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<div class="control-group ticket_section"> <label class=" required control-label cf_bedrijfsnaam_2063069-label " for="helpdesk_ticket_cf_bedrijfsnaam_2063069">Bedrijfsnaam</label> <div class="controls "> <input class=" required text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_bedrijfsnaam_2063069]" id="helpdesk_ticket_custom_field_cf_bedrijfsnaam_2063069" /> </div> </div> <div class="control-group ticket_section"> <label class=" control-label cf_filiaallocatie63127_2063069-label " for="helpdesk_ticket_cf_filiaallocatie63127_2063069">Filiaal/locatie</label> <div class="controls "> <input class=" text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_filiaallocatie63127_2063069]" id="helpdesk_ticket_custom_field_cf_filiaallocatie63127_2063069" /> </div> </div> <div class="control-group ticket_section"> <label class=" control-label cf_telefoonnummer763870_2063069-label " for="helpdesk_ticket_cf_telefoonnummer763870_2063069">Telefoonnummer</label> <div class="controls "> <input class=" text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_telefoonnummer763870_2063069]" id="helpdesk_ticket_custom_field_cf_telefoonnummer763870_2063069" /> </div> </div> <div class="control-group ticket_section"> <label class=" required control-label cf_aantal_te_retourneren_items_2063069-label " for="helpdesk_ticket_cf_aantal_te_retourneren_items_2063069">Aantal artikelen</label> <div class="controls "> <input class=" required number section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_aantal_te_retourneren_items_2063069]" id="helpdesk_ticket_custom_field_cf_aantal_te_retourneren_items_2063069" /> </div> </div> <div class="control-group ticket_section"> <label class=" required control-label cf_soort_klacht_2063069-label " for="helpdesk_ticket_cf_soort_klacht_2063069">Soort klacht</label> <div class="controls "> <select class=" required dropdown_blank section_field" data-placeholder="..." name="helpdesk_ticket[custom_field][cf_soort_klacht_2063069]" id="helpdesk_ticket_custom_field_cf_soort_klacht_2063069"><option value="">...</option> <option data-id="80001010492" value="Ritssluiting hoofdvak defect">Ritssluiting hoofdvak defect</option> <option data-id="80001006086" value="Overige ritssluiting defect">Overige ritssluiting defect</option> <option data-id="80001006087" value="Voering binnenkant defect">Voering binnenkant defect</option> <option data-id="80001006088" value="Leer beschadigd">Leer beschadigd</option> <option data-id="80001006089" value="Schouderband defect">Schouderband defect</option> <option data-id="80001045301" value="Vlekken in het leer">Vlekken in het leer</option> <option data-id="80001045302" value="Kleur van het leer">Kleur van het leer</option> <option data-id="80001045303" value="Kleur geeft af">Kleur geeft af</option> <option data-id="80001045855" value="Slot/Sluiting defect">Slot/Sluiting defect</option> <option data-id="80001459526" value="Stiknaad kapot">Stiknaad kapot</option> <option data-id="80001496949" value="Omruilen">Omruilen</option> <option data-id="80001006090" value="Overige">Overige</option></select> </div> </div> <div class="control-group ticket_section"> <div class="controls"> <label class="checkbox required"> <input type="checkbox" name="helpdesk_ticket[custom_field][cf_omschrijving_toegevoegd799985_2063069]" id="helpdesk_ticket_custom_field_cf_omschrijving_toegevoegd799985_2063069_80001010440" value="1" class=" required checkbox section_field" /> Omschrijving van defect toegevoegd? </label> </div> </div> <div class="control-group ticket_section"> <div class="controls"> <label class="checkbox "> <input name="helpdesk_ticket[custom_field][cf_heb_je_een_foto_van_het_defect_toegevoegd_2063069]" type="hidden" value="0" /><input class=" checkbox section_field" id="helpdesk_ticket_custom_field_cf_heb_je_een_foto_van_het_defect_toegevoegd_2063069_80001010440" type="checkbox" value="1" name="helpdesk_ticket[custom_field][cf_heb_je_een_foto_van_het_defect_toegevoegd_2063069]" /> Heb je een foto van het defect toegevoegd? </label> </div> </div>
