17, 35, 55, 0.8);}<\/style>\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; indicates required fields<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_48' class='pb-wijzigingsformulier' action='\/en\/wp-json\/wp\/v2\/pages\/11139' data-formid='48' novalidate>\t\t\t\t\t<div style=\"display: none !important;\" class=\"akismet-fields-container gf_invisible\" data-prefix=\"ak_\">\n\t\t\t\t\t\t<label>&#916;<textarea name=\"ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label>\n\t\t\t\t\t\t<input type=\"hidden\" id=\"ak_js_1\" name=\"ak_js\" value=\"35\" \/>\n\t\t\t\t\t\t<script>\ndocument.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );\n<\/script>\n\n\t\t\t\t\t<\/div>\n                        <div class='gform-body gform_body'><div id='gform_fields_48' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_48_192\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3>Change form<\/h3>\n\n<p>Some details can be changed in IAMconnected by the main administrator from your organization. Assigning a new main administrator and changing the authorized representative goes through IAMconnected. You can change details such as company name and address through your local trade register. You can later retrieve these details in <a href=\"https:\/\/www.iamconnected.eu\/organizations\" target=\"_blank\">IAMconnected<\/a>. Other company details can be changed here. <\/p>\n<\/div><div id=\"field_48_88\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Contact details of the submitter<\/h3><\/div><div id=\"field_48_90\" class=\"gfield gfield--type-text gfield--input-type-text gf_left_half gfield--width-half 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_48_90'>Company name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_90' id='input_48_90' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_48_91\" class=\"gfield gfield--type-name gfield--input-type-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' >Contact person<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_48_91'>\n                            \n                            <span id='input_48_91_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_91.3' id='input_48_91_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_48_91_3' class='gform-field-label gform-field-label--type-sub '>First name<\/label>\n                                                <\/span>\n                            \n                            <span id='input_48_91_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_91.6' id='input_48_91_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_48_91_6' class='gform-field-label gform-field-label--type-sub '>Last name \/ Surname<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_48_149\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-full 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_48_149'>Email address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_149' id='input_48_149' type='email' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_48_148\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-full 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_48_148'>Phone number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_148' id='input_48_148' type='tel' value='' class='small'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_48_89\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox 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' >What information would you like to change?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_48_89'><div class='gchoice gchoice_48_89_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_89.1' type='checkbox'  value='Algemene bedrijfsgegevens'  id='choice_48_89_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_48_89_1' id='label_48_89_1' class='gform-field-label gform-field-label--type-inline'>General company information<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_48_89_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_89.2' type='checkbox'  value='Financi\u00eble bedrijfsgegevens'  id='choice_48_89_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_48_89_2' id='label_48_89_2' class='gform-field-label gform-field-label--type-inline'>Financial company information<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_48_89_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_89.3' type='checkbox'  value='Hoofdbeheerder'  id='choice_48_89_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_48_89_3' id='label_48_89_3' class='gform-field-label gform-field-label--type-inline'>Main administrator<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_48_89_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_89.4' type='checkbox'  value='Gegevens softwarepartner'  id='choice_48_89_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_48_89_4' id='label_48_89_4' class='gform-field-label gform-field-label--type-inline'>Software partner information<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_48_89_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_89.5' type='checkbox'  value='Extra webhook aanvragen voor Cargo Controller API'  id='choice_48_89_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_48_89_5' id='label_48_89_5' class='gform-field-label gform-field-label--type-inline'>Request additional webhook for Cargo Controller API<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_48_89_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_89.6' type='checkbox'  value='Anders'  id='choice_48_89_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_48_89_6' id='label_48_89_6' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_48_94\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">General company information<\/h3><\/div><div id=\"field_48_154\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><p>Enter the new general company information here:<\/p>\n<br>\n\n<style> \n    .info-block { \n        display: flex; \n        align-items: center; \n        background-color: #002855; \n        color: #FFFFFF; \n        padding: 10px 20px; \n        border-radius: 5px; \n        font-family: Arial, sans-serif; \n    } \n\n    .info-icon { \n        display: flex; \n        justify-content: center; \n        align-items: center; \n        width: 20px;  \n        height: 20px;  \n        aspect-ratio: 1 \/ 1; \n        background-color: #FF6600;  \n        border-radius: 50%;  \n        margin-right: 10px; \n        font-size: 14px; \/* Kleinere tekstgrootte voor een beter passende \"!