[paytium name="1-OP-1 COACHING" description="1-OP-1 COACHING"][paytium_field type="firstname" label="Voornaam" required="true" /][paytium_field type="lastname" label="Achternaam" required="true" /][paytium_field type="email" label="Email" required="true" newsletter="mailchimp" newsletter_label="Ik wil me gratis laten inspireren op het gebied van positief ouderschap & energiebalans voor moeders" /][paytium_field type="text" label="Straat" required="true" /][paytium_field type="text" label="Huisnummer" required="true" /][paytium_field type="text" label="Postcode" required="true" /][paytium_field type="text" label="Plaats" required="true" /][paytium_field type="text" label="Land" required="true" /][paytium_field type="label" label="1-OP-1 COACHING voor €397" amount="0" /][paytium_button label="Ja, ik wil mijn kind positief opvoeden" /][paytium_field type="label" label="Bedrag excl. BTW: € 328,10" amount="328,10" /][paytium_field type="label" label="+ BTW 21%: € 68,90" amount="68,90" /][paytium_total /][paytium_emails id="6860, 6649" /][/paytium]