{
"fields": [{"id":"1a388a13-bb31-4fde-b66e-14f023ddc51f","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":"c0b5903a-aab1-42b8-8c83-86cb97533f76","name":"firstname","label":"First name","hideLabel":true,"placeholder":"First name","value":[],"type":"Text","required":true,"multiple":false,"options":[],"width":33},{"id":"6edacd46-78a6-4432-b585-df0a2c90f8df","name":"surname","label":"Surname","hideLabel":true,"placeholder":"Surname","value":[],"type":"Text","required":true,"multiple":false,"options":[],"width":33},{"id":"ea535f41-fa76-48f9-ae6c-c070b0e4573e","name":"companyname","label":"Company name","hideLabel":true,"placeholder":"Company name","value":[],"type":"Text","required":true,"multiple":false,"options":[],"width":33},{"id":"758711da-d65d-4db7-98f1-6cd95aa7bd7d","name":"emailaddress","label":"E-mail address","hideLabel":true,"placeholder":"E-mail address","value":[],"type":"Text","required":true,"multiple":false,"options":[],"width":33},{"id":"f069b9bb-6488-4437-bce8-b6cfebe2c062","name":"jobtitle","label":"Job title","hideLabel":true,"placeholder":"Job title","value":[],"type":"Text","required":true,"multiple":false,"options":[],"width":33},{"id":"0fd64b43-094d-413e-80e6-b0d686f3357d","name":"yourquestion","label":"Your question","hideLabel":true,"placeholder":"Your question","value":[],"type":"Textarea","required":true,"multiple":false,"options":[],"width":100},{"id":"df8f3e27-5df7-44a2-9325-a7037682ac22","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":"fb2cffd6-7088-44fb-bdc1-93420ba20d1d","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
}