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            <p>Ook dit jaar hebben wij voor u een selectie aan wijnen gemaakt, samen met de oenologen van "Wijnhuis Christiaens".</p>
            <p>Hoe werkt het?</p>
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              <li>U maakt een selectie van de wijnen hieronder en plaatst een bestelling;</li>
              <li>Natuurlijk kan u altijd ook komen proeven, op onze <strong>tasting</strong> die plaats vindt op <strong>zondag</strong> <strong>13</strong><strong> september 2026 vanaf 14:00 tot 19:00</strong> in zaal <strong>"De Leeuwerik"</strong> in Gors-Opleeuw</li>
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              <li>Wij leveren uw bestelling aan huis in Zuid-Limburg - hiervoor zullen we contact met u opnemen om een concreet moment af te spreken;</li>
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              <li>Door deel te nemen aan deze actie steunt u actief onze harmonie - waarvoor dank!</li>
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                    <li class="image-overlay-image"><img loading="lazy" src="https://www.jotform.com/uploads/akellens/form_files/2_franciacorta_b886ae0efb88b20896f42666d09a1708.webp" /></li>
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                  <ul class="form-overlay-item" pid="1040" hasicon="false" hasimages="true" iconvalue="">
                    <li class="image-overlay-image"><img loading="lazy" src="https://www.jotform.com/uploads/akellens/form_files/3_champagne_9d6277afd97efe50012c7e5c8ea7c105.webp" /></li>
                  </ul>
                  <ul class="form-overlay-item" hasicon="false" hasimages="false"></ul>
                  <ul class="form-overlay-item" pid="1041" hasicon="false" hasimages="true" iconvalue="">
                    <li class="image-overlay-image"><img loading="lazy" src="https://www.jotform.com/uploads/akellens/form_files/4_fin_del_mundo_9a1f751018530ece991ccbd99754b485.webp" /></li>
                  </ul>
                  <ul class="form-overlay-item" pid="1013" hasicon="false" hasimages="true" iconvalue="">
                    <li class="image-overlay-image"><img loading="lazy" src="https://www.jotform.com/uploads/akellens/form_files/4_pinot_grigio_922753256c71ad8cea33ca48c0d3216f.webp" /></li>
                  </ul>
                  <ul class="form-overlay-item" pid="1027" hasicon="false" hasimages="true" iconvalue="">
                    <li class="image-overlay-image"><img loading="lazy" src="https://www.jotform.com/uploads/akellens/form_files/5_coq_leon_07cf662043384e411023ae445fb6cdd2.webp" /></li>
                  </ul>
                  <ul class="form-overlay-item" pid="1028" hasicon="false" hasimages="true" iconvalue="">
                    <li class="image-overlay-image"><img loading="lazy" src="https://www.jotform.com/uploads/akellens/form_files/6_coudoulet_69dff3bbe6b1ff61d981919b0465d59f.webp" /></li>
                  </ul>
                  <ul class="form-overlay-item" pid="1030" hasicon="false" hasimages="true" iconvalue="">
                    <li class="image-overlay-image"><img loading="lazy" src="https://www.jotform.com/uploads/akellens/form_files/8_ic_14029d1e6f061deb6be36eda454a7c5f.webp" /></li>
                  </ul>
                  <ul class="form-overlay-item" pid="1031" hasicon="false" hasimages="true" iconvalue="">
                    <li class="image-overlay-image"><img loading="lazy" src="https://www.jotform.com/uploads/akellens/form_files/9_roussanne_1f72b42ea20a20ff80d0758c47547601.webp" /></li>
                  </ul>
                  <ul class="form-overlay-item" hasicon="false" hasimages="false"></ul>
                  <ul class="form-overlay-item" pid="1032" hasicon="false" hasimages="true" iconvalue="">
                    <li class="image-overlay-image"><img loading="lazy" src="https://www.jotform.com/uploads/akellens/form_files/10_luccarelli_primitivo_1cb388c4580f565389c023b28e496f6d.webp" /></li>
                  </ul>
                  <ul class="form-overlay-item" pid="1022" hasicon="false" hasimages="true" iconvalue="">
                    <li class="image-overlay-image"><img loading="lazy" src="https://www.jotform.com/uploads/akellens/form_files/11_valparaiso_f2e3f46981e3e30caccc894b217150ff.webp" /></li>
                  </ul>
                  <ul class="form-overlay-item" pid="1035" hasicon="false" hasimages="true" iconvalue="">
                    <li class="image-overlay-image"><img loading="lazy" src="https://www.jotform.com/uploads/akellens/form_files/13_paral_a0d8d707fc4da32cfc44c0013f96a7d9.webp" /></li>
                  </ul>
                  <ul class="form-overlay-item" pid="1034" hasicon="false" hasimages="true" iconvalue="">
                    <li class="image-overlay-image"><img loading="lazy" src="https://www.jotform.com/uploads/akellens/form_files/12_campo_marina_fd7fcabfd09747aea9823565c4041d57.webp" /></li>
                  </ul>
                  <ul class="form-overlay-item" pid="1033" hasicon="false" hasimages="true" iconvalue="">
                    <li class="image-overlay-image"><img loading="lazy" src="https://www.jotform.com/uploads/akellens/form_files/14_barbera_b2e93c5fb88148d9efc20a05645a70e9.webp" /></li>
                  </ul>
                  <ul class="form-overlay-item" pid="1037" hasicon="false" hasimages="true" iconvalue="">
                    <li class="image-overlay-image"><img loading="lazy" src="https://www.jotform.com/uploads/akellens/form_files/15_calendre_aea99767be51ad5936cc4c373ae1f91c.webp" /></li>
                  </ul>
                  <ul class="form-overlay-item" pid="1038" hasicon="false" hasimages="true" iconvalue="">
                    <li class="image-overlay-image"><img loading="lazy" src="https://www.jotform.com/uploads/akellens/form_files/16_haut_jamard_369b50734f50b20852c643222d116392.webp" /></li>
                  </ul>
                  <ul class="form-overlay-item" pid="1039" hasicon="false" hasimages="true" iconvalue="">
                    <li class="image-overlay-image"><img loading="lazy" src="https://www.jotform.com/uploads/akellens/form_files/17_fin_del_mundo_rood_95f30fd162482f5ae8ee68b94224ebfc.webp" /></li>
                  </ul>
                </span></div>
              <div data-wrapper-react="true"><span class="form-product-category-item  " category="2001"><strong>Bubbels</strong><span class="selected-items-icon"></span></span><span class="form-product-item hover-product-item on_col1 show_image show_desc show_option full_img new_ui" categories="2001" active-category="2001" pid="1011" aria-labelledby="label_3">
                  <div data-wrapper-react="true" class="form-product-item-detail new_ui">
                    <div class="p_col">
                      <div class="p_checkbox"><input class="form-checkbox validate[required]  form-product-input" type="checkbox" id="input_3_1011" name="q3_onzeSelectie[][id]" data-inputname="q3_onzeSelectie[][id]" readonly="" aria-label="Select Product: Cava - Celebrandum Brut" data-is-default-required="false" data-is-default-selected="false" value="1011" />
                        <div class="checked"></div>
                        <div class="select_border"></div>
                      </div>
                    </div>
                    <div class="p_image">
                      <div class="image_area form-product-image-with-options">
                        <div style="position:absolute;width:100%;height:100%"><img loading="lazy" alt="Cava - Celebrandum Brut. Spanje - Catalonië Druif: Macabeo, Parellada, Xarel-lo" style="width:100%;height:100%;object-fit:contain" src="https://www.jotform.com/uploads/akellens/form_files/1_cava_9807253fff191029ee50406e839b13e3.webp" /></div>
                      </div>
                    </div>
                    <div for="input_3_1011" class="form-product-container"><span data-wrapper-react="true">
                        <div class="title_description"><span class="form-product-name" id="product-name-input_3_1011">Cava - Celebrandum Brut</span><span class="form-product-description" id="product-name-description-input_3_1011"><span class="payment-jot-editor payment-jot-editor-view" id="payment-jot-editor-input_3_1011">
                              <p style="margin:0" jot-element-type="paragraph"><span>Spanje - Catalonië

                                  Druif: Macabeo, Parellada, Xarel-lo</span></p>
                            </span></span></div><span class="form-product-details"><strong><span data-wrapper-react="true"><span class="sr-only">€11.95</span><span aria-hidden="true">€</span><span id="input_3_1011_price" aria-hidden="true">11.95</span></span></strong></span>
                      </span><span class="form-sub-label-container" style="vertical-align:top"><label class="form-sub-label" for="input_3_quantity_1011_0" style="min-height:13px">Aantal</label><span class="select_cont"><select class="form-dropdown validate[required]" name="q3_onzeSelectie[special_1011][item_0]" id="input_3_quantity_1011_0" aria-label="Select Aantal">
                            <option value="0">0</option>
                            <option value="1">1</option>
                            <option value="2">2</option>
                            <option value="3">3</option>
                            <option value="4">4</option>
                            <option value="5">5</option>
                            <option value="6">6</option>
                            <option value="7">7</option>
                            <option value="8">8</option>
                            <option value="9">9</option>
                            <option value="10">10</option>
                            <option value="11">11</option>
                            <option value="12">12</option>
                            <option value="13">13</option>
                            <option value="14">14</option>
                            <option value="15">15</option>
                            <option value="16">16</option>
                            <option value="17">17</option>
                            <option value="18">18</option>
                            <option value="19">19</option>
                            <option value="20">20</option>
                            <option value="21">21</option>
                            <option value="22">22</option>
                            <option value="23">23</option>
                            <option value="24">24</option>
                            <option value="25">25</option>
                            <option value="26">26</option>
                            <option value="27">27</option>
                            <option value="28">28</option>
                            <option value="29">29</option>
                            <option value="30">30</option>
                            <option value="31">31</option>
                            <option value="32">32</option>
                            <option value="33">33</option>
                            <option value="34">34</option>
                            <option value="35">35</option>
                            <option value="36">36</option>
                            <option value="37">37</option>
                            <option value="38">38</option>
                            <option value="39">39</option>
                            <option value="40">40</option>
                            <option value="41">41</option>
                            <option value="42">42</option>
                            <option value="43">43</option>
                            <option value="44">44</option>
                            <option value="45">45</option>
                            <option value="46">46</option>
                            <option value="47">47</option>
                            <option value="48">48</option>
                            <option value="49">49</option>
                            <option value="50">50</option>
                          </select></span></span></div>
                    <div class="focus_action_button_container" style="pointer-events:auto"><a class="btn-inline-product-delete" tabindex="0" role="button" aria-label="Delete Product"> </a><a class="btn-inline-product-settings" tabindex="0" role="button" aria-label="Product Settings"> </a></div>
                  </div>
                </span>
                <div class="p_item_separator "></div><span class="form-product-item hover-product-item on_col2 show_image show_desc show_option full_img new_ui" categories="2001" active-category="2001" pid="1023" aria-labelledby="label_3">
                  <div data-wrapper-react="true" class="form-product-item-detail new_ui">
                    <div class="p_col">
                      <div class="p_checkbox"><input class="form-checkbox validate[required]  form-product-input" type="checkbox" id="input_3_1023" name="q3_onzeSelectie[][id]" data-inputname="q3_onzeSelectie[][id]" readonly="" aria-label="Select Product: Franciacorta Brut Rosé &#x27;alla Moda&#x27; - Monzio Compagnoni" data-is-default-required="false" data-is-default-selected="false" value="1023" />
                        <div class="checked"></div>
                        <div class="select_border"></div>
                      </div>
                    </div>
                    <div class="p_image">
                      <div class="image_area form-product-image-with-options">
                        <div style="position:absolute;width:100%;height:100%"><img loading="lazy" alt="Franciacorta Brut Rosé &#x27;alla Moda&#x27; - Monzio Compagnoni. Italië - Lombardije Druif: Chardonnay, Pinot Noir" style="width:100%;height:100%;object-fit:contain" src="https://www.jotform.com/uploads/akellens/form_files/2_franciacorta_b886ae0efb88b20896f42666d09a1708.webp" /></div>
                      </div>
                    </div>
                    <div for="input_3_1023" class="form-product-container"><span data-wrapper-react="true">
                        <div class="title_description"><span class="form-product-name" id="product-name-input_3_1023">Franciacorta Brut Rosé &#x27;alla Moda&#x27; - Monzio Compagnoni</span><span class="form-product-description" id="product-name-description-input_3_1023"><span class="payment-jot-editor payment-jot-editor-view" id="payment-jot-editor-input_3_1023">
                              <p style="margin:0" jot-element-type="paragraph"><span>Italië - Lombardije

