{"id":38933,"date":"2018-01-17T12:04:11","date_gmt":"2018-01-17T11:04:11","guid":{"rendered":"https:\/\/www.hollandbio.nl\/aanmeldformulier\/"},"modified":"2026-11-11T12:17:16","modified_gmt":"2026-11-11T11:17:16","slug":"registration-form","status":"publish","type":"page","link":"https:\/\/www.hollandbio.nl\/en\/become-a-member\/registration-form\/","title":{"rendered":"Registration form"},"content":{"rendered":"<\/p>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-lksb2j4y-9c9354decbd4078534449f417cddc43d\">\n.avia-section.av-lksb2j4y-9c9354decbd4078534449f417cddc43d{\nbackground-color:#ffffff;\nbackground-image:unset;\n}\n<\/style>\n<div id='av_section_1'  class='avia-section av-lksb2j4y-9c9354decbd4078534449f417cddc43d alternate_color avia-section-no-padding avia-no-border-styling  avia-builder-el-0  el_before_av_section  avia-builder-el-first  avia-bg-style-scroll container_wrap fullsize'  ><div class='container av-section-cont-open' ><main  role=\"main\" itemprop=\"mainContentOfPage\"  class='template-page content  av-content-full alpha units'><div class='post-entry post-entry-type-page post-entry-38933'><div class='entry-content-wrapper clearfix'>\n<div class='flex_column_table av-lksb2w7n-e986b23717afb5a428f7aabd751181e5 sc-av_two_fifth av-break-at-tablet-flextable av-equal-height-column-flextable'>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-lksb2w7n-e986b23717afb5a428f7aabd751181e5\">\n.flex_column.av-lksb2w7n-e986b23717afb5a428f7aabd751181e5{\npadding:100px 100px 100px 100px;\nheight:500px;\nbackground-color:#EB4F31;\n}\n\n@media only screen and (min-width: 768px) and (max-width: 989px){ \n.flex_column.av-lksb2w7n-e986b23717afb5a428f7aabd751181e5{\npadding:25px 25px 25px 25px;\n}\n}\n\n@media only screen and (min-width: 480px) and (max-width: 767px){ \n.flex_column.av-lksb2w7n-e986b23717afb5a428f7aabd751181e5{\npadding:25px 25px 25px 25px;\n}\n}\n\n@media only screen and (max-width: 479px){ \n.flex_column.av-lksb2w7n-e986b23717afb5a428f7aabd751181e5{\npadding:25px 25px 25px 25px;\n}\n}\n<\/style>\n<div  class='flex_column av-lksb2w7n-e986b23717afb5a428f7aabd751181e5 av_two_fifth  avia-builder-el-1  el_before_av_three_fifth  avia-builder-el-first  first no_margin av-break-at-tablet flex_column_table_cell av-equal-height-column av-align-top  '     ><p>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-lksb2b9w-b5250dcec8b3cee1b0f298c45932cf80\">\n#top .av-special-heading.av-lksb2b9w-b5250dcec8b3cee1b0f298c45932cf80{\npadding-bottom:10px;\ncolor:#ffcde8;\nfont-size:60px;\n}\nbody .av-special-heading.av-lksb2b9w-b5250dcec8b3cee1b0f298c45932cf80 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n#top #wrap_all .av-special-heading.av-lksb2b9w-b5250dcec8b3cee1b0f298c45932cf80 .av-special-heading-tag{\nfont-size:60px;\n}\n.av-special-heading.av-lksb2b9w-b5250dcec8b3cee1b0f298c45932cf80 .special-heading-inner-border{\nborder-color:#ffcde8;\n}\n.av-special-heading.av-lksb2b9w-b5250dcec8b3cee1b0f298c45932cf80 .av-subheading{\nfont-size:15px;\ncolor:#ffffff;\n}\n\n@media only screen and (min-width: 480px) and (max-width: 767px){ \n#top #wrap_all .av-special-heading.av-lksb2b9w-b5250dcec8b3cee1b0f298c45932cf80 .av-special-heading-tag{\nfont-size:40px;\n}\n}\n\n@media only screen and (max-width: 479px){ \n#top #wrap_all .av-special-heading.av-lksb2b9w-b5250dcec8b3cee1b0f298c45932cf80 .av-special-heading-tag{\nfont-size:30px;\n}\n}\n<\/style>\n<div  class='av-special-heading av-lksb2b9w-b5250dcec8b3cee1b0f298c45932cf80 av-special-heading-h1 custom-color-heading blockquote modern-quote  avia-builder-el-2  el_before_av_hr  avia-builder-el-first  av-inherit-size'><div class='av_custom_color av-subheading av-subheading_above'><p>#join the club<\/p>\n<\/div><h1 class='av-special-heading-tag '  itemprop=\"headline\"  >Yes, I\u2019m joining hollandbio!