{"1":{"type":"name","label":"Your Name","value":"Ray"},"2":{"type":"email","label":"Your Email","value":"irayfranklyn@gmail.com"},"3":{"type":"select","label":"Topic","value":"Product Question"},"4":{"type":"textarea","label":"Message","value":"As I am deaf in both ears, I can only communicate with you via email. You have said you can make this in the colors that I wish but you have not told me if this would be an extra charge or not. Once I know the answer, I will be happy to place an order with you. Once I place my order, how long would it take for you to make it in my choice of colors and to ship it to the USA?"}}