Uitgebreid formulier

LnRiLWhlYWRpbmcuaGFzLWJhY2tncm91bmR7cGFkZGluZzowfQ==

.tb-grid,.tb-grid>.block-editor-inner-blocks>.block-editor-block-list__layout{display:grid;grid-row-gap:25px;grid-column-gap:25px}.tb-grid-item{background:#d38a03;padding:30px}.tb-grid-column{flex-wrap:wrap}.tb-grid-column>*{width:100%}.tb-grid-column.tb-grid-align-top{width:100%;display:flex;align-content:flex-start}.tb-grid-column.tb-grid-align-center{width:100%;display:flex;align-content:center}.tb-grid-column.tb-grid-align-bottom{width:100%;display:flex;align-content:flex-end} .wp-block-toolset-views-wpa-editor .wpv-collage { grid-column-gap: 15px;grid-row-gap: 15px; } .wp-block-toolset-views-wpa-editor .wpv-collage > div:nth-child(4n + 1) { grid-area:  auto / auto / span 6 / span 6; } .wp-block-toolset-views-wpa-editor .wpv-collage > div:nth-child(4n + 2) { grid-area:  auto / auto / span 3 / span 6; } .wp-block-toolset-views-wpa-editor .wpv-collage > div:nth-child(4n + 3) { grid-area:  auto / auto / span 3 / span 3; } .wp-block-toolset-views-wpa-editor .wpv-collage > div:nth-child(4n + 4) { grid-area:  auto / auto / span 3 / span 3; } .tb-image{position:relative;transition:transform 0.25s ease}.wp-block-image .tb-image.aligncenter{margin-left:auto;margin-right:auto}.tb-image img{max-width:100%;height:auto;width:auto;transition:transform 0.25s ease}.tb-image .tb-image-caption-fit-to-image{display:table}.tb-image .tb-image-caption-fit-to-image .tb-image-caption{display:table-caption;caption-side:bottom} .wp-block-image.tb-image[data-toolset-blocks-image="69c6e46635608faa1d0bd511c0fdc418"] { max-width: 100%; } .wpv-pagination-nav-links[data-toolset-views-view-pagination-block="7cdb8a576f6a423e212b6f42ed4a7f34"] { text-align: center;justify-content: center; } .tb-container .tb-container-inner{width:100%;margin:0 auto} .wp-block-toolset-blocks-container.tb-container[data-toolset-blocks-container="a69691333311f5929b9c35e45f3a541a"] { padding: 25px; } .tb-image{position:relative;transition:transform 0.25s ease}.wp-block-image .tb-image.aligncenter{margin-left:auto;margin-right:auto}.tb-image img{max-width:100%;height:auto;width:auto;transition:transform 0.25s ease}.tb-image .tb-image-caption-fit-to-image{display:table}.tb-image .tb-image-caption-fit-to-image .tb-image-caption{display:table-caption;caption-side:bottom} .wp-block-image.tb-image[data-toolset-blocks-image="b82f11658f57369e1c51d93c42a49fca"] { max-width: 100%; } h2.tb-heading[data-toolset-blocks-heading="52202640b305f5c946ec08459d25069f"]  { font-size: 22px;font-family: Montserrat;letter-spacing: 1px;text-transform: uppercase;color: rgba( 61, 121, 177, 1 );text-align: left; } h2.tb-heading[data-toolset-blocks-heading="52202640b305f5c946ec08459d25069f"] a  { color: rgba( 61, 121, 177, 1 );text-decoration: none; }  @media only screen and (max-width: 781px) { .tb-grid,.tb-grid>.block-editor-inner-blocks>.block-editor-block-list__layout{display:grid;grid-row-gap:25px;grid-column-gap:25px}.tb-grid-item{background:#d38a03;padding:30px}.tb-grid-column{flex-wrap:wrap}.tb-grid-column>*{width:100%}.tb-grid-column.tb-grid-align-top{width:100%;display:flex;align-content:flex-start}.tb-grid-column.tb-grid-align-center{width:100%;display:flex;align-content:center}.tb-grid-column.tb-grid-align-bottom{width:100%;display:flex;align-content:flex-end} .wp-block-toolset-views-wpa-editor .wpv-collage > div:nth-child(2n + 1) { grid-area:  auto / auto / span 6 / span 8; } .wp-block-toolset-views-wpa-editor .wpv-collage > div:nth-child(2n + 2) { grid-area:  auto / auto / span 6 / span 4; } .tb-image{position:relative;transition:transform 0.25s ease}.wp-block-image .tb-image.aligncenter{margin-left:auto;margin-right:auto}.tb-image img{max-width:100%;height:auto;width:auto;transition:transform 0.25s ease}.tb-image .tb-image-caption-fit-to-image{display:table}.tb-image .tb-image-caption-fit-to-image .tb-image-caption{display:table-caption;caption-side:bottom}.tb-container .tb-container-inner{width:100%;margin:0 auto}.tb-image{position:relative;transition:transform 0.25s ease}.wp-block-image .tb-image.aligncenter{margin-left:auto;margin-right:auto}.tb-image img{max-width:100%;height:auto;width:auto;transition:transform 0.25s ease}.tb-image .tb-image-caption-fit-to-image{display:table}.tb-image .tb-image-caption-fit-to-image .tb-image-caption{display:table-caption;caption-side:bottom}h2.tb-heading[data-toolset-blocks-heading="52202640b305f5c946ec08459d25069f"]  { font-size: 22px;text-transform: capitalize;text-align: center; } h2.tb-heading[data-toolset-blocks-heading="52202640b305f5c946ec08459d25069f"] a  { text-decoration: none; }   } @media only screen and (max-width: 599px) { .tb-grid,.tb-grid>.block-editor-inner-blocks>.block-editor-block-list__layout{display:grid;grid-row-gap:25px;grid-column-gap:25px}.tb-grid-item{background:#d38a03;padding:30px}.tb-grid-column{flex-wrap:wrap}.tb-grid-column>*{width:100%}.tb-grid-column.tb-grid-align-top{width:100%;display:flex;align-content:flex-start}.tb-grid-column.tb-grid-align-center{width:100%;display:flex;align-content:center}.tb-grid-column.tb-grid-align-bottom{width:100%;display:flex;align-content:flex-end} .wp-block-toolset-views-wpa-editor .wpv-collage > div:nth-child(1n + 1) { grid-area:  auto / auto / span 6 / span 12; } .tb-image{position:relative;transition:transform 0.25s ease}.wp-block-image .tb-image.aligncenter{margin-left:auto;margin-right:auto}.tb-image img{max-width:100%;height:auto;width:auto;transition:transform 0.25s ease}.tb-image .tb-image-caption-fit-to-image{display:table}.tb-image .tb-image-caption-fit-to-image .tb-image-caption{display:table-caption;caption-side:bottom}.tb-container .tb-container-inner{width:100%;margin:0 auto}.tb-image{position:relative;transition:transform 0.25s ease}.wp-block-image .tb-image.aligncenter{margin-left:auto;margin-right:auto}.tb-image img{max-width:100%;height:auto;width:auto;transition:transform 0.25s ease}.tb-image .tb-image-caption-fit-to-image{display:table}.tb-image .tb-image-caption-fit-to-image .tb-image-caption{display:table-caption;caption-side:bottom}h2.tb-heading[data-toolset-blocks-heading="52202640b305f5c946ec08459d25069f"] a  { text-decoration: none; }   } 