                                  Druif: Chardonnay, Pinot Noir</span></p>
                            </span></span></div><span class="form-product-details"><strong><span data-wrapper-react="true"><span class="sr-only">€25.95</span><span aria-hidden="true">€</span><span id="input_3_1023_price" aria-hidden="true">25.95</span></span></strong></span>
                      </span><span class="form-sub-label-container" style="vertical-align:top"><label class="form-sub-label" for="input_3_quantity_1023_0" style="min-height:13px">Aantal</label><span class="select_cont"><select class="form-dropdown validate[required]" name="q3_onzeSelectie[special_1023][item_0]" id="input_3_quantity_1023_0" aria-label="Select Aantal">
                            <option value="0">0</option>
                            <option value="1">1</option>
                            <option value="2">2</option>
                            <option value="3">3</option>
                            <option value="4">4</option>
                            <option value="5">5</option>
                            <option value="6">6</option>
                            <option value="7">7</option>
                            <option value="8">8</option>
                            <option value="9">9</option>
                            <option value="10">10</option>
                            <option value="11">11</option>
                            <option value="12">12</option>
                            <option value="13">13</option>
                            <option value="14">14</option>
                            <option value="15">15</option>
                            <option value="16">16</option>
                            <option value="17">17</option>
                            <option value="18">18</option>
                            <option value="19">19</option>
                            <option value="20">20</option>
                            <option value="21">21</option>
                            <option value="22">22</option>
                            <option value="23">23</option>
                            <option value="24">24</option>
                            <option value="25">25</option>
                            <option value="26">26</option>
                            <option value="27">27</option>
                            <option value="28">28</option>
                            <option value="29">29</option>
                            <option value="30">30</option>
                            <option value="31">31</option>
                            <option value="32">32</option>
                            <option value="33">33</option>
                            <option value="34">34</option>
                            <option value="35">35</option>
                            <option value="36">36</option>
                            <option value="37">37</option>
                            <option value="38">38</option>
                            <option value="39">39</option>
                            <option value="40">40</option>
                            <option value="41">41</option>
                            <option value="42">42</option>
                            <option value="43">43</option>
                            <option value="44">44</option>
                            <option value="45">45</option>
                            <option value="46">46</option>
                            <option value="47">47</option>
                            <option value="48">48</option>
                            <option value="49">49</option>
                            <option value="50">50</option>
                          </select></span></span></div>
                    <div class="focus_action_button_container" style="pointer-events:auto"><a class="btn-inline-product-delete" tabindex="0" role="button" aria-label="Delete Product"> </a><a class="btn-inline-product-settings" tabindex="0" role="button" aria-label="Product Settings"> </a></div>
                  </div>
                </span>
                <div class="p_item_separator "></div><span class="form-product-item hover-product-item on_col3 show_image show_desc show_option full_img new_ui" categories="2001" active-category="2001" pid="1040" aria-labelledby="label_3">
                  <div data-wrapper-react="true" class="form-product-item-detail new_ui">
                    <div class="p_col">
                      <div class="p_checkbox"><input class="form-checkbox validate[required]  form-product-input" type="checkbox" id="input_3_1040" name="q3_onzeSelectie[][id]" data-inputname="q3_onzeSelectie[][id]" readonly="" aria-label="Select Product: Champagne - Charles Pougeoise Champagne Blanc de Blancs Brut Premier Cru" data-is-default-required="false" data-is-default-selected="false" value="1040" />
                        <div class="checked"></div>
                        <div class="select_border"></div>
                      </div>
                    </div>
                    <div class="p_image">
                      <div class="image_area form-product-image-with-options">
                        <div style="position:absolute;width:100%;height:100%"><img loading="lazy" alt="Champagne - Charles Pougeoise Champagne Blanc de Blancs Brut Premier Cru. Frankrijk - Champagne Druif: Chardonnay, Pinot Noir" style="width:100%;height:100%;object-fit:contain" src="https://www.jotform.com/uploads/akellens/form_files/3_champagne_9d6277afd97efe50012c7e5c8ea7c105.webp" /></div>
                      </div>
                    </div>
                    <div for="input_3_1040" class="form-product-container"><span data-wrapper-react="true">
                        <div class="title_description"><span class="form-product-name" id="product-name-input_3_1040">Champagne - Charles Pougeoise Champagne Blanc de Blancs Brut Premier Cru</span><span class="form-product-description" id="product-name-description-input_3_1040"><span class="payment-jot-editor payment-jot-editor-view" id="payment-jot-editor-input_3_1040">
                              <p style="margin:0" jot-element-type="paragraph"><span>Frankrijk - Champagne

                                  Druif: Chardonnay, Pinot Noir</span></p>
                            </span></span></div><span class="form-product-details"><strong><span data-wrapper-react="true"><span class="sr-only">€34.50</span><span aria-hidden="true">€</span><span id="input_3_1040_price" aria-hidden="true">34.50</span></span></strong></span>
                      </span><span class="form-sub-label-container" style="vertical-align:top"><label class="form-sub-label" for="input_3_quantity_1040_0" style="min-height:13px">Aantal</label><span class="select_cont"><select class="form-dropdown validate[required]" name="q3_onzeSelectie[special_1040][item_0]" id="input_3_quantity_1040_0" aria-label="Select Aantal">
                            <option value="0">0</option>
                            <option value="1">1</option>
                            <option value="2">2</option>
                            <option value="3">3</option>
                            <option value="4">4</option>
                            <option value="5">5</option>
                            <option value="6">6</option>
                            <option value="7">7</option>
                            <option value="8">8</option>
                            <option value="9">9</option>
                            <option value="10">10</option>
                            <option value="11">11</option>
                            <option value="12">12</option>
                            <option value="13">13</option>
                            <option value="14">14</option>
                            <option value="15">15</option>
                            <option value="16">16</option>
                            <option value="17">17</option>
                            <option value="18">18</option>
                            <option value="19">19</option>
                            <option value="20">20</option>
                            <option value="21">21</option>
                            <option value="22">22</option>
                            <option value="23">23</option>
                            <option value="24">24</option>
                            <option value="25">25</option>
                            <option value="26">26</option>
                            <option value="27">27</option>
                            <option value="28">28</option>
                            <option value="29">29</option>
                            <option value="30">30</option>
                            <option value="31">31</option>
                            <option value="32">32</option>
                            <option value="33">33</option>
                            <option value="34">34</option>
                            <option value="35">35</option>
                            <option value="36">36</option>
                            <option value="37">37</option>
                            <option value="38">38</option>
                            <option value="39">39</option>
                            <option value="40">40</option>
                            <option value="41">41</option>
                            <option value="42">42</option>
                            <option value="43">43</option>
                            <option value="44">44</option>
                            <option value="45">45</option>
                            <option value="46">46</option>
                            <option value="47">47</option>
                            <option value="48">48</option>
                            <option value="49">49</option>
                            <option value="50">50</option>
                          </select></span></span></div>
                    <div class="focus_action_button_container" style="pointer-events:auto"><a class="btn-inline-product-delete" tabindex="0" role="button" aria-label="Delete Product"> </a><a class="btn-inline-product-settings" tabindex="0" role="button" aria-label="Product Settings"> </a></div>
                  </div>
                </span>
                <div class="p_item_separator last_p_seperator"></div><span class="form-product-category-item  " category="2002"><strong>Wit</strong><span class="selected-items-icon"></span></span><span class="form-product-item hover-product-item on_col1 show_image show_desc show_option full_img new_ui" categories="2002" active-category="2002" pid="1041" aria-labelledby="label_3">
                  <div data-wrapper-react="true" class="form-product-item-detail new_ui">
                    <div class="p_col">
                      <div class="p_checkbox"><input class="form-checkbox validate[required]  form-product-input" type="checkbox" id="input_3_1041" name="q3_onzeSelectie[][id]" data-inputname="q3_onzeSelectie[][id]" readonly="" aria-label="Select Product: Postales Chardonnay 2025 - Bodega del Fin del Mundo" data-is-default-required="false" data-is-default-selected="false" value="1041" />
                        <div class="checked"></div>
                        <div class="select_border"></div>
                      </div>
                    </div>
                    <div class="p_image">
                      <div class="image_area form-product-image-with-options">
                        <div style="position:absolute;width:100%;height:100%"><img loading="lazy" alt="Postales Chardonnay 2025 - Bodega del Fin del Mundo. Argentinië - Patagonië Druif: Chardonnay" style="width:100%;height:100%;object-fit:contain" src="https://www.jotform.com/uploads/akellens/form_files/4_fin_del_mundo_9a1f751018530ece991ccbd99754b485.webp" /></div>
                      </div>
                    </div>
                    <div for="input_3_1041" class="form-product-container"><span data-wrapper-react="true">
                        <div class="title_description"><span class="form-product-name" id="product-name-input_3_1041">Postales Chardonnay 2025 - Bodega del Fin del Mundo</span><span class="form-product-description" id="product-name-description-input_3_1041"><span class="payment-jot-editor payment-jot-editor-view" id="payment-jot-editor-input_3_1041">
                              <p style="margin:0" jot-element-type="paragraph"><span>Argentinië - Patagonië

