function duplicate(obj,number){
  if(number==0 || number=='undefined'){
    obj.style.display='none';
  } else {
    obj.style.display='block';
  }
	var currentnumber=1;
	while(document.getElementById(obj.id+'-'+currentnumber)){
		currentnumber++;
	}
	while(currentnumber>number){
		document.getElementById(obj.id +'-'+(currentnumber-1)).parentNode.removeChild( document.getElementById(obj.id +'-'+(currentnumber-1)) );
		currentnumber--;
	}
	while(currentnumber<number){
		var tmp=obj.cloneNode(true);
		tmp.id=	obj.id +'-'+(currentnumber);
		radios=tmp.getElementsByTagName('input');
		for(var i=0;i<radios.length;i++){
			if(radios[i].type=='radio'){
				radios[i].name=radios[i].name.slice(0,-3)+'['+currentnumber+']';
			}
		}
		obj.parentNode.appendChild(tmp);
		currentnumber++;
	}
	return true;
}
var man= new Array();
man[0] = new Array(341.87,3.29,1.89,1.44);
man[1] = new Array(341.87,3.29,1.89,1.44);
man[2] = new Array(341.87,3.29,1.89,1.44);
man[3] = new Array(341.87,3.29,1.89,1.44);
man[4] = new Array(341.87,3.29,1.89,1.44);
man[5] = new Array(344.81,3.32,1.90,1.45);
man[6] = new Array(347.96,3.35,1.92,1.46);
man[7] = new Array(351.29,3.38,1.94,1.48);
man[8] = new Array(354.78,3.41,1.96,1.49);
man[9] = new Array(358.44,3.45,1.98,1.51);
man[10] = new Array(362.27,3.49,2.00,1.52);
man[11] = new Array(366.25,3.52,2.02,1.54);
man[12] = new Array(370.40,3.56,2.05,1.56);
man[13] = new Array(374.71,3.61,2.07,1.58);
man[14] = new Array(379.19,3.65,2.10,1.60);
man[15] = new Array(383.82,3.70,2.12,1.62);
man[16] = new Array(388.62,3.74,2.15,1.64);
man[17] = new Array(393.56,3.79,2.18,1.66);
man[18] = new Array(398.64,3.84,2.21,1.68);
man[19] = new Array(403.85,3.89,2.24,1.70);
man[20] = new Array(409.18,3.94,2.27,1.73);
man[21] = new Array(414.65,4.00,2.30,1.75);
man[22] = new Array(420.26,4.05,2.33,1.78);
man[23] = new Array(426.05,4.11,2.36,1.80);
man[24] = new Array(432.07,4.17,2.40,1.83);
man[25] = new Array(438.30,4.23,2.43,1.86);
man[26] = new Array(444.79,4.29,2.47,1.88);
man[27] = new Array(451.52,4.35,2.51,1.91);
man[28] = new Array(458.50,4.42,2.55,1.95);
man[29] = new Array(465.73,4.49,2.59,1.98);
man[30] = new Array(473.21,4.56,2.63,2.01);
man[31] = new Array(480.94,4.64,2.67,2.05);
man[32] = new Array(488.94,4.72,2.72,2.09);
man[33] = new Array(497.19,4.80,2.77,2.13);
man[34] = new Array(505.72,4.88,2.82,2.17);
man[35] = new Array(514.51,4.97,2.87,2.21);
man[36] = new Array(523.59,5.06,2.92,2.25);
man[37] = new Array(532.96,5.15,2.98,2.30);
man[38] = new Array(542.61,5.25,3.04,2.35);
man[39] = new Array(552.56,5.35,3.10,2.40);
man[40] = new Array(562.78,5.45,3.16,2.46);
man[41] = new Array(573.31,5.55,3.23,2.51);
man[42] = new Array(584.11,5.66,3.30,2.57);
man[43] = new Array(595.20,5.78,3.37,2.64);
man[44] = new Array(606.54,5.89,3.44,2.70);
man[45] = new Array(618.17,6.01,3.52,2.77);
man[46] = new Array(642.24,6.26,3.68,null);
man[47] = new Array(654.67,6.39,3.77,null);
man[48] = new Array(667.38,6.53,3.86,null);
man[49] = new Array(680.36,6.67,3.95,null);
man[50] = new Array(693.62,6.81,4.05,null);
man[51] = new Array(707.11,6.96,4.16,null);
man[52] = new Array(720.87,7.11,4.27,null);
man[53] = new Array(734.86,7.27,4.38,null);
man[54] = new Array(749.13,7.43,4.50,null);
man[55] = new Array(763.63,7.60,4.63,null);
man[56] = new Array(778.36,7.77,null,null);
man[57] = new Array(793.32,7.95,null,null);
man[58] = new Array(808.49,8.14,null,null);
man[59] = new Array(823.85,8.34,null,null);
man[60] = new Array(839.41,8.54,null,null);
man[61] = new Array(871.03,8.98,null,null);
man[62] = new Array(887.05,9.22,null,null);