<div class="control-group ticket_section"> <label class=" required control-label cf_bedrijfsnaam960807_2063069-label " for="helpdesk_ticket_cf_bedrijfsnaam960807_2063069">Name des Unternehmens</label> <div class="controls "> <input class=" required text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_bedrijfsnaam960807_2063069]" id="helpdesk_ticket_custom_field_cf_bedrijfsnaam960807_2063069" /> </div> </div> <div class="control-group ticket_section"> <label class=" control-label cf_filiaallocatie869156_2063069-label " for="helpdesk_ticket_cf_filiaallocatie869156_2063069">Geschäftsort</label> <div class="controls "> <input class=" text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_filiaallocatie869156_2063069]" id="helpdesk_ticket_custom_field_cf_filiaallocatie869156_2063069" /> </div> </div> <div class="control-group ticket_section"> <label class=" control-label cf_telefoonnummer966633_2063069-label " for="helpdesk_ticket_cf_telefoonnummer966633_2063069">Rufnummer</label> <div class="controls "> <input class=" text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_telefoonnummer966633_2063069]" id="helpdesk_ticket_custom_field_cf_telefoonnummer966633_2063069" /> </div> </div> <div class="control-group ticket_section"> <label class=" required control-label cf_aantal_te_retourneren_items629863_2063069-label " for="helpdesk_ticket_cf_aantal_te_retourneren_items629863_2063069">Anzahl der Teile</label> <div class="controls "> <input class=" required number section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_aantal_te_retourneren_items629863_2063069]" id="helpdesk_ticket_custom_field_cf_aantal_te_retourneren_items629863_2063069" /> </div> </div> <div class="control-group ticket_section"> <label class=" required control-label cf_soort_klacht264282_2063069-label " for="helpdesk_ticket_cf_soort_klacht264282_2063069">Art der Beschwerde</label> <div class="controls "> <select class=" required dropdown_blank section_field" data-placeholder="..." name="helpdesk_ticket[custom_field][cf_soort_klacht264282_2063069]" id="helpdesk_ticket_custom_field_cf_soort_klacht264282_2063069"><option value="">...</option> <option data-id="80001010510" value="Hauptreißverschluss defekt">Hauptreißverschluss defekt</option> <option data-id="80001010511" value="Anderer Reißverschluss defekt">Anderer Reißverschluss defekt</option> <option data-id="80001010512" value="Innenauskleidung defekt">Innenauskleidung defekt</option> <option data-id="80001010513" value="Leder beschädigt">Leder beschädigt</option> <option data-id="80001010514" value="Schultergurt defekt">Schultergurt defekt</option> <option data-id="80001045308" value="Flecken im Leder">Flecken im Leder</option> <option data-id="80001045309" value="Farbe des Leders">Farbe des Leders</option> <option data-id="80001045310" value="Farbige Flecken">Farbige Flecken</option> <option data-id="80001045871" value="Schloss/Befestigung defekt">Schloss/Befestigung defekt</option> <option data-id="80001459528" value="Kaputte Nähte">Kaputte Nähte</option> <option data-id="80001496951" value="Tauschen">Tauschen</option> <option data-id="80001010515" value="Andere">Andere</option></select> </div> </div> <div class="control-group ticket_section"> <div class="controls"> <label class="checkbox required"> <input type="checkbox" name="helpdesk_ticket[custom_field][cf_omschrijving_toegevoegd_2063069]" id="helpdesk_ticket_custom_field_cf_omschrijving_toegevoegd_2063069_80001010441" value="1" class=" required checkbox section_field" /> Beschreibung des Fehlers hinzugefügt? </label> </div> </div> <div class="control-group ticket_section"> <div class="controls"> <label class="checkbox "> <input name="helpdesk_ticket[custom_field][cf_foto_van_defect_2063069]" type="hidden" value="0" /><input class=" checkbox section_field" id="helpdesk_ticket_custom_field_cf_foto_van_defect_2063069_80001010441" type="checkbox" value="1" name="helpdesk_ticket[custom_field][cf_foto_van_defect_2063069]" /> Haben Sie ein Foto des Defekts hinzugefügt? </label> </div> </div>
