[{"type":"hidden","name":"form_name","value":"Editing, Layout, and Printing"},{"type":"text","required":true,"label":"Full Name","placeholder":"Please Enter Full Name","className":"form-control","name":"full_name","subtype":"text"},{"type":"text","required":true,"label":"Company","placeholder":"Please Enter Company","className":"form-control","name":"company","subtype":"text"},{"type":"text","required":true,"label":"Address","placeholder":"Please Enter Address","className":"form-control","name":"address","subtype":"text"},{"type":"text","label":"","placeholder":"Address Line 1","className":"form-control","name":"address1","subtype":"text"},{"type":"text","label":"","placeholder":"Address Line 2","className":"form-control","name":"address2","subtype":"text"},{"type":"text","required":true,"label":"City","placeholder":"Please Enter City","className":"form-control","name":"city","subtype":"text"},{"type":"text","label":"State","placeholder":"Please Enter State","className":"form-control","name":"state","subtype":"text"},{"type":"text","label":"Zipcode","placeholder":"Please Enter Zipcode","className":"form-control","name":"zipcode","subtype":"text"},{"type":"text","subtype":"tel","required":true,"label":"Phone","placeholder":"Please Enter Phone","className":"form-control","name":"phone"},{"type":"text","subtype":"email","required":true,"label":"Email Address","placeholder":"Please Enter Email Address","className":"form-control","name":"email_address"},{"type":"textarea","label":"Please enter any questions or comments here","className":"form-control","name":"please_enter_any_questions_or_comments_here","subtype":"textarea"},{"type":"button","subtype":"submit","label":"Submit","className":"btn btn-success","name":"submit","style":"success"}]