Nieuwsbrief

Nieuwsbrief

Logo Antwerpen mailchimp : 
<div id="mc_embed_signup"> <form action="https://vlaamse-logos.us9.list-manage.com/subscribe/post?u=5fabdfb944297194e20b620bd&amp;id=4bc3477b58" method="post" id="mc-embedded-subscribe-form" name="mc-embedded-subscribe-form" class="validate" target="_blank" novalidate> <div id="mc_embed_signup_scroll"> <h2>Nieuwsbrief</h2> <div class="indicates-required"><span class="asterisk">*</span> verplichte velden</div> <div class="mc-field-group"> <label for="mce-FNAME">Voornaam <span class="asterisk">*</span> </label> <input type="text" value="" name="FNAME" class="required" id="mce-FNAME"> </div> <div class="mc-field-group"> <label for="mce-LNAME">Naam <span class="asterisk">*</span> </label> <input type="text" value="" name="LNAME" class="required" id="mce-LNAME"> </div> <div class="mc-field-group"> <label for="mce-EMAIL">E-mailadres <span class="asterisk">*</span> </label> <input type="email" value="" name="EMAIL" class="required email" id="mce-EMAIL"> </div> <div class="mc-field-group"> <label for="mce-ORG">Organisatie </label> <input type="text" value="" name="ORG" class="" id="mce-ORG"> </div> <div class="mc-field-group input-group"> <strong>Ik heb interesse in </strong> <ul><li><input type="checkbox" value="1" name="group[19481][1]" id="mce-group[19481]-19481-0"><label for="mce-group[19481]-19481-0">gezondheid</label></li> <li><input type="checkbox" value="2" name="group[19481][2]" id="mce-group[19481]-19481-1"><label for="mce-group[19481]-19481-1">in de gemeente</label></li> <li><input type="checkbox" value="4" name="group[19481][4]" id="mce-group[19481]-19481-2"><label for="mce-group[19481]-19481-2">op school</label></li> <li><input type="checkbox" value="8" name="group[19481][8]" id="mce-group[19481]-19481-3"><label for="mce-group[19481]-19481-3">op het werk</label></li> <li><input type="checkbox" value="16" name="group[19481][16]" id="mce-group[19481]-19481-4"><label for="mce-group[19481]-19481-4">in de zorg</label></li> </ul> </div> <div id="mce-responses" class="clear"> <div class="response" id="mce-error-response" style="display:none"></div> <div class="response" id="mce-success-response" style="display:none"></div> </div> <!-- real people should not fill this in and expect good things - do not remove this or risk form bot signups--> <div style="position: absolute; left: -5000px;" aria-hidden="true"><input type="text" name="b_5fabdfb944297194e20b620bd_4bc3477b58" tabindex="-1" value=""></div> <div class="clear"><input type="submit" value="Abonneren" name="subscribe" id="mc-embedded-subscribe" class="button"></div> </div> </form> </div>
Logo Kempen mailchimp: 
<div id="mc_embed_signup"> <form action="https://vlaamse-logos.us9.list-manage.com/subscribe/post?u=5fabdfb944297194e20b620bd&amp;id=757025f547" method="post" id="mc-embedded-subscribe-form" name="mc-embedded-subscribe-form" class="validate" target="_blank" novalidate> <div id="mc_embed_signup_scroll"> <h2>Nieuwsbrief</h2> <div class="indicates-required"><span class="asterisk">*</span> verplichte velden</div> <div class="mc-field-group"> <label for="mce-FNAME">Voornaam </label> <input type="text" value="" name="FNAME" class="" id="mce-FNAME"> </div> <div class="mc-field-group"> <label for="mce-LNAME">Naam </label> <input type="text" value="" name="LNAME" class="" id="mce-LNAME"> </div> <div class="mc-field-group"> <label for="mce-EMAIL">E-mailadres <span class="asterisk">*</span> </label> <input type="email" value="" name="EMAIL" class="required email" id="mce-EMAIL"> </div> <div class="mc-field-group"> <label for="mce-ORG">Organisatie </label> <input type="text" value="" name="ORG" class="" id="mce-ORG"> </div> <div class="mc-field-group input-group"> <strong>Ik heb interesse in </strong> <ul><li><input type="checkbox" value="1" name="group[19497][1]" id="mce-group[19497]-19497-0"><label for="mce-group[19497]-19497-0">gezondheid</label></li> <li><input type="checkbox" value="2" name="group[19497][2]" id="mce-group[19497]-19497-1"><label for="mce-group[19497]-19497-1">in de gemeente</label></li> <li><input type="checkbox" value="4" name="group[19497][4]" id="mce-group[19497]-19497-2"><label for="mce-group[19497]-19497-2">op school</label></li> <li><input type="checkbox" value="8" name="group[19497][8]" id="mce-group[19497]-19497-3"><label for="mce-group[19497]-19497-3">op het werk</label></li> <li><input type="checkbox" value="16" name="group[19497][16]" id="mce-group[19497]-19497-4"><label for="mce-group[19497]-19497-4">in de zorg</label></li> </ul> </div> <div id="mce-responses" class="clear"> <div class="response" id="mce-error-response" style="display:none"></div> <div class="response" id="mce-success-response" style="display:none"></div> </div> <!-- real people should not fill this in and expect good things - do not remove this or risk form bot signups--> <div style="position: absolute; left: -5000px;" aria-hidden="true"><input type="text" name="b_5fabdfb944297194e20b620bd_757025f547" tabindex="-1" value=""></div> <div class="clear"><input type="submit" value="Abonneren" name="subscribe" id="mc-embedded-subscribe" class="button"></div> </div> </form> </div>
Logo Mechelen mailchimp: 
