{
"fields": [{"id":"3f288cff-208f-46c9-9d49-ed40e421556f","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":"1d2ece46-0f71-4dbb-b8e3-86419566dfff","name":"firstname","label":"First name","hideLabel":true,"placeholder":"First name","value":[],"type":"Text","required":true,"multiple":false,"options":[],"width":33},{"id":"7f9becb0-711a-4863-be3c-4b008ddae65c","name":"surname","label":"Surname","hideLabel":true,"placeholder":"Surname","value":[],"type":"Text","required":true,"multiple":false,"options":[],"width":33},{"id":"4ad5cfca-77b0-4086-82e0-286fa767fe59","name":"companyname","label":"Company name","hideLabel":true,"placeholder":"Company name","value":[],"type":"Text","required":true,"multiple":false,"options":[],"width":33},{"id":"89c0089a-d11a-43f2-9c12-f306a071e949","name":"emailaddress","label":"E-mail address","hideLabel":true,"placeholder":"E-mail address","value":[],"type":"Text","required":true,"multiple":false,"options":[],"width":33},{"id":"c14f8c6d-d697-48b9-9e99-508203f3fb7d","name":"jobtitle","label":"Job title","hideLabel":true,"placeholder":"Job title","value":[],"type":"Text","required":true,"multiple":false,"options":[],"width":33},{"id":"abe1a8ba-2d4e-48bb-a1b6-441e6f408ae7","name":"yourquestion","label":"Your question","hideLabel":true,"placeholder":"Your question","value":[],"type":"Textarea","required":true,"multiple":false,"options":[],"width":100},{"id":"27d97e50-4743-4f1e-a2d6-114cb672f76b","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":"9119566e-1688-4fe6-9310-97e15026a3ad","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
}