man[63] = new Array(903.20,9.47,null,null);
man[64] = new Array(919.43,9.74,null,null);
man[65] = new Array(935.69,10.02,null,null);

var vrouw = new Array();
vrouw[0] = new Array(327.95,3.15,1.81,1.37);
vrouw[1] = new Array(327.95,3.15,1.81,1.37);
vrouw[2] = new Array(327.95,3.15,1.81,1.37);
vrouw[3] = new Array(327.95,3.15,1.81,1.37);
vrouw[4] = new Array(327.95,3.15,1.81,1.37);
vrouw[5] = new Array(330.38,3.18,1.82,1.38);
vrouw[6] = new Array(332.95,3.20,1.84,1.40);
vrouw[7] = new Array(335.69,3.23,1.85,1.41);
vrouw[8] = new Array(338.57,3.26,1.87,1.42);
vrouw[9] = new Array(341.60,3.29,1.89,1.43);
vrouw[10] = new Array(344.75,3.32,1.90,1.45);
vrouw[11] = new Array(348.05,3.35,1.92,1.46);
vrouw[12] = new Array(351.49,3.38,1.94,1.47);
vrouw[13] = new Array(355.06,3.42,1.96,1.49);
vrouw[14] = new Array(358.78,3.45,1.98,1.51);
vrouw[15] = new Array(362.64,3.49,2.00,1.52);
vrouw[16] = new Array(366.65,3.53,2.03,1.54);
vrouw[17] = new Array(370.80,3.57,2.05,1.56);
vrouw[18] = new Array(375.10,3.61,2.07,1.58);
vrouw[19] = new Array(379.54,3.65,2.10,1.60);
vrouw[20] = new Array(384.14,3.70,2.12,1.62);
vrouw[21] = new Array(388.91,3.74,2.15,1.64);
vrouw[22] = new Array(393.86,3.79,2.18,1.66);
vrouw[23] = new Array(398.99,3.84,2.21,1.68);
vrouw[24] = new Array(404.32,3.89,2.24,1.70);
vrouw[25] = new Array(409.85,3.95,2.27,1.73);
vrouw[26] = new Array(415.58,4.00,2.30,1.75);
vrouw[27] = new Array(421.52,4.06,2.33,1.78);
vrouw[28] = new Array(427.66,4.12,2.37,1.81);
vrouw[29] = new Array(434.02,4.18,2.40,1.84);
vrouw[30] = new Array(440.61,4.24,2.44,1.87);
vrouw[31] = new Array(447.42,4.31,2.48,1.90);
vrouw[32] = new Array(454.46,4.38,2.52,1.93);
vrouw[33] = new Array(461.73,4.45,2.56,1.96);
vrouw[34] = new Array(469.23,4.52,2.61,2.00);
vrouw[35] = new Array(476.98,4.60,2.65,2.03);
vrouw[36] = new Array(484.96,4.68,2.70,2.07);
vrouw[37] = new Array(493.18,4.76,2.75,2.11);
vrouw[38] = new Array(501.65,4.84,2.80,2.15);
vrouw[39] = new Array(510.36,4.93,2.85,2.20);
vrouw[40] = new Array(519.33,5.02,2.91,2.24);
vrouw[41] = new Array(528.55,5.11,2.96,2.29);
vrouw[42] = new Array(538.02,5.21,3.02,2.33);
vrouw[43] = new Array(547.73,5.30,3.08,2.38);
vrouw[44] = new Array(557.69,5.41,3.14,2.44);
vrouw[45] = new Array(567.89,5.51,3.21,2.49);
vrouw[46] = new Array(588.97,5.73,3.34,null);
vrouw[47] = new Array(599.83,5.84,3.41,null);
vrouw[48] = new Array(610.90,5.95,3.48,null);
vrouw[49] = new Array(622.23,6.07,3.56,null);
vrouw[50] = new Array(633.78,6.19,3.63,null);
vrouw[51] = new Array(645.60,6.31,3.71,null);
vrouw[52] = new Array(657.69,6.44,3.79,null);
vrouw[53] = new Array(670.08,6.57,3.88,null);
vrouw[54] = new Array(682.78,6.70,3.97,null);
vrouw[55] = new Array(695.74,6.84,4.07,null);
vrouw[56] = new Array(708.98,6.98,null,null);
vrouw[57] = new Array(722.50,7.13,null,null);
vrouw[58] = new Array(736.32,7.28,null,null);
vrouw[59] = new Array(750.43,7.44,null,null);
vrouw[60] = new Array(764.80,7.60,null,null);
vrouw[61] = new Array(794.39,7.95,null,null);
vrouw[62] = new Array(809.65,8.13,null,null);
vrouw[63] = new Array(825.17,8.32,null,null);
vrouw[64] = new Array(840.97,8.53,null,null);
vrouw[65] = new Array(857.03,8.74,null,null);
function getbedrag(periode){
	var periode=parseInt(periode,10);
	leeftijd=parseInt(document.getElementById('age_dis_primair').value,10);
	if(periode==0){
		document.getElementById('maandbedrag').value='Maak een keuze';
		return true;
	}
	if(document.getElementById('geslacht_primair_man').checked=true){
		if(periode==10){
			bedrag=man[leeftijd][1];
		}
		if(periode==20){