<div id="mc_embed_signup"> <form action="https://logomechelen.us9.list-manage.com/subscribe/post?u=5fabdfb944297194e20b620bd&amp;id=8246e83431" method="post" id="mc-embedded-subscribe-form" name="mc-embedded-subscribe-form" class="validate" target="_blank" novalidate> <div id="mc_embed_signup_scroll"> <h2>Subscribe</h2> <div class="indicates-required"><span class="asterisk">*</span> indicates required</div> <div class="mc-field-group"> <label for="mce-FNAME">Voornaam </label> <input type="text" value="" name="FNAME" class="" id="mce-FNAME"> </div> <div class="mc-field-group"> <label for="mce-LNAME">Naam </label> <input type="text" value="" name="LNAME" class="" id="mce-LNAME"> </div> <div class="mc-field-group"> <label for="mce-EMAIL">E-mailadres <span class="asterisk">*</span> </label> <input type="email" value="" name="EMAIL" class="required email" id="mce-EMAIL"> </div> <div class="mc-field-group"> <label for="mce-ORG">Organisatie </label> <input type="text" value="" name="ORG" class="" id="mce-ORG"> </div> <div class="mc-field-group input-group"> <strong>Ik heb interesse in gezondheid </strong> <ul><li><input type="checkbox" value="2" name="group[19501][2]" id="mce-group[19501]-19501-0"><label for="mce-group[19501]-19501-0">in de gemeente</label></li> <li><input type="checkbox" value="4" name="group[19501][4]" id="mce-group[19501]-19501-1"><label for="mce-group[19501]-19501-1">op school</label></li> <li><input type="checkbox" value="8" name="group[19501][8]" id="mce-group[19501]-19501-2"><label for="mce-group[19501]-19501-2">op het werk</label></li> <li><input type="checkbox" value="16" name="group[19501][16]" id="mce-group[19501]-19501-3"><label for="mce-group[19501]-19501-3">in de zorg</label></li> <li><input type="checkbox" value="32" name="group[19501][32]" id="mce-group[19501]-19501-4"><label for="mce-group[19501]-19501-4">... en milieu</label></li> </ul> </div> <div id="mce-responses" class="clear"> <div class="response" id="mce-error-response" style="display:none"></div> <div class="response" id="mce-success-response" style="display:none"></div> </div> <!-- real people should not fill this in and expect good things - do not remove this or risk form bot signups--> <div style="position: absolute; left: -5000px;" aria-hidden="true"><input type="text" name="b_5fabdfb944297194e20b620bd_8246e83431" tabindex="-1" value=""></div> <div class="clear"><input type="submit" value="Subscribe" name="subscribe" id="mc-embedded-subscribe" class="button"></div> </div> </form> </div>
Logo Limburg mailchimp: 
<div id="mc_embed_signup"> <form action="https://logolimburg.us9.list-manage.com/subscribe/post?u=5fabdfb944297194e20b620bd&amp;id=7132dbda5c" method="post" id="mc-embedded-subscribe-form" name="mc-embedded-subscribe-form" class="validate" target="_blank" novalidate> <div id="mc_embed_signup_scroll"> <h2>Nieuwsbrief</h2> <div class="indicates-required"><span class="asterisk">*</span> verplichte velden</div> <div class="mc-field-group"> <label for="mce-FNAME">Voornaam </label> <input type="text" value="" name="FNAME" class="" id="mce-FNAME"> </div> <div class="mc-field-group"> <label for="mce-LNAME">Naam </label> <input type="text" value="" name="LNAME" class="" id="mce-LNAME"> </div> <div class="mc-field-group"> <label for="mce-EMAIL">E-mailadres <span class="asterisk">*</span> </label> <input type="email" value="" name="EMAIL" class="required email" id="mce-EMAIL"> </div> <div class="mc-field-group"> <label for="mce-ORG">Organisatie </label> <input type="text" value="" name="ORG" class="" id="mce-ORG"> </div> <div class="mc-field-group"> <label for="mce-MMERGE4">Functie </label> <input type="text" value="" name="MMERGE4" class="" id="mce-MMERGE4"> </div> <div class="mc-field-group input-group"> <strong>Nieuwsbrief Logo Limburg </strong> <ul><li><input type="radio" value="32" name="group[23613]" id="mce-group[23613]-23613-0"><label for="mce-group[23613]-23613-0">Algemene nieuwsbrief (tweewekelijks)</label></li> </ul> </div> <div class="mc-field-group input-group"> <strong>Speciale edities (4-5x/jaar) </strong> <ul><li><input type="checkbox" value="1" name="group[23617][1]" id="mce-group[23617]-23617-0"><label for="mce-group[23617]-23617-0">Gezonde Gemeente</label></li> <li><input type="checkbox" value="2" name="group[23617][2]" id="mce-group[23617]-23617-1"><label for="mce-group[23617]-23617-1">Gezondheid in de zorg</label></li> <li><input type="checkbox" value="4" name="group[23617][4]" id="mce-group[23617]-23617-2"><label for="mce-group[23617]-23617-2">Gezonde School</label></li> <li><input type="checkbox" value="8" name="group[23617][8]" id="mce-group[23617]-23617-3"><label for="mce-group[23617]-23617-3">Gezond Werk</label></li> <li><input type="checkbox" value="16" name="group[23617][16]" id="mce-group[23617]-23617-4"><label for="mce-group[23617]-23617-4">Nieuwsbrief voor artsen</label></li> </ul> </div> <div class="mc-field-group input-group"> <strong>Woonzorgcentra </strong> <ul><li><input type="checkbox" value="64" name="group[29073][64]" id="mce-group[29073]-29073-0"><label for="mce-group[29073]-29073-0">Valpreventie</label></li> </ul> </div> <div id="mce-responses" class="clear"> <div class="response" id="mce-error-response" style="display:none"></div> <div class="response" id="mce-success-response" style="display:none"></div> </div> <!-- real people should not fill this in and expect good things - do not remove this or risk form bot signups--> <div style="position: absolute; left: -5000px;" aria-hidden="true"><input type="text" name="b_5fabdfb944297194e20b620bd_7132dbda5c" tabindex="-1" value=""></div> <div class="clear"><input type="submit" value="Abonneren" name="subscribe" id="mc-embedded-subscribe" class="button"></div> </div> </form> </div>
Logo Oost-Brabant mailchimp: 
