Betaalgegevens
		
		
		
			{Field Name:58:label}
			{Field Name:58}
		
		
		
			{Field Name:66:label}
			{Field Name:66}
		
		
		
			{Field Name:12:label}
			{Field Name:12}
		
		
		
			{Field Name:60:label}
			{Field Name:60}
		
	
	 
	
		
			Contactgegevens
		
		
		
			{Field Name:8:label}
			{Field Name:8}
		
		
		
			{Field Name:87:label}
			{Field Name:87}
		
		
		
			{Field Name:88:label}
			{Field Name:88}
		
		
		
			Geboortedatum
			{Field Name:76}
		
		
		
			{Field Name:3:label}
			{Field Name:3}
		
                
		
			{Field Name:117:label}
			{Field Name:117}
		
                
		
			{Field Name:54:label}
			{Field Name:54}
		
	 
	
		
			Adresgegevens
		
		
		
			Postcode
			{Field Name:138.4}
		
		
		
			Huisnummer
			{Field Name:138.2}
		
		
		
			Toevoeging
			{Field Name:138.3}
		
		
		
			Straat
			{Field Name:138.1}
		
		
		
			Woonplaats
			{Field Name:138.5}
		
	 
		
			Privacy
		
		
		
			E-mail
			{Field Name:115:value}
		
                
		
			Telefoon
			{Field Name:116:value}
		
                
		
			Mobiel
			{Field Name:127:value}