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Contact

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Subject

Application

<div class="control-group ticket_section">
                     <label class=" required control-label device_os_258285-label " for="helpdesk_ticket_device_os_258285">System</label>
            <div class="controls   ">
              <select class=" required dropdown_blank section_field" data-placeholder="..." name="helpdesk_ticket[custom_field][device_os_258285]" id="helpdesk_ticket_custom_field_device_os_258285"><option value="">...</option>
<option data-id="24000017939" value="Android">Android</option>
<option data-id="24000017940" value="iOS">iOS</option>
<option data-id="24000116746" value="Web">Web</option>
<option data-id="24000018698" value="Other">Other</option></select>
            </div> 
                  </div>
                  <div class="control-group ticket_section">
                     <label class="  control-label cf_device_os_version_258285-label " for="helpdesk_ticket_cf_device_os_version_258285">Device OS Version</label>
            <div class="controls   ">
              <input class="  text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_device_os_version_258285]" id="helpdesk_ticket_custom_field_cf_device_os_version_258285" />
            </div> 
                  </div>
                  <div class="control-group ticket_section">
                     <label class="  control-label app_version_no_258285-label " for="helpdesk_ticket_app_version_no_258285">App version no</label>
            <div class="controls   ">
              <input class="  text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][app_version_no_258285]" id="helpdesk_ticket_custom_field_app_version_no_258285" />
            </div> 
                  </div>
                  <div class="control-group ticket_section">
                     <label class="  control-label device_258285-label " for="helpdesk_ticket_device_258285">Device</label>
            <div class="controls   ">
              <input class="  text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][device_258285]" id="helpdesk_ticket_custom_field_device_258285" />
            </div> 
                  </div>
                  <div class="control-group ticket_section">
                     <label class="  control-label name_258285-label " for="helpdesk_ticket_name_258285">Name</label>
            <div class="controls   ">
              <input class="  text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][name_258285]" id="helpdesk_ticket_custom_field_name_258285" />
            </div> 
                  </div>
                  <div class="control-group ticket_section">
                     <label class=" required control-label reason_for_contact_258285-label " for="helpdesk_ticket_reason_for_contact_258285">Reason for contact</label>
            <div class="controls   ">
              <select class=" required dropdown_blank section_field" data-placeholder="..." name="helpdesk_ticket[custom_field][reason_for_contact_258285]" id="helpdesk_ticket_custom_field_reason_for_contact_258285"><option value="">...</option>
<option data-id="24000017935" value="Question">Question</option>
<option data-id="24000017936" value="Problem">Problem</option>
<option data-id="24000018695" value="Feature request">Feature request</option>
<option data-id="24000129558" value="Feedback">Feedback</option></select>
            </div> 
                  </div>

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