[{"type":"hidden","name":"form_name","value":"Contact Us"},{"type":"text","required":true,"label":"Name","placeholder":"Please Enter Name","className":"form-control","name":"name","subtype":"text"},{"type":"text","subtype":"email","required":true,"label":"Email Address","placeholder":"Please Enter Email Address","className":"form-control","name":"email_address"},{"type":"text","required":true,"label":"Subject","placeholder":"Please Enter Subject","className":"form-control","name":"subject","subtype":"text"},{"type":"textarea","required":true,"label":"Message","placeholder":"Please Enter Message","className":"form-control","name":"message","subtype":"textarea"},{"type":"button","subtype":"submit","label":"Submit","className":"btn btn-success","name":"submit","style":"success"}]