<\/h1><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-lnbjrz0a-56e9e6ebd2903e235e72486b99db9229\">\n#top .hr.hr-invisible.av-lnbjrz0a-56e9e6ebd2903e235e72486b99db9229{\nheight:10px;\n}\n<\/style>\n<div  class='hr av-lnbjrz0a-56e9e6ebd2903e235e72486b99db9229 hr-invisible  avia-builder-el-3  el_after_av_heading  el_before_av_textblock '><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-lksb19mc-79f2c6cf57a2c235151212709c56f304\">\n#top .av_textblock_section.av-lksb19mc-79f2c6cf57a2c235151212709c56f304 .avia_textblock{\nfont-size:24px;\n}\n<\/style>\n<section  class='av_textblock_section av-lksb19mc-79f2c6cf57a2c235151212709c56f304 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><p>Contribute to health, sustainability and economic growth.<\/p>\n<\/div><\/section><\/p><\/div>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-lksb36ck-b44aacf2c4917b56066f713d34dc0a87\">\n.flex_column.av-lksb36ck-b44aacf2c4917b56066f713d34dc0a87{\npadding:50px 50px 50px 50px;\nbackground:url(https:\/\/www.hollandbio.nl\/wp-content\/uploads\/2023\/09\/lidworden-petri.svg) 100% 0% no-repeat scroll #eb4f31;\n}\n<\/style>\n<div  class='flex_column av-lksb36ck-b44aacf2c4917b56066f713d34dc0a87 av_three_fifth  avia-builder-el-5  el_after_av_two_fifth  avia-builder-el-last  no_margin av-break-at-tablet flex_column_table_cell av-equal-height-column av-align-top avia-full-contain  '     ><style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-lsyundzx-feaa2b5854da542d7727538dff0b4388\">\n#top .hr.hr-invisible.av-lsyundzx-feaa2b5854da542d7727538dff0b4388{\nheight:250px;\n}\n<\/style>\n<div  class='hr av-lsyundzx-feaa2b5854da542d7727538dff0b4388 hr-invisible  avia-builder-el-6  avia-builder-el-no-sibling  av-desktop-hide'><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div><\/div><\/div><!--close column table wrapper. Autoclose: 1 --><\/div><\/div><\/main><!-- close content main element --><\/div><\/div><div id='av_section_2'  class='avia-section av-2maycg-a71218484f919a4e990f4983f12cd1a4 main_color avia-section-default avia-no-border-styling  avia-builder-el-7  el_after_av_section  avia-builder-el-last  avia-bg-style-scroll container_wrap fullsize'  ><div class='container av-section-cont-open' ><div class='template-page content  av-content-full alpha units'><div class='post-entry post-entry-type-page post-entry-38933'><div class='entry-content-wrapper clearfix'>\n<div class='flex_column_table av-lksba6r7-5e0354228596651604f8f1b6203e707f sc-av_three_fifth av-equal-height-column-flextable'>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-lksba6r7-5e0354228596651604f8f1b6203e707f\">\n.flex_column.av-lksba6r7-5e0354228596651604f8f1b6203e707f{\npadding:50px 50px 50px 50px;\nbackground-color:#e2f3fa;\n}\n\n@media only screen and (min-width: 768px) and (max-width: 989px){ \n.flex_column.av-lksba6r7-5e0354228596651604f8f1b6203e707f{\npadding:25px 25px 25px 25px;\n}\n}\n\n@media only screen and (min-width: 480px) and (max-width: 767px){ \n.flex_column.av-lksba6r7-5e0354228596651604f8f1b6203e707f{\npadding:25px 25px 25px 25px;\n}\n}\n\n@media only screen and (max-width: 479px){ \n.flex_column.av-lksba6r7-5e0354228596651604f8f1b6203e707f{\npadding:25px 25px 25px 25px;\n}\n}\n<\/style>\n<div  class='flex_column av-lksba6r7-5e0354228596651604f8f1b6203e707f av_three_fifth  avia-builder-el-8  el_before_av_two_fifth  avia-builder-el-first  first no_margin flex_column_table_cell av-equal-height-column av-align-top  '     ><p>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-lksb96g2-e2abc39c6e024f7f791635f395c3cf1d\">\n#top .av-special-heading.av-lksb96g2-e2abc39c6e024f7f791635f395c3cf1d{\npadding-bottom:10px;\nfont-size:24px;\n}\nbody .av-special-heading.av-lksb96g2-e2abc39c6e024f7f791635f395c3cf1d .