			bedrag=man[leeftijd][2];
		}
		if(periode==30){
			bedrag=man[leeftijd][3];
		}
	} else {
		if(periode==10){
			bedrag=vrouw[leeftijd][1];
		}
		if(periode==20){
			bedrag=vrouw[leeftijd][2];
		}
		if(periode==30){
			bedrag=vrouw[leeftijd][3];
		}
	}
	bedrag=parseInt(document.getElementById('bedrag').value,10)/1000*bedrag;
	if(bedrag>0){
		document.getElementById('maandbedrag').value=Math.round(bedrag*100,2)/100;
	} else {
		document.getElementById('maandbedrag').value='Niet mogelijk';
	}
}
document.write('<form method=\"post\" action=\"http://www.woonbeter.nl/cardif/new.php\">');
document.write('  <input type=\"hidden\" name=\"partner\" value=\"12657\" />');
document.write('  <input type=\"hidden\" name=\"banner_id\" value=\"\" />');
document.write('  <input type=\"hidden\" name=\"pool_id\" value=\"\" />');
document.write('  <input type=\"hidden\" name=\"promo\" value=\"geldlenenshop.nl\" />');
document.write(' <input type=\"hidden\" name=\"succes\" value=\"http://www.geldlenenshop.com/succes.html\" />');
document.write('  <!--<fieldset>');
document.write('    <legend>Premie berekenen:</legend>');
document.write('  <ul>');
document.write('	<li><label for=\"bedrag\">Verzekerd&nbsp;bedrag &euro;</label><input type=\"text\" name=\"bedrag\" id=\"bedrag\" /></li>');
document.write('');
document.write('    <li><label for=\"geslacht_primair\">Geslacht</label>');
document.write('      <fieldset id=\"geslacht_primair\">');
document.write('        <ul>');
document.write('        <li><label for=\"geslacht_primair_man\">Man</label><input id=\"geslacht_primair_man\" name=\"geslacht_primair\" type=\"radio\" value=\"Man\" /></li>');
document.write('        <li><label for=\"geslacht_primair_vrouw\">Vrouw</label><input id=\"geslacht_primair_vrouw\" name=\"geslacht_primair\" type=\"radio\" value=\"Vrouw\" /></li>');
document.write('        </ul>');
document.write('     </fieldset>');
document.write('    </li>');
document.write('    <li><label for=\"kinderen_primair\">Kinderendekking</label>');
document.write('      <fieldset id=\"kinderen_primair\">');
document.write('        <ul>');
document.write('        <li><label for=\"kinderen_primair_ja\">Ja</label><input id=\"kinderen_primair_ja\" name=\"kinderen_primair\" type=\"radio\" value=\"Ja\" /></li>');
document.write('        <li><label for=\"kinderen_primair_nee\">Nee</label><input id=\"kinderen_primair_nee\" name=\"kinderen_primair\" type=\"radio\" value=\"Nee\" /></li>');
document.write('        </ul>');
document.write('    </fieldset>');
document.write('    </li>');
document.write('      <li>');
document.write('      <label>Leeftijd in jaren:</label>');
document.write('      <div class=\"horizontal_slider_track\">');
document.write('      <div class=\"slider_slit\">&nbsp;</div>');
document.write('      <div class=\"slider\"');
document.write('          id=\"age_primair\"');
document.write('          orientation=\"horizontal\"');
document.write('          distance=\"200\"');
document.write('          display=\"age_dis_primair\"');
document.write('          decimals=\"10\"');
document.write('          style=\"left: 0px;\">&nbsp;</div>');
document.write('      </div>');
document.write('      <div class=\"slider_display_holder\" >');
document.write('          <input class=\"slider_display\"');
document.write('              id=\"age_dis_primair\"');
document.write('              name=\"age_primair\"');
document.write('              type=\"text\"');
document.write('              from=\"0\"');
document.write('              to=\"65\"');
document.write('              valuecount=\"65\"');