\" *\/\n        color: #002855;  \n        font-weight: bold; \n        line-height: 1; \n    } \n\n    .info-text { \n        color: #FFFFFF; \n        font-weight: normal;\n\n    }\n\n    .info-text a { \n        color: #FFFFFF; \n        text-decoration: none; \n        font-weight: bold;\n    } \n\n    .info-text a:hover { \n        text-decoration: underline; \n    } \n<\/style> \n\n<div class=\"info-block\"> \n    <div class=\"info-icon\">!<\/div> \n    <div class=\"info-text\"> \n        You can change details such as company name and address through your local trade register. You can retrieve these details in \n        <a href=\"https:\/\/www.iamconnected.eu\/organizations\" target=\"_blank\">IAMconnected<\/a>, making them known to us.\u00a0 \n    <\/div> \n<\/div>\n<\/div><div id=\"field_48_12\" class=\"gfield gfield--type-phone gfield--input-type-phone gf_left_half gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_48_12'>General phone number<\/label><div class='ginput_container ginput_container_phone'><input name='input_12' id='input_48_12' type='tel' value='' class='medium'    aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_48_18\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-full gf_left_half gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_48_18'>General  email address<\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_18' id='input_48_18' type='email' value='' class='medium'     aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_48_85\" class=\"gfield gfield--type-text gfield--input-type-text gf_left_half gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_48_85'>Company website<\/label><div class='ginput_container ginput_container_text'><input name='input_85' id='input_48_85' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_48_22\" class=\"gfield gfield--type-text gfield--input-type-text gf_left_half gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_48_22'>EAN<\/label><div class='ginput_container ginput_container_text'><input name='input_22' id='input_48_22' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_48_29\" class=\"gfield gfield--type-text gfield--input-type-text pb-form-new field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_48_29'>EORI<\/label><div class='ginput_container ginput_container_text'><input name='input_29' id='input_48_29' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_48_157\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full pb-form-new field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_48_157'>Port Authority ID<\/label><div class='ginput_container ginput_container_text'><input name='input_157' id='input_48_157' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_48_136\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Financial company information<\/h3><\/div><div id=\"field_48_158\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><p> Enter the new financial company information here:<\/p><\/div><div id=\"field_48_83\" class=\"gfield gfield--type-text gfield--input-type-text pb-form-new field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_48_83'>VAT number<\/label><div class='ginput_container ginput_container_text'><input name='input_83' id='input_48_83' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_48_160\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full pb-form-new field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_48_160'>Bank name<\/label><div class='ginput_container ginput_container_text'><input name='input_160' id='input_48_160' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_48_159\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full pb-form-new field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_48_159'>IBAN<\/label><div class='ginput_container ginput_container_text'><input name='input_159' id='input_48_159' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_48_193\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_48_193'>Upload your bank statement here (required if you change your IBAN)<\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='67108864' \/><input name='input_193' id='input_48_193' type='file' class='medium' aria-describedby=\"gfield_upload_rules_48_193\" onchange='javascript:gformValidateFileSize( this, 67108864 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_48_193'>Max. file size: 64 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_48_193'><\/div> <\/div><\/div><div id=\"field_48_161\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full pb-form-new field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_48_161'>BIC<\/label><div class='ginput_container ginput_container_text'><input name='input_161' id='input_48_161' type='text' value='' class='small'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_48_163\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-full 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' >Financial contact person<\/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_48_163'>\n                            \n                            <span id='input_48_163_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_163.3' id='input_48_163_3' value=''   aria-required='false'     \/>\n                                                    <label for='input_48_163_3' class='gform-field-label gform-field-label--type-sub '>First name<\/label>\n                                                <\/span>\n                            \n                            <span id='input_48_163_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_163.6' id='input_48_163_6' value=''   aria-required='false'     \/>\n                                                    <label for='input_48_163_6' class='gform-field-label gform-field-label--type-sub '>Last name \/ Surname<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_48_169\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_48_169'>Invoicing email address<\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_169' id='input_48_169' type='email' value='' class='medium'     aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_48_168\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_48_168'>Phone number<\/label><div class='ginput_container ginput_container_phone'><input name='input_168' id='input_48_168' type='tel' value='' class='small'    aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_48_77\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Main administrator<\/h3><\/div><div id=\"field_48_191\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><p>Enter the new main administrator details here:<\/p>\n<br>\n\n<style> \n    .info-block { \n        display: flex; \n        align-items: center; \n        background-color: #002855; \n        color: #FFFFFF; \n        padding: 10px 20px; \n        border-radius: 5px; \n        font-family: Arial, sans-serif; \n    } \n\n    .info-icon { \n        display: flex; \n        justify-content: center; \n        align-items: center; \n        width: 25px;  \n        height: 25px;  \n        aspect-ratio: 1 \/ 1; \n        background-color: #FF6600;  \n        border-radius: 50%;  \n        margin-right: 10px; \n        font-size: 16px; \/* Kleinere tekstgrootte voor een beter passende \"!