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n#top #wrap_all .av-special-heading.av-lksb96g2-e2abc39c6e024f7f791635f395c3cf1d .av-special-heading-tag{\nfont-size:24px;\n}\n.av-special-heading.av-lksb96g2-e2abc39c6e024f7f791635f395c3cf1d .av-subheading{\nfont-size:15px;\n}\n\n@media only screen and (min-width: 480px) and (max-width: 767px){ \n#top #wrap_all .av-special-heading.av-lksb96g2-e2abc39c6e024f7f791635f395c3cf1d .av-special-heading-tag{\nfont-size:0.8em;\n}\n}\n\n@media only screen and (max-width: 479px){ \n#top #wrap_all .av-special-heading.av-lksb96g2-e2abc39c6e024f7f791635f395c3cf1d .av-special-heading-tag{\nfont-size:0.8em;\n}\n}\n<\/style>\n<div  class='av-special-heading av-lksb96g2-e2abc39c6e024f7f791635f395c3cf1d av-special-heading-h2 blockquote modern-quote  avia-builder-el-9  el_before_av_contact  avia-builder-el-first  av-inherit-size'><h2 class='av-special-heading-tag '  itemprop=\"headline\"  >Sign up using the form below<\/h2><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n<form action=\"https:\/\/www.hollandbio.nl\/en\/become-a-member\/registration-form\/\" method=\"post\" data-fields-with-error=\"Found errors in the following field(s):\" class=\"avia_ajax_form av-form-labels-hidden   avia-builder-el-10  el_after_av_heading  el_before_av_codeblock    av-desktop-hide av-medium-hide av-small-hide av-mini-hide\" data-avia-form-id=\"1\" data-avia-redirect='' ><fieldset><div id='avia_1_1' class='av-form-text'><p>\n<strong>Organization details<\/strong><\/p>\n<\/div><p class='  first_form  form_element form_fullwidth' id='element_avia_2_1'><label for=\"avia_2_1\">Organization <abbr class=\"required\" title=\"required\">*<\/abbr><\/label> <input name=\"avia_2_1\" class=\"text_input is_empty\" type=\"text\" id=\"avia_2_1\" value=\"\"  placeholder='Organization*'\/><\/p><p class='  first_form  form_element form_fullwidth' id='element_avia_3_1'><label for=\"avia_3_1\">Postal code <abbr class=\"required\" title=\"required\">*<\/abbr><\/label> <input name=\"avia_3_1\" class=\"text_input is_empty\" type=\"text\" id=\"avia_3_1\" value=\"\"  placeholder='Postal code*'\/><\/p><p class='  first_form  form_element form_fullwidth' id='element_avia_4_1'><label for=\"avia_4_1\">Postal code <abbr class=\"required\" title=\"required\">*<\/abbr><\/label> <input name=\"avia_4_1\" class=\"text_input is_empty\" type=\"text\" id=\"avia_4_1\" value=\"\"  placeholder='Postal code*'\/><\/p><p class='  first_form  form_element form_fullwidth' id='element_avia_5_1'><label for=\"avia_5_1\">Plaats <abbr class=\"required\" title=\"required\">*<\/abbr><\/label> <input name=\"avia_5_1\" class=\"text_input is_empty\" type=\"text\" id=\"avia_5_1\" value=\"\"  placeholder='Plaats*'\/><\/p><p class='  first_form  form_element form_fullwidth' id='element_avia_6_1'><label for=\"avia_6_1\">Country <abbr class=\"required\" title=\"required\">*<\/abbr><\/label> <input name=\"avia_6_1\" class=\"text_input is_empty\" type=\"text\" id=\"avia_6_1\" value=\"\"  placeholder='Country*'\/><\/p><p class='  first_form  form_element form_fullwidth' id='element_avia_7_1'><label for=\"avia_7_1\">Number of employees in the Netherlands <abbr class=\"required\" title=\"required\">*<\/abbr><\/label> <input name=\"avia_7_1\" class=\"text_input is_empty\" type=\"text\" id=\"avia_7_1\" value=\"\"  placeholder='Number of employees in the Netherlands*'\/><\/p><p class='  first_form  form_element form_fullwidth' id='element_avia_8_1'><label for=\"avia_8_1\">Revenues originating from Dutch operations in 2022 <abbr class=\"required\" title=\"required\">*<\/abbr><\/label><select  