<div id="mc_embed_signup"> <form action="https://logo-oostbrabant.us9.list-manage.com/subscribe/post?u=5fabdfb944297194e20b620bd&amp;id=9643ddb0b6" method="post" id="mc-embedded-subscribe-form" name="mc-embedded-subscribe-form" class="validate" target="_blank" novalidate> <div id="mc_embed_signup_scroll"> <h2>Subscribe</h2> <div class="indicates-required"><span class="asterisk">*</span> indicates required</div> <div class="mc-field-group"> <label for="mce-FNAME">Voornaam </label> <input type="text" value="" name="FNAME" class="" id="mce-FNAME"> </div> <div class="mc-field-group"> <label for="mce-LNAME">Naam </label> <input type="text" value="" name="LNAME" class="" id="mce-LNAME"> </div> <div class="mc-field-group"> <label for="mce-EMAIL">E-mailadres <span class="asterisk">*</span> </label> <input type="email" value="" name="EMAIL" class="required email" id="mce-EMAIL"> </div> <div class="mc-field-group"> <label for="mce-ORG">Organisatie </label> <input type="text" value="" name="ORG" class="" id="mce-ORG"> </div> <div class="mc-field-group input-group"> <strong>Ik wil me graag inschrijven voor </strong> <ul><li><input type="checkbox" value="32" name="group[29206][32]" id="mce-group[29206]-29206-0"><label for="mce-group[29206]-29206-0">De Gezonde Gazet (tweemaandelijks)</label></li> <li><input type="checkbox" value="64" name="group[29206][64]" id="mce-group[29206]-29206-1"><label for="mce-group[29206]-29206-1">Scholennieuwsbrief Basisonderwijs (3x per jaar)</label></li> <li><input type="checkbox" value="128" name="group[29206][128]" id="mce-group[29206]-29206-2"><label for="mce-group[29206]-29206-2">Scholennieuwsbrief Secundair onderwijs (3x per jaar)</label></li> <li><input type="checkbox" value="2048" name="group[29206][2048]" id="mce-group[29206]-29206-3"><label for="mce-group[29206]-29206-3">Nieuwsbrief Huis van het Kind (4x per jaar)</label></li> </ul> </div> <div class="mc-field-group input-group"> <strong>Ik heb interesse in </strong> <ul><li><input type="checkbox" value="1" name="group[19509][1]" id="mce-group[19509]-19509-0"><label for="mce-group[19509]-19509-0">gezondheid</label></li> <li><input type="checkbox" value="2" name="group[19509][2]" id="mce-group[19509]-19509-1"><label for="mce-group[19509]-19509-1">de gemeente</label></li> <li><input type="checkbox" value="4" name="group[19509][4]" id="mce-group[19509]-19509-2"><label for="mce-group[19509]-19509-2">op school</label></li> <li><input type="checkbox" value="8" name="group[19509][8]" id="mce-group[19509]-19509-3"><label for="mce-group[19509]-19509-3">op het werk</label></li> <li><input type="checkbox" value="16" name="group[19509][16]" id="mce-group[19509]-19509-4"><label for="mce-group[19509]-19509-4">in de zorg</label></li> </ul> </div> <div class="mc-field-group input-group"> <strong>Specifieke thema's </strong> <ul><li><input type="checkbox" value="256" name="group[29210][256]" id="mce-group[29210]-29210-0"><label for="mce-group[29210]-29210-0">Griepvaccinatie</label></li> <li><input type="checkbox" value="512" name="group[29210][512]" id="mce-group[29210]-29210-1"><label for="mce-group[29210]-29210-1">Valpreventie</label></li> <li><input type="checkbox" value="1024" name="group[29210][1024]" id="mce-group[29210]-29210-2"><label for="mce-group[29210]-29210-2">Bullshitfree Generation</label></li> </ul> </div> <div id="mce-responses" class="clear"> <div class="response" id="mce-error-response" style="display:none"></div> <div class="response" id="mce-success-response" style="display:none"></div> </div> <!-- real people should not fill this in and expect good things - do not remove this or risk form bot signups--> <div style="position: absolute; left: -5000px;" aria-hidden="true"><input type="text" name="b_5fabdfb944297194e20b620bd_9643ddb0b6" tabindex="-1" value=""></div> <div class="clear"><input type="submit" value="Subscribe" name="subscribe" id="mc-embedded-subscribe" class="button"></div> </div> </form> </div>
Logo Brussel mailchimp: 
<div id="mc_embed_signup"> <form action="https://vlaamse-logos.us9.list-manage.com/subscribe/post?u=5fabdfb944297194e20b620bd&amp;id=fec2da6f21" method="post" id="mc-embedded-subscribe-form" name="mc-embedded-subscribe-form" class="validate" target="_blank" novalidate> <div id="mc_embed_signup_scroll"> <h2>Nieuwsbrief</h2> <div class="indicates-required"><span class="asterisk">*</span> verplichte velden</div> <div class="mc-field-group"> <label for="mce-FNAME">Voornaam </label> <input type="text" value="" name="FNAME" class="" id="mce-FNAME"> </div> <div class="mc-field-group"> <label for="mce-LNAME">Naam </label> <input type="text" value="" name="LNAME" class="" id="mce-LNAME"> </div> <div class="mc-field-group"> <label for="mce-EMAIL">E-mailadres <span class="asterisk">*</span> </label> <input type="email" value="" name="EMAIL" class="required email" id="mce-EMAIL"> </div> <div class="mc-field-group"> <label for="mce-ORG">Organisatie </label> <input type="text" value="" name="ORG" class="" id="mce-ORG"> </div> <div class="mc-field-group input-group"> <strong>Ik heb interesse in </strong> <ul><li><input type="checkbox" value="1" name="group[19517][1]" id="mce-group[19517]-19517-0"><label for="mce-group[19517]-19517-0">gezondheid</label></li> <li><input type="checkbox" value="2" name="group[19517][2]" id="mce-group[19517]-19517-1"><label for="mce-group[19517]-19517-1">in de gemeente</label></li> <li><input type="checkbox" value="4" name="group[19517][4]" id="mce-group[19517]-19517-2"><label for="mce-group[19517]-19517-2">op school</label></li> <li><input type="checkbox" value="8" name="group[19517][8]" id="mce-group[19517]-19517-3"><label for="mce-group[19517]-19517-3">op het werk</label></li> <li><input type="checkbox" value="16" name="group[19517][16]" id="mce-group[19517]-19517-4"><label for="mce-group[19517]-19517-4">in de zorg</label></li> </ul> </div> <div id="mce-responses" class="clear"> <div class="response" id="mce-error-response" style="display:none"></div> <div class="response" id="mce-success-response" style="display:none"></div> </div> <!-- real people should not fill this in and expect good things - do not remove this or risk form bot signups--> <div style="position: absolute; left: -5000px;" aria-hidden="true"><input type="text" name="b_5fabdfb944297194e20b620bd_fec2da6f21" tabindex="-1" value=""></div> <div class="clear"><input type="submit" value="Abonneren" name="subscribe" id="mc-embedded-subscribe" class="button"></div> </div> </form> </div>