\" *\/\n        color: #002855;  \n        font-weight: bold; \n        line-height: 1; \n    } \n\n    .info-text { \n        color: #FFFFFF; \n        font-weight: normal;\n    }\n\n    .info-text a { \n        color: #FFFFFF; \n        text-decoration: none; \n        font-weight: bold;\n    } \n\n    .info-text a:hover { \n        text-decoration: underline; \n    }  \n    <\/style> \n\n    <div class=\"info-block\"> \n\n        <div class=\"info-icon\">!<\/div> \n\n        <div class=\"info-text\"> \n\n            Use this form when the current main administrator is inactive. The current main administrator can promote another person to main administrator in <a href=\"https:\/\/www.iamconnected.eu\/organizations\" target=\"_blank\">IAMconnected<\/a>. \n    <\/div> \n<\/div>\n<\/div><fieldset id=\"field_48_16\" class=\"gfield gfield--type-name gfield--input-type-name gf_left_half gfield--width-half 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' >Contact person<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_48_16'>\n                            \n                            <span id='input_48_16_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_16.3' id='input_48_16_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_48_16_3' class='gform-field-label gform-field-label--type-sub '>First name<\/label>\n                                                <\/span>\n                            \n                            <span id='input_48_16_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_16.6' id='input_48_16_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_48_16_6' class='gform-field-label gform-field-label--type-sub '>Last name \/ Surname<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_48_53\" class=\"gfield gfield--type-email gfield--input-type-email gf_left_half gfield--width-half 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_48_53'>Email address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_53' id='input_48_53' type='email' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_48_20\" class=\"gfield gfield--type-phone gfield--input-type-phone gf_left_half gfield--width-half 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_48_20'>Phone number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_20' id='input_48_20' type='tel' value='' class='small'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_48_99\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload 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_48_99'>Upload the Chamber of Commerce extract<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='67108864' \/><input name='input_99' id='input_48_99' type='file' class='medium' aria-describedby=\"gfield_upload_rules_48_99\" onchange='javascript:gformValidateFileSize( this, 67108864 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_48_99'>Max. file size: 64 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_48_99'><\/div> <\/div><\/div><div id=\"field_48_156\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Software partner information<\/h3><\/div><div id=\"field_48_171\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><p>Enter the new software partner details here:<\/p><\/div><div id=\"field_48_173\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gf_left_half gfield--width-half 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_48_173'>Company name of new software partner<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_173' id='input_48_173' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_48_174\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-full gf_left_half gfield--width-half 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_48_174'>Email address of new software partner<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_174' id='input_48_174' type='email' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_48_175\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_48_175'>Switch date<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_175' id='input_48_175' type='text' value='' class='datepicker gform-datepicker dmy datepicker_no_icon gdatepicker-no-icon'   placeholder='dd\/mm\/yyyy' aria-describedby=\"input_48_175_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_48_175_date_format' class='screen-reader-text'>DD slash MM slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_48_175' class='gform_hidden' value='https:\/\/www.portbase.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><fieldset id=\"field_48_177\" class=\"gfield gfield--type-time gfield--input-type-time gfield--width-full 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' >Switch time<\/legend><div class=\"ginput_container ginput_complex gform-grid-row\">\n                        <div class='gfield_time_hour ginput_container ginput_container_time gform-grid-col' id='input_48_177'>\n                            <input type='number' name='input_177[]' id='input_48_177_1' value=''  min='0' max='24' step='1'  placeholder='HH' aria-required='false'   \/> \n                            <label class='gform-field-label gform-field-label--type-sub hour_label screen-reader-text' for='input_48_177_1'>Hours<\/label>\n                        <\/div>\n                        <div class=\"below hour_minute_colon gform-grid-col\">:<\/div>\n                        <div class='gfield_time_minute ginput_container ginput_container_time gform-grid-col'>\n                            <input type='number' name='input_177[]' id='input_48_177_2' value=''  min='0' max='59' step='1'  placeholder='MM' aria-required='false'  \/>\n                            <label class='gform-field-label gform-field-label--type-sub minute_label screen-reader-text' for='input_48_177_2'>Minutes<\/label>\n                        <\/div>\n                        \n                    <\/div><\/fieldset><div id=\"field_48_179\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full 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_48_179'>Services to be transferred<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_179' id='input_48_179' class='textarea large'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_48_107\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Request additional webhook for Cargo Controller API<\/h3><\/div><div id=\"field_48_185\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><p>To connect to a 2nd webhook, the connection fee is \u20ac249.50 (ex. VAT). You will receive a separate invoice for this. Enter the details here to request the additional webhook:<\/p><\/div><div id=\"field_48_183\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full 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_48_183'>Webhook-URL<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_183' id='input_48_183' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_48_184\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-full gf_left_half gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_48_184'>Email address for error notification<\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_184' id='input_48_184' type='email' value='' class='medium'     aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_48_181\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full 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_48_181'>Software partner<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_181' id='input_48_181' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_48_182\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-full gf_left_half gfield--width-half 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_48_182'>Email address of software partner<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_182' id='input_48_182' type='email' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_48_180\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Other<\/h3><\/div><div id=\"field_48_187\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><p>Modify other details? Fill in the text box here:<\/p><\/div><div id=\"field_48_188\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_48_188'>Other data<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_188' id='input_48_188' class='textarea large'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_48_186\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><h3 class=\"gsection_title\">Facturatie contactpersoon<\/h3><\/div><fieldset id=\"field_48_115\" class=\"gfield gfield--type-name gfield--input-type-name gf_left_half gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><legend class='gfield_label gform-field-label gfield_label_before_complex' >Contactpersoon<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name has_prefix has_first_name has_middle_name has_last_name no_suffix gf_name_has_4 ginput_container_name gform-grid-row' id='input_48_115'>\n                            <span id='input_48_115_2_container' class='name_prefix name_prefix_select gform-grid-col gform-grid-col--size-auto' >\n                                                    <select name='input_115.2' id='input_48_115_2'    aria-required='false'   >\n                          <option value=''><\/option><option value='Dhr.' >Dhr.<\/option><option value='Mw.' >Mw.<\/option>\n                      <\/select>\n                                                    <label for='input_48_115_2' class='gform-field-label gform-field-label--type-sub '>Aanhef<\/label>\n                                                  <\/span>\n                            <span id='input_48_115_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_115.3' id='input_48_115_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_48_115_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            <span id='input_48_115_4_container' class='name_middle gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_115.4' id='input_48_115_4' value=''   aria-required='false'     \/>\n                                                    <label for='input_48_115_4' class='gform-field-label gform-field-label--type-sub '>Tussenvoegsel<\/label>\n                                                <\/span>\n                            <span id='input_48_115_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_115.6' id='input_48_115_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_48_115_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><fieldset id=\"field_48_114\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gf_right_half gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><legend class='gfield_label gform-field-label screen-reader-text gfield_label_before_complex' ><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_48_114'><div class='gchoice gchoice_48_114_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_114.1' type='checkbox'  value='Wijzigen'  id='choice_48_114_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_48_114_1' id='label_48_114_1' class='gform-field-label gform-field-label--type-inline'>Wijzigen<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_48_113\" class=\"gfield gfield--type-name gfield--input-type-name pb-form-new field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><legend class='gfield_label gform-field-label gfield_label_before_complex' >Contactpersoon (nieuw)<\/legend><div class='ginput_complex ginput_container ginput_container--name has_prefix has_first_name has_middle_name has_last_name no_suffix gf_name_has_4 ginput_container_name gform-grid-row' id='input_48_113'>\n                            <span id='input_48_113_2_container' class='name_prefix name_prefix_select gform-grid-col gform-grid-col--size-auto' >\n                                                    <select name='input_113.2' id='input_48_113_2'    aria-required='false'   >\n                          <option value=''><\/option><option value='Dhr.' >Dhr.