{"success":true,"request_form":"<div class=\"callprice_request_form\">\n    <form action=\"https:\/\/www.brc.ltd.uk\/callprice\/form\/submit\/\" name=\"cp_form\" id=\"cp_form\" method=\"post\">\n    <div class=\"fieldset\">\n\n        <ul class=\"form-list\">\n            <li class=\"fields\">\n                <div class=\"field\">\n                    <label class=\"required\" for=\"name\"><em>*<\/em>Name<\/label>\n                    <div class=\"input-box\">\n                        <input id=\"name\" name=\"name\" type=\"text\" class=\"input-text required-entry\" value=\" \"\/>\n                    <\/div>\n                <\/div>\n                <div class=\"field\">\n                    <label class=\"required\" for=\"email\"><em>*<\/em>Email<\/label>\n                    <div class=\"input-box\">\n                        <input id=\"email\" name=\"email\" type=\"text\" class=\"input-text required-entry validate-email\" value=\"\"\/>\n                    <\/div>\n                <\/div>\n            <\/li>\n            <li>\n                <label class=\"required\" for=\"telephone\"><em>*<\/em>Telephone<\/label>\n                <div class=\"input-box\">\n                    <input id=\"telephone\" name=\"telephone\" type=\"text\" class=\"input-text required-entry \" value=\"\"\/>\n                <\/div>\n            <\/li>\n            <li class=\"wide\">\n                <label class=\"required\" for=\"comment\"><em>*<\/em>Request Details<\/label>\n                <div class=\"input-box\">\n                    <textarea rows=\"3\" cols=\"5\" class=\"required-entry input-text\" title=\"details\" id=\"details\" name=\"details\">Product Name = \n<\/textarea>\n                <\/div>\n\t\t\t\t<div class=\"request_details_message\">Note: Please include as much details and relevant options about the item to help us match your request with an accurate price.<\/div>\n            <\/li>\n        <\/ul>\n        <div>\n            <button type=\"button\" class=\"button\" onclick=\"if(dataForm.validator && dataForm.validator.validate()){submitcallforpriceform(this.form,'https:\/\/www.brc.ltd.uk\/callprice\/form\/submit\/');}\"><span><span>Submit<\/span><\/span><\/button>\n        <\/div>\n    <\/div>\n        <input type=\"hidden\" name=\"product_id\" value=\"\"\/>\n    <\/form>\n<\/div>\n<script type=\"text\/javascript\">\n    \/\/<![CDATA[\n    var dataForm = new VarienForm('cp_form', true);\n    \/\/]]>\n<\/script>\n"}