{
"fields": [{"id":"49197911-ed2e-4037-84e9-9c6ef4e21686","name":"choosemember","label":"Choose member","hideLabel":true,"placeholder":"Choose member","value":[],"type":"Select","required":true,"multiple":false,"options":[{"label":"Ambaflex","value":"Ambaflex"},{"label":"Automation W+R GmbH","value":"Automation W+R GmbH"},{"label":"Bosch Rexroth","value":"Bosch Rexroth"},{"label":"CIM","value":"CIM"},{"label":"Herrmann Ultraschall","value":"Herrmann Ultraschall"},{"label":"Jorgensen Engineering","value":"Jorgensen Engineering"},{"label":"KUKA","value":"KUKA"},{"label":"Lazpiur","value":"Lazpiur"},{"label":"Lundgren Machinery","value":"Lundgren Machinery"},{"label":"Matcon","value":"Matcon"},{"label":"Machine builders for Comexi","value":"Machine builders for Comexi"},{"label":"Mixaco","value":"Mixaco"},{"label":"Mecasonic","value":"Mecasonic"},{"label":"NPB Automation","value":"NPB Automation"},{"label":"Rockwell Automation","value":"Rockwell Automation"},{"label":"Schuler Group","value":"Schuler Group"}],"width":33},{"id":"74b64750-8be5-471c-8d61-df7becccf5eb","name":"firstname","label":"First name","hideLabel":true,"placeholder":"First name","value":[],"type":"Text","required":true,"multiple":false,"options":[],"width":33},{"id":"84658433-7c7e-42cf-adc4-fcb19671c40f","name":"surname","label":"Surname","hideLabel":true,"placeholder":"Surname","value":[],"type":"Text","required":true,"multiple":false,"options":[],"width":33},{"id":"6d9fe747-3908-4303-b1b9-fb6b221a7317","name":"companyname","label":"Company name","hideLabel":true,"placeholder":"Company name","value":[],"type":"Text","required":true,"multiple":false,"options":[],"width":33},{"id":"a272b1bb-f971-4d7d-92c0-29f406a949dc","name":"emailaddress","label":"E-mail address","hideLabel":true,"placeholder":"E-mail address","value":[],"type":"Text","required":true,"multiple":false,"options":[],"width":33},{"id":"8d8e0276-abbe-4901-9113-353b62aa5840","name":"jobtitle","label":"Job title","hideLabel":true,"placeholder":"Job title","value":[],"type":"Text","required":true,"multiple":false,"options":[],"width":33},{"id":"529fc80d-a749-433c-831f-c291d45769d0","name":"yourquestion","label":"Your question","hideLabel":true,"placeholder":"Your question","value":[],"type":"Textarea","required":true,"multiple":false,"options":[],"width":100},{"id":"4ce1f08c-d9d5-4699-a7c7-dd65e7cbdea4","name":"batterylinecomrespectsyourprivacybytickingthisboxyougiveuspermissiontofollowuponyourrequest","label":"Batteryline.com respects your privacy. By ticking this box you give us permission to follow up on your request.","hideLabel":false,"value":[],"type":"Checkbox","required":true,"multiple":true,"options":[{"label":"I accept","value":"I accept"}],"width":100},{"id":"25739ec1-3433-44b0-be4a-1f91ce490b13","name":"whanttostayupdatedonbatterylinecom","label":"Whant to stay updated on Batteryline.com?","hideLabel":false,"value":[],"type":"Checkbox","required":false,"multiple":true,"options":[{"label":"Yes, please keep me updated on the latest news","value":"Yes, please keep me updated on the latest news"}],"width":100}],
"terms": null
}