name=\"avia_8_1\" class=\"select is_empty\" id=\"avia_8_1\"><option class=\"av-placeholder\" disabled=\"disabled\" selected=\"selected\" value=''>Revenues originating from Dutch operations in 2022*<\/option><option   value='None or less than \u20ac 25 M'>None or less than \u20ac 25 M<\/option><option   value='\u20ac 25 - 50 M'>\u20ac 25 - 50 M<\/option><option   value='\u20ac 50 - 75 M'>\u20ac 50 - 75 M<\/option><option   value='\u20ac 75 - 120 M'>\u20ac 75 - 120 M<\/option><option   value='\u20ac 120 - 180 M'>\u20ac 120 - 180 M<\/option><option   value='Meer dan \u20ac 180 M'>Meer dan \u20ac 180 M<\/option><\/select><\/p><p class='  first_form  form_element form_fullwidth' id='element_avia_9_1'><label for=\"avia_9_1\">Date of establishment <abbr class=\"required\" title=\"required\">*<\/abbr><\/label><select  name=\"avia_9_1\" class=\"select is_empty\" id=\"avia_9_1\"><option class=\"av-placeholder\" disabled=\"disabled\" selected=\"selected\" value=''>Date of establishment*<\/option><option   value='Voor 2019'>Voor 2019<\/option><option   value='2019'>2019<\/option><option   value='2020'>2020<\/option><option   value='2021'>2021<\/option><option   value='2022'>2022<\/option><option   value='2023'>2023<\/option><\/select><\/p><div id='avia_10_1' class='av-form-text'><p>\n<strong>Brief description of the organization<\/strong><\/p>\n<\/div><p class='  first_form  form_element form_fullwidth' id='element_avia_11_1'><label for=\"avia_11_1\" class=\"textare_label hidden textare_label_avia_11_1\">Description <abbr class=\"required\" title=\"required\">*<\/abbr><\/label><textarea  placeholder='Description*' name=\"avia_11_1\" class=\"text_area is_empty\" cols=\"40\" rows=\"7\" id=\"avia_11_1\" ><\/textarea><\/p><p class='  first_form  form_element form_fullwidth' id='element_avia_12_1'><label for=\"avia_12_1\">Website <abbr class=\"required\" title=\"required\">*<\/abbr><\/label> <input name=\"avia_12_1\" class=\"text_input is_empty\" type=\"text\" id=\"avia_12_1\" value=\"\"  placeholder='Website*'\/><\/p><div id='avia_13_1' class='av-form-text'><p>\n<strong>Contact person for membership<\/strong><\/p>\n<\/div><p class='  first_form  form_element form_fullwidth' id='element_avia_14_1'><label for=\"avia_14_1\">Title <abbr class=\"required\" title=\"required\">*<\/abbr><\/label><select  name=\"avia_14_1\" class=\"select is_empty\" id=\"avia_14_1\"><option class=\"av-placeholder\" disabled=\"disabled\" selected=\"selected\" value=''>Title*<\/option><option   value='Mr.'>Mr.<\/option><option   value='Ms.'>Ms.<\/option><\/select><\/p><p class='  first_form  form_element form_fullwidth' id='element_avia_15_1'><label for=\"avia_15_1\">First and last name <abbr class=\"required\" title=\"required\">*<\/abbr><\/label> <input name=\"avia_15_1\" class=\"text_input is_empty\" type=\"text\" id=\"avia_15_1\" value=\"\"  placeholder='First and last name*'\/><\/p><p class='  first_form  form_element form_fullwidth' id='element_avia_16_1'><label for=\"avia_16_1\">Job title <abbr class=\"required\" title=\"required\">*<\/abbr><\/label> <input name=\"avia_16_1\" class=\"text_input is_empty\" type=\"text\" id=\"avia_16_1\" value=\"\"  placeholder='Job title*'\/><\/p><p class='  first_form  form_element form_fullwidth' id='element_avia_17_1'><label for=\"avia_17_1\">E-mail <abbr class=\"required\" title=\"required\">*<\/abbr><\/label> <input name=\"avia_17_1\" class=\"text_input is_email\" type=\"text\" id=\"avia_17_1\" value=\"\"  placeholder='E-mail*'\/><\/p><p class='  first_form  form_element form_fullwidth' id='element_avia_18_1'><label for=\"avia_18_1\">Phone number <abbr class=\"required\" title=\"required\">*<\/abbr><\/label> <input name=\"avia_18_1\" class=\"text_input