{"1":{"type":"name","label":"Your Name","value":"Jc Burney"},"2":{"type":"email","label":"Your Email","value":"jc.burney@hotmail.com"},"3":{"type":"select","label":"Topic","value":"Add or remove any fields"},"4":{"type":"textarea","label":"Message","value":"Hi[~nr~][~nl~][~nr~][~nl~]I would like to give you my coupons, i do not use them anyway,[~nr~][~nl~]because I am going on vacation, and I stay 3 months away,[~nr~][~nl~]http:\/\/item.pictures\/vipcoupons[~nr~][~nl~]have fun shopping.[~nr~][~nl~][~nr~][~nl~]Yours sincerely[~nr~][~nl~][~nr~][~nl~]&quot;Sent from my iPhone&quot;"}}