{"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":"I am ready to place an order with you once you tell me you can make the Thru Steel Illusion in the colors of my choice and what if any, would the extra charge be, plus shipping cost to the USA. I have asked about this many times but your office is very slow in replying."}}