                                  Druif: Chardonnay</span></p>
                            </span></span></div><span class="form-product-details"><strong><span data-wrapper-react="true"><span class="sr-only">€8.95</span><span aria-hidden="true">€</span><span id="input_3_1041_price" aria-hidden="true">8.95</span></span></strong></span>
                      </span><span class="form-sub-label-container" style="vertical-align:top"><label class="form-sub-label" for="input_3_quantity_1041_0" style="min-height:13px">Aantal</label><span class="select_cont"><select class="form-dropdown validate[required]" name="q3_onzeSelectie[special_1041][item_0]" id="input_3_quantity_1041_0" aria-label="Select Aantal">
                            <option value="0">0</option>
                            <option value="1">1</option>
                            <option value="2">2</option>
                            <option value="3">3</option>
                            <option value="4">4</option>
                            <option value="5">5</option>
                            <option value="6">6</option>
                            <option value="7">7</option>
                            <option value="8">8</option>
                            <option value="9">9</option>
                            <option value="10">10</option>
                            <option value="11">11</option>
                            <option value="12">12</option>
                            <option value="13">13</option>
                            <option value="14">14</option>
                            <option value="15">15</option>
                            <option value="16">16</option>
                            <option value="17">17</option>
                            <option value="18">18</option>
                            <option value="19">19</option>
                            <option value="20">20</option>
                            <option value="21">21</option>
                            <option value="22">22</option>
                            <option value="23">23</option>
                            <option value="24">24</option>
                            <option value="25">25</option>
                            <option value="26">26</option>
                            <option value="27">27</option>
                            <option value="28">28</option>
                            <option value="29">29</option>
                            <option value="30">30</option>
                            <option value="31">31</option>
                            <option value="32">32</option>
                            <option value="33">33</option>
                            <option value="34">34</option>
                            <option value="35">35</option>
                            <option value="36">36</option>
                            <option value="37">37</option>
                            <option value="38">38</option>
                            <option value="39">39</option>
                            <option value="40">40</option>
                            <option value="41">41</option>
                            <option value="42">42</option>
                            <option value="43">43</option>
                            <option value="44">44</option>
                            <option value="45">45</option>
                            <option value="46">46</option>
                            <option value="47">47</option>
                            <option value="48">48</option>
                            <option value="49">49</option>
                            <option value="50">50</option>
                          </select></span></span></div>
                    <div class="focus_action_button_container" style="pointer-events:auto"><a class="btn-inline-product-delete" tabindex="0" role="button" aria-label="Delete Product"> </a><a class="btn-inline-product-settings" tabindex="0" role="button" aria-label="Product Settings"> </a></div>
                  </div>
                </span>
                <div class="p_item_separator "></div><span class="form-product-item hover-product-item on_col2 show_image show_desc show_option full_img new_ui" categories="2002" active-category="2002" pid="1013" aria-labelledby="label_3">
                  <div data-wrapper-react="true" class="form-product-item-detail new_ui">
                    <div class="p_col">
                      <div class="p_checkbox"><input class="form-checkbox validate[required]  form-product-input" type="checkbox" id="input_3_1013" name="q3_onzeSelectie[][id]" data-inputname="q3_onzeSelectie[][id]" readonly="" aria-label="Select Product: Pinot Grigio Friuli Grave 2025 - Albino Armani" data-is-default-required="false" data-is-default-selected="false" value="1013" />
                        <div class="checked"></div>
                        <div class="select_border"></div>
                      </div>
                    </div>
                    <div class="p_image">
                      <div class="image_area form-product-image-with-options">
                        <div style="position:absolute;width:100%;height:100%"><img loading="lazy" alt="Pinot Grigio Friuli Grave 2025 - Albino Armani. Italië - Friuli Druif: Pinot Grigio" style="width:100%;height:100%;object-fit:contain" src="https://www.jotform.com/uploads/akellens/form_files/4_pinot_grigio_922753256c71ad8cea33ca48c0d3216f.webp" /></div>
                      </div>
                    </div>
                    <div for="input_3_1013" class="form-product-container"><span data-wrapper-react="true">
                        <div class="title_description"><span class="form-product-name" id="product-name-input_3_1013">Pinot Grigio Friuli Grave 2025 - Albino Armani</span><span class="form-product-description" id="product-name-description-input_3_1013"><span class="payment-jot-editor payment-jot-editor-view" id="payment-jot-editor-input_3_1013">
                              <p style="margin:0" jot-element-type="paragraph"><span>Italië - Friuli

                                  Druif: Pinot Grigio</span></p>
                            </span></span></div><span class="form-product-details"><strong><span data-wrapper-react="true"><span class="sr-only">€10.95</span><span aria-hidden="true">€</span><span id="input_3_1013_price" aria-hidden="true">10.95</span></span></strong></span>
                      </span><span class="form-sub-label-container" style="vertical-align:top"><label class="form-sub-label" for="input_3_quantity_1013_0" style="min-height:13px">Aantal</label><span class="select_cont"><select class="form-dropdown validate[required]" name="q3_onzeSelectie[special_1013][item_0]" id="input_3_quantity_1013_0" aria-label="Select Aantal">
                            <option value="0">0</option>
                            <option value="1">1</option>
                            <option value="2">2</option>
                            <option value="3">3</option>
                            <option value="4">4</option>
                            <option value="5">5</option>
                            <option value="6">6</option>
                            <option value="7">7</option>
                            <option value="8">8</option>
                            <option value="9">9</option>
                            <option value="10">10</option>
                            <option value="11">11</option>
                            <option value="12">12</option>
                            <option value="13">13</option>
                            <option value="14">14</option>
                            <option value="15">15</option>
                            <option value="16">16</option>
                            <option value="17">17</option>
                            <option value="18">18</option>
                            <option value="19">19</option>
                            <option value="20">20</option>
                            <option value="21">21</option>
                            <option value="22">22</option>
                            <option value="23">23</option>
                            <option value="24">24</option>
                            <option value="25">25</option>
                            <option value="26">26</option>
                            <option value="27">27</option>
                            <option value="28">28</option>
                            <option value="29">29</option>
                            <option value="30">30</option>
                            <option value="31">31</option>
                            <option value="32">32</option>
                            <option value="33">33</option>
                            <option value="34">34</option>
                            <option value="35">35</option>
                            <option value="36">36</option>
                            <option value="37">37</option>
                            <option value="38">38</option>
                            <option value="39">39</option>
                            <option value="40">40</option>
                            <option value="41">41</option>
                            <option value="42">42</option>
                            <option value="43">43</option>
                            <option value="44">44</option>
                            <option value="45">45</option>
                            <option value="46">46</option>
                            <option value="47">47</option>
                            <option value="48">48</option>
                            <option value="49">49</option>
                            <option value="50">50</option>
                          </select></span></span></div>
                    <div class="focus_action_button_container" style="pointer-events:auto"><a class="btn-inline-product-delete" tabindex="0" role="button" aria-label="Delete Product"> </a><a class="btn-inline-product-settings" tabindex="0" role="button" aria-label="Product Settings"> </a></div>
                  </div>
                </span>
                <div class="p_item_separator "></div><span class="form-product-item hover-product-item on_col3 show_image show_desc show_option full_img new_ui" categories="2002" active-category="2002" pid="1027" aria-labelledby="label_3">
                  <div data-wrapper-react="true" class="form-product-item-detail new_ui">
                    <div class="p_col">
                      <div class="p_checkbox"><input class="form-checkbox validate[required]  form-product-input" type="checkbox" id="input_3_1027" name="q3_onzeSelectie[][id]" data-inputname="q3_onzeSelectie[][id]" readonly="" aria-label="Select Product: Le Coq Léon Blanc 2025 - Maison Piron" data-is-default-required="false" data-is-default-selected="false" value="1027" />
                        <div class="checked"></div>
                        <div class="select_border"></div>
                      </div>
                    </div>
                    <div class="p_image">
                      <div class="image_area form-product-image-with-options">
                        <div style="position:absolute;width:100%;height:100%"><img loading="lazy" alt="Le Coq Léon Blanc 2025 - Maison Piron. Frankrijk - Beaujolais Druif: Chardonnay, Viognier" style="width:100%;height:100%;object-fit:contain" src="https://www.jotform.com/uploads/akellens/form_files/5_coq_leon_07cf662043384e411023ae445fb6cdd2.webp" /></div>
                      </div>
                    </div>
                    <div for="input_3_1027" class="form-product-container"><span data-wrapper-react="true">
                        <div class="title_description"><span class="form-product-name" id="product-name-input_3_1027">Le Coq Léon Blanc 2025 - Maison Piron</span><span class="form-product-description" id="product-name-description-input_3_1027"><span class="payment-jot-editor payment-jot-editor-view" id="payment-jot-editor-input_3_1027">
                              <p style="margin:0" jot-element-type="paragraph"><span>Frankrijk - Beaujolais

                                  Druif: Chardonnay, Viognier</span></p>
                            </span></span></div><span class="form-product-details"><strong><span data-wrapper-react="true"><span class="sr-only">€12.50</span><span aria-hidden="true">€</span><span id="input_3_1027_price" aria-hidden="true">12.50</span></span></strong></span>
                      </span><span class="form-sub-label-container" style="vertical-align:top"><label class="form-sub-label" for="input_3_quantity_1027_0" style="min-height:13px">Aantal</label><span class="select_cont"><select class="form-dropdown validate[required]" name="q3_onzeSelectie[special_1027][item_0]" id="input_3_quantity_1027_0" aria-label="Select Aantal">
                            <option value="0">0</option>
                            <option value="1">1</option>
                            <option value="2">2</option>
                            <option value="3">3</option>
                            <option value="4">4</option>
                            <option value="5">5</option>
                            <option value="6">6</option>
                            <option value="7">7</option>
                            <option value="8">8</option>
                            <option value="9">9</option>
                            <option value="10">10</option>
                            <option value="11">11</option>
                            <option value="12">12</option>
                            <option value="13">13</option>
                            <option value="14">14</option>
                            <option value="15">15</option>
                            <option value="16">16</option>
                            <option value="17">17</option>
                            <option value="18">18</option>
                            <option value="19">19</option>
                            <option value="20">20</option>
                            <option value="21">21</option>
                            <option value="22">22</option>
                            <option value="23">23</option>
                            <option value="24">24</option>
                            <option value="25">25</option>
                            <option value="26">26</option>
                            <option value="27">27</option>
                            <option value="28">28</option>
                            <option value="29">29</option>
                            <option value="30">30</option>
                            <option value="31">31</option>
                            <option value="32">32</option>
                            <option value="33">33</option>
                            <option value="34">34</option>
                            <option value="35">35</option>
                            <option value="36">36</option>
                            <option value="37">37</option>
                            <option value="38">38</option>
                            <option value="39">39</option>
                            <option value="40">40</option>
                            <option value="41">41</option>
                            <option value="42">42</option>
                            <option value="43">43</option>
                            <option value="44">44</option>
                            <option value="45">45</option>
                            <option value="46">46</option>
                            <option value="47">47</option>
                            <option value="48">48</option>
                            <option value="49">49</option>
                            <option value="50">50</option>
                          </select></span></span></div>
                    <div class="focus_action_button_container" style="pointer-events:auto"><a class="btn-inline-product-delete" tabindex="0" role="button" aria-label="Delete Product"> </a><a class="btn-inline-product-settings" tabindex="0" role="button" aria-label="Product Settings"> </a></div>
                  </div>
                </span>
                <div class="p_item_separator "></div><span class="form-product-item hover-product-item on_col1 show_image show_desc show_option full_img new_ui" categories="2002" active-category="2002" pid="1028" aria-labelledby="label_3">
                  <div data-wrapper-react="true" class="form-product-item-detail new_ui">
                    <div class="p_col">
                      <div class="p_checkbox"><input class="form-checkbox validate[required]  form-product-input" type="checkbox" id="input_3_1028" name="q3_onzeSelectie[][id]" data-inputname="q3_onzeSelectie[][id]" readonly="" aria-label="Select Product: Viognier de Fontgaline 2024 - Domaine Coudoulet" data-is-default-required="false" data-is-default-selected="false" value="1028" />
                        <div class="checked"></div>
                        <div class="select_border"></div>
                      </div>
                    </div>
                    <div class="p_image">
                      <div class="image_area form-product-image-with-options">
                        <div style="position:absolute;width:100%;height:100%"><img loading="lazy" alt="Viognier de Fontgaline 2024 - Domaine Coudoulet. Frankrijk - Languedoc-Rousillon Druif: Viognier" style="width:100%;height:100%;object-fit:contain" src="https://www.jotform.com/uploads/akellens/form_files/6_coudoulet_69dff3bbe6b1ff61d981919b0465d59f.webp" /></div>
                      </div>
                    </div>
                    <div for="input_3_1028" class="form-product-container"><span data-wrapper-react="true">
                        <div class="title_description"><span class="form-product-name" id="product-name-input_3_1028">Viognier de Fontgaline 2024 - Domaine Coudoulet</span><span class="form-product-description" id="product-name-description-input_3_1028"><span class="payment-jot-editor payment-jot-editor-view" id="payment-jot-editor-input_3_1028">
                              <p style="margin:0" jot-element-type="paragraph"><span>Frankrijk - Languedoc-Rousillon