<\/option><option value='Mw.' >Mw.<\/option>\n                      <\/select>\n                                                    <label for='input_48_113_2' class='gform-field-label gform-field-label--type-sub '>Aanhef<\/label>\n                                                  <\/span>\n                            <span id='input_48_113_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_113.3' id='input_48_113_3' value=''   aria-required='false'     \/>\n                                                    <label for='input_48_113_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            <span id='input_48_113_4_container' class='name_middle gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_113.4' id='input_48_113_4' value=''   aria-required='false'     \/>\n                                                    <label for='input_48_113_4' class='gform-field-label gform-field-label--type-sub '>Tussenvoegsel<\/label>\n                                                <\/span>\n                            <span id='input_48_113_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_113.6' id='input_48_113_6' value=''   aria-required='false'     \/>\n                                                    <label for='input_48_113_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_48_122\" class=\"gfield gfield--type-email gfield--input-type-email gf_left_half gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label' for='input_48_122'>E-mailadres<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_122' id='input_48_122' type='email' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><fieldset id=\"field_48_121\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gf_right_half editform_button gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><legend class='gfield_label gform-field-label screen-reader-text gfield_label_before_complex' ><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_48_121'><div class='gchoice gchoice_48_121_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_121.1' type='checkbox'  value='Wijzigen'  id='choice_48_121_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_48_121_1' id='label_48_121_1' class='gform-field-label gform-field-label--type-inline'>Wijzigen<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_48_120\" class=\"gfield gfield--type-email gfield--input-type-email pb-form-new field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label' for='input_48_120'>E-mailadres (nieuw)<\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_120' id='input_48_120' type='email' value='' class='medium'     aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_48_129\" class=\"gfield gfield--type-phone gfield--input-type-phone gf_left_half gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label' for='input_48_129'>Telefoonnummer<\/label><div class='ginput_container ginput_container_phone'><input name='input_129' id='input_48_129' type='tel' value='' class='medium'    aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_48_128\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gf_right_half editform_button gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><legend class='gfield_label gform-field-label screen-reader-text gfield_label_before_complex' ><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_48_128'><div class='gchoice gchoice_48_128_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_128.1' type='checkbox'  value='Wijzigen'  id='choice_48_128_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_48_128_1' id='label_48_128_1' class='gform-field-label gform-field-label--type-inline'>Wijzigen<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_48_127\" class=\"gfield gfield--type-phone gfield--input-type-phone pb-form-new field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label' for='input_48_127'>Telefoonnummer (nieuw)<\/label><div class='ginput_container ginput_container_phone'><input name='input_127' id='input_48_127' type='tel' value='' class='medium'    aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_48_133\" class=\"gfield gfield--type-phone gfield--input-type-phone gf_left_half gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label' for='input_48_133'>Mobiele telefoonnummer<\/label><div class='ginput_container ginput_container_phone'><input name='input_133' id='input_48_133' type='tel' value='' class='medium'    aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_48_134\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gf_right_half editform_button gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><legend class='gfield_label gform-field-label screen-reader-text gfield_label_before_complex' ><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_48_134'><div class='gchoice gchoice_48_134_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_134.1' type='checkbox'  value='Wijzigen'  id='choice_48_134_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_48_134_1' id='label_48_134_1' class='gform-field-label gform-field-label--type-inline'>Wijzigen<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_48_135\" class=\"gfield gfield--type-phone gfield--input-type-phone pb-form-new field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label' for='input_48_135'>Mobiele telefoonnummer (nieuw)<\/label><div class='ginput_container ginput_container_phone'><input name='input_135' id='input_48_135' type='tel' value='' class='medium'    aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_48_93\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><h3 class=\"gsection_title\">Service specifiek<\/h3><\/div><fieldset id=\"field_48_26\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gf_left_half gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><legend class='gfield_label gform-field-label' >Maak een keuze<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_48_26'>\n\t\t\t<div class='gchoice gchoice_48_26_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_26' type='radio' value='Cargo card \/ EAN nummer'  id='choice_48_26_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_48_26_0' id='label_48_26_0' class='gform-field-label gform-field-label--type-inline'>Cargo card \/ EAN nummer<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_48_26_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_26' type='radio' value='EORI-nummer'  