{"1":{"type":"name","label":"Your Name","value":"Louis"},"2":{"type":"email","label":"Your Email","value":"louisellis72@yahoo.com"},"3":{"type":"select","label":"Topic","value":"General Inquiry"},"4":{"type":"textarea","label":"Message","value":"Goodday [~nr~][~nl~]Iwould like to purchase ilk caddy and frame combo.[~nr~][~nl~]Please give me info how to order from your company.[~nr~][~nl~]What currency are you working in.[~nr~][~nl~]All the shipment and fees andhow do you send the products by courier or Postnet to South Africa.[~nr~][~nl~][~nr~][~nl~]Please reply.[~nr~][~nl~][~nr~][~nl~]Thank you[~nr~][~nl~]Louis Ellis[~nr~][~nl~]South African  Magician[~nr~][~nl~]Cell: +27 0788441727"}}