[{"type":"text","required":true,"label":"Name","description":"Please Enter a Name","placeholder":"Name","className":"form-control","name":"formBuilderName","subtype":"text","maxlength":100},{"type":"text","subtype":"email","required":true,"label":"Email","description":"Please Enter An E-mail","placeholder":"Email","className":"form-control","name":"formBuilderEmail"},{"type":"number","required":false,"label":"Phone","description":"Please Enter Phone","placeholder":"Phone Number","className":"form-control","name":"formBuilderNumber","subtype":"number"},{"type":"header","subtype":"h2","label":"Delivery Location"},{"type":"text","required":true,"label":"What<\/span> <\/span>State<\/span> <\/span>Do<\/span> <\/span>You<\/span> <\/span>Live<\/span> <\/span>In?<\/span>","placeholder":"State","className":"form-control delivery-options","name":"formBuilderState","subtype":"text"},{"type":"textarea","required":false,"label":"Message","description":"Please Enter A Message","placeholder":"Message","className":"form-control","name":"formBuilderTextarea","subtype":"textarea"},{"type":"button","label":"Submit","className":"btn-success submitreq","value":"1","style":"success"}]

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