Logo Waasland mailchimp: 
<div id="mc_embed_signup"> <form action="https://logowaasland.us9.list-manage.com/subscribe/post?u=5fabdfb944297194e20b620bd&amp;id=1c3ceaa4ef" method="post" id="mc-embedded-subscribe-form" name="mc-embedded-subscribe-form" class="validate" target="_blank" novalidate> <div id="mc_embed_signup_scroll"> <h2>Nieuwsbrief</h2> <div class="indicates-required"><span class="asterisk">*</span> verplichte velden</div> <div class="mc-field-group"> <label for="mce-FNAME">Voornaam <span class="asterisk">*</span> </label> <input type="text" value="" name="FNAME" class="required" id="mce-FNAME"> </div> <div class="mc-field-group"> <label for="mce-LNAME">Naam <span class="asterisk">*</span> </label> <input type="text" value="" name="LNAME" class="required" id="mce-LNAME"> </div> <div class="mc-field-group"> <label for="mce-EMAIL">E-mailadres <span class="asterisk">*</span> </label> <input type="email" value="" name="EMAIL" class="required email" id="mce-EMAIL"> </div> <div class="mc-field-group"> <label for="mce-ORG">Organisatie <span class="asterisk">*</span> </label> <input type="text" value="" name="ORG" class="required" id="mce-ORG"> </div> <div class="mc-field-group input-group"> <strong>Ik heb interesse in </strong> <ul><li><input type="checkbox" value="1" name="group[19521][1]" id="mce-group[19521]-19521-0"><label for="mce-group[19521]-19521-0">gezondheid</label></li> <li><input type="checkbox" value="2" name="group[19521][2]" id="mce-group[19521]-19521-1"><label for="mce-group[19521]-19521-1">in de gemeente</label></li> <li><input type="checkbox" value="4" name="group[19521][4]" id="mce-group[19521]-19521-2"><label for="mce-group[19521]-19521-2">op school</label></li> <li><input type="checkbox" value="8" name="group[19521][8]" id="mce-group[19521]-19521-3"><label for="mce-group[19521]-19521-3">op het werk</label></li> <li><input type="checkbox" value="16" name="group[19521][16]" id="mce-group[19521]-19521-4"><label for="mce-group[19521]-19521-4">in de zorg</label></li> </ul> </div> <div id="mce-responses" class="clear"> <div class="response" id="mce-error-response" style="display:none"></div> <div class="response" id="mce-success-response" style="display:none"></div> </div> <!-- real people should not fill this in and expect good things - do not remove this or risk form bot signups--> <div style="position: absolute; left: -5000px;" aria-hidden="true"><input type="text" name="b_5fabdfb944297194e20b620bd_1c3ceaa4ef" tabindex="-1" value=""></div> <div class="clear"><input type="submit" value="Abonneren" name="subscribe" id="mc-embedded-subscribe" class="button"></div> </div> </form> </div>
Logo Dender mailchimp: 
<div id="mc_embed_signup"> <form action="https://logodender.us9.list-manage.com/subscribe/post?u=5fabdfb944297194e20b620bd&amp;id=7be3b6c886" method="post" id="mc-embedded-subscribe-form" name="mc-embedded-subscribe-form" class="validate" target="_blank" novalidate> <div id="mc_embed_signup_scroll"> <h2>Nieuwsbrief</h2> <div class="indicates-required"><span class="asterisk">*</span> verplichte velden</div> <div class="mc-field-group"> <label for="mce-FNAME">Voornaam </label> <input type="text" value="" name="FNAME" class="" id="mce-FNAME"> </div> <div class="mc-field-group"> <label for="mce-LNAME">Naam </label> <input type="text" value="" name="LNAME" class="" id="mce-LNAME"> </div> <div class="mc-field-group"> <label for="mce-EMAIL">E-mailadres <span class="asterisk">*</span> </label> <input type="email" value="" name="EMAIL" class="required email" id="mce-EMAIL"> </div> <div class="mc-field-group"> <label for="mce-ORG">Organisatie </label> <input type="text" value="" name="ORG" class="" id="mce-ORG"> </div> <div class="mc-field-group input-group"> <strong>Ik heb interesse in </strong> <ul><li><input type="checkbox" value="1" name="group[19525][1]" id="mce-group[19525]-19525-0"><label for="mce-group[19525]-19525-0">gezondheid</label></li> <li><input type="checkbox" value="2" name="group[19525][2]" id="mce-group[19525]-19525-1"><label for="mce-group[19525]-19525-1">in de gemeente</label></li> <li><input type="checkbox" value="4" name="group[19525][4]" id="mce-group[19525]-19525-2"><label for="mce-group[19525]-19525-2">op school</label></li> <li><input type="checkbox" value="8" name="group[19525][8]" id="mce-group[19525]-19525-3"><label for="mce-group[19525]-19525-3">op het werk</label></li> <li><input type="checkbox" value="16" name="group[19525][16]" id="mce-group[19525]-19525-4"><label for="mce-group[19525]-19525-4">in de zorg</label></li> </ul> </div> <div id="mce-responses" class="clear"> <div class="response" id="mce-error-response" style="display:none"></div> <div class="response" id="mce-success-response" style="display:none"></div> </div> <!-- real people should not fill this in and expect good things - do not remove this or risk form bot signups--> <div style="position: absolute; left: -5000px;" aria-hidden="true"><input type="text" name="b_5fabdfb944297194e20b620bd_7be3b6c886" tabindex="-1" value=""></div> <div class="clear"><input type="submit" value="Abonneren" name="subscribe" id="mc-embedded-subscribe" class="button"></div> </div> </form> </div>