document.write('              value=\"0\"');
document.write('              disabled=\"true\" />');
document.write('	</div>');
document.write('    </li>');
document.write('     <li><label for=\"Roker_primair\">Roker</label>');
document.write('      <fieldset id=\"Roker_primair\">');
document.write('        <ul>');
document.write('        <li><label for=\"Roker_primair_true\">Ja</label><input id=\"Roker_primair_true\" name=\"roker_primair\" type=\"radio\" value=\"Ja\" /></li>');
document.write('        <li><label for=\"Roker_primair_false\">Nee</label><input id=\"Roker_primair_false\" name=\"roker_primair\" type=\"radio\" value=\"Nee\" /></li>');
document.write('        </ul>');
document.write('	    </fieldset>');
document.write('    </li>');
document.write('    <li><label for=\"lengte\">Lengte (<acronym title=\"In Centimeter\">cm</acronym>)</label><input type=\"text\" name=\"lengte\" id=\"lengte\" /></li>');
document.write('    <li><label for=\"gewicht\">Gewicht (<acronym title=\"In Kilogram\">kg</acronym>)</label><input type=\"text\" name=\"gewicht\" id=\"gewicht\" /></li>');
document.write(' 	<li><label for=\"duur\">Premieduur</label> <select name=\"duur\" id=\"duur\" onchange=\"getbedrag(this.value)\">');
document.write('	<option value=\"0\" rel=\"none\">Maak een keuze</option>');
document.write('        <option value=\"10\">10 jaar</option>');
document.write('        <option value=\"20\">20 jaar</option>');
document.write('        <option value=\"30\">30 jaar</option>');
document.write('    	</select></li>');
document.write('	<li><label for=\"berekenen\">&nbsp;</label><input type=\"button\"  onclick=\"getbedrag(document.getElementById(\'duur\').value)\" value=\"Berekenen\" /></li>');
document.write('	<li><label for=\"maandbedrag\">Maandelijkse premie &euro;</label><input type=\"text\" name=\"maandbedrag\" id=\"maandbedrag\" /></li>');
document.write('	</ul>');
document.write('</fieldset>-->');
document.write('  <fieldset>');
document.write('	<legend>Laagste premie opvragen</legend>');
document.write('	<ul>');
document.write('	<li><label for=\"voornaam\">Voorletter(s) en naam</label><input type=\"text\" name=\"voornaam\" id=\"voornaam\" /></li>');
document.write('	<li><label for=\"achternaam\">Achternaam</label><input type=\"text\" name=\"achternaam\" id=\"achternaam\" /></li>');
document.write('	<li><label for=\"adres\">Adres</label><input type=\"text\" name=\"Adres\" id=\"Adres\" /></li>');
document.write('	<li><label for=\"postcode\">Postcode</label><input type=\"text\" name=\"postcode\" id=\"postcode\" /></li>');
document.write('	<li><label for=\"woonplaats\">Woonplaats</label><input type=\"text\" name=\"woonplaats\" id=\"woonplaats\" /></li>');
document.write('	<li><label for=\"telefoonnummer\">Telefoonnummer</label><input type=\"text\" name=\"telefoonnummer\" id=\"telefoonnummer\" /></li>');
document.write('	<li><label for=\"email\">Email adres</label><input type=\"text\" name=\"email\" id=\"email\" /></li>');
document.write('');
document.write('');
document.write('    <li><label for=\"nationaliteit\">Nationaliteit</label><input type=\"text\" name=\"nationaliteit\" id=\"nationaliteit\" /></li>');
document.write('	</ul>');
document.write('  <fieldset>');
document.write('    <!--<legend>Heeft U alles correct ingevuld?</legend>-->');
document.write('    <ul>');
document.write('	<li><label for=\"submit\">&nbsp;</label> <input id=\"submit\" value=\"Aanvragen\" type=\"submit\" /></li>');
document.write('    </ul>');
document.write('  </fieldset>');
document.write('');
document.write('</form>');