                                  Druif: Viognier</span></p>
                            </span></span></div><span class="form-product-details"><strong><span data-wrapper-react="true"><span class="sr-only">€11.95</span><span aria-hidden="true">€</span><span id="input_3_1028_price" aria-hidden="true">11.95</span></span></strong></span>
                      </span><span class="form-sub-label-container" style="vertical-align:top"><label class="form-sub-label" for="input_3_quantity_1028_0" style="min-height:13px">Aantal</label><span class="select_cont"><select class="form-dropdown validate[required]" name="q3_onzeSelectie[special_1028][item_0]" id="input_3_quantity_1028_0" aria-label="Select Aantal">
                            <option value="0">0</option>
                            <option value="1">1</option>
                            <option value="2">2</option>
                            <option value="3">3</option>
                            <option value="4">4</option>
                            <option value="5">5</option>
                            <option value="6">6</option>
                            <option value="7">7</option>
                            <option value="8">8</option>
                            <option value="9">9</option>
                            <option value="10">10</option>
                            <option value="11">11</option>
                            <option value="12">12</option>
                            <option value="13">13</option>
                            <option value="14">14</option>
                            <option value="15">15</option>
                            <option value="16">16</option>
                            <option value="17">17</option>
                            <option value="18">18</option>
                            <option value="19">19</option>
                            <option value="20">20</option>
                            <option value="21">21</option>
                            <option value="22">22</option>
                            <option value="23">23</option>
                            <option value="24">24</option>
                            <option value="25">25</option>
                            <option value="26">26</option>
                            <option value="27">27</option>
                            <option value="28">28</option>
                            <option value="29">29</option>
                            <option value="30">30</option>
                            <option value="31">31</option>
                            <option value="32">32</option>
                            <option value="33">33</option>
                            <option value="34">34</option>
                            <option value="35">35</option>
                            <option value="36">36</option>
                            <option value="37">37</option>
                            <option value="38">38</option>
                            <option value="39">39</option>
                            <option value="40">40</option>
                            <option value="41">41</option>
                            <option value="42">42</option>
                            <option value="43">43</option>
                            <option value="44">44</option>
                            <option value="45">45</option>
                            <option value="46">46</option>
                            <option value="47">47</option>
                            <option value="48">48</option>
                            <option value="49">49</option>
                            <option value="50">50</option>
                          </select></span></span></div>
                    <div class="focus_action_button_container" style="pointer-events:auto"><a class="btn-inline-product-delete" tabindex="0" role="button" aria-label="Delete Product"> </a><a class="btn-inline-product-settings" tabindex="0" role="button" aria-label="Product Settings"> </a></div>
                  </div>
                </span>
                <div class="p_item_separator "></div><span class="form-product-item hover-product-item on_col2 show_image show_desc show_option full_img new_ui" categories="2002" active-category="2002" pid="1030" aria-labelledby="label_3">
                  <div data-wrapper-react="true" class="form-product-item-detail new_ui">
                    <div class="p_col">
                      <div class="p_checkbox"><input class="form-checkbox validate[required]  form-product-input" type="checkbox" id="input_3_1030" name="q3_onzeSelectie[][id]" data-inputname="q3_onzeSelectie[][id]" readonly="" aria-label="Select Product: Terra Alta &#x27;Ilercavonia&#x27; 2025 - Altavins Viticultors" data-is-default-required="false" data-is-default-selected="false" value="1030" />
                        <div class="checked"></div>
                        <div class="select_border"></div>
                      </div>
                    </div>
                    <div class="p_image">
                      <div class="image_area form-product-image-with-options">
                        <div style="position:absolute;width:100%;height:100%"><img loading="lazy" alt="Terra Alta &#x27;Ilercavonia&#x27; 2025 - Altavins Viticultors. Spanje - Catalonië Druif: Garnacha Blancha" style="width:100%;height:100%;object-fit:contain" src="https://www.jotform.com/uploads/akellens/form_files/8_ic_14029d1e6f061deb6be36eda454a7c5f.webp" /></div>
                      </div>
                    </div>
                    <div for="input_3_1030" class="form-product-container"><span data-wrapper-react="true">
                        <div class="title_description"><span class="form-product-name" id="product-name-input_3_1030">Terra Alta &#x27;Ilercavonia&#x27; 2025 - Altavins Viticultors</span><span class="form-product-description" id="product-name-description-input_3_1030"><span class="payment-jot-editor payment-jot-editor-view" id="payment-jot-editor-input_3_1030">
                              <p style="margin:0" jot-element-type="paragraph"><span>Spanje - Catalonië

                                  Druif: Garnacha Blancha</span></p>
                            </span></span></div><span class="form-product-details"><strong><span data-wrapper-react="true"><span class="sr-only">€14.95</span><span aria-hidden="true">€</span><span id="input_3_1030_price" aria-hidden="true">14.95</span></span></strong></span>
                      </span><span class="form-sub-label-container" style="vertical-align:top"><label class="form-sub-label" for="input_3_quantity_1030_0" style="min-height:13px">Aantal</label><span class="select_cont"><select class="form-dropdown validate[required]" name="q3_onzeSelectie[special_1030][item_0]" id="input_3_quantity_1030_0" aria-label="Select Aantal">
                            <option value="0">0</option>
                            <option value="1">1</option>
                            <option value="2">2</option>
                            <option value="3">3</option>
                            <option value="4">4</option>
                            <option value="5">5</option>
                            <option value="6">6</option>
                            <option value="7">7</option>
                            <option value="8">8</option>
                            <option value="9">9</option>
                            <option value="10">10</option>
                            <option value="11">11</option>
                            <option value="12">12</option>
                            <option value="13">13</option>
                            <option value="14">14</option>
                            <option value="15">15</option>
                            <option value="16">16</option>
                            <option value="17">17</option>
                            <option value="18">18</option>
                            <option value="19">19</option>
                            <option value="20">20</option>
                            <option value="21">21</option>
                            <option value="22">22</option>
                            <option value="23">23</option>
                            <option value="24">24</option>
                            <option value="25">25</option>
                            <option value="26">26</option>
                            <option value="27">27</option>
                            <option value="28">28</option>
                            <option value="29">29</option>
                            <option value="30">30</option>
                            <option value="31">31</option>
                            <option value="32">32</option>
                            <option value="33">33</option>
                            <option value="34">34</option>
                            <option value="35">35</option>
                            <option value="36">36</option>
                            <option value="37">37</option>
                            <option value="38">38</option>
                            <option value="39">39</option>
                            <option value="40">40</option>
                            <option value="41">41</option>
                            <option value="42">42</option>
                            <option value="43">43</option>
                            <option value="44">44</option>
                            <option value="45">45</option>
                            <option value="46">46</option>
                            <option value="47">47</option>
                            <option value="48">48</option>
                            <option value="49">49</option>
                            <option value="50">50</option>
                          </select></span></span></div>
                    <div class="focus_action_button_container" style="pointer-events:auto"><a class="btn-inline-product-delete" tabindex="0" role="button" aria-label="Delete Product"> </a><a class="btn-inline-product-settings" tabindex="0" role="button" aria-label="Product Settings"> </a></div>
                  </div>
                </span>
                <div class="p_item_separator "></div><span class="form-product-item hover-product-item on_col3 show_image show_desc show_option full_img new_ui" categories="2002" active-category="2002" pid="1031" aria-labelledby="label_3">
                  <div data-wrapper-react="true" class="form-product-item-detail new_ui">
                    <div class="p_col">
                      <div class="p_checkbox"><input class="form-checkbox validate[required]  form-product-input" type="checkbox" id="input_3_1031" name="q3_onzeSelectie[][id]" data-inputname="q3_onzeSelectie[][id]" readonly="" aria-label="Select Product: Les Vignes d&#x27;à Côté - Roussanne 2024 - Domaine Yves Cuilleron" data-is-default-required="false" data-is-default-selected="false" value="1031" />
                        <div class="checked"></div>
                        <div class="select_border"></div>
                      </div>
                    </div>
                    <div class="p_image">
                      <div class="image_area form-product-image-with-options">
                        <div style="position:absolute;width:100%;height:100%"><img loading="lazy" alt="Les Vignes d&#x27;à Côté - Roussanne 2024 - Domaine Yves Cuilleron. Frankrijk - Côtes du Rhône Druif: Roussanne" style="width:100%;height:100%;object-fit:contain" src="https://www.jotform.com/uploads/akellens/form_files/9_roussanne_1f72b42ea20a20ff80d0758c47547601.webp" /></div>
                      </div>
                    </div>
                    <div for="input_3_1031" class="form-product-container"><span data-wrapper-react="true">
                        <div class="title_description"><span class="form-product-name" id="product-name-input_3_1031">Les Vignes d&#x27;à Côté - Roussanne 2024 - Domaine Yves Cuilleron</span><span class="form-product-description" id="product-name-description-input_3_1031"><span class="payment-jot-editor payment-jot-editor-view" id="payment-jot-editor-input_3_1031">
                              <p style="margin:0" jot-element-type="paragraph"><span>Frankrijk - Côtes du Rhône