id='choice_48_26_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_48_26_1' id='label_48_26_1' class='gform-field-label gform-field-label--type-inline'>EORI-nummer<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_48_30\" class=\"gfield gfield--type-text gfield--input-type-text gf_left_half gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label' for='input_48_30'>Cargo card \/ EAN nummer<\/label><div class='ginput_container ginput_container_text'><input name='input_30' id='input_48_30' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_48_80\" class=\"gfield gfield--type-text gfield--input-type-text gf_left_half gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label' for='input_48_80'>EORI-nummer<\/label><div class='ginput_container ginput_container_text'><input name='input_80' id='input_48_80' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_48_65\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gf_right_half editform_button gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><legend class='gfield_label gform-field-label screen-reader-text gfield_label_before_complex' ><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_48_65'><div class='gchoice gchoice_48_65_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_65.1' type='checkbox'  value='Wijzigen'  id='choice_48_65_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_48_65_1' id='label_48_65_1' class='gform-field-label gform-field-label--type-inline'>Wijzigen<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_48_27\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><legend class='gfield_label gform-field-label' >Maak een keuze (nieuw)<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_48_27'>\n\t\t\t<div class='gchoice gchoice_48_27_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_27' type='radio' value='Cargo card \/ EAN nummer'  id='choice_48_27_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_48_27_0' id='label_48_27_0' class='gform-field-label gform-field-label--type-inline'>Cargo card \/ EAN nummer<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_48_27_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_27' type='radio' value='EORI nummer'  id='choice_48_27_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_48_27_1' id='label_48_27_1' class='gform-field-label gform-field-label--type-inline'>EORI nummer<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_48_31\" class=\"gfield gfield--type-text gfield--input-type-text pb-form-new field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label' for='input_48_31'>Cargo card \/ EAN nummer (nieuw)<\/label><div class='ginput_container ginput_container_text'><input name='input_31' id='input_48_31' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_48_81\" class=\"gfield gfield--type-text gfield--input-type-text pb-form-new field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label' for='input_48_81'>EORI nummer (nieuw)<\/label><div class='ginput_container ginput_container_text'><input name='input_81' id='input_48_81' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_48_92\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><h3 class=\"gsection_title\">Webhook<\/h3><\/div><div id=\"field_48_138\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label' for='input_48_138'>URL<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_138' id='input_48_138' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_48_100\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label' for='input_48_100'>Naam nieuwe softwareleverancier of contactpersoon IT afdeling<\/label><div class='ginput_container ginput_container_text'><input name='input_100' id='input_48_100' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_48_103\" class=\"gfield gfield--type-name gfield--input-type-name field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><legend class='gfield_label gform-field-label gfield_label_before_complex' >Naam<\/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_48_103'>\n                            \n                            <span id='input_48_103_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_103.3' id='input_48_103_3' value=''   aria-required='false'     \/>\n                                                    <label for='input_48_103_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_48_103_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_103.6' id='input_48_103_6' value=''   aria-required='false'     \/>\n                                                    <label for='input_48_103_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_48_139\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label' for='input_48_139'>E-mailadres aanvrager<\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_139' id='input_48_139' type='email' value='' class='medium'     aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_48_43\" class=\"gfield gfield--type-phone gfield--input-type-phone field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label' for='input_48_43'>Telefoonnummer<\/label><div class='ginput_container ginput_container_phone'><input name='input_43' id='input_48_43' type='tel' value='' class='medium'    aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_48_49\" class=\"gfield gfield--type-email gfield--input-type-email field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label' for='input_48_49'>E-mailadres<\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_49' id='input_48_49' type='email' value='' class='medium'     aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_48_79\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Signing section<\/h3><\/div><div id=\"field_48_189\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><p>To implement changes, we need confirmation from the authorized representative of your organization. <\/p><\/div><div id=\"field_48_33\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_48_33'>Name of the authorized representative<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_33' id='input_48_33' type='text' value='' class='medium'  aria-describedby=\"gfield_description_48_33\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_48_33'>List all names as indicated in the identification document.