{
    "type": "AdaptiveCard",
    "$schema": "http://adaptivecards.io/schemas/adaptive-card.json",
    "version": "1.3",
    "body": [
        {
            "type": "Input.Text",
            "placeholder": "",
            "id": "street_1",
            "isRequired": true,
            "errorMessage": "Enter a street address",
            "label": "Address line 1"
        },
        {
            "type": "Input.Text",
            "placeholder": "",
            "label": "Address line 2 (optional)",
            "id": "street_2"
        },
        {
            "type": "Input.Text",
            "placeholder": "",
            "label": "City/Town",
            "id": "city",
            "isRequired": true,
            "errorMessage": "Enter city or town"
        },
        {
            "type": "Input.ChoiceSet",
            "choices": [
                {
                    "value": "AL",
                    "title": "Alabama "
                },
                {
                    "value": "AK",
                    "title": "Alaska "
                },
                {
                    "value": "AS",
                    "title": "American Samoa "
                },
                {
                    "value": "AZ",
                    "title": "Arizona "
                },
                {
                    "value": "AR",
                    "title": "Arkansas "
                },
                {
                    "value": "CA",
                    "title": "California "
                },
                {
                    "value": "CO",
                    "title": "Colorado "
                },
                {
                    "value": "CT",
                    "title": "Connecticut "
                },
                {
                    "value": "DE",
                    "title": "Delaware "
                },
                {
                    "value": "DC",
                    "title": "District of Columbia "
                },
                {
                    "value": "FM",
                    "title": "Federated States of Micronesia "
                },
                {
                    "value": "FL",
                    "title": "Florida "
                },
                {
                    "value": "GA",
                    "title": "Georgia "
                },
                {
                    "value": "GU",
                    "title": "Guam "
                },
                {
                    "value": "HI",
                    "title": "Hawaii "
                },
                {
                    "value": "ID",
                    "title": "Idaho "
                },
                {
                    "value": "IL",
                    "title": "Illinois "
                },
                {
                    "value": "IN",
                    "title": "Indiana "
                },
                {
                    "value": "IA",
                    "title": "Iowa "
                },
                {
                    "value": "KS",
                    "title": "Kansas "
                },
                {
                    "value": "KY",
                    "title": "Kentucky "
                },
                {
                    "value": "LA",
                    "title": "Louisiana "
                },
                {
                    "value": "ME",
                    "title": "Maine "
                },
                {
                    "value": "MH",
                    "title": "Marshall Islands "
                },
                {
                    "value": "MD",
                    "title": "Maryland "
                },
                {
                    "value": "MA",
                    "title": "Massachusetts "
                },
                {
                    "value": "MI",
                    "title": "Michigan "
                },
                {
                    "value": "MN",
                    "title": "Minnesota "
                },
                {
                    "value": "MS",
                    "title": "Mississippi "
                },
                {
                    "value": "MO",
                    "title": "Missouri "
                },
                {
                    "value": "MT",
                    "title": "Montana "
                },
                {
                    "value": "NE",
                    "title": "Nebraska "
                },
                {
                    "value": "NV",
                    "title": "Nevada "
                },
                {
                    "value": "NH",
                    "title": "New Hampshire "
                },
                {
                    "value": "NJ",
                    "title": "New Jersey "
                },
                {
                    "value": "NM",
                    "title": "New Mexico "
                },
                {
                    "value": "NY",
                    "title": "New York "
                },
                {
                    "value": "NC",
                    "title": "North Carolina "
                },
                {
                    "value": "ND",
                    "title": "North Dakota "
                },
                {
                    "value": "MP",
                    "title": "Northern Mariana Islands "
                },
                {
                    "value": "OH",
                    "title": "Ohio "
                },
                {
                    "value": "OK",
                    "title": "Oklahoma "
                },
                {
                    "value": "OR",
                    "title": "Oregon "
                },
                {
                    "value": "PW",
                    "title": "Palau "
                },
                {
                    "value": "PA",
                    "title": "Pennsylvania "
                },
                {
                    "value": "PR",
                    "title": "Puerto Rico "
                },
                {
                    "value": "RI",
                    "title": "Rhode Island "
                },
                {
                    "value": "SC",
                    "title": "South Carolina "
                },
                {
                    "value": "SD",
                    "title": "South Dakota "
                },
                {
                    "value": "TN",
                    "title": "Tennessee "
                },
                {
                    "value": "TX",
                    "title": "Texas "
                },
                {
                    "value": "UT",
                    "title": "Utah "
                },
                {
                    "value": "VT",
                    "title": "Vermont "
                },
                {
                    "value": "VI",
                    "title": "Virgin Islands (US) "
                },
                {
                    "value": "VA",
                    "title": "Virginia "
                },
                {
                    "value": "WA",
                    "title": "Washington "
                },
                {
                    "value": "WV",
                    "title": "West Virginia "
                },
                {
                    "value": "WI",
                    "title": "Wisconsin "
                },
                {
                    "value": "WY",
                    "title": "Wyoming "
                },
                {
                    "value": "AE",
                    "title": "Armed Forces Europe "
                },
                {
                    "value": "AP",
                    "title": "Armed Forces Pacific "
                },
                {
                    "value": "AA",
                    "title": "Armed Forces Americas "
                }
            ],
            "placeholder": "Choose a state or U.S. territory ",
            "id": "stateCode",
            "label": "State/U.S. Territory",
            "isRequired": true,
            "errorMessage": "Select a state"
        },
        {
            "type": "Input.Text",
            "placeholder": "5-digit zip",
            "id": "zipCodeValue",
            "maxLength": 5,
            "label": "ZIP Code",
            "isRequired": true,
            "errorMessage": "Enter 5 digit zip"
        },
        {
            "type": "ActionSet",
            "id": "submitButton",
            "actions": [
                {
                    "type": "Action.Submit",
                    "title": "Submit",
                    "style": "positive",
                    "id": "submit"
                }
            ]
        }
    ]
}