[cost_calculator_input_box id=”vehicle-kenteken” name=”vehicle-kenteken” label=”KENTEKEN VOERTUIG” hide_label=”0″ placeholder=”Kenteken” required=”0″][cost_calculator_input_box id=”vehicle-mileage” name=”vehicle-mileage” type=”number” label=”KILOMETERSTAND” hide_label=”0″ placeholder=”Kilometerstand” required=”0″ top_margin=”page-margin-top”][cost_calculator_dropdown_box id=”time-frame” name=”time-frame” label=”VOORKEUR TIJDSBESTEK” hide_label=”0″ options_count=”9″ option_name0=”09:00 – 10:00″ option_value0=”09:00 – 10:00″ option_name1=”10:00 – 11:00″ option_value1=”10:00 – 11:00″ option_name2=”11:00 – 12:00″ option_value2=”11:00 – 12:00″ option_name3=”12:00 – 13:00″ option_value3=”12:00 – 13:00″ option_name4=”13:00 – 14:00″ option_value4=”13:00 – 14:00″ option_name5=”14:00 – 15:00″ option_value5=”14:00 – 15:00″ option_name6=”15:00 – 16:00″ option_value6=”15:00 – 16:00″ option_name7=”16:00 – 17:00″ option_value7=”16:00 – 17:00″ option_name8=”Geen voorkeur” option_value8=”Geen voorkeur” show_choose_label=”1″ choose_label=”Selecteer…” required=”0″ top_margin=”page-margin-top”]SELECTEER BENODIGDE DIENSTEN[cost_calculator_input_box id=”olie-smeermiddel-filters” name=”olie-smeermiddel-filters” type=”checkbox” label=”Olie, smeermiddel & filters” default_value=”1″ checked=”0″ required=”0″ top_margin=”page-margin-top” el_class=”no-border-top no-border-left”][cost_calculator_input_box id=”motor-diagnose” name=”motor-diagnose” type=”checkbox” label=”Motor diagnose” default_value=”1″ checked=”0″ el_class=”no-border-left”][cost_calculator_input_box id=”uitlaatsysteem” name=”uitlaatsysteem” type=”checkbox” label=”Uitlaatsysteem” default_value=”1″ checked=”0″ el_class=”no-border-top no-border-left”][cost_calculator_input_box id=”versnellingsbak-en-toebehoren” name=”versnellingsbak-en-toebehoren” type=”checkbox” label=”Versnellingsbak en toebehoren” default_value=”1″ checked=”0″ el_class=”no-border-top”][cost_calculator_input_box id=”koppeling” name=”koppeling” type=”checkbox” label=”Koppeling” default_value=”1″ checked=”0″ el_class=”no-border-top no-border-left”][cost_calculator_input_box id=”airco-inspectie” name=”airco-inspectie” type=”checkbox” label=”Airco inspectie” default_value=”1″ checked=”0″][cost_calculator_input_box id=”remmen-aandrijving” name=”remmen-aandrijving” type=”checkbox” label=”Remmen / aandrijving” checked=”0″ el_class=”no-border-left”][cost_calculator_input_box id=”onderstel” name=”onderstel” type=”checkbox” label=”Onderstel” default_value=”1″ checked=”0″ el_class=”no-border-top no-border-left”][cost_calculator_input_box id=”uitlijning-balanceren” name=”uitlijning-balanceren” type=”checkbox” label=”Uitlijning / balanceren” default_value=”1″ checked=”0″ el_class=”no-border-top no-border-left”][cost_calculator_input_box id=”grote-beurt-kleine-beurt” name=”grote-beurt-kleine-beurt” type=”checkbox” label=”Grote beurt / kleine beurt” default_value=”1″ checked=”0″ el_class=”no-border-top no-border-left”][cost_calculator_input_box id=”overige-diverse-diensten” name=”overige-diverse-diensten” type=”checkbox” label=”Overige / diverse diensten” default_value=”1″ checked=”0″ el_class=”no-border-top no-border-left”] [cost_calculator_contact_box label=”CONTACTGEGEVENS” submit_label=”VERSTUUR” name_label=”Naam” name_required=”1″ email_label=”E-mailadres” email_required=”1″ phone_label=”Telefoon” phone_required=”1″ message_label=”Vragen of opmerkingen” message_required=”0″ terms_checkbox=”0″ el_class=”margin-top-20″]