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<div class="control-group ticket_section"> <label class=" required control-label cf_topic102229_1546960-label " for="helpdesk_ticket_cf_topic102229_1546960">Topic</label> <div class="controls "> <select class=" required dropdown_blank section_field" data-placeholder="..." id="helpdesk_ticket_custom_field_cf_topic102229_1546960" name="helpdesk_ticket[custom_field][cf_topic102229_1546960]"><option value="">...</option> <option value="Availability" data-id="65000190879">Availability</option> <option value="Model Questions" data-id="65000190880">Model Questions</option> <option value="Shipping" data-id="65000190881">Shipping</option> <option value="Order Change Requests" data-id="65000190882">Order Change Requests</option> <option value="Dealer Inquiries" data-id="65000190883">Dealer Inquiries</option> <option value="Call Back Request" data-id="65000192234">Call Back Request</option> <option value="Other" data-id="65000190884">Other</option></select> </div> </div> <div class="control-group ticket_section"> <label class=" control-label cf_order_number_1546960-label " for="helpdesk_ticket_cf_order_number_1546960">Order Number</label> <div class="controls "> <input class=" text section_field span12" id="helpdesk_ticket_custom_field_cf_order_number_1546960" name="helpdesk_ticket[custom_field][cf_order_number_1546960]" placeholder="" size="30" type="text" /> </div> </div> <div class="control-group ticket_section"> <label class=" control-label cf_bike_model207898_1546960-label " for="helpdesk_ticket_cf_bike_model207898_1546960">Bike Model</label> <div class="controls "> <input class=" text section_field span12" id="helpdesk_ticket_custom_field_cf_bike_model207898_1546960" name="helpdesk_ticket[custom_field][cf_bike_model207898_1546960]" placeholder="" size="30" type="text" /> </div> </div>
<div class="control-group ticket_section"> <label class=" required control-label cf_topic_1546960-label " for="helpdesk_ticket_cf_topic_1546960">Topic</label> <div class="controls "> <select class=" required dropdown_blank section_field" data-placeholder="..." id="helpdesk_ticket_custom_field_cf_topic_1546960" name="helpdesk_ticket[custom_field][cf_topic_1546960]"><option value="">...</option> <option value="Shipping and Transit" data-id="65000190872">Shipping and Transit</option> <option value="Assembly and Set Up" data-id="65000190873">Assembly and Set Up</option> <option value="Functionality Questions" data-id="65000190874">Functionality Questions</option> <option value="Component Not Working" data-id="65000190875">Component Not Working</option> <option value="Noises / Troubleshooting Noises" data-id="65000190876">Noises / Troubleshooting Noises</option> <option value="Replacement Parts" data-id="65000190877">Replacement Parts</option> <option value="Other" data-id="65000190878">Other</option></select> </div> </div> <div class="control-group ticket_section"> <label class=" required control-label cf_order_number436052_1546960-label " for="helpdesk_ticket_cf_order_number436052_1546960">Order Number</label> <div class="controls "> <input class=" required number section_field span12" id="helpdesk_ticket_custom_field_cf_order_number436052_1546960" name="helpdesk_ticket[custom_field][cf_order_number436052_1546960]" placeholder="" size="30" type="text" /> </div> </div> <div class="control-group ticket_section"> <label class=" required control-label cf_bike_model_1546960-label " for="helpdesk_ticket_cf_bike_model_1546960">Bike Model</label> <div class="controls "> <select class=" required dropdown_blank section_field" data-placeholder="..." id="helpdesk_ticket_custom_field_cf_bike_model_1546960" name="helpdesk_ticket[custom_field][cf_bike_model_1546960]"><option value="">...</option> <option value="Roadster v2" data-id="65000190466">Roadster v2</option> <option value="Roadster V2 Gravel" data-id="65000197181">Roadster V2 Gravel</option> <option value="Core-5 XR" data-id="65000190467">Core-5 XR</option> <option value="Core-5 ST" data-id="65000190468">Core-5 ST</option> <option value="500 Series XR" data-id="65000190469">500 Series XR</option> <option value="500 Series ST" data-id="65000190470">500 Series ST</option> <option value="700 Series" data-id="65000190471">700 Series</option> <option value="LMT'D XR" data-id="65000190473">LMT'D XR</option> <option value="LMT'D ST" data-id="65000190474">LMT'D ST</option> <option value="Prodigy ST/XR" data-id="65000190475">Prodigy ST/XR</option> <option value="Prodigy XC" data-id="65000199320">Prodigy XC</option> <option value="Cafe Cruiser" data-id="65000196172">Cafe Cruiser</option></select> </div> </div> <div class="control-group ticket_section"> <label class=" required control-label cf_mileage_1546960-label " for="helpdesk_ticket_cf_mileage_1546960">Mileage</label> <div class="controls "> <input class=" required text section_field span12" id="helpdesk_ticket_custom_field_cf_mileage_1546960" name="helpdesk_ticket[custom_field][cf_mileage_1546960]" placeholder="" size="30" type="text" /> </div> </div> <div class="control-group ticket_section"> <label class=" control-label cf_bike_serial_number_1546960-label " for="helpdesk_ticket_cf_bike_serial_number_1546960">Bike Serial Number</label> <div class="controls "> <input class=" text section_field span12" id="helpdesk_ticket_custom_field_cf_bike_serial_number_1546960" name="helpdesk_ticket[custom_field][cf_bike_serial_number_1546960]" placeholder="" size="30" type="text" /> </div> </div>
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