<?php$pFields[] = array( 'name'=>'first_name', 'title'=>array(1=>'Wat is uw voornaam?',2=>'What is your first name?'), 'type'=>'text', 'note'=>array(1=>'',2=>''), 'pattern'=>"^[a-zA-Z\.\- ]+$", 'error'=>array(1=>'Vul uw voornaam in. Speciale karakters zijn helaas niet toegestaan.',2=>'Please fill in your first name. Special characters are not allowed in this field.'), 'group' => 1, 'required' => true, 'mobiletitle' => 'voornaam', 'class' => '', 'autocomplete' => 'given-name',);$pFields[] = array( 'name'=>'last_name', 'title'=>array(1=>'Wat is uw achternaam?',2=>'What is your last name?'), 'type'=>'text', 'note'=>array(1=>'',2=>''), 'placeholder' => array(1=>'Bijv. "van der Ven"',2=>''), 'pattern'=>"^[a-zA-Z\.\- ]+$", 'error'=>array(1=>'Vul uw achternaam in. Speciale karakters zijn helaas niet toegestaan.',2=>'Please fill in your last name. Special characters are not allowed in this field.'), 'group' => 1, 'required' => true, 'mobiletitle' => 'achternaam', 'class' => '', 'autocomplete' => 'family-name',);$pFields[] = array( 'name'=>'postal', 'title'=>array(1=>'Wat is uw postcode?',2=>'What is your zip code?'), 'type'=>'text', 'note'=>array(1=>'Voer in als: 1234AA',2=>'Fill in as: 1234AA'), 'pattern'=>"^([1-9]{1}[0-9]{3}[ A-Za-z]{2,3})|([1-9]{1}[0-9]{3,5})$", 'error'=>array(1=>'Vul uw postcode in als: 1234AA',2=>'Please fill in your zipcode as: 1234AA'), 'group' => 2, 'replace'=>' ', 'transform'=>'uppercase', 'special'=>'fillAddress', 'required' => true, 'mobiletitle' => 'postcode', 'class' => 'mobile-1-3', 'autocomplete' => 'postal-code',);$pFields[] = array( 'name'=>'streetnr', 'title'=>array(1=>'Op welk huisnummer woont u?',2=>'What is your street number?'), 'type'=>'text', 'note'=>array(1=>'',2=>''), 'pattern'=>"^([1-9]{1}[0-9]{0,5})$", 'error'=>array(1=>'Vul uw huisnummer in. Spaties zijn niet toegestaan. Toevoeging graag opgeven in het aparte veld.',2=>"Please fill in your house number. Spaces are not allowed. Please add any suffixes in the field below."), 'group' => 2, 'special'=>'fillAddress', 'required' => true, 'mobiletitle' => 'huisnummer', 'class' => 'mobile-1-3', 'autocomplete' => 'on',);$pFields[] = array( 'name'=>'suffix', 'title'=>array(1=>'Heeft uw huisnummer een toevoeging?',2=>'Please enter your house number suffix?'), 'type'=>'text', 'note'=>array(1=>'',2=>''), 'pattern'=>"", 'error'=>array(1=>'Vul uw toevoeging in. Spaties zijn niet toegestaan.',2=>"Please fill in your house number suffix. "), 'group' => 2, 'required' => false, 'mobiletitle' => 'toevoeging', 'class' => 'mobile-1-3-last', 'autocomplete' => 'on',);$pFields[] = array( 'name'=>'address', 'title'=>array(1=>'Wat is uw straatnaam?',2=>'What is your street name?'), 'type'=>'text', 'note'=>array(1=>'Indien gevonden hebben wij dit al voor u ingevuld.',2=>'If found we have filled this in already.'), 'pattern'=>"^[0-9a-zA-Z\.\- ']+$", 'error'=>array(1=>'Vul uw straatnaam in. Speciale karakters zijn niet toegestaan.',2=>'Please fill in your street name. Special characters are not allowed in this field.'), 'group' => 2, 'required' => true, 'mobiletitle' => 'straat', 'class' => '', 'autocomplete' => 'address-line1',);$pFields[] = array( 'name'=>'city', 'title'=>array(1=>'Wat is uw plaatsnaam?',2=>'What city do you live in?'), 'type'=>'text', 'note'=>array(1=>'Indien gevonden hebben wij dit al voor u ingevuld.',2=>'If found we have filled this in already.'), 'pattern'=>"^[a-zA-Z\.\- ]+$", 'error'=>array(1=>'Vul uw plaatsnaam in. Speciale karakters zijn niet toegestaan.',2=>'Please fill in your city. Special characters are not allowed in this field.'), 'group' => 2, 'required' => true, 'mobiletitle' => 'plaats', 'class' => '', 'autocomplete' => 'address-level2',);$pFields[] = array( 'name'=>'country', 'title'=>array(1=>'Wat is uw land?',2=>'What country do you live in?'), 'type'=>'select', 'note'=>array(1=>'',2=>''), 'pattern'=>"", 'error'=>array(1=>'Vul uw land in. Speciale karakters zijn niet toegestaan.',2=>'Please fill in your country. Special characters are not allowed in this field.'), 'group' => 2, 'required' => true, 'options' => \Symfony\Component\Intl\Intl::getRegionBundle()->getCountryNames(), 'mobiletitle' => 'land', 'class' => '', 'autocomplete' => 'country',);$pFields[] = array( 'name'=>'phone', 'title'=>array(1=>'Wat is uw telefoonnummer?',2=>'What is your phone number?'), 'type'=>'text', 'note'=>array(1=>'',2=>''), //'pattern'=>'^(?:0|(?:\+|00) ?31 ?)(?:(?:[1-9] ?(?:[0-9] ?){8})|(?:6 ?-? ?[1-9] ?(?:[0-9] ?){7})|(?:[1-9]\d ?-? ?[1-9] ?(?:[0-9] ?){6})|(?:[1-9]\d{2} ?-? ?[1-9] ?(?:[0-9] ?){5}))', 'pattern' => '', 'error'=>array(1=>'Vul uw telefoonnummer in.',2=>'Please fill in your phone number.'), 'group' => 3, 'required' => true, 'mobiletitle' => 'telefoon', 'class' => '', 'autocomplete' => 'tel',);$pFields[] = array( 'name'=>'email', 'title'=>array(1=>'Wat is uw emailadres?',2=>'What is your e-mail adress?'), 'type'=>'text', 'note'=>array(1=>'',2=>''), 'pattern'=>"^[A-Za-z0-9._%+-]+@[A-Za-z0-9.-]+\.[A-Za-z]{2,10}$", 'error'=>array(1=>'Vul uw emailadres in.',2=>'Please fill in your e-mail address.'), 'group' => 3, 'required' => true, 'transform'=>'lowercase', 'mobiletitle' => 'e-mailadres', 'class' => '', 'autocomplete' => 'email',);$pFields[] = array( 'name'=>'birthdate', 'title'=>array(1=>'Wat is uw geboortedatum?',2=>'What is your date of birth?'), 'type'=>'text', 'note'=>array(1=>'Wil je een cadeautje ontvangen op je verjaardag? Vul dan hier je geboortedatum in. LET OP: dit is niet verplicht, maar we sturen je graag een cadeautje :).',2=>'Do you want to receive a special gift on your birthday? Fill in your Date of Birth here. It is not a required field - but we would love to send you a small surprise on your special day :).'), 'pattern'=>"", 'error'=>array(1=>'',2=>''), 'group' => 3, 'required' => false, 'mobiletitle' => 'geboortedatum (DD/MM/YYYY)', 'class' => 'datepicker', 'autocomplete' => 'bday',);