Logo Gezondplus mailchimp: 
<div id="mc_embed_signup"> <form action="https://vlaamse-logos.us9.list-manage.com/subscribe/post?u=5fabdfb944297194e20b620bd&amp;id=ad6a4767d2" method="post" id="mc-embedded-subscribe-form" name="mc-embedded-subscribe-form" class="validate" target="_blank" novalidate> <div id="mc_embed_signup_scroll"> <h2>Nieuwsbrief</h2> <div class="indicates-required"><span class="asterisk">*</span> verplichte velden</div> <div class="mc-field-group"> <label for="mce-FNAME">Voornaam </label> <input type="text" value="" name="FNAME" class="" id="mce-FNAME"> </div> <div class="mc-field-group"> <label for="mce-LNAME">Naam </label> <input type="text" value="" name="LNAME" class="" id="mce-LNAME"> </div> <div class="mc-field-group"> <label for="mce-EMAIL">E-mailadres <span class="asterisk">*</span> </label> <input type="email" value="" name="EMAIL" class="required email" id="mce-EMAIL"> </div> <div class="mc-field-group"> <label for="mce-ORG">Organisatie </label> <input type="text" value="" name="ORG" class="" id="mce-ORG"> </div> <div class="mc-field-group input-group"> <strong>Ik heb interesse in </strong> <ul><li><input type="checkbox" value="1" name="group[19529][1]" id="mce-group[19529]-19529-0"><label for="mce-group[19529]-19529-0">gezondheid</label></li> <li><input type="checkbox" value="2" name="group[19529][2]" id="mce-group[19529]-19529-1"><label for="mce-group[19529]-19529-1">in de gemeente</label></li> <li><input type="checkbox" value="4" name="group[19529][4]" id="mce-group[19529]-19529-2"><label for="mce-group[19529]-19529-2">op school</label></li> <li><input type="checkbox" value="8" name="group[19529][8]" id="mce-group[19529]-19529-3"><label for="mce-group[19529]-19529-3">op het werk</label></li> <li><input type="checkbox" value="16" name="group[19529][16]" id="mce-group[19529]-19529-4"><label for="mce-group[19529]-19529-4">in de zorg</label></li> </ul> </div> <div id="mce-responses" class="clear"> <div class="response" id="mce-error-response" style="display:none"></div> <div class="response" id="mce-success-response" style="display:none"></div> </div> <!-- real people should not fill this in and expect good things - do not remove this or risk form bot signups--> <div style="position: absolute; left: -5000px;" aria-hidden="true"><input type="text" name="b_5fabdfb944297194e20b620bd_ad6a4767d2" tabindex="-1" value=""></div> <div class="clear"><input type="submit" value="Abonneren" name="subscribe" id="mc-embedded-subscribe" class="button"></div> </div> </form> </div>
Logo Leieland mailchimp: 
<div id="mc_embed_signup"> <form action="https://logoleieland.us9.list-manage.com/subscribe/post?u=5fabdfb944297194e20b620bd&amp;id=b7e5efcd73" method="post" id="mc-embedded-subscribe-form" name="mc-embedded-subscribe-form" class="validate" target="_blank" novalidate> <div id="mc_embed_signup_scroll"> <h2>Nieuwsbrief</h2> <div class="indicates-required"><span class="asterisk">*</span> verplichte velden</div> <div class="mc-field-group"> <label for="mce-FNAME">Voornaam </label> <input type="text" value="" name="FNAME" class="" id="mce-FNAME"> </div> <div class="mc-field-group"> <label for="mce-LNAME">Naam </label> <input type="text" value="" name="LNAME" class="" id="mce-LNAME"> </div> <div class="mc-field-group"> <label for="mce-EMAIL">E-mailadres <span class="asterisk">*</span> </label> <input type="email" value="" name="EMAIL" class="required email" id="mce-EMAIL"> </div> <div class="mc-field-group"> <label for="mce-ORG">Organisatie </label> <input type="text" value="" name="ORG" class="" id="mce-ORG"> </div> <div class="mc-field-group"> <label for="mce-MMERGE4">Type contact </label> <input type="text" value="" name="MMERGE4" class="" id="mce-MMERGE4"> </div> <div class="mc-field-group"> <label for="mce-MMERGE5">Functie </label> <input type="text" value="" name="MMERGE5" class="" id="mce-MMERGE5"> </div> <div class="mc-field-group"> <label for="mce-MMERGE6">Telefoonnummer </label> <input type="text" value="" name="MMERGE6" class="" id="mce-MMERGE6"> </div> <div class="mc-field-group"> <label for="mce-MMERGE7">Straat + nr </label> <input type="text" value="" name="MMERGE7" class="" id="mce-MMERGE7"> </div> <div class="mc-field-group"> <label for="mce-MMERGE8">Locatie </label> <input type="text" value="" name="MMERGE8" class="" id="mce-MMERGE8"> </div> <div class="mc-field-group"> <label for="mce-MMERGE9">Organisatiegroep </label> <input type="text" value="" name="MMERGE9" class="" id="mce-MMERGE9"> </div> <div class="mc-field-group"> <label for="mce-MMERGE10">Project </label> <input type="text" value="" name="MMERGE10" class="" id="mce-MMERGE10"> </div> <div class="mc-field-group"> <label for="mce-MMERGE11">GSM </label> <input type="text" value="" name="MMERGE11" class="" id="mce-MMERGE11"> </div> <div class="mc-field-group"> <label for="mce-MMERGE12">E-mail ZOCO </label> <input type="text" value="" name="MMERGE12" class="" id="mce-MMERGE12"> </div> <div class="mc-field-group"> <label for="mce-MMERGE13">ZOCO Naam </label> <input type="text" value="" name="MMERGE13" class="" id="mce-MMERGE13"> </div> <div class="mc-field-group"> <label for="mce-MMERGE14">Afdeling ZOCO </label> <input type="text" value="" name="MMERGE14" class="" id="mce-MMERGE14"> </div> <div class="mc-field-group"> <label for="mce-MMERGE15">Type onderwijs </label> <input