<\/div><\/div><div id=\"field_48_34\" class=\"gfield gfield--type-text gfield--input-type-text 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_48_34'>Place<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_34' id='input_48_34' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_48_35\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon 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_48_35'>Date<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_35' id='input_48_35' type='text' value='23\/04\/2026' class='datepicker gform-datepicker dmy datepicker_no_icon gdatepicker-no-icon'   placeholder='dd\/mm\/yyyy' aria-describedby=\"input_48_35_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_48_35_date_format' class='screen-reader-text'>DD slash MM slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_48_35' class='gform_hidden' value='https:\/\/www.portbase.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_48_32\" class=\"gfield gfield--type-signature gfield--input-type-signature gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_48_32'>Signature of the authorized representative listed on the Chamber of Commerce registration<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><input type='hidden' value='' name='input_32' id='input_48_32_signature_filename'\/><div class='gfield_signature_ui_container gform-theme__no-reset--children' ><div id='input_48_32_Container' class='gfield_signature_container ginput_container' style='height:180px; width:790px; ' ><canvas id='input_48_32' width='790' height='180' style='border-style: Dashed; border-width: 2px; border-color: #DDDDDD; background-color:#FFFFFF; cursor: url(https:\/\/www.portbase.com\/wp-content\/plugins\/gravityformssignature\/assets\/img\/pen.cur), pointer;'><\/canvas><\/div><div id='input_48_32_toolbar' style='margin:5px 0;position:relative;height:20px;width:790px;max-width:100%;'><img id = 'input_48_32_resetbutton' src='data:image\/png;base64,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' style='cursor:pointer;float:right;height:24px;width:24px;border:0px solid transparent' alt='Clear Signature' \/ ><\/div><input type='hidden' id='input_48_32_data' name='input_48_32_data' value=''><\/div><div class='gfield_description' id='gfield_description_48_32'>Place the cursor on the above field until it changes into a pen. Sign as you would on paper.\nYou can redo your signature by clicking the icon at the bottom right of the field.\nBy signing this form, you agree to the<a href=\"https:\/\/www.portbase.com\/en\/general-terms-and-conditions\/\" target=\"_blank\"> terms and conditions<\/a>. Portbase processes the changes and sends a confirmation email once they have been processed.\n<\/div><\/div><fieldset id=\"field_48_87\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label screen-reader-text gfield_label_before_complex' >More information about how we use your personal data can be found in our\n  \n    Privacy Statement\n  .<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_48_87'><div class='gchoice gchoice_48_87_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_87.1' type='checkbox'  value='I give permission to Portbase to process my data.'  id='choice_48_87_1'   aria-describedby=\"gfield_description_48_87\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_48_87_1' id='label_48_87_1' class='gform-field-label gform-field-label--type-inline'>I give permission to Portbase to process my data.<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><div class='gfield_description' id='gfield_description_48_87'><p>\n  More information about how we use your personal data can be found in our\n  <a href=\"https:\/\/www.portbase.com\/en\/privacy-statement\/\" target=\"_blank\" rel=\"noopener noreferrer\">\n    Privacy Statement\n  <\/a>.\n<\/p><\/div><\/fieldset><\/div><\/div>\n        <div class='gform-footer gform_footer top_label'> <div class=\"wp-block-button\"><button type=\"submit\" id=\"gform_submit_button_48\" class=\"gform_button button wp-block-button__link\" onclick=\"gform.submission.handleButtonClick(this);\" data-submission-type=\"submit\">Send<\/button><\/div> \n            <input type='hidden' class='gform_hidden' name='gform_submission_method' 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href=\"tel:+31886252525\" target=\"\">\n    \n    <i class=\"icon-phone\"><\/i>\n            <span>088 \u2013 625 25 25<\/span>\n    \n            <\/a>\n    \n<\/div>\n\n\n\n\n<div class=\"align wp-block-sowmedia-icon\">\n\n            <a href=\"mailto:customerservice@portbase.com\" target=\"\">\n    \n    <i class=\"icon-envelope\"><\/i>\n            <span>customerservice@portbase.com<\/span>\n    \n            <\/a>\n    \n<\/div>\n\n\n\n\n<div class=\"align wp-block-sowmedia-icon\">\n\n            <a href=\"#\" target=\"\">\n    \n    <i class=\"icon-map\"><\/i>\n            <span>Plan jouw route<\/span>\n    \n            <\/a>\n    \n<\/div>\n\n\n\n\n<div class=\"align wp-block-sowmedia-icon\">\n\n            <a href=\"https:\/\/www.portbase.com\/contact-sales\/parkeren-bij-portbase\/\" target=\"\">\n    \n    <i class=\"icon-square-parking\"><\/i>\n            <span>Parkeren bij Portbase<\/span>\n    \n            <\/a>\n    \n<\/div>\n\n<\/div>\n\n\n\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" width=\"1988\" height=\"1152\" src=\"https:\/\/www.portbase.com\/wp-content\/uploads\/2024\/03\/portbase-route.jpg\" alt=\"\" class=\"wp-image-2024\" srcset=\"https:\/\/www.portbase.com\/wp-content\/uploads\/2024\/03\/portbase-route.jpg 1988w, https:\/\/www.portbase.com\/wp-content\/uploads\/2024\/03\/portbase-route-300x174.jpg 300w, https:\/\/www.portbase.com\/wp-content\/uploads\/2024\/03\/portbase-route-1024x593.jpg 1024w, https:\/\/www.portbase.com\/wp-content\/uploads\/2024\/03\/portbase-route-768x445.jpg 768w, https:\/\/www.portbase.com\/wp-content\/uploads\/2024\/03\/portbase-route-1536x890.jpg 1536w\" sizes=\"(max-width: 1988px) 100vw, 1988px\" \/><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-group has-border-color has-light-blue-border-color has-white-background-color has-background is-layout-constrained wp-container-core-group-is-layout-52009084 wp-block-group-is-layout-constrained\" style=\"border-width:2px;padding-top:var(--wp--preset--spacing--40);padding-right:var(--wp--preset--spacing--40);padding-bottom:var(--wp--preset--spacing--40);padding-left:var(--wp--preset--spacing--40)\">\n<h3 class=\"wp-block-heading has-h-4-font-size\">How can we help you?