{
"fields": [{"id":"70c07128-c962-4a05-a947-1f486b216f35","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":"a7a9d1ee-f8ba-4432-8f50-ff787dd5aac0","name":"firstname","label":"First name","hideLabel":true,"placeholder":"First name","value":[],"type":"Text","required":true,"multiple":false,"options":[],"width":33},{"id":"f2e6e7fb-cc19-4a05-b81f-97f158eb1cb4","name":"surname","label":"Surname","hideLabel":true,"placeholder":"Surname","value":[],"type":"Text","required":true,"multiple":false,"options":[],"width":33},{"id":"a33ea31b-a62b-4a95-a1b5-c6f6b4308627","name":"companyname","label":"Company name","hideLabel":true,"placeholder":"Company name","value":[],"type":"Text","required":true,"multiple":false,"options":[],"width":33},{"id":"ecd9e50e-9041-4d4f-98ee-b457e9ca6209","name":"emailaddress","label":"E-mail address","hideLabel":true,"placeholder":"E-mail address","value":[],"type":"Text","required":true,"multiple":false,"options":[],"width":33},{"id":"467091c2-34da-41b0-a73c-bc664f598573","name":"jobtitle","label":"Job title","hideLabel":true,"placeholder":"Job title","value":[],"type":"Text","required":true,"multiple":false,"options":[],"width":33},{"id":"49a8e84d-9cd6-4114-bdce-7285db561a54","name":"yourquestion","label":"Your question","hideLabel":true,"placeholder":"Your question","value":[],"type":"Textarea","required":true,"multiple":false,"options":[],"width":100},{"id":"be135059-505e-4d19-b5a3-ca05ad106679","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":"1cc67c08-f9b7-4d20-9335-7665324ef230","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
}