type="text" value="" name="MMERGE15" class="" id="mce-MMERGE15"> </div> <div class="mc-field-group"> <label for="mce-MMERGE16">GSM </label> <input type="text" value="" name="MMERGE16" class="" id="mce-MMERGE16"> </div> <div class="mc-field-group input-group"> <strong>Ik heb interesse in </strong> <ul><li><input type="checkbox" value="1" name="group[19533][1]" id="mce-group[19533]-19533-0"><label for="mce-group[19533]-19533-0">gezondheid</label></li> <li><input type="checkbox" value="2" name="group[19533][2]" id="mce-group[19533]-19533-1"><label for="mce-group[19533]-19533-1">in de gemeente</label></li> <li><input type="checkbox" value="4" name="group[19533][4]" id="mce-group[19533]-19533-2"><label for="mce-group[19533]-19533-2">op school</label></li> <li><input type="checkbox" value="8" name="group[19533][8]" id="mce-group[19533]-19533-3"><label for="mce-group[19533]-19533-3">op het werk</label></li> <li><input type="checkbox" value="16" name="group[19533][16]" id="mce-group[19533]-19533-4"><label for="mce-group[19533]-19533-4">in de zorg</label></li> </ul> </div> <div class="mc-field-group input-group"> <strong>Setting </strong> <ul><li><input type="checkbox" value="32" name="group[23305][32]" id="mce-group[23305]-23305-0"><label for="mce-group[23305]-23305-0">Lokaal bestuur</label></li> <li><input type="checkbox" value="64" name="group[23305][64]" id="mce-group[23305]-23305-1"><label for="mce-group[23305]-23305-1">Onderwijs</label></li> <li><input type="checkbox" value="128" name="group[23305][128]" id="mce-group[23305]-23305-2"><label for="mce-group[23305]-23305-2">Zorg</label></li> <li><input type="checkbox" value="256" name="group[23305][256]" id="mce-group[23305]-23305-3"><label for="mce-group[23305]-23305-3">Bedrijf</label></li> <li><input type="checkbox" value="512" name="group[23305][512]" id="mce-group[23305]-23305-4"><label for="mce-group[23305]-23305-4">Bevolkingsonderzoek Baarmoederhalskanker</label></li> </ul> </div> <div id="mce-responses" class="clear"> <div class="response" id="mce-error-response" style="display:none"></div> <div class="response" id="mce-success-response" style="display:none"></div> </div> <!-- real people should not fill this in and expect good things - do not remove this or risk form bot signups--> <div style="position: absolute; left: -5000px;" aria-hidden="true"><input type="text" name="b_5fabdfb944297194e20b620bd_b7e5efcd73" tabindex="-1" value=""></div> <div class="clear"><input type="submit" value="Abonneren" name="subscribe" id="mc-embedded-subscribe" class="button"></div> </div> </form> </div>
Logo Midden WVL mailchimp: 
<div id="mc_embed_signup"> <form action="https://vlaamse-logos.us9.list-manage.com/subscribe/post?u=5fabdfb944297194e20b620bd&amp;id=fa4bd33f2d" method="post" id="mc-embedded-subscribe-form" name="mc-embedded-subscribe-form" class="validate" target="_blank" novalidate> <div id="mc_embed_signup_scroll"> <h2>Nieuwsbrief</h2> <div class="indicates-required"><span class="asterisk">*</span> verplichte velden</div> <div class="mc-field-group"> <label for="mce-FNAME">Voornaam </label> <input type="text" value="" name="FNAME" class="" id="mce-FNAME"> </div> <div class="mc-field-group"> <label for="mce-LNAME">Naam </label> <input type="text" value="" name="LNAME" class="" id="mce-LNAME"> </div> <div class="mc-field-group"> <label for="mce-EMAIL">E-mailadres <span class="asterisk">*</span> </label> <input type="email" value="" name="EMAIL" class="required email" id="mce-EMAIL"> </div> <div class="mc-field-group"> <label for="mce-ORG">Organisatie </label> <input type="text" value="" name="ORG" class="" id="mce-ORG"> </div> <div class="mc-field-group input-group"> <strong>Ik heb interesse in </strong> <ul><li><input type="checkbox" value="1" name="group[19537][1]" id="mce-group[19537]-19537-0"><label for="mce-group[19537]-19537-0">gezondheid</label></li> <li><input type="checkbox" value="2" name="group[19537][2]" id="mce-group[19537]-19537-1"><label for="mce-group[19537]-19537-1">in de gemeente</label></li> <li><input type="checkbox" value="4" name="group[19537][4]" id="mce-group[19537]-19537-2"><label for="mce-group[19537]-19537-2">op school</label></li> <li><input type="checkbox" value="8" name="group[19537][8]" id="mce-group[19537]-19537-3"><label for="mce-group[19537]-19537-3">op het werk</label></li> <li><input type="checkbox" value="16" name="group[19537][16]" id="mce-group[19537]-19537-4"><label for="mce-group[19537]-19537-4">in de zorg</label></li> </ul> </div> <div id="mce-responses" class="clear"> <div class="response" id="mce-error-response" style="display:none"></div> <div class="response" id="mce-success-response" style="display:none"></div> </div> <!-- real people should not fill this in and expect good things - do not remove this or risk form bot signups--> <div style="position: absolute; left: -5000px;" aria-hidden="true"><input type="text" name="b_5fabdfb944297194e20b620bd_fa4bd33f2d" tabindex="-1" value=""></div> <div class="clear"><input type="submit" value="Abonneren" name="subscribe" id="mc-embedded-subscribe" class="button"></div> </div> </form> </div>
Logo Brugge-Oostende mailchimp: 
