[{"type":"hidden","name":"form_name","value":"Scanning"},{"type":"text","required":true,"label":"Name","placeholder":"Please Enter Name","className":"form-control","name":"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":"Company Type","placeholder":"Please Enter Company Type","className":"form-control","name":"company_type","subtype":"text"},{"type":"text","required":true,"label":"Phone","placeholder":"Please Enter Phone","className":"form-control","name":"phone","subtype":"text"},{"type":"text","required":true,"label":"Email Address","placeholder":"Please Enter Email Address","className":"form-control","name":"email_address","subtype":"text"},{"type":"textarea","label":"Project details, comments, or questions","className":"form-control","name":"project_details_comments_or_questions","subtype":"textarea"},{"type":"button","subtype":"submit","label":"Submit","className":"btn btn-success","name":"submit","style":"success"}]