<div class="control-group ticket_section"> <label class=" required control-label cf_bedrijfsnaam649976_2063069-label " for="helpdesk_ticket_cf_bedrijfsnaam649976_2063069">Company name</label> <div class="controls "> <input class=" required text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_bedrijfsnaam649976_2063069]" id="helpdesk_ticket_custom_field_cf_bedrijfsnaam649976_2063069" /> </div> </div> <div class="control-group ticket_section"> <label class=" control-label cf_filiaallocatie_2063069-label " for="helpdesk_ticket_cf_filiaallocatie_2063069">Store location</label> <div class="controls "> <input class=" text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_filiaallocatie_2063069]" id="helpdesk_ticket_custom_field_cf_filiaallocatie_2063069" /> </div> </div> <div class="control-group ticket_section"> <label class=" control-label cf_telefoonnummer390105_2063069-label " for="helpdesk_ticket_cf_telefoonnummer390105_2063069">Phone Number</label> <div class="controls "> <input class=" text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_telefoonnummer390105_2063069]" id="helpdesk_ticket_custom_field_cf_telefoonnummer390105_2063069" /> </div> </div> <div class="control-group ticket_section"> <label class=" required control-label cf_aantal_te_retourneren_items977423_2063069-label " for="helpdesk_ticket_cf_aantal_te_retourneren_items977423_2063069">Number of items</label> <div class="controls "> <input class=" required number section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_aantal_te_retourneren_items977423_2063069]" id="helpdesk_ticket_custom_field_cf_aantal_te_retourneren_items977423_2063069" /> </div> </div> <div class="control-group ticket_section"> <label class=" required control-label cf_soort_klacht410349_2063069-label " for="helpdesk_ticket_cf_soort_klacht410349_2063069">Type of complaint</label> <div class="controls "> <select class=" required dropdown_blank section_field" data-placeholder="..." name="helpdesk_ticket[custom_field][cf_soort_klacht410349_2063069]" id="helpdesk_ticket_custom_field_cf_soort_klacht410349_2063069"><option value="">...</option> <option data-id="80001010516" value="Zipper main compartment broken">Zipper main compartment broken</option> <option data-id="80001010517" value="Other zip defective">Other zip defective</option> <option data-id="80001010518" value="Inner lining defective">Inner lining defective</option> <option data-id="80001010519" value="Leather damaged">Leather damaged</option> <option data-id="80001010520" value="Shoulder strap defective">Shoulder strap defective</option> <option data-id="80001045304" value="Stains in the leather">Stains in the leather</option> <option data-id="80001045305" value="Colour of leather">Colour of leather</option> <option data-id="80001045306" value="Colour stains">Colour stains</option> <option data-id="80001045856" value="Lock/fixing defective">Lock/fixing defective</option> <option data-id="80001459527" value="Broken stitching">Broken stitching</option> <option data-id="80001496950" value="Swap">Swap</option> <option data-id="80001010521" value="Other">Other</option> <option data-id="80005483671" value="Autre">Autre</option></select> </div> </div> <div class="control-group ticket_section"> <div class="controls"> <label class="checkbox required"> <input type="checkbox" name="helpdesk_ticket[custom_field][cf_omschrijving_defect_2063069]" id="helpdesk_ticket_custom_field_cf_omschrijving_defect_2063069_80001010442" value="1" class=" required checkbox section_field" /> Description of defect added? </label> </div> </div> <div class="control-group ticket_section"> <div class="controls"> <label class="checkbox "> <input name="helpdesk_ticket[custom_field][cf_foto_van_defect202748_2063069]" type="hidden" value="0" /><input class=" checkbox section_field" id="helpdesk_ticket_custom_field_cf_foto_van_defect202748_2063069_80001010442" type="checkbox" value="1" name="helpdesk_ticket[custom_field][cf_foto_van_defect202748_2063069]" /> Did you add a photo of the defect? </label> </div> </div>