                                  Druif: Roussanne</span></p>
                            </span></span></div><span class="form-product-details"><strong><span data-wrapper-react="true"><span class="sr-only">€18.95</span><span aria-hidden="true">€</span><span id="input_3_1031_price" aria-hidden="true">18.95</span></span></strong></span>
                      </span><span class="form-sub-label-container" style="vertical-align:top"><label class="form-sub-label" for="input_3_quantity_1031_0" style="min-height:13px">Aantal</label><span class="select_cont"><select class="form-dropdown validate[required]" name="q3_onzeSelectie[special_1031][item_0]" id="input_3_quantity_1031_0" aria-label="Select Aantal">
                            <option value="0">0</option>
                            <option value="1">1</option>
                            <option value="2">2</option>
                            <option value="3">3</option>
                            <option value="4">4</option>
                            <option value="5">5</option>
                            <option value="6">6</option>
                            <option value="7">7</option>
                            <option value="8">8</option>
                            <option value="9">9</option>
                            <option value="10">10</option>
                            <option value="11">11</option>
                            <option value="12">12</option>
                            <option value="13">13</option>
                            <option value="14">14</option>
                            <option value="15">15</option>
                            <option value="16">16</option>
                            <option value="17">17</option>
                            <option value="18">18</option>
                            <option value="19">19</option>
                            <option value="20">20</option>
                            <option value="21">21</option>
                            <option value="22">22</option>
                            <option value="23">23</option>
                            <option value="24">24</option>
                            <option value="25">25</option>
                            <option value="26">26</option>
                            <option value="27">27</option>
                            <option value="28">28</option>
                            <option value="29">29</option>
                            <option value="30">30</option>
                            <option value="31">31</option>
                            <option value="32">32</option>
                            <option value="33">33</option>
                            <option value="34">34</option>
                            <option value="35">35</option>
                            <option value="36">36</option>
                            <option value="37">37</option>
                            <option value="38">38</option>
                            <option value="39">39</option>
                            <option value="40">40</option>
                            <option value="41">41</option>
                            <option value="42">42</option>
                            <option value="43">43</option>
                            <option value="44">44</option>
                            <option value="45">45</option>
                            <option value="46">46</option>
                            <option value="47">47</option>
                            <option value="48">48</option>
                            <option value="49">49</option>
                            <option value="50">50</option>
                          </select></span></span></div>
                    <div class="focus_action_button_container" style="pointer-events:auto"><a class="btn-inline-product-delete" tabindex="0" role="button" aria-label="Delete Product"> </a><a class="btn-inline-product-settings" tabindex="0" role="button" aria-label="Product Settings"> </a></div>
                  </div>
                </span>
                <div class="p_item_separator last_p_seperator"></div><span class="form-product-category-item  last_p_category" category="2003"><strong>Rood</strong><span class="selected-items-icon"></span></span><span class="form-product-item hover-product-item on_col1 show_image show_desc show_option full_img new_ui" categories="2003" active-category="2003" pid="1032" aria-labelledby="label_3">
                  <div data-wrapper-react="true" class="form-product-item-detail new_ui">
                    <div class="p_col">
                      <div class="p_checkbox"><input class="form-checkbox validate[required]  form-product-input" type="checkbox" id="input_3_1032" name="q3_onzeSelectie[][id]" data-inputname="q3_onzeSelectie[][id]" readonly="" aria-label="Select Product: Luccarelli Primitivo 2024" data-is-default-required="false" data-is-default-selected="false" value="1032" />
                        <div class="checked"></div>
                        <div class="select_border"></div>
                      </div>
                    </div>
                    <div class="p_image">
                      <div class="image_area form-product-image-with-options">
                        <div style="position:absolute;width:100%;height:100%"><img loading="lazy" alt="Luccarelli Primitivo 2024. Italië - Puglia Druif: Primitivo" style="width:100%;height:100%;object-fit:contain" src="https://www.jotform.com/uploads/akellens/form_files/10_luccarelli_primitivo_1cb388c4580f565389c023b28e496f6d.webp" /></div>
                      </div>
                    </div>
                    <div for="input_3_1032" class="form-product-container"><span data-wrapper-react="true">
                        <div class="title_description"><span class="form-product-name" id="product-name-input_3_1032">Luccarelli Primitivo 2024</span><span class="form-product-description" id="product-name-description-input_3_1032"><span class="payment-jot-editor payment-jot-editor-view" id="payment-jot-editor-input_3_1032">
                              <p style="margin:0" jot-element-type="paragraph"><span>Italië - Puglia

                                  Druif: &nbsp;Primitivo</span></p>
                            </span></span></div><span class="form-product-details"><strong><span data-wrapper-react="true"><span class="sr-only">€9.95</span><span aria-hidden="true">€</span><span id="input_3_1032_price" aria-hidden="true">9.95</span></span></strong></span>
                      </span><span class="form-sub-label-container" style="vertical-align:top"><label class="form-sub-label" for="input_3_quantity_1032_0" style="min-height:13px">Aantal</label><span class="select_cont"><select class="form-dropdown validate[required]" name="q3_onzeSelectie[special_1032][item_0]" id="input_3_quantity_1032_0" aria-label="Select Aantal">
                            <option value="0">0</option>
                            <option value="1">1</option>
                            <option value="2">2</option>
                            <option value="3">3</option>
                            <option value="4">4</option>
                            <option value="5">5</option>
                            <option value="6">6</option>
                            <option value="7">7</option>
                            <option value="8">8</option>
                            <option value="9">9</option>
                            <option value="10">10</option>
                            <option value="11">11</option>
                            <option value="12">12</option>
                            <option value="13">13</option>
                            <option value="14">14</option>
                            <option value="15">15</option>
                            <option value="16">16</option>
                            <option value="17">17</option>
                            <option value="18">18</option>
                            <option value="19">19</option>
                            <option value="20">20</option>
                            <option value="21">21</option>
                            <option value="22">22</option>
                            <option value="23">23</option>
                            <option value="24">24</option>
                            <option value="25">25</option>
                            <option value="26">26</option>
                            <option value="27">27</option>
                            <option value="28">28</option>
                            <option value="29">29</option>
                            <option value="30">30</option>
                            <option value="31">31</option>
                            <option value="32">32</option>
                            <option value="33">33</option>
                            <option value="34">34</option>
                            <option value="35">35</option>
                            <option value="36">36</option>
                            <option value="37">37</option>
                            <option value="38">38</option>
                            <option value="39">39</option>
                            <option value="40">40</option>
                            <option value="41">41</option>
                            <option value="42">42</option>
                            <option value="43">43</option>
                            <option value="44">44</option>
                            <option value="45">45</option>
                            <option value="46">46</option>
                            <option value="47">47</option>
                            <option value="48">48</option>
                            <option value="49">49</option>
                            <option value="50">50</option>
                          </select></span></span></div>
                    <div class="focus_action_button_container" style="pointer-events:auto"><a class="btn-inline-product-delete" tabindex="0" role="button" aria-label="Delete Product"> </a><a class="btn-inline-product-settings" tabindex="0" role="button" aria-label="Product Settings"> </a></div>
                  </div>
                </span>
                <div class="p_item_separator "></div><span class="form-product-item hover-product-item on_col2 show_image show_desc show_option full_img new_ui" categories="2003" active-category="2003" pid="1022" aria-labelledby="label_3">
                  <div data-wrapper-react="true" class="form-product-item-detail new_ui">
                    <div class="p_col">
                      <div class="p_checkbox"><input class="form-checkbox validate[required]  form-product-input" type="checkbox" id="input_3_1022" name="q3_onzeSelectie[][id]" data-inputname="q3_onzeSelectie[][id]" readonly="" aria-label="Select Product: Marques de Valparaiso Roble 2024 - Bodegas Valparaiso" data-is-default-required="false" data-is-default-selected="false" value="1022" />
                        <div class="checked"></div>
                        <div class="select_border"></div>
                      </div>
                    </div>
                    <div class="p_image">
                      <div class="image_area form-product-image-with-options">
                        <div style="position:absolute;width:100%;height:100%"><img loading="lazy" alt="Marques de Valparaiso Roble 2024 - Bodegas Valparaiso. Spanje - Castilla y Leon Druif: Tempranillo" style="width:100%;height:100%;object-fit:contain" src="https://www.jotform.com/uploads/akellens/form_files/11_valparaiso_f2e3f46981e3e30caccc894b217150ff.webp" /></div>
                      </div>
                    </div>
                    <div for="input_3_1022" class="form-product-container"><span data-wrapper-react="true">
                        <div class="title_description"><span class="form-product-name" id="product-name-input_3_1022">Marques de Valparaiso Roble 2024 - Bodegas Valparaiso</span><span class="form-product-description" id="product-name-description-input_3_1022"><span class="payment-jot-editor payment-jot-editor-view" id="payment-jot-editor-input_3_1022">
                              <p style="margin:0" jot-element-type="paragraph"><span>Spanje - Castilla y Leon

                                  Druif: &nbsp;Tempranillo</span></p>
                            </span></span></div><span class="form-product-details"><strong><span data-wrapper-react="true"><span class="sr-only">€10.80</span><span aria-hidden="true">€</span><span id="input_3_1022_price" aria-hidden="true">10.80</span></span></strong></span>
                      </span><span class="form-sub-label-container" style="vertical-align:top"><label class="form-sub-label" for="input_3_quantity_1022_0" style="min-height:13px">Aantal</label><span class="select_cont"><select class="form-dropdown validate[required]" name="q3_onzeSelectie[special_1022][item_0]" id="input_3_quantity_1022_0" aria-label="Select Aantal">
                            <option value="0">0</option>
                            <option value="1">1</option>
                            <option value="2">2</option>
                            <option value="3">3</option>
                            <option value="4">4</option>
                            <option value="5">5</option>
                            <option value="6">6</option>
                            <option value="7">7</option>
                            <option value="8">8</option>
                            <option value="9">9</option>
                            <option value="10">10</option>
                            <option value="11">11</option>
                            <option value="12">12</option>
                            <option value="13">13</option>
                            <option value="14">14</option>
                            <option value="15">15</option>
                            <option value="16">16</option>
                            <option value="17">17</option>
                            <option value="18">18</option>
                            <option value="19">19</option>
                            <option value="20">20</option>
                            <option value="21">21</option>
                            <option value="22">22</option>
                            <option value="23">23</option>
                            <option value="24">24</option>
                            <option value="25">25</option>
                            <option value="26">26</option>
                            <option value="27">27</option>
                            <option value="28">28</option>
                            <option value="29">29</option>
                            <option value="30">30</option>
                            <option value="31">31</option>
                            <option value="32">32</option>
                            <option value="33">33</option>
                            <option value="34">34</option>
                            <option value="35">35</option>
                            <option value="36">36</option>
                            <option value="37">37</option>
                            <option value="38">38</option>
                            <option value="39">39</option>
                            <option value="40">40</option>
                            <option value="41">41</option>
                            <option value="42">42</option>
                            <option value="43">43</option>
                            <option value="44">44</option>
                            <option value="45">45</option>
                            <option value="46">46</option>
                            <option value="47">47</option>
                            <option value="48">48</option>
                            <option value="49">49</option>
                            <option value="50">50</option>
                          </select></span></span></div>
                    <div class="focus_action_button_container" style="pointer-events:auto"><a class="btn-inline-product-delete" tabindex="0" role="button" aria-label="Delete Product"> </a><a class="btn-inline-product-settings" tabindex="0" role="button" aria-label="Product Settings"> </a></div>
                  </div>
                </span>
                <div class="p_item_separator "></div><span class="form-product-item hover-product-item on_col3 show_image show_desc show_option full_img new_ui" categories="2003" active-category="2003" pid="1035" aria-labelledby="label_3">
                  <div data-wrapper-react="true" class="form-product-item-detail new_ui">
                    <div class="p_col">
                      <div class="p_checkbox"><input class="form-checkbox validate[required]  form-product-input" type="checkbox" id="input_3_1035" name="q3_onzeSelectie[][id]" data-inputname="q3_onzeSelectie[][id]" readonly="" aria-label="Select Product: Alentejo Tinto 2023 - Quinta do Paral" data-is-default-required="false" data-is-default-selected="false" value="1035" />
                        <div class="checked"></div>
                        <div class="select_border"></div>
                      </div>
                    </div>
                    <div class="p_image">
                      <div class="image_area form-product-image-with-options">
                        <div style="position:absolute;width:100%;height:100%"><img loading="lazy" alt="Alentejo Tinto 2023 - Quinta do Paral. Portugal - Alentejo Druif: Durif, Petit Verdot, Touriga Franca, Touriga Nacional" style="width:100%;height:100%;object-fit:contain" src="https://www.jotform.com/uploads/akellens/form_files/13_paral_a0d8d707fc4da32cfc44c0013f96a7d9.webp" /></div>
                      </div>
                    </div>
                    <div for="input_3_1035" class="form-product-container"><span data-wrapper-react="true">
                        <div class="title_description"><span class="form-product-name" id="product-name-input_3_1035">Alentejo Tinto 2023 - Quinta do Paral</span><span class="form-product-description" id="product-name-description-input_3_1035"><span class="payment-jot-editor payment-jot-editor-view" id="payment-jot-editor-input_3_1035">
                              <p style="margin:0" jot-element-type="paragraph"><span>Portugal - Alentejo