is_phone\" type=\"text\" id=\"avia_18_1\" value=\"\"  placeholder='Phone number*'\/><\/p><div id='avia_19_1' class='av-form-text'><p>\n<strong>Facturatiegegevens<\/strong><\/p>\n<\/div><p class='  first_form  form_element form_fullwidth' id='element_avia_20_1'><label for=\"avia_20_1\">Contact person for billing  <abbr class=\"required\" title=\"required\">*<\/abbr><\/label> <input name=\"avia_20_1\" class=\"text_input is_empty\" type=\"text\" id=\"avia_20_1\" value=\"\"  placeholder='Contact person for billing *'\/><\/p><p class='  first_form  form_element form_fullwidth' id='element_avia_21_1'><label for=\"avia_21_1\">Address <abbr class=\"required\" title=\"required\">*<\/abbr><\/label> <input name=\"avia_21_1\" class=\"text_input is_empty\" type=\"text\" id=\"avia_21_1\" value=\"\"  placeholder='Address*'\/><\/p><p class='  first_form  form_element form_fullwidth' id='element_avia_22_1'><label for=\"avia_22_1\">Postal code <abbr class=\"required\" title=\"required\">*<\/abbr><\/label> <input name=\"avia_22_1\" class=\"text_input is_empty\" type=\"text\" id=\"avia_22_1\" value=\"\"  placeholder='Postal code*'\/><\/p><p class='  first_form  form_element form_fullwidth' id='element_avia_23_1'><label for=\"avia_23_1\">City <abbr class=\"required\" title=\"required\">*<\/abbr><\/label> <input name=\"avia_23_1\" class=\"text_input is_empty\" type=\"text\" id=\"avia_23_1\" value=\"\"  placeholder='City*'\/><\/p><p class='  first_form  form_element form_fullwidth' id='element_avia_24_1'><label for=\"avia_24_1\">Country <abbr class=\"required\" title=\"required\">*<\/abbr><\/label> <input name=\"avia_24_1\" class=\"text_input is_empty\" type=\"text\" id=\"avia_24_1\" value=\"\"  placeholder='Country*'\/><\/p><p class='  first_form  form_element form_fullwidth' id='element_avia_25_1'><label for=\"avia_25_1\">VAT number <abbr class=\"required\" title=\"required\">*<\/abbr><\/label> <input name=\"avia_25_1\" class=\"text_input is_empty\" type=\"text\" id=\"avia_25_1\" value=\"\"  placeholder='VAT number*'\/><\/p><p class='  first_form  form_element form_fullwidth' id='element_avia_26_1'><label for=\"avia_26_1\">PO number or reference for the invoice  <abbr class=\"required\" title=\"required\">*<\/abbr><\/label><select  name=\"avia_26_1\" class=\"select is_empty\" id=\"avia_26_1\"><option class=\"av-placeholder\" disabled=\"disabled\" selected=\"selected\" value=''>PO number or reference for the invoice *<\/option><option   value='Ja'>Ja<\/option><option   value='Nee'>Nee<\/option><\/select><\/p><p class='  first_form  form_element form_fullwidth' id='element_avia_27_1'><label for=\"avia_27_1\">Bill by <abbr class=\"required\" title=\"required\">*<\/abbr><\/label><select  name=\"avia_27_1\" class=\"select is_empty\" id=\"avia_27_1\"><option class=\"av-placeholder\" disabled=\"disabled\" selected=\"selected\" value=''>Bill by*<\/option><option   value='e-mail'>e-mail<\/option><option   value='post'>post<\/option><\/select><\/p><p class='  first_form  form_element form_fullwidth' id='element_avia_28_1'><label for=\"avia_28_1\">Email address for billing <abbr class=\"required\" title=\"required\">*<\/abbr><\/label> <input name=\"avia_28_1\" class=\"text_input is_empty\" type=\"text\" id=\"avia_28_1\" value=\"\"  placeholder='Email address for billing*'\/><\/p><p class='  first_form  form_element form_fullwidth' id='element_avia_29_1'><label for=\"avia_29_1\">Requested membership start date  <abbr class=\"required\" title=\"required\">*<\/abbr><\/label> <input name=\"avia_29_1\" class=\"avia_datepicker text_input is_empty\" type=\"text\" id=\"avia_29_1\" value=\"\" placeholder=\"Requested membership start date *\" inputmode=\"none\" \/><\/p><div id='avia_30_1' class='av-form-text'><p>\nTo whatever extent they can, Members of hollandbio play a role in promoting an optimal climate in which biotechnology contributes to economic growth, health and sustainability. Members act in accordance with hollandbio&#8217;s code of ethics and agree to abide by the association&#8217;s procedural rules, bylaws and annual dues.