Array
(
    [id] => 59
    [user_id] => 71
    [name] => Particulierformulier impat
    [date_added] => 2007-10-30 17:12:55
    [template] => 
    [successmessage] => 8255
    [type] => 1
    [submitgroup] => 16
    [success] => Array
        (
            [1] => 
Bedankt voor uw aanvraag, wij nemen zo snel mogelijk contact met u op.
            [2] => Thank you for your request, we will contact you soon.
            [3] => 
            [4] => 
            [5] => 
            [6] => 
            [7] => 
            [8] => 
            [9] => 
            [10] => 
            [11] => 
            [12] => 
        )

    [types] => Array
        (
            [0] => 1
        )

    [subject] => Aanvraag particuliere impat verzekering
    [from] => ISEP
    [fromemail] => info@isep.nl
    [toemail2] => Paulus.Fleskens@telenet.be
    [toemail] => info@isep.nl
    [header] => 
    [fields] => Array
        (
            [0] => Array
                (
                    [form_id] => 59
                    [c_name_id] => 8256
                    [type] => textfield
                    [obligated] => 1
                    [order] => 0
                    [className] => 
                    [name] => Array
                        (
                            [1] => Naam
                            [2] => Name
                            [3] => 
                            [4] => 
                            [5] => 
                            [6] => 
                            [7] => 
                            [8] => 
                            [9] => 
                            [10] => 
                            [11] => 
                            [12] => 
                        )

                )

            [1] => Array
                (
                    [form_id] => 59
                    [c_name_id] => 8257
                    [type] => textfield
                    [obligated] => 1
                    [order] => 1
                    [className] => 
                    [name] => Array
                        (
                            [1] => Adres
                            [2] => Address
                            [3] => 
                            [4] => 
                            [5] => 
                            [6] => 
                            [7] => 
                            [8] => 
                            [9] => 
                            [10] => 
                            [11] => 
                            [12] => 
                        )

                )

            [2] => Array
                (
                    [form_id] => 59
                    [c_name_id] => 8258
                    [type] => postcode
                    [obligated] => 1
                    [order] => 2
                    [className] => 
                    [name] => Array
                        (
                            [1] => Postcode
                            [2] => Postal code
                            [3] => 
                            [4] => 
                            [5] => 
                            [6] => 
                            [7] => 
                            [8] => 
                            [9] => 
                            [10] => 
                            [11] => 
                            [12] => 
                        )

                )

            [3] => Array
                (
                    [form_id] => 59
                    [c_name_id] => 8259
                    [type] => textfield
                    [obligated] => 1
                    [order] => 3
                    [className] => 
                    [name] => Array
                        (
                            [1] => Woonplaats
                            [2] => Home country
                            [3] => 
                            [4] => 
                            [5] => 
                            [6] => 
                            [7] => 
                            [8] => 
                            [9] => 
                            [10] => 
                            [11] => 
                            [12] => 
                        )

                )

            [4] => Array
                (
                    [form_id] => 59
                    [c_name_id] => 97223
                    [type] => textfield
                    [obligated] => 0
                    [order] => 4
                    [className] => 
                    [name] => Array
                        (
                            [1] => Skype naam
                            [2] => 
                            [3] => 
                            [4] => 
                            [5] => 
                            [6] => 
                            [7] => 
                            [8] => 
                            [9] => 
                            [10] => 
                            [11] => 
                            [12] => 
                        )

                )

            [5] => Array
                (
                    [form_id] => 59
                    [c_name_id] => 8260
                    [type] => phone
                    [obligated] => 1
                    [order] => 5
                    [className] => 
                    [name] => Array
                        (
                            [1] => Telefoonnummer
                            [2] => Phonenumber
                            [3] => 
                            [4] => 
                            [5] => 
                            [6] => 
                            [7] => 
                            [8] => 
                            [9] => 
                            [10] => 
                            [11] => 
                            [12] => 
                        )

                )

            [6] => Array
                (
                    [form_id] => 59
                    [c_name_id] => 8261
                    [type] => email
                    [obligated] => 1
                    [order] => 6
                    [className] => 
                    [name] => Array
                        (
                            [1] => Email Adres
                            [2] => Email Address
                            [3] => 
                            [4] => 
                            [5] => 
                            [6] => 
                            [7] => 
                            [8] => 
                            [9] => 
                            [10] => 
                            [11] => 
                            [12] => 
                        )

                )

            [7] => Array
                (
                    [form_id] => 59
                    [c_name_id] => 8262
                    [type] => combobox
                    [obligated] => 1
                    [order] => 7
                    [className] => 
                    [name] => Array
                        (
                            [1] => Aanhef
                            [2] => Gender
                            [3] => 
                            [4] => 
                            [5] => 
                            [6] => 
                            [7] => 
                            [8] => 
                            [9] => 
                            [10] => 
                            [11] => 
                            [12] => 
                        )