<\/h3>\n\n\n\n<p>If you would like assistance in person, you can contact us between 08:00 and 18:00 at:<\/p>\n\n\n\n<div class=\"wp-block-group is-vertical is-layout-flex wp-container-core-group-is-layout-98bb686d wp-block-group-is-layout-flex\">\n<div class=\"align wp-block-sowmedia-icon\">\n\n            <a href=\"tel:+31886252525\" target=\"\">\n    \n    <i class=\"icon-phone\"><\/i>\n            <span>088 \u2013 625 25 25<\/span>\n    \n            <\/a>\n    \n<\/div>\n\n\n\n\n<div class=\"align wp-block-sowmedia-icon\">\n\n            <a href=\"mailto:info@portbase.com\" target=\"\">\n    \n    <i class=\"icon-envelope\"><\/i>\n            <span>info@portbase.com<\/span>\n    \n            <\/a>\n    \n<\/div>\n\n<\/div>\n\n\n\n<p>Outside business hours, we can only be reached for disruptions or emergencies on <a href=\"#\">06 518 844 56<\/a>.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-group alignfull is-layout-constrained wp-container-core-group-is-layout-62f15efe wp-block-group-is-layout-constrained\" style=\"padding-top:0;padding-bottom:0\">\n<div class=\"wp-block-columns alignwide is-layout-flex wp-container-core-columns-is-layout-28f84493 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-vertically-aligned-stretch has-light-blue-background-color has-background is-layout-flow wp-block-column-is-layout-flow\">\n<div class=\"wp-block-group is-vertical is-layout-flex wp-container-core-group-is-layout-b3a1eb21 wp-block-group-is-layout-flex\" style=\"min-height:100%\">\n<div class=\"wp-block-group is-vertical is-layout-flex wp-container-core-group-is-layout-fe9cc265 wp-block-group-is-layout-flex\">\n<h3 class=\"wp-block-heading has-h-4-font-size\">Advice<\/h3>\n\n\n\n<p>I would like to receive advice on a service.<\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-group is-vertical is-layout-flex wp-container-core-group-is-layout-98bb686d wp-block-group-is-layout-flex\">\n<div class=\"align wp-block-sowmedia-icon\">\n\n            <a href=\"mailto:sales@portbase.com\" target=\"\">\n    \n    <i class=\"icon-envelope\"><\/i>\n            <span>sales@portbase.com<\/span>\n    \n            <\/a>\n    \n<\/div>\n\n<\/div>\n\n\n\n<div class=\"align wp-block-sowmedia-icon\">\n\n            <a href=\"https:\/\/www.portbase.com\/en\/contact-3\/\" target=\"\">\n    \n    <i class=\"icon-regular-share-nodes-shield\"><\/i>\n            <span>or directly contact sales<\/span>\n    \n            <\/a>\n    \n<\/div>\n\n\n\n\n<p><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-dark-blue-color\">I have a question about my service request<\/mark>.<\/p>\n\n\n\n<div class=\"align wp-block-sowmedia-icon\">\n\n            <a href=\"mailto:service.request@portbase.com\" target=\"\">\n    \n    <i class=\"icon-envelope\"><\/i>\n            <span>service.request@portbase.com<\/span>\n    \n            <\/a>\n    \n<\/div>\n\n\n\n\n<div class=\"align wp-block-sowmedia-icon\">\n\n            <a href=\"tel:003186252500\" target=\"\">\n    \n    <i class=\"icon-phone1\"><\/i>\n            <span>+31 88 6 25 25 00<\/span>\n    \n            <\/a>\n    \n<\/div>\n\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-stretch has-light-blue-background-color has-background is-layout-flow wp-block-column-is-layout-flow\">\n<div class=\"wp-block-group is-vertical is-layout-flex wp-container-core-group-is-layout-b3a1eb21 wp-block-group-is-layout-flex\" style=\"min-height:100%\">\n<div class=\"wp-block-group is-vertical is-layout-flex wp-container-core-group-is-layout-fe9cc265 wp-block-group-is-layout-flex\">\n<h3 class=\"wp-block-heading has-h-4-font-size\">Support<\/h3>\n\n\n\n<p>Do you have a question about a service you are using?<\/p>\n\n\n\n<div style=\"height:0px\" aria-hidden=\"true\" class=\"wp-block-spacer wp-container-content-9760934e\"><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-group is-vertical is-layout-flex wp-container-core-group-is-layout-98bb686d wp-block-group-is-layout-flex\">\n<div class=\"align wp-block-sowmedia-icon\">\n\n            <a href=\"https:\/\/support.portbase.com\/hc\/en-gb\" target=\"_blank\">\n    \n    <i class=\"icon-circle-info\"><\/i>\n            <span>support.portbase.com<\/span>\n    \n            <\/a>\n    \n<\/div>\n\n\n\n\n<div class=\"align wp-block-sowmedia-icon\">\n\n            <a href=\"https:\/\/status.portbase.com\/\" target=\"_blank\">\n    \n    <i class=\"icon-check-circle\"><\/i>\n            <span>status.portbase.com<\/span>\n    \n            <\/a>\n    \n<\/div>\n\n\n\n\n<div class=\"align wp-block-sowmedia-icon\">\n\n            <a href=\"mailto:customerservice@portbase.com\" target=\"\">\n    \n    <i class=\"icon-envelope\"><\/i>\n            <span>customerservice@portbase.com<\/span>\n    \n            <\/a>\n    \n<\/div>\n\n\n\n\n<div class=\"align wp-block-sowmedia-icon\">\n\n            <a href=\"tel:003186252525\" target=\"\">\n    \n    <i class=\"icon-phone1\"><\/i>\n            <span>+31 88 6 25 25 25<\/span>\n    \n            <\/a>\n    \n<\/div>\n\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-stretch has-light-blue-background-color has-background is-layout-flow wp-block-column-is-layout-flow\">\n<div class=\"wp-block-group is-vertical is-layout-flex wp-container-core-group-is-layout-b3a1eb21 wp-block-group-is-layout-flex\" style=\"min-height:100%\">\n<div class=\"wp-block-group is-vertical is-layout-flex wp-container-core-group-is-layout-fe9cc265 wp-block-group-is-layout-flex\">\n<h3 class=\"wp-block-heading has-h-4-font-size\">Invoicing<\/h3>\n\n\n\n<p>For questions regarding invoices and\/or payments.<\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-group is-vertical is-layout-flex wp-container-core-group-is-layout-98bb686d wp-block-group-is-layout-flex\">\n<div class=\"align wp-block-sowmedia-icon\">\n\n            <a href=\"https:\/\/www.portbase.com\/en\/community-solutions\/costs\/\" target=\"\">\n    \n    <i class=\"icon-globe1\"><\/i>\n            <span>More information about invoicing<\/span>\n    \n            <\/a>\n    \n<\/div>\n\n\n\n\n<div class=\"align wp-block-sowmedia-icon\">\n\n            <a href=\"mailto:finance@portbase.com\" target=\"\">\n    \n    <i class=\"icon-envelope\"><\/i>\n            <span>finance@portbase.com<\/span>\n    \n            <\/a>\n    \n<\/div>\n\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Fill in the change form and submit a request to have your data updated in our 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