[paytium name="Aanmelden, ontvang factuur" button_label="Verzenden!"] [paytium_no_payment invoice /] [paytium_field type="text" label="Naam Contactpersoon" required="true" /] [paytium_field type="text" label="Club" required="true" /] [paytium_field type="text" label="Team" required="true" /] [paytium_field type="text" label="Uitkomend in klasse KNVB 19/20" required="true" /] [paytium_field type="email" label="E-mail Contactpersoon" required="true" /] [paytium_field type="email" label="E-mail voor ontvangst factuur" required="true" /] [paytium_field type="text" label="Telefoonnummer" required="true" /]
[paytium_field type="textarea" label="Opmerking" required="false" /] [paytium_emails id="585" /] [/paytium]