                    [selectbox] => Array
                        (
                            [0] => Mr.
                            [1] => Mrs
                        )

                )

            [8] => Array
                (
                    [form_id] => 59
                    [c_name_id] => 8263
                    [type] => textfield
                    [obligated] => 1
                    [order] => 8
                    [className] => 
                    [name] => Array
                        (
                            [1] => Land waar u gaat werken
                            [2] => Country where you'r going to work
                            [3] => 
                            [4] => 
                            [5] => 
                            [6] => 
                            [7] => 
                            [8] => 
                            [9] => 
                            [10] => 
                            [11] => 
                            [12] => 
                        )

                )

            [9] => Array
                (
                    [form_id] => 59
                    [c_name_id] => 8264
                    [type] => textfield
                    [obligated] => 1
                    [order] => 9
                    [className] => 
                    [name] => Array
                        (
                            [1] => Uw vaderland
                            [2] => Home country
                            [3] => 
                            [4] => 
                            [5] => 
                            [6] => 
                            [7] => 
                            [8] => 
                            [9] => 
                            [10] => 
                            [11] => 
                            [12] => 
                        )

                )

            [10] => Array
                (
                    [form_id] => 59
                    [c_name_id] => 8265
                    [type] => textarea
                    [obligated] => 1
                    [order] => 10
                    [className] => 
                    [name] => Array
                        (
                            [1] => Wat worden daar uw werkzaamheden?
                            [2] => Short discription of work
                            [3] => 
                            [4] => 
                            [5] => 
                            [6] => 
                            [7] => 
                            [8] => 
                            [9] => 
                            [10] => 
                            [11] => 
                            [12] => 
                        )

                )

            [11] => Array
                (
                    [form_id] => 59
                    [c_name_id] => 8266
                    [type] => textarea
                    [obligated] => 0
                    [order] => 11
                    [className] => 
                    [name] => Array
                        (
                            [1] => Specifieke vraag?
                            [2] => Specifice qeustions
                            [3] => 
                            [4] => 
                            [5] => 
                            [6] => 
                            [7] => 
                            [8] => 
                            [9] => 
                            [10] => 
                            [11] => 
                            [12] => 
                        )

                )

            [12] => Array
                (
                    [form_id] => 59
                    [c_name_id] => 8267
                    [type] => textfield
                    [obligated] => 0
                    [order] => 12
                    [className] => 
                    [name] => Array
                        (
                            [1] => Voorletters gezinslid 1 + geboortedatum
                            [2] => initial familymember 1 + date of birth
                            [3] => 
                            [4] => 
                            [5] => 
                            [6] => 
                            [7] => 
                            [8] => 
                            [9] => 
                            [10] => 
                            [11] => 
                            [12] => 
                        )

                )

            [13] => Array
                (
                    [form_id] => 59
                    [c_name_id] => 8268
                    [type] => textfield
                    [obligated] => 0
                    [order] => 13
                    [className] => 
                    [name] => Array
                        (
                            [1] => Voorletters gezinslid 2 + geboortedatum
                            [2] => initial familymember 2 + date of birth
                            [3] => 
                            [4] => 
                            [5] => 
                            [6] => 
                            [7] => 
                            [8] => 
                            [9] => 
                            [10] => 
                            [11] => 
                            [12] => 
                        )

                )

            [14] => Array
                (
                    [form_id] => 59
                    [c_name_id] => 8269
                    [type] => textfield
                    [obligated] => 0
                    [order] => 14
                    [className] => 
                    [name] => Array
                        (
                            [1] => Voorletters gezinslid 3 + geboortedatum
                            [2] => initial familymember 3 + date of birth
                            [3] => 
                            [4] => 
                            [5] => 
                            [6] => 
                            [7] => 
                            [8] => 
                            [9] => 
                            [10] => 
                            [11] => 
                            [12] => 
                        )

                )

            [15] => Array
                (
                    [form_id] => 59
                    [c_name_id] => 8270
                    [type] => textfield
                    [obligated] => 0
                    [order] => 15
                    [className] => 
                    [name] => Array
                        (
                            [1] => Voorletters gezinslid 4 + geboortedatum
                            [2] => initial familymember 4 + date of birth
                            [3] => 
                            [4] => 
                            [5] => 
                            [6] => 
                            [7] => 
                            [8] => 
                            [9] => 
                            [10] => 
                            [11] => 
                            [12] => 
                        )

                )

            [16] => Array
                (
                    [form_id] => 59
                    [c_name_id] => 8271
                    [type] => textfield
                    [obligated] => 0
                    [order] => 16
                    [className] => 
                    [name] => Array
                        (
                            [1] => Voorletters gezinslid 5 + geboortedatum
                            [2] => initial familymember 5 + date of birth
                            [3] => 
                            [4] => 
                            [5] => 
                            [6] => 
                            [7] => 
                            [8] => 
                            [9] => 
                            [10] => 
                            [11] => 
                            [12] => 
                        )

