[paytium name="Gegevens" description="Schoonmaakkalender"] [paytium_field type="email" label="Email" required="true" /] [paytium_field type="name" label="Naam" required="true" /] [paytium_field type="text" label="Straatnaam" required="true" /] [paytium_field type="text" label="Huisnummer" required="true" /] [paytium_field type="text" label="Postcode" required="true" /] [paytium_field type="text" label="Stad" required="true" /] [paytium_field type="text" label="Land" required="true" /] [paytium_field type="label" label="Kalender 15,95 + gratis verzending" amount="15,95" /] [paytium_total /] [paytium_button label="Betaal met iDeal" /] [/paytium]