[paytium name="Formulier naam" description="Lezing - Hoe sta jij in verbinding?" button_label="Bestellen"] [paytium_field type="dropdown" label="Hoeveelheid" options="15 (1 kaartje)/30 (2 kaartjes)/45 (3 kaartjes/60 (4 kaartjes)" options_are_amounts="true" tax="21" first_option="amount" /] [paytium_field type="firstname" label="Voornaam" required="true" /] [paytium_field type="lastname" label="Achternaam" required="true" /] [paytium_field type="phone" label="Telefoonnummer" required="true" /] [paytium_field type="email" label="Email" required="true" /] [paytium_field type="dropdown" label="Datum" options="24 maart hoe sta-jij-in-verbinding" required="true" /] [paytium_total /] [/paytium]