<div class="control-group ticket_section"> <label class=" required control-label cf_bedrijfsnaam_fr_2063069-label " for="helpdesk_ticket_cf_bedrijfsnaam_fr_2063069">Nom de l'entreprise</label> <div class="controls "> <input class=" required text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_bedrijfsnaam_fr_2063069]" id="helpdesk_ticket_custom_field_cf_bedrijfsnaam_fr_2063069" /> </div> </div> <div class="control-group ticket_section"> <label class=" control-label cf_filiaallocatie_fr_2063069-label " for="helpdesk_ticket_cf_filiaallocatie_fr_2063069">Storelocation</label> <div class="controls "> <input class=" text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_filiaallocatie_fr_2063069]" id="helpdesk_ticket_custom_field_cf_filiaallocatie_fr_2063069" /> </div> </div> <div class="control-group ticket_section"> <label class=" control-label cf_telefoonnummer_fr_2063069-label " for="helpdesk_ticket_cf_telefoonnummer_fr_2063069">Numéro de téléphone </label> <div class="controls "> <input class=" text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_telefoonnummer_fr_2063069]" id="helpdesk_ticket_custom_field_cf_telefoonnummer_fr_2063069" /> </div> </div> <div class="control-group ticket_section"> <label class=" required control-label cf_aantal_te_retourneren_items_fr_2063069-label " for="helpdesk_ticket_cf_aantal_te_retourneren_items_fr_2063069">Nombre d'articles à retourner</label> <div class="controls "> <input class=" required number section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_aantal_te_retourneren_items_fr_2063069]" id="helpdesk_ticket_custom_field_cf_aantal_te_retourneren_items_fr_2063069" /> </div> </div> <div class="control-group ticket_section"> <label class=" required control-label cf_soort_klacht_fr_2063069-label " for="helpdesk_ticket_cf_soort_klacht_fr_2063069">Type de plainte</label> <div class="controls "> <select class=" required dropdown_blank section_field" data-placeholder="..." name="helpdesk_ticket[custom_field][cf_soort_klacht_fr_2063069]" id="helpdesk_ticket_custom_field_cf_soort_klacht_fr_2063069"><option value="">...</option> <option data-id="80005483672" value="Compartiment principal à fermeture éclair cassé">Compartiment principal à fermeture éclair cassé</option> <option data-id="80005483673" value="Autre zip défectueux">Autre zip défectueux</option> <option data-id="80005483674" value="Doublure intérieure défectueuse">Doublure intérieure défectueuse</option> <option data-id="80005483675" value="Cuir endommagé">Cuir endommagé</option> <option data-id="80005483676" value="Bandoulière défectueuse">Bandoulière défectueuse</option> <option data-id="80005483677" value="Taches sur le cuir">Taches sur le cuir</option> <option data-id="80005483678" value="Couleur du cuir">Couleur du cuir</option> <option data-id="80005483679" value="Taches de couleur">Taches de couleur</option> <option data-id="80005483680" value="Serrure/fixation défectueuse">Serrure/fixation défectueuse</option> <option data-id="80005483681" value="Coutures cassées">Coutures cassées</option> <option data-id="80005483682" value="Échange">Échange</option></select> </div> </div> <div class="control-group ticket_section"> <div class="controls"> <label class="checkbox "> <input name="helpdesk_ticket[custom_field][cf_omschrijving_defect_fr_2063069]" type="hidden" value="0" /><input class=" checkbox section_field" id="helpdesk_ticket_custom_field_cf_omschrijving_defect_fr_2063069_80005483667" type="checkbox" value="1" name="helpdesk_ticket[custom_field][cf_omschrijving_defect_fr_2063069]" /> Description du défaut ajoutée? </label> </div> </div> <div class="control-group ticket_section"> <div class="controls"> <label class="checkbox "> <input name="helpdesk_ticket[custom_field][cf_foto_van_defect903691_2063069]" type="hidden" value="0" /><input class=" checkbox section_field" id="helpdesk_ticket_custom_field_cf_foto_van_defect903691_2063069_80005483667" type="checkbox" value="1" name="helpdesk_ticket[custom_field][cf_foto_van_defect903691_2063069]" /> As-tu ajouté une photo du défaut ? </label> </div> </div>
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