                                  Druif: Durif, Petit Verdot, Touriga Franca, Touriga Nacional</span></p>
                            </span></span></div><span class="form-product-details"><strong><span data-wrapper-react="true"><span class="sr-only">€12.95</span><span aria-hidden="true">€</span><span id="input_3_1035_price" aria-hidden="true">12.95</span></span></strong></span>
                      </span><span class="form-sub-label-container" style="vertical-align:top"><label class="form-sub-label" for="input_3_quantity_1035_0" style="min-height:13px">Aantal</label><span class="select_cont"><select class="form-dropdown validate[required]" name="q3_onzeSelectie[special_1035][item_0]" id="input_3_quantity_1035_0" aria-label="Select Aantal">
                            <option value="0">0</option>
                            <option value="1">1</option>
                            <option value="2">2</option>
                            <option value="3">3</option>
                            <option value="4">4</option>
                            <option value="5">5</option>
                            <option value="6">6</option>
                            <option value="7">7</option>
                            <option value="8">8</option>
                            <option value="9">9</option>
                            <option value="10">10</option>
                            <option value="11">11</option>
                            <option value="12">12</option>
                            <option value="13">13</option>
                            <option value="14">14</option>
                            <option value="15">15</option>
                            <option value="16">16</option>
                            <option value="17">17</option>
                            <option value="18">18</option>
                            <option value="19">19</option>
                            <option value="20">20</option>
                            <option value="21">21</option>
                            <option value="22">22</option>
                            <option value="23">23</option>
                            <option value="24">24</option>
                            <option value="25">25</option>
                            <option value="26">26</option>
                            <option value="27">27</option>
                            <option value="28">28</option>
                            <option value="29">29</option>
                            <option value="30">30</option>
                            <option value="31">31</option>
                            <option value="32">32</option>
                            <option value="33">33</option>
                            <option value="34">34</option>
                            <option value="35">35</option>
                            <option value="36">36</option>
                            <option value="37">37</option>
                            <option value="38">38</option>
                            <option value="39">39</option>
                            <option value="40">40</option>
                            <option value="41">41</option>
                            <option value="42">42</option>
                            <option value="43">43</option>
                            <option value="44">44</option>
                            <option value="45">45</option>
                            <option value="46">46</option>
                            <option value="47">47</option>
                            <option value="48">48</option>
                            <option value="49">49</option>
                            <option value="50">50</option>
                          </select></span></span></div>
                    <div class="focus_action_button_container" style="pointer-events:auto"><a class="btn-inline-product-delete" tabindex="0" role="button" aria-label="Delete Product"> </a><a class="btn-inline-product-settings" tabindex="0" role="button" aria-label="Product Settings"> </a></div>
                  </div>
                </span>
                <div class="p_item_separator "></div><span class="form-product-item hover-product-item on_col1 show_image show_desc show_option full_img new_ui" categories="2003" active-category="2003" pid="1034" aria-labelledby="label_3">
                  <div data-wrapper-react="true" class="form-product-item-detail new_ui">
                    <div class="p_col">
                      <div class="p_checkbox"><input class="form-checkbox validate[required]  form-product-input" type="checkbox" id="input_3_1034" name="q3_onzeSelectie[][id]" data-inputname="q3_onzeSelectie[][id]" readonly="" aria-label="Select Product: Campo Marina Primitivo-Merlot 2024" data-is-default-required="false" data-is-default-selected="false" value="1034" />
                        <div class="checked"></div>
                        <div class="select_border"></div>
                      </div>
                    </div>
                    <div class="p_image">
                      <div class="image_area form-product-image-with-options">
                        <div style="position:absolute;width:100%;height:100%"><img loading="lazy" alt="Campo Marina Primitivo-Merlot 2024. Italië - Puglia Druif: Merlot, Primitivo" style="width:100%;height:100%;object-fit:contain" src="https://www.jotform.com/uploads/akellens/form_files/12_campo_marina_fd7fcabfd09747aea9823565c4041d57.webp" /></div>
                      </div>
                    </div>
                    <div for="input_3_1034" class="form-product-container"><span data-wrapper-react="true">
                        <div class="title_description"><span class="form-product-name" id="product-name-input_3_1034">Campo Marina Primitivo-Merlot 2024</span><span class="form-product-description" id="product-name-description-input_3_1034"><span class="payment-jot-editor payment-jot-editor-view" id="payment-jot-editor-input_3_1034">
                              <p style="margin:0" jot-element-type="paragraph"><span>Italië - Puglia

                                  Druif: Merlot, Primitivo</span></p>
                            </span></span></div><span class="form-product-details"><strong><span data-wrapper-react="true"><span class="sr-only">€13.50</span><span aria-hidden="true">€</span><span id="input_3_1034_price" aria-hidden="true">13.50</span></span></strong></span>
                      </span><span class="form-sub-label-container" style="vertical-align:top"><label class="form-sub-label" for="input_3_quantity_1034_0" style="min-height:13px">Aantal</label><span class="select_cont"><select class="form-dropdown validate[required]" name="q3_onzeSelectie[special_1034][item_0]" id="input_3_quantity_1034_0" aria-label="Select Aantal">
                            <option value="0">0</option>
                            <option value="1">1</option>
                            <option value="2">2</option>
                            <option value="3">3</option>
                            <option value="4">4</option>
                            <option value="5">5</option>
                            <option value="6">6</option>
                            <option value="7">7</option>
                            <option value="8">8</option>
                            <option value="9">9</option>
                            <option value="10">10</option>
                            <option value="11">11</option>
                            <option value="12">12</option>
                            <option value="13">13</option>
                            <option value="14">14</option>
                            <option value="15">15</option>
                            <option value="16">16</option>
                            <option value="17">17</option>
                            <option value="18">18</option>
                            <option value="19">19</option>
                            <option value="20">20</option>
                            <option value="21">21</option>
                            <option value="22">22</option>
                            <option value="23">23</option>
                            <option value="24">24</option>
                            <option value="25">25</option>
                            <option value="26">26</option>
                            <option value="27">27</option>
                            <option value="28">28</option>
                            <option value="29">29</option>
                            <option value="30">30</option>
                            <option value="31">31</option>
                            <option value="32">32</option>
                            <option value="33">33</option>
                            <option value="34">34</option>
                            <option value="35">35</option>
                            <option value="36">36</option>
                            <option value="37">37</option>
                            <option value="38">38</option>
                            <option value="39">39</option>
                            <option value="40">40</option>
                            <option value="41">41</option>
                            <option value="42">42</option>
                            <option value="43">43</option>
                            <option value="44">44</option>
                            <option value="45">45</option>
                            <option value="46">46</option>
                            <option value="47">47</option>
                            <option value="48">48</option>
                            <option value="49">49</option>
                            <option value="50">50</option>
                          </select></span></span></div>
                    <div class="focus_action_button_container" style="pointer-events:auto"><a class="btn-inline-product-delete" tabindex="0" role="button" aria-label="Delete Product"> </a><a class="btn-inline-product-settings" tabindex="0" role="button" aria-label="Product Settings"> </a></div>
                  </div>
                </span>
                <div class="p_item_separator "></div><span class="form-product-item hover-product-item on_col2 show_image show_desc show_option full_img new_ui" categories="2003" active-category="2003" pid="1033" aria-labelledby="label_3">
                  <div data-wrapper-react="true" class="form-product-item-detail new_ui">
                    <div class="p_col">
                      <div class="p_checkbox"><input class="form-checkbox validate[required]  form-product-input" type="checkbox" id="input_3_1033" name="q3_onzeSelectie[][id]" data-inputname="q3_onzeSelectie[][id]" readonly="" aria-label="Select Product: Barbera d&#x27;Asti &#x27;Moliss&#x27; 2023 - Agostino Pavia &amp; Figli" data-is-default-required="false" data-is-default-selected="false" value="1033" />
                        <div class="checked"></div>
                        <div class="select_border"></div>
                      </div>
                    </div>
                    <div class="p_image">
                      <div class="image_area form-product-image-with-options">
                        <div style="position:absolute;width:100%;height:100%"><img loading="lazy" alt="Barbera d&#x27;Asti &#x27;Moliss&#x27; 2023 - Agostino Pavia &amp; Figli. Italie - Piemonte Druif: Barbera" style="width:100%;height:100%;object-fit:contain" src="https://www.jotform.com/uploads/akellens/form_files/14_barbera_b2e93c5fb88148d9efc20a05645a70e9.webp" /></div>
                      </div>
                    </div>
                    <div for="input_3_1033" class="form-product-container"><span data-wrapper-react="true">
                        <div class="title_description"><span class="form-product-name" id="product-name-input_3_1033">Barbera d&#x27;Asti &#x27;Moliss&#x27; 2023 - Agostino Pavia &amp; Figli</span><span class="form-product-description" id="product-name-description-input_3_1033"><span class="payment-jot-editor payment-jot-editor-view" id="payment-jot-editor-input_3_1033">
                              <p style="margin:0" jot-element-type="paragraph"><span>Italie - Piemonte