<\/p>\n<\/div><p class='  first_form  form_element form_fullwidth' id='element_avia_31_1'><input  name=\"avia_31_1\" class=\"input_checkbox is_empty\" type=\"checkbox\" id=\"avia_31_1\" value=\"true\"\/><label class=\"input_checkbox_label\" for=\"avia_31_1\">I agree to the terms and conditions of hollandbio membership: We will act in accordance with hollandbio\u2019s code of ethics, agree to pay the annual membership fee, and will abide by the association\u2019s procedural rules and bylaws.  <abbr class=\"required\" title=\"required\">*<\/abbr><\/label><\/p><p class=\"hidden\"><input type=\"text\" name=\"avia_32_1\" class=\"hidden \" id=\"avia_32_1\" value=\"\" \/><\/p><div id='avia_33_1' class='av-recaptcha-area  first_form  form_element form_fullwidth av-last-visible-form-element '  data-container_class=\"\" data-custom_class=\"\" data-context=\"av_contact_form\" data-token_input=\"av_recaptcha_token\" data-version=\"avia_recaptcha_v2\" data-theme=\"light\" data-size=\"normal\" data-score=\"0.5\" data-text_to_preview=\"\" data-value=\"\"><div class=\"av-google-badge-message hidden\">This site is protected by reCAPTCHA and the Google <a href=\"https:\/\/policies.google.com\/privacy\" target=\"_blank\" rel=\"noopener noreferrer\">Privacy Policy<\/a> and <a href=\"https:\/\/policies.google.com\/terms\" target=\"_blank\" rel=\"noopener noreferrer\">Terms of Service<\/a> apply.<\/div><\/div><p class=' av_form_privacy_check av_contact_privacy_check first_form  form_element form_fullwidth' id='element_avia_34_1'><input  name=\"avia_34_1\" class=\"input_checkbox is_empty\" type=\"checkbox\" id=\"avia_34_1\" value=\"true\"\/><label class=\"input_checkbox_label\" for=\"avia_34_1\">Ik ga akkoord met de <a href='https:\/\/www.hollandbio.nl\/en\/?page_id=38722' target='_blank'>privacyverklaring<\/a> <abbr class=\"required\" title=\"required\">*<\/abbr><\/label><\/p><p class=\"form_element \"><input type=\"hidden\" value=\"1\" name=\"avia_generated_form1\" \/><input type=\"submit\" value=\"Register\" class=\"button\"  data-sending-label=\"Sending\"\/><\/p><\/fieldset><div class=\"avia-disabled-form\">This contact form is deactivated because you refused to accept Google reCaptcha service which is necessary to validate any messages sent by the form.<\/div><\/form><div id=\"ajaxresponse_1\" class=\"ajaxresponse ajaxresponse_1 hidden\"><\/div><br \/>\n<\/p><\/div>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-2w5jqt-a2a0a7cd848499db29aa16e2f3d5bedc\">\n.flex_column.av-2w5jqt-a2a0a7cd848499db29aa16e2f3d5bedc{\npadding:50px 50px 50px 50px;\nbackground-color:#e2f3fa;\n}\n\n@media only screen and (min-width: 768px) and (max-width: 989px){ \n.flex_column.av-2w5jqt-a2a0a7cd848499db29aa16e2f3d5bedc{\npadding:25px 25px 25px 25px;\n}\n}\n\n@media only screen and (min-width: 480px) and (max-width: 767px){ \n.flex_column.av-2w5jqt-a2a0a7cd848499db29aa16e2f3d5bedc{\npadding:25px 25px 25px 25px;\n}\n}\n\n@media only screen and (max-width: 479px){ \n.flex_column.av-2w5jqt-a2a0a7cd848499db29aa16e2f3d5bedc{\npadding:25px 25px 25px 25px;\n}\n}\n<\/style>\n<div  class='flex_column av-2w5jqt-a2a0a7cd848499db29aa16e2f3d5bedc av_two_fifth  avia-builder-el-12  el_after_av_three_fifth  avia-builder-el-last  no_margin flex_column_table_cell av-equal-height-column av-align-top  '     ><\/div><\/div><!--close column table wrapper. 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