Setup Your Button
Contact Us for Unmatched Healthcare Support Now
{
"name": "Optin",
"action_type": "0",
"optin_action_type": "5",
"form_redirect_type": "0",
"form_redirect_funnel_url": "next-funnel",
"form_redirect_custom_url": "",
"order_form_settings": {
"containers": [
{
"id": "personal-info-wrapper",
"visible": true,
"label": {
"id": "of-personal-title",
"visible": true
},
"fields": [
{
"id": "of-full-name",
"setting": false,
"placeholder": "Full Name"
},
{
"id": "of-field-email",
"setting": false,
"placeholder": "Email Address"
},
{
"id": "of-phone-number",
"setting": true,
"visible": false,
"require": true,
"placeholder": "Enter Your Mobile Phone",
"additional": {
"sms_permission": 0
}
},
{
"id": "of-gdpr-optin-approval",
"label": "I Accept To Receive Additional Info",
"placeholder": "",
"icon": "fa-mobile",
"required": 0,
"visible": 0,
"system": 1,
"additional": {
"gdpr_optin_approval": "1"
}
}
]
},
{
"id": "shipping-information-wrapper",
"visible": false,
"label": {
"id": "of-shipping-title",
"visible": true
},
"fields": [
{
"id": "of-shipping-address",
"setting": false,
"placeholder": "Address"
},
{
"id": "of-shipping-city",
"setting": false,
"placeholder": "City"
},
{
"id": "of-shipping-state",
"setting": false,
"placeholder": "State"
},
{
"id": "of-shipping-zipcode",
"setting": false,
"placeholder": "Postal Code"
}
]
},
{
"id": "profit-bump-wrapper",
"visible": true,
"otoBgColor": "rgba(219,229,239,1)",
"otoBorderColor": "rgba(38,71,102,1)",
"otoTitleBgColor": "rgba(45,78,108,1)",
"otoArrowsColor": "rgba(255,177,58,1)",
"fields": []
},
{
"id": "order-summary-wrapper",
"visible": true,
"orderDynamicBgColor": "rgba(242,242,242,1)",
"orderDynamicTexColor": "rgba(51,51,51,1)",
"fields": []
}
]
},
"optin_type": {
"showLabels": 0,
"fields": [
{
"name": "first_name",
"label": "First Name",
"placeholder": "Enter Your Full Name",
"icon": "fa-user",
"required": 1,
"visible": 1,
"system": 1,
"additional": {}
},
{
"name": "last_name",
"label": "First Name",
"placeholder": "Enter Your Full Name",
"icon": "fa-user",
"required": 1,
"visible": 1,
"system": 1,
"additional": {}
},
{
"name": "email",
"label": "Email",
"placeholder": "Enter Your Email",
"icon": "fa-envelope",
"required": 1,
"visible": 1,
"system": 1,
"additional": {}
},
{
"name": "mobile_phone",
"label": "Mobile Phone",
"placeholder": "Enter Your Mobile Phone",
"icon": "fa-mobile",
"required": 0,
"visible": 0,
"system": 1,
"additional": {
"sms_permission": 0
}
},
{
"name": "fields_labels",
"label": "",
"placeholder": "",
"icon": "",
"required": 0,
"visible": 1,
"system": 1,
"additional": {}
},
{
"name": "captcha",
"label": "Captcha",
"placeholder": "",
"icon": "",
"required": 0,
"visible": 0,
"system": 1,
"additional": {}
},
{
"name": "gdpr_optin_approval",
"label": "SSBBY2NlcHQgVG8gUmVjZWl2ZSBBZGRpdGlvbmFsIEluZm8=",
"placeholder": "",
"icon": "fa-mobile",
"required": 0,
"visible": 1,
"system": 1,
"additional": {
"gdpr_optin_approval": "1",
"sms_permission": 0
}
}
],
"customFields": [],
"sortedFields": [
{
"name": "first_name",
"label": "First Name",
"placeholder": "Enter Your Full Name",
"icon": "fa-user",
"required": 1,
"visible": 1,