                                  Druif: &nbsp;Barbera</span></p>
                            </span></span></div><span class="form-product-details"><strong><span data-wrapper-react="true"><span class="sr-only">€16.50</span><span aria-hidden="true">€</span><span id="input_3_1033_price" aria-hidden="true">16.50</span></span></strong></span>
                      </span><span class="form-sub-label-container" style="vertical-align:top"><label class="form-sub-label" for="input_3_quantity_1033_0" style="min-height:13px">Aantal</label><span class="select_cont"><select class="form-dropdown validate[required]" name="q3_onzeSelectie[special_1033][item_0]" id="input_3_quantity_1033_0" aria-label="Select Aantal">
                            <option value="0">0</option>
                            <option value="1">1</option>
                            <option value="2">2</option>
                            <option value="3">3</option>
                            <option value="4">4</option>
                            <option value="5">5</option>
                            <option value="6">6</option>
                            <option value="7">7</option>
                            <option value="8">8</option>
                            <option value="9">9</option>
                            <option value="10">10</option>
                            <option value="11">11</option>
                            <option value="12">12</option>
                            <option value="13">13</option>
                            <option value="14">14</option>
                            <option value="15">15</option>
                            <option value="16">16</option>
                            <option value="17">17</option>
                            <option value="18">18</option>
                            <option value="19">19</option>
                            <option value="20">20</option>
                            <option value="21">21</option>
                            <option value="22">22</option>
                            <option value="23">23</option>
                            <option value="24">24</option>
                            <option value="25">25</option>
                            <option value="26">26</option>
                            <option value="27">27</option>
                            <option value="28">28</option>
                            <option value="29">29</option>
                            <option value="30">30</option>
                            <option value="31">31</option>
                            <option value="32">32</option>
                            <option value="33">33</option>
                            <option value="34">34</option>
                            <option value="35">35</option>
                            <option value="36">36</option>
                            <option value="37">37</option>
                            <option value="38">38</option>
                            <option value="39">39</option>
                            <option value="40">40</option>
                            <option value="41">41</option>
                            <option value="42">42</option>
                            <option value="43">43</option>
                            <option value="44">44</option>
                            <option value="45">45</option>
                            <option value="46">46</option>
                            <option value="47">47</option>
                            <option value="48">48</option>
                            <option value="49">49</option>
                            <option value="50">50</option>
                          </select></span></span></div>
                    <div class="focus_action_button_container" style="pointer-events:auto"><a class="btn-inline-product-delete" tabindex="0" role="button" aria-label="Delete Product"> </a><a class="btn-inline-product-settings" tabindex="0" role="button" aria-label="Product Settings"> </a></div>
                  </div>
                </span>
                <div class="p_item_separator "></div><span class="form-product-item hover-product-item on_col3 show_image show_desc show_option full_img new_ui" categories="2003" active-category="2003" pid="1037" aria-labelledby="label_3">
                  <div data-wrapper-react="true" class="form-product-item-detail new_ui">
                    <div class="p_col">
                      <div class="p_checkbox"><input class="form-checkbox validate[required]  form-product-input" type="checkbox" id="input_3_1037" name="q3_onzeSelectie[][id]" data-inputname="q3_onzeSelectie[][id]" readonly="" aria-label="Select Product: Valpolicella Classico Superiore Ripasso 2020 - Le Calendre" data-is-default-required="false" data-is-default-selected="false" value="1037" />
                        <div class="checked"></div>
                        <div class="select_border"></div>
                      </div>
                    </div>
                    <div class="p_image">
                      <div class="image_area form-product-image-with-options">
                        <div style="position:absolute;width:100%;height:100%"><img loading="lazy" alt="Valpolicella Classico Superiore Ripasso 2020 - Le Calendre. Italië - Veneto Druif: Corvina, Corvinone, Molinara, Rondinella" style="width:100%;height:100%;object-fit:contain" src="https://www.jotform.com/uploads/akellens/form_files/15_calendre_aea99767be51ad5936cc4c373ae1f91c.webp" /></div>
                      </div>
                    </div>
                    <div for="input_3_1037" class="form-product-container"><span data-wrapper-react="true">
                        <div class="title_description"><span class="form-product-name" id="product-name-input_3_1037">Valpolicella Classico Superiore Ripasso 2020 - Le Calendre</span><span class="form-product-description" id="product-name-description-input_3_1037"><span class="payment-jot-editor payment-jot-editor-view" id="payment-jot-editor-input_3_1037">
                              <p style="margin:0" jot-element-type="paragraph"><span>Italië - Veneto

                                  Druif: Corvina, Corvinone, Molinara, Rondinella</span></p>
                            </span></span></div><span class="form-product-details"><strong><span data-wrapper-react="true"><span class="sr-only">€18.50</span><span aria-hidden="true">€</span><span id="input_3_1037_price" aria-hidden="true">18.50</span></span></strong></span>
                      </span><span class="form-sub-label-container" style="vertical-align:top"><label class="form-sub-label" for="input_3_quantity_1037_0" style="min-height:13px">Aantal</label><span class="select_cont"><select class="form-dropdown validate[required]" name="q3_onzeSelectie[special_1037][item_0]" id="input_3_quantity_1037_0" aria-label="Select Aantal">
                            <option value="0">0</option>
                            <option value="1">1</option>
                            <option value="2">2</option>
                            <option value="3">3</option>
                            <option value="4">4</option>
                            <option value="5">5</option>
                            <option value="6">6</option>
                            <option value="7">7</option>
                            <option value="8">8</option>
                            <option value="9">9</option>
                            <option value="10">10</option>
                            <option value="11">11</option>
                            <option value="12">12</option>
                            <option value="13">13</option>
                            <option value="14">14</option>
                            <option value="15">15</option>
                            <option value="16">16</option>
                            <option value="17">17</option>
                            <option value="18">18</option>
                            <option value="19">19</option>
                            <option value="20">20</option>
                            <option value="21">21</option>
                            <option value="22">22</option>
                            <option value="23">23</option>
                            <option value="24">24</option>
                            <option value="25">25</option>
                            <option value="26">26</option>
                            <option value="27">27</option>
                            <option value="28">28</option>
                            <option value="29">29</option>
                            <option value="30">30</option>
                            <option value="31">31</option>
                            <option value="32">32</option>
                            <option value="33">33</option>
                            <option value="34">34</option>
                            <option value="35">35</option>
                            <option value="36">36</option>
                            <option value="37">37</option>
                            <option value="38">38</option>
                            <option value="39">39</option>
                            <option value="40">40</option>
                            <option value="41">41</option>
                            <option value="42">42</option>
                            <option value="43">43</option>
                            <option value="44">44</option>
                            <option value="45">45</option>
                            <option value="46">46</option>
                            <option value="47">47</option>
                            <option value="48">48</option>
                            <option value="49">49</option>
                            <option value="50">50</option>
                          </select></span></span></div>
                    <div class="focus_action_button_container" style="pointer-events:auto"><a class="btn-inline-product-delete" tabindex="0" role="button" aria-label="Delete Product"> </a><a class="btn-inline-product-settings" tabindex="0" role="button" aria-label="Product Settings"> </a></div>
                  </div>
                </span>
                <div class="p_item_separator "></div><span class="form-product-item hover-product-item on_col1 show_image show_desc show_option full_img new_ui" categories="2003" active-category="2003" pid="1038" aria-labelledby="label_3">
                  <div data-wrapper-react="true" class="form-product-item-detail new_ui">
                    <div class="p_col">
                      <div class="p_checkbox"><input class="form-checkbox validate[required]  form-product-input" type="checkbox" id="input_3_1038" name="q3_onzeSelectie[][id]" data-inputname="q3_onzeSelectie[][id]" readonly="" aria-label="Select Product: Château Haut Jamard &#x27;Prestige&#x27; 2023 - Lussac Saint-Emilion" data-is-default-required="false" data-is-default-selected="false" value="1038" />
                        <div class="checked"></div>
                        <div class="select_border"></div>
                      </div>
                    </div>
                    <div class="p_image">
                      <div class="image_area form-product-image-with-options">
                        <div style="position:absolute;width:100%;height:100%"><img loading="lazy" alt="Château Haut Jamard &#x27;Prestige&#x27; 2023 - Lussac Saint-Emilion. Frankrijk - Bordeaux Druif: Merlot" style="width:100%;height:100%;object-fit:contain" src="https://www.jotform.com/uploads/akellens/form_files/16_haut_jamard_369b50734f50b20852c643222d116392.webp" /></div>
                      </div>
                    </div>
                    <div for="input_3_1038" class="form-product-container"><span data-wrapper-react="true">
                        <div class="title_description"><span class="form-product-name" id="product-name-input_3_1038">Château Haut Jamard &#x27;Prestige&#x27; 2023 - Lussac Saint-Emilion</span><span class="form-product-description" id="product-name-description-input_3_1038"><span class="payment-jot-editor payment-jot-editor-view" id="payment-jot-editor-input_3_1038">
                              <p style="margin:0" jot-element-type="paragraph"><span>Frankrijk - Bordeaux

                                  Druif: Merlot</span></p>
                            </span></span></div><span class="form-product-details"><strong><span data-wrapper-react="true"><span class="sr-only">€18.95</span><span aria-hidden="true">€</span><span id="input_3_1038_price" aria-hidden="true">18.95</span></span></strong></span>
                      </span><span class="form-sub-label-container" style="vertical-align:top"><label class="form-sub-label" for="input_3_quantity_1038_0" style="min-height:13px">Aantal</label><span class="select_cont"><select class="form-dropdown validate[required]" name="q3_onzeSelectie[special_1038][item_0]" id="input_3_quantity_1038_0" aria-label="Select Aantal">
                            <option value="0">0</option>
                            <option value="1">1</option>
                            <option value="2">2</option>
                            <option value="3">3</option>
                            <option value="4">4</option>
                            <option value="5">5</option>
                            <option value="6">6</option>
                            <option value="7">7</option>
                            <option value="8">8</option>
                            <option value="9">9</option>
                            <option value="10">10</option>
                            <option value="11">11</option>
                            <option value="12">12</option>
                            <option value="13">13</option>
                            <option value="14">14</option>
                            <option value="15">15</option>
                            <option value="16">16</option>
                            <option value="17">17</option>
                            <option value="18">18</option>
                            <option value="19">19</option>
                            <option value="20">20</option>
                            <option value="21">21</option>
                            <option value="22">22</option>
                            <option value="23">23</option>
                            <option value="24">24</option>
                            <option value="25">25</option>
                            <option value="26">26</option>
                            <option value="27">27</option>
                            <option value="28">28</option>
                            <option value="29">29</option>
                            <option value="30">30</option>
                            <option value="31">31</option>
                            <option value="32">32</option>
                            <option value="33">33</option>
                            <option value="34">34</option>
                            <option value="35">35</option>
                            <option value="36">36</option>
                            <option value="37">37</option>
                            <option value="38">38</option>
                            <option value="39">39</option>
                            <option value="40">40</option>
                            <option value="41">41</option>
                            <option value="42">42</option>
                            <option value="43">43</option>
                            <option value="44">44</option>
                            <option value="45">45</option>
                            <option value="46">46</option>
                            <option value="47">47</option>
                            <option value="48">48</option>
                            <option value="49">49</option>
                            <option value="50">50</option>
                          </select></span></span></div>
                    <div class="focus_action_button_container" style="pointer-events:auto"><a class="btn-inline-product-delete" tabindex="0" role="button" aria-label="Delete Product"> </a><a class="btn-inline-product-settings" tabindex="0" role="button" aria-label="Product Settings"> </a></div>
                  </div>
                </span>
                <div class="p_item_separator "></div><span class="form-product-item hover-product-item on_col2 show_image show_desc show_option full_img new_ui" categories="2003" active-category="2003" pid="1039" aria-labelledby="label_3">
                  <div data-wrapper-react="true" class="form-product-item-detail new_ui">
                    <div class="p_col">
                      <div class="p_checkbox"><input class="form-checkbox validate[required]  form-product-input" type="checkbox" id="input_3_1039" name="q3_onzeSelectie[][id]" data-inputname="q3_onzeSelectie[][id]" readonly="" aria-label="Select Product: Special Blend Reserva 2022 - Bodega del Fin del Mundo" data-is-default-required="false" data-is-default-selected="false" value="1039" />
                        <div class="checked"></div>
                        <div class="select_border"></div>
                      </div>
                    </div>
                    <div class="p_image">
                      <div class="image_area form-product-image-with-options">
                        <div style="position:absolute;width:100%;height:100%"><img loading="lazy" alt="Special Blend Reserva 2022 - Bodega del Fin del Mundo. Argentinië - Patagonië Druif: Cabernet Sauvignon, Malbec, Merlot" style="width:100%;height:100%;object-fit:contain" src="https://www.jotform.com/uploads/akellens/form_files/17_fin_del_mundo_rood_95f30fd162482f5ae8ee68b94224ebfc.webp" /></div>
                      </div>
                    </div>
                    <div for="input_3_1039" class="form-product-container"><span data-wrapper-react="true">
                        <div class="title_description"><span class="form-product-name" id="product-name-input_3_1039">Special Blend Reserva 2022 - Bodega del Fin del Mundo</span><span class="form-product-description" id="product-name-description-input_3_1039"><span class="payment-jot-editor payment-jot-editor-view" id="payment-jot-editor-input_3_1039">
                              <p style="margin:0" jot-element-type="paragraph"><span>Argentinië - Patagonië

