{"id":1090,"date":"2020-07-15T15:10:48","date_gmt":"2020-07-15T15:10:48","guid":{"rendered":"https:\/\/www.mmc.nl\/fonds\/?page_id=1090"},"modified":"2020-07-22T06:29:29","modified_gmt":"2020-07-22T06:29:29","slug":"steun-het-maxima-mc-fonds-particulieren-vriend","status":"publish","type":"page","link":"https:\/\/www.mmc.nl\/fonds\/steun-het-maxima-mc-fonds-particulieren-vriend\/","title":{"rendered":"Steun het M\u00e1xima MC  Fonds &#8211; Particulieren &#8211; Vriend"},"content":{"rendered":"<script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof 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class='gchoice gchoice_16_37_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_37.1' type='checkbox'  value='Ik word Vriend van het M\u00e1xima MC Fonds en machtig het fonds tot ik opzeg elke maand een bedrag van \u20ac5,- van mijn rekening af te schrijven.' checked='checked' id='choice_16_37_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_16_37_1' id='label_16_37_1' class='gform-field-label gform-field-label--type-inline'>Ik word Vriend van het M\u00e1xima MC Fonds en machtig het fonds tot ik opzeg elke maand een bedrag van \u20ac5,- van mijn rekening af te schrijven.<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_16_9\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_16_9'>Mijn IBAN:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_9' id='input_16_9' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_16_32\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_16_32'>Naam rekeninghouder:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_32' id='input_16_32' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_16_11\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text gfield_label_before_complex' >Met het verzenden van dit formulier machtig ik het M\u00e1xima MC Onderzoek &amp; Innovatie Fonds om het aangegeven bedrag (periodiek) af te schrijven van mijn bank- of girorekening, tot wederopzegging.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_16_11'>Met het verzenden van dit formulier machtig ik het M\u00e1xima MC Onderzoek & Innovatie Fonds om het aangegeven bedrag (periodiek) af te schrijven van mijn bank- of girorekening, tot wederopzegging.<\/div><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_16_11'><li class='gchoice gchoice_16_11_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_11.1' type='checkbox'  value='ja'  id='choice_16_11_1'   aria-describedby=\"gfield_description_16_11\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_16_11_1' id='label_16_11_1' class='gform-field-label gform-field-label--type-inline'>ja<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_16_14\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_16_14'>Voorletters<\/label><div class='ginput_container ginput_container_text'><input name='input_14' id='input_16_14' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_16_15\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_16_15'>Tussenvoegsel<\/label><div class='ginput_container ginput_container_text'><input name='input_15' id='input_16_15' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_16_16\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_16_16'>Achternaam<\/label><div class='ginput_container ginput_container_text'><input name='input_16' id='input_16_16' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_16_33\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_16_33'>Telefoonnummer:<\/label><div class='ginput_container ginput_container_text'><input name='input_33' id='input_16_33' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_16_24\" class=\"gfield gfield--type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_16_24'>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_24' id='input_16_24' type='email' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_16_23\" class=\"gfield gfield--type-checkbox gfield--type-choice field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Nieuwsbrief Stichting Maxima<\/label><div class='gfield_description' id='gfield_description_16_23'>Wilt u graag per e-mail op de hoogte gehouden worden van het werk van het M\u00e1xima MC Fonds? Schrijf u hier in:<\/div><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_16_23'><li class='gchoice gchoice_16_23_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_23.1' type='checkbox'  value='ja'  id='choice_16_23_1'   aria-describedby=\"gfield_description_16_23\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_16_23_1' id='label_16_23_1' class='gform-field-label gform-field-label--type-inline'>ja<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_16_26\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><p><span style=\"font-size:10px\">Ingevulde gegevens worden gebruikt ten behoeve van de donatie voor het M\u00e1xima MC Onderzoek & Innovatie Fonds. 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