document.write('<form target="_blank" id="searchform" action="https://www.nationalehulpgids.nl/zoeken/marketingtoolslanding/" method="GET" onsubmit="return Boolean(document.getElementById(\'zipcode\').value.length);">\n	<input type="hidden" name="searchType" value="za"/>\n	<input type="hidden" name="a_key" value=""/>\n	<div style="width: 575px;height: 140px;padding: 10px;border: 1px solid #dedede;">\n		<img style="border:none;padding:0;margin:0;" src="https://d146pchka6mbo8.cloudfront.net/images/layout/logo_widget.png"/>\n		<div style="height: 40px;padding-top: 12px;">\n			<span style="color:#76b634;font-family:arial;font-weight:bold;font-size:14px;">Vind Hulp in de buurt:</span>&nbsp; \n			<input onfocus="if(this.value==\'Jouw postcode of woonplaats\') this.value=\'\';this.style.fontStyle=\'normal\';this.style.color = \'#000\';" id="zipcode" type="text" value="Jouw postcode of woonplaats" style="border:1px solid #CCCCCC;font-family:arial;font-size:12px;padding:0.2em;width:15em;font-style:italic;color:#aaa;" name="initQuery"/> \n			<input type="image" style="border:none; vertical-align: middle;width: 172px;height: 39px;" src="https://d146pchka6mbo8.cloudfront.net/images/buttons/zoeken.gif" alt="zoeken">\n		</div>\n		<div style="color:#848484;margin:20px 0 0 30px;float:left;height:20px;width:555px;font-family:arial;font-size:12px;">\n			Meer dan 25.000 Hulpen zoals: \n			<a style="text-decoration: none;" href="https://www.nationalehulpgids.nl/profiel/hulp/id/26282/">\n				<span style="color: #f88909; text-decoration:none;">\n					<strong>Agnes</strong>\n					<img style="vertical-align: middle;" src="https://d146pchka6mbo8.cloudfront.net/images/layout/widget_testimonial1.jpg"/>\n					 Utrecht (ziekenverzorgende)\n				</span>\n			</a>\n		</div>\n	</div>\n</form>');