                                  Druif: Cabernet Sauvignon, Malbec, Merlot</span></p>
                            </span></span></div><span class="form-product-details"><strong><span data-wrapper-react="true"><span class="sr-only">€34.95</span><span aria-hidden="true">€</span><span id="input_3_1039_price" aria-hidden="true">34.95</span></span></strong></span>
                      </span><span class="form-sub-label-container" style="vertical-align:top"><label class="form-sub-label" for="input_3_quantity_1039_0" style="min-height:13px">Aantal</label><span class="select_cont"><select class="form-dropdown validate[required]" name="q3_onzeSelectie[special_1039][item_0]" id="input_3_quantity_1039_0" aria-label="Select Aantal">
                            <option value="0">0</option>
                            <option value="1">1</option>
                            <option value="2">2</option>
                            <option value="3">3</option>
                            <option value="4">4</option>
                            <option value="5">5</option>
                            <option value="6">6</option>
                            <option value="7">7</option>
                            <option value="8">8</option>
                            <option value="9">9</option>
                            <option value="10">10</option>
                            <option value="11">11</option>
                            <option value="12">12</option>
                            <option value="13">13</option>
                            <option value="14">14</option>
                            <option value="15">15</option>
                            <option value="16">16</option>
                            <option value="17">17</option>
                            <option value="18">18</option>
                            <option value="19">19</option>
                            <option value="20">20</option>
                            <option value="21">21</option>
                            <option value="22">22</option>
                            <option value="23">23</option>
                            <option value="24">24</option>
                            <option value="25">25</option>
                            <option value="26">26</option>
                            <option value="27">27</option>
                            <option value="28">28</option>
                            <option value="29">29</option>
                            <option value="30">30</option>
                            <option value="31">31</option>
                            <option value="32">32</option>
                            <option value="33">33</option>
                            <option value="34">34</option>
                            <option value="35">35</option>
                            <option value="36">36</option>
                            <option value="37">37</option>
                            <option value="38">38</option>
                            <option value="39">39</option>
                            <option value="40">40</option>
                            <option value="41">41</option>
                            <option value="42">42</option>
                            <option value="43">43</option>
                            <option value="44">44</option>
                            <option value="45">45</option>
                            <option value="46">46</option>
                            <option value="47">47</option>
                            <option value="48">48</option>
                            <option value="49">49</option>
                            <option value="50">50</option>
                          </select></span></span></div>
                    <div class="focus_action_button_container" style="pointer-events:auto"><a class="btn-inline-product-delete" tabindex="0" role="button" aria-label="Delete Product"> </a><a class="btn-inline-product-settings" tabindex="0" role="button" aria-label="Product Settings"> </a></div>
                  </div>
                </span>
                <div class="payment_footer new_ui ">
                  <div class="total_area">
                    <div class="form-payment-total">
                      <div id="total-text">Total</div>
                      <div class="form-payment-price"><span data-wrapper-react="true"><span class="sr-only">€0.00</span><span aria-hidden="true">€</span><span id="payment_total" aria-hidden="true">0.00</span></span></div>
                    </div>
                  </div>
                </div>
              </div>
            </div>
          </div>
        </div>
      </li>
      <li class="form-line always-hidden jf-required" data-type="control_calculation" id="id_13"><label class="form-label form-label-top form-label-auto" id="label_13" for="input_13"> Totaalbedrag<span class="form-required" aria-hidden="true">*</span> </label>
        <div id="cid_13" class="form-input-wide always-hidden jf-required" data-layout="half"> <input aria-labelledby="label_13" data-component="calculation" type="text" data-defaultvalue="0" class="form-textbox validate[required]" data-type="input-textbox" id="input_13" name="q13_totaalbedrag" size="20" value="0" /> </div>
      </li>
      <li class="form-line jf-required" data-type="control_fullname" id="id_6"><label class="form-label form-label-top form-label-auto" id="label_6" for="first_6"> Naam<span class="form-required" aria-hidden="true">*</span> </label>
        <div id="cid_6" class="form-input-wide jf-required" data-layout="full">
          <div aria-labelledby="label_6" role="group" data-wrapper-react="true"><span class="form-sub-label-container" style="vertical-align:top" data-input-type="first"><input type="text" id="first_6" name="q6_naam[first]" class="form-textbox validate[required]" data-defaultvalue="" autoComplete="section-input_6 given-name" size="10" data-component="first" aria-labelledby="sublabel_6_first" required="" value="" /><label class="form-sub-label" for="first_6" id="sublabel_6_first" style="min-height:13px">Voornaam</label></span><span class="form-sub-label-container" style="vertical-align:top" data-input-type="last"><input type="text" id="last_6" name="q6_naam[last]" class="form-textbox validate[required]" data-defaultvalue="" autoComplete="section-input_6 family-name" size="15" data-component="last" aria-labelledby="sublabel_6_last" required="" value="" /><label class="form-sub-label" for="last_6" id="sublabel_6_last" style="min-height:13px">Achternaam</label></span></div>
        </div>
      </li>
      <li class="form-line jf-required" data-type="control_email" id="id_7"><label class="form-label form-label-top form-label-auto" id="label_7" for="input_7"> Email<span class="form-required" aria-hidden="true">*</span> </label>
        <div id="cid_7" class="form-input-wide jf-required" data-layout="half"> <input type="email" id="input_7" name="q7_email" class="form-textbox validate[required, Email]" data-defaultvalue="" autoComplete="section-input_7 email" style="width:310px" size="310" data-component="email" aria-labelledby="label_7" required="" value="" /> </div>
      </li>
      <li class="form-line jf-required" data-type="control_address" id="id_8"><label class="form-label form-label-top" id="label_8" for="input_8_addr_line1"> Adres<span class="form-required" aria-hidden="true">*</span> </label>
        <div id="cid_8" class="form-input-wide jf-required" data-layout="full">
          <div summary="" role="group" aria-labelledby="label_8" class="form-address-table jsTest-addressField">
            <div class="form-address-line-wrapper jsTest-address-line-wrapperField"><span class="form-address-line form-address-street-line jsTest-address-lineField"><span class="form-sub-label-container" style="vertical-align:top"><input type="text" id="input_8_addr_line1" name="q8_adres[addr_line1]" class="form-textbox validate[required] form-address-line" data-defaultvalue="" autoComplete="section-input_8 address-line1" data-component="address_line_1" aria-labelledby="sublabel_8_addr_line1" required="" value="" /><label class="form-sub-label" for="input_8_addr_line1" id="sublabel_8_addr_line1" style="min-height:13px">Straat en nummer</label></span></span></div>
            <div class="form-address-line-wrapper jsTest-address-line-wrapperField" style="display:none"><span class="form-address-line form-address-street-line jsTest-address-lineField"><span class="form-sub-label-container" style="vertical-align:top"><input type="text" id="input_8_addr_line2" name="q8_adres[addr_line2]" class="form-textbox form-address-line" data-defaultvalue="" autoComplete="section-input_8 off" data-component="address_line_2" aria-labelledby="sublabel_8_addr_line2" value="" /><label class="form-sub-label" for="input_8_addr_line2" id="sublabel_8_addr_line2" style="min-height:13px">Bus/appartement</label></span></span></div>
            <div class="form-address-line-wrapper jsTest-address-line-wrapperField"><span class="form-address-line form-address-city-line jsTest-address-lineField "><span class="form-sub-label-container" style="vertical-align:top"><input type="text" id="input_8_city" name="q8_adres[city]" class="form-textbox validate[required] form-address-city" data-defaultvalue="" autoComplete="section-input_8 address-level2" data-component="city" aria-labelledby="sublabel_8_city" required="" value="" /><label class="form-sub-label" for="input_8_city" id="sublabel_8_city" style="min-height:13px">Gemeente</label></span></span><span class="form-address-line form-address-state-line jsTest-address-lineField form-address-hiddenLine" style="display:none"><span class="form-sub-label-container" style="vertical-align:top"><input type="text" id="input_8_state" name="q8_adres[state]" class="form-textbox form-address-state" data-defaultvalue="" autoComplete="section-input_8 off" data-component="state" aria-labelledby="sublabel_8_state" value="" /></span></span></div>
            <div class="form-address-line-wrapper jsTest-address-line-wrapperField"><span class="form-address-line form-address-zip-line jsTest-address-lineField "><span class="form-sub-label-container" style="vertical-align:top"><input type="text" id="input_8_postal" name="q8_adres[postal]" class="form-textbox validate[required] form-address-postal" data-defaultvalue="" autoComplete="section-input_8 postal-code" data-component="zip" aria-labelledby="sublabel_8_postal" required="" value="" /><label class="form-sub-label" for="input_8_postal" id="sublabel_8_postal" style="min-height:13px">Postcode</label></span></span></div>
          </div>
        </div>
      </li>
      <li class="form-line jf-required" data-type="control_textbox" id="id_10"><label class="form-label form-label-top form-label-auto" id="label_10" for="input_10"> Telefoonnummer<span class="form-required" aria-hidden="true">*</span> </label>
        <div id="cid_10" class="form-input-wide jf-required" data-layout="half"> <input type="text" id="input_10" name="q10_telefoonnummer" data-type="input-textbox" class="form-textbox validate[required]" data-defaultvalue="" style="width:310px" size="310" data-component="textbox" aria-labelledby="label_10" required="" value="" /> </div>
      </li>
      <li class="form-line" data-type="control_textarea" id="id_11"><label class="form-label form-label-top form-label-auto" id="label_11" for="input_11"> Opmerkingen </label>
        <div id="cid_11" class="form-input-wide" data-layout="full"> <textarea id="input_11" class="form-textarea" name="q11_opmerkingen" style="width:648px;height:163px" data-component="textarea" aria-labelledby="label_11"></textarea> </div>
      </li>
      <li class="form-line" data-type="control_button" id="id_2">
        <div id="cid_2" class="form-input-wide" data-layout="full">
          <div data-align="center" class="form-buttons-wrapper form-buttons-center   jsTest-button-wrapperField"><button id="input_2" type="submit" class="form-submit-button submit-button jf-form-buttons jsTest-submitField legacy-submit" data-component="button" data-content="">Bestellen</button></div>
        </div>
      </li>
      <li style="display:none">Should be Empty: <input type="text" name="website" value="" type="hidden" /></li>
    </ul>
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