<div id="mc_embed_signup"> <form action="https://logobrugge-oostende.us9.list-manage.com/subscribe/post?u=5fabdfb944297194e20b620bd&amp;id=bdbc8a89d0" method="post" id="mc-embedded-subscribe-form" name="mc-embedded-subscribe-form" class="validate" target="_blank" novalidate> <div id="mc_embed_signup_scroll"> <h2>Nieuwsbrief</h2> <div class="indicates-required"><span class="asterisk">*</span> verplichte velden</div> <div class="mc-field-group"> <label for="mce-EMAIL">E-mailadres <span class="asterisk">*</span> </label> <input type="email" value="" name="EMAIL" class="required email" id="mce-EMAIL"> </div> <div class="mc-field-group"> <label for="mce-FNAME">Voornaam </label> <input type="text" value="" name="FNAME" class="" id="mce-FNAME"> </div> <div class="mc-field-group"> <label for="mce-LNAME">Naam </label> <input type="text" value="" name="LNAME" class="" id="mce-LNAME"> </div> <div class="mc-field-group"> <label for="mce-ORG">Organisatie </label> <input type="text" value="" name="ORG" class="" id="mce-ORG"> </div> <div class="mc-field-group"> <label for="mce-MMERGE4">Gemeente/Stad </label> <input type="text" value="" name="MMERGE4" class="" id="mce-MMERGE4"> </div> <div class="mc-field-group"> <label for="mce-MMERGE5">Functie </label> <input type="text" value="" name="MMERGE5" class="" id="mce-MMERGE5"> </div> <div class="mc-field-group input-group"> <strong>Ik wens mij te abonneren op deze nieuwsbrieven </strong> <ul><li><input type="checkbox" value="1" name="group[19541][1]" id="mce-group[19541]-19541-0"><label for="mce-group[19541]-19541-0">algemene nieuwsbrief (1 x per maand)</label></li> <li><input type="checkbox" value="32" name="group[19541][32]" id="mce-group[19541]-19541-1"><label for="mce-group[19541]-19541-1">nieuwsbrief voor basisonderwijs (3à4 x per jaar)</label></li> <li><input type="checkbox" value="2" name="group[19541][2]" id="mce-group[19541]-19541-2"><label for="mce-group[19541]-19541-2">nieuwsbrief voor secundair onderwijs (3à4 x per jaar)</label></li> </ul> </div> <div class="mc-field-group input-group"> <strong>Ik ben geïnteresseerd in nieuws specifiek voor </strong> <ul><li><input type="checkbox" value="1024" name="group[29185][1024]" id="mce-group[29185]-29185-0"><label for="mce-group[29185]-29185-0">lokale besturen</label></li> <li><input type="checkbox" value="128" name="group[29185][128]" id="mce-group[29185]-29185-1"><label for="mce-group[29185]-29185-1">bedrijven</label></li> <li><input type="checkbox" value="256" name="group[29185][256]" id="mce-group[29185]-29185-2"><label for="mce-group[29185]-29185-2">zorgverleners</label></li> <li><input type="checkbox" value="512" name="group[29185][512]" id="mce-group[29185]-29185-3"><label for="mce-group[29185]-29185-3">kwetsbare groepen</label></li> </ul> </div> <div class="mc-field-group input-group"> <strong>Ik ben geïntereseerd in mailings over de thema's </strong> <ul><li><input type="checkbox" value="4" name="group[26521][4]" id="mce-group[26521]-26521-0"><label for="mce-group[26521]-26521-0">bewegen</label></li> <li><input type="checkbox" value="8" name="group[26521][8]" id="mce-group[26521]-26521-1"><label for="mce-group[26521]-26521-1">geestelijke gezondheid</label></li> <li><input type="checkbox" value="64" name="group[26521][64]" id="mce-group[26521]-26521-2"><label for="mce-group[26521]-26521-2">gezondheid &amp; milieu</label></li> <li><input type="checkbox" value="8192" name="group[26521][8192]" id="mce-group[26521]-26521-3"><label for="mce-group[26521]-26521-3">tabak, alcohol &amp; drugs</label></li> <li><input type="checkbox" value="16384" name="group[26521][16384]" id="mce-group[26521]-26521-4"><label for="mce-group[26521]-26521-4">vaccinatie</label></li> <li><input type="checkbox" value="32768" name="group[26521][32768]" id="mce-group[26521]-26521-5"><label for="mce-group[26521]-26521-5">valpreventie</label></li> <li><input type="checkbox" value="65536" name="group[26521][65536]" id="mce-group[26521]-26521-6"><label for="mce-group[26521]-26521-6">voeding</label></li> </ul> </div> <div id="mergeRow-gdpr" class="mergeRow gdpr-mergeRow content__gdprBlock mc-field-group"> <div class="content__gdpr"> <label>Marketing Toestemming</label> <p>Selecteer langs welke weg je graag informatie wenst te ontvangen van Logo Brugge-Oostende:</p> <fieldset class="mc_fieldset gdprRequired mc-field-group" name="interestgroup_field"> <label class="checkbox subfield" for="gdpr_1"><input type="checkbox" id="gdpr_1" name="gdpr[1]" value="Y" class="av-checkbox "><span>Emails</span> </label><label class="checkbox subfield" for="gdpr_5"><input type="checkbox" id="gdpr_5" name="gdpr[5]" value="Y" class="av-checkbox "><span>Nieuwsbrieven</span> </label><label class="checkbox subfield" for="gdpr_9"><input type="checkbox" id="gdpr_9" name="gdpr[9]" value="Y" class="av-checkbox "><span>Gepersonaliseerde online boodschappen</span> </label> </fieldset> <p>Je kan op elk ogenblik uitschrijven door te klikken op de link in de footer van je emails. Informatie over onze privacy policy vind je op onze website.</p> </div> <div class="content__gdprLegal"> <p>We use Mailchimp as our marketing platform. By clicking below to subscribe, you acknowledge that your information will be transferred to Mailchimp for processing. <a href="https://mailchimp.com/legal/" target="_blank">Learn more about Mailchimp's privacy practices here.</a></p> </div> </div> <div id="mce-responses" class="clear"> <div class="response" id="mce-error-response" style="display:none"></div> <div class="response" id="mce-success-response" style="display:none"></div> </div> <!-- real people should not fill this in and expect good things - do not remove this or risk form bot signups--> <div style="position: absolute; left: -5000px;" aria-hidden="true"><input type="text" name="b_5fabdfb944297194e20b620bd_bdbc8a89d0" tabindex="-1" value=""></div> <div class="clear"><input type="submit" value="Abonneren" name="subscribe" id="mc-embedded-subscribe" class="button"></div> </div> </form> </div>
Logo Zenneland mailchimp: 
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← Vorige