                )

            [17] => Array
                (
                    [form_id] => 59
                    [c_name_id] => 8272
                    [type] => title
                    [obligated] => 0
                    [order] => 17
                    [className] => 
                    [name] => Array
                        (
                            [1] => Ik ben ook geinteresseerd in de volgende verzekeringen:
                            [2] => I am also interested in receiving more information about the following insurances
                            [3] => 
                            [4] => 
                            [5] => 
                            [6] => 
                            [7] => 
                            [8] => 
                            [9] => 
                            [10] => 
                            [11] => 
                            [12] => 
                        )

                )

            [18] => Array
                (
                    [form_id] => 59
                    [c_name_id] => 8273
                    [type] => checkboxoff
                    [obligated] => 0
                    [order] => 18
                    [className] => caution_error
                    [name] => Array
                        (
                            [1] => Arbeidsongeschiktheid
                            [2] => Disability 
                            [3] => 
                            [4] => 
                            [5] => 
                            [6] => 
                            [7] => 
                            [8] => 
                            [9] => 
                            [10] => 
                            [11] => 
                            [12] => 
                        )

                )

            [19] => Array
                (
                    [form_id] => 59
                    [c_name_id] => 8274
                    [type] => checkboxoff
                    [obligated] => 0
                    [order] => 19
                    [className] => 
                    [name] => Array
                        (
                            [1] => Doorlopende reisverzekering
                            [2] => Continuous travel
                            [3] => 
                            [4] => 
                            [5] => 
                            [6] => 
                            [7] => 
                            [8] => 
                            [9] => 
                            [10] => 
                            [11] => 
                            [12] => 
                        )

                )

            [20] => Array
                (
                    [form_id] => 59
                    [c_name_id] => 8275
                    [type] => checkboxoff
                    [obligated] => 0
                    [order] => 20
                    [className] => 
                    [name] => Array
                        (
                            [1] => Opstal- en inboedelverzekering
                            [2] => Private InsurancePackage (House; household contents; private liabiliy etc.) 
                            [3] => 
                            [4] => 
                            [5] => 
                            [6] => 
                            [7] => 
                            [8] => 
                            [9] => 
                            [10] => 
                            [11] => 
                            [12] => 
                        )

                )

            [21] => Array
                (
                    [form_id] => 59
                    [c_name_id] => 8276
                    [type] => checkboxoff
                    [obligated] => 0
                    [order] => 21
                    [className] => 
                    [name] => Array
                        (
                            [1] => Persoonlijk ongevallenverzekering
                            [2] => Personal Accident 
                            [3] => 
                            [4] => 
                            [5] => 
                            [6] => 
                            [7] => 
                            [8] => 
                            [9] => 
                            [10] => 
                            [11] => 
                            [12] => 
                        )

                )

            [22] => Array
                (
                    [form_id] => 59
                    [c_name_id] => 8277
                    [type] => checkboxoff
                    [obligated] => 0
                    [order] => 22
                    [className] => 
                    [name] => Array
                        (
                            [1] => Overlijdensverzekering 
                            [2] => Term Life Cover
                            [3] => 
                            [4] => 
                            [5] => 
                            [6] => 
                            [7] => 
                            [8] => 
                            [9] => 
                            [10] => 
                            [11] => 
                            [12] => 
                        )

                )

            [23] => Array
                (
                    [form_id] => 59
                    [c_name_id] => 8278
                    [type] => checkboxoff
                    [obligated] => 0
                    [order] => 23
                    [className] => 
                    [name] => Array
                        (
                            [1] => Pensioenverzekering
                            [2] => Pension
                            [3] => 
                            [4] => 
                            [5] => 
                            [6] => 
                            [7] => 
                            [8] => 
                            [9] => 
                            [10] => 
                            [11] => 
                            [12] => 
                        )

                )

        )

    [images] => Array
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                    [filesize] => 546
                    [date_added] => 1197539925
                    [language] => 1
                    [group_id] => 16
                    [c_desc_id] => 0
                    [abbreviation] => NL
                    [name] => Nederlands
                    [own_language] => Nederlands
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                    [user_id] => 0
                    [filetype_id] => 5
                    [filename] => 402641150_1197539925.gif
                    [original_filename] => verzenden_uk.gif
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                    [group_id] => 16
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                    [abbreviation] => UK
                    [name] => Engels
                    [own_language] => English
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        )

    [button] => Array
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            [original_filename] => verzenden_uk.gif
            [filesize] => 415
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            [abbreviation] => UK
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            [own_language] => English
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