[paytium name="Formulier naam" description="Abonnement voor product of dienst" button_label="Aanmelden"]
[paytium_subscription interval="28 days" times="10" first_payment="5,00" first_payment_tax="21" first_payment_label="Eenmalige administratiekosten" /]
[paytium_field type="name" label="Volledige naam" /]
[paytium_field type="email" label="Email" required="true" /]
[paytium_field type="label" label="Subscription €99" amount="99" /]
[paytium_total label="Maandelijkse kosten" /]
[/paytium]