"system": 1,
"additional": {}
},
{
"name": "first_name",
"label": "First Name",
"placeholder": "Enter Your Full Name",
"icon": "fa-user",
"required": 1,
"visible": 1,
"system": 1,
"additional": {}
},
{
"name": "last_name",
"label": "First Name",
"placeholder": "Enter Your Full Name",
"icon": "fa-user",
"required": 1,
"visible": 1,
"system": 1,
"additional": {}
},
{
"name": "email",
"label": "Email",
"placeholder": "Enter Your Email",
"icon": "fa-envelope",
"required": 1,
"visible": 1,
"system": 1,
"additional": {}
},
{
"name": "mobile_phone",
"label": "Mobile Phone",
"placeholder": "Enter Your Mobile Phone",
"icon": "fa-mobile",
"required": 0,
"visible": 0,
"system": 1,
"additional": {
"sms_permission": 0
}
},
{
"name": "captcha",
"label": "Captcha",
"placeholder": "",
"icon": "",
"required": 0,
"visible": 0,
"system": 1,
"additional": {}
}
],
"design": {
"form_background_color": "rgb(245, 245, 245)",
"field_stroke": {
"size": "1",
"color": "rgb(220, 220, 220)"
},
"field_icons": 1,
"button_color": "rgb(255, 158, 0)",
"button_stroke": {
"size": "0",
"color": "rgba(255, 255, 255, 0.2)"
},
"button_box_shadow_color": "none",
"field_size": "small",
"label_size": "16",
"label_color": "rgb(0, 0, 0)",
"input_color": "rgb(52, 152, 219)",
"control_text_color": "rgb(0, 0, 0)",
"control_text_size": "15"
},
"mappedFields": []
},
"redirect_type": {
"url": "",
"target": 0
},
"next_step": {
"value": "next-funnel"
},
"click_to_email": {
"value": ""
},
"click_to_call": {
"value": ""
},
"jump_to_block": {},
"content": {
"header_text": "PHNwYW4gc3R5bGU9ImZvbnQtc2l6ZToyNHB4OyBmb250LWZhbWlseTonb3BlbiBzYW5zJzsiPjxzcGFuIHN0eWxlPSJsaW5lLWhlaWdodDoxLjRlbTsiPlRoYW5rcyBGb3IgWW91ciBJbnRlcmVzdCE8L3NwYW4+PC9zcGFuPg==",
"content_text": "PHNwYW4gc3R5bGU9ImZvbnQtc2l6ZTo0OHB4OyBmb250LWZhbWlseTonb3BlbiBzYW5zJzsiPjxzcGFuIHN0eWxlPSJsaW5lLWhlaWdodDowLjllbTsiPjxzdHJvbmc+RmlsbCBPdXQgWW91ciBEZXRhaWxzIEJlbG93IEZvciBNb3JlIEluZm9ybWF0aW9uPC9zdHJvbmc+PC9zcGFuPjwvc3Bhbj4=",
"button_text": "dW5kZWZpbmVk",
"spam_text": "PHNwYW4gc3R5bGU9ImxpbmUtaGVpZ2h0OjEuMmVtOyI+V2UgaGF0ZSBTUEFNIGFuZCBwcm9taXNlIHRvIGtlZXAgeW91ciBlbWFpbCBhZGRyZXNzIHNhZmU8L3NwYW4+",
"sms_text": "UmVjZWl2ZSBTTVMgVGV4dCBVcGRhdGVzIC0gPHNwYW4+b3B0aW9uYWw8L3NwYW4+",
"sms_text2": "SSBBY2NlcHQgVG8gUmVjZWl2ZSBBZGRpdGlvbmFsIEluZm8="
},
"email_confirmation": {
"enable": 0,
"subject": "V2UgQXJlIEV4Y2l0ZWQhIFlvdXIgSW4h",
"message": "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"
},
"integrations": [],
"automation_enable": 0,
"thank_you": {
"type": "popup",
"redirect_url": "",
"popup_options": {
"background_color": "#ffffff",
"headline_visible": 1,
"icon_visible": 1,
"icon_url": "/assets-pb/images/thankyou-popup-icon.png",
"subheadline_visible": 1,
"button_visible": 1,
"button_color": "#ffa800",
"headline_text": "PHNwYW4gc3R5bGU9ImxpbmUtaGVpZ2h0OjEuNGVtOyI+VGhhbmsgWW91IEZvciBDb250YWN0aW5nIFVzPC9zcGFuPg==",
"subeadline_text": "PHNwYW4gc3R5bGU9ImxpbmUtaGVpZ2h0OjEuNGVtOyI+UGxlYXNlIENoZWNrIFlvdXIgRW1haWw8YnIgLz5XZSBXaWxsIEJlIEZvbGxvd2luZyBVcCBTaG9ydGx5PC9zcGFuPg==",
"button_text": "Q2xvc2U="
}
}
}
Add Row
Add
Add Row
Add Element
Tyler, Tx 
903-533-0441 
britney.rice@timadoxs.com 
