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Contact wijkplatform
Via onderstaand formulier kunt u uw vragen, opmerkingen, ideëen of al het andere wat u kwijt wilt aan uw wijkplatform doorgeven.
Heeft u klachten, verbeterpunten, reparaties etc te melden aan Openbare Werken van Gemeente Barneveld: KLIK HIER!
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[av_contact_field label=’Naam:’ type=’text’ options=” check=’is_empty’ width=” multi_select=” av_contact_preselect=”][/av_contact_field]
[av_contact_field label=’Adres:’ type=’text’ options=” check=” width=” multi_select=” av_contact_preselect=”][/av_contact_field]
[av_contact_field label=’Telefoonnummer’ type=’text’ options=” check=” width=” multi_select=” av_contact_preselect=”][/av_contact_field]
[av_contact_field label=’E-Mail’ type=’text’ options=” check=’is_email’ width=” multi_select=” av_contact_preselect=”][/av_contact_field]
[av_contact_field label=’Onderwerp’ type=’text’ options=” check=” width=” multi_select=” av_contact_preselect=”][/av_contact_field]
[av_contact_field label=’Bericht’ type=’textarea’ options=” check=’is_empty’ width=” multi_select=” av_contact_preselect=”][/av_contact_field]
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