Bevolkingsonderzoek naar borstkanker: de rol van de huisarts

Als huisarts, geniet u het volste vertrouwen van uw patiënt. Wat u zegt, telt!

Wij vragen daarom uw medewerking om de deelname aan het bevolkingsonderzoek naar borstkanker te verhogen. Een proefproject van het Centrum voor Kankeropsporing toonde immers aan dat er aanzienlijk meer vrouwen deelnemen aan het bevolkingsonderzoek naar borstkanker als ze hiervoor mede door hun huisarts worden uitgenodigd.

Voor wie?

Het doel is om vrouwen te bereiken die de laatste 4 jaren niet deelnamen aan het bevolkingsonderzoek of nooit eerder een screeningsmammografie hebben laten uitvoeren.

Praktisch

Volg onderstaande stappenplan zodat uw patiënt een brief van u ontvangt samen met de uitnodiging voor het onderzoek.

Stappenplan

1. U stelt een Excel-lijst van uw vrouwelijke GMD-patiënten van 50 t/m 69 jaar op en stuurt deze door via e-health.

  • In verschillende kolommen: naam, voornaam, geboortedatum, straat, huisnummer, postcode, woonplaats, rijksregisternummer indien geregistreerd.
  • U stuurt de lijst via e-health box naar eliane.kellen@uzleuven.be

2. Het Centrum voor Kankeropsporing voegt de datum van laatste screening toe en selecteert als dusdanig de vrouwen die daadwerkelijk in aanmerking komen voor dit project. Wij sturen u de aangevulde lijst terug. Bovendien ontvangt u van ons een modelbrief die u tekstueel, indien gewenst, kan aanpassen (b.v. de herkenbaarheid verhogen door het  logo van uw praktijk toe te voegen).

3. Wij vragen u de aangevulde Excel-lijst na te kijken. Mogelijk zijn er dames op de lijst  waarvan u vindt dat zij momenteel niet in aanmerking voor screening (bv door ernstige co-morbiditeit, familiale omstandigheden,..).  U haalt deze dames uit de lijst en stuurt de lijst terug naar ons.

  • Om privacy- redenen mogen we niet de medische exclusie- reden weten van elke dame apart.
  • We willen graag de exclusie redenen weten op geaggregeerd niveau (bv 5 dames omwille van dementie en 1 omwille van longkanker).

4. Wij sturen de geselecteerde dames een reguliere uitnodigingsbrief voor het bevolkingsonderzoek naar borstkanker, samen met de brief ondertekend door uw naam.
Modelbrief

Hulp nodig bij het trekken van de lijsten uit uw EMD?

Voor meer informatie kan u terecht bij Maaike Van den Broeck (Logo Antwerpen), maaike.vandenbroeck@logoantwerpen.be (03/6051585 – maandag, dinsdag en donderdag) of bij Dr. Eliane Kellen (CvKO) eliane.kellen@uzleuven.be

In de gemeenten Mortsel, Boechout, Ranst, Lint, Hove, Edegem en Kontich maakt dit project onderdeel van een sensibiliseringscampagne die in het najaar georganiseerd wordt.  

 

 

Logo regio's in kaart

Postcode

 

Logo Antwerpen