The Chesterfield Brand Widget

Description

Taal / Sprache / Language / Langue

<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=" required control-label cf_filiaallocatie63127_2063069-label " for="helpdesk_ticket_cf_filiaallocatie63127_2063069">Filiaal/locatie</label>
            <div class="controls   ">
              <input class=" required 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_artikelnummer183507_2063069-label " for="helpdesk_ticket_cf_artikelnummer183507_2063069">Artikelnummer(s) (deze vindt u in de tas op een wit label; het artikelnummer start met een C)</label>
            <div class="controls   ">
              <input class="  text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_artikelnummer183507_2063069]" id="helpdesk_ticket_custom_field_cf_artikelnummer183507_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 of vraag</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">
                 <label class="  control-label cf_gewenste_oplossing628521_2063069-label " for="helpdesk_ticket_cf_gewenste_oplossing628521_2063069">Gewenste oplossing</label>
            <div class="controls   ">
              <select class="  dropdown_blank section_field" data-placeholder="..." name="helpdesk_ticket[custom_field][cf_gewenste_oplossing628521_2063069]" id="helpdesk_ticket_custom_field_cf_gewenste_oplossing628521_2063069"><option value="">...</option>
<option data-id="80009716558" value="Vervangend product">Vervangend product</option>
<option data-id="80009716559" value="Credit">Credit</option>
<option data-id="80009716560" value="Reparatie">Reparatie</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" /> Heeft u een omschrijving 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" autocomplete="off" /><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]" /> Heeft u een afbeelding 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=" required control-label cf_filiaallocatie869156_2063069-label " for="helpdesk_ticket_cf_filiaallocatie869156_2063069">Geschäftsort</label>
            <div class="controls   ">
              <input class=" required 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_artikelnummer_2063069-label " for="helpdesk_ticket_cf_artikelnummer_2063069">Artikelnummer(n) (Sie finden diese in der Tasche auf einem weißen Etikett; die Artikelnummer beginnt mit einem C)</label>
            <div class="controls   ">
              <input class="  text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_artikelnummer_2063069]" id="helpdesk_ticket_custom_field_cf_artikelnummer_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 oder Frage</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">
                 <label class="  control-label cf_gewenste_oplossing16627_2063069-label " for="helpdesk_ticket_cf_gewenste_oplossing16627_2063069">Gewünschte Lösung:</label>
            <div class="controls   ">
              <select class="  dropdown_blank section_field" data-placeholder="..." name="helpdesk_ticket[custom_field][cf_gewenste_oplossing16627_2063069]" id="helpdesk_ticket_custom_field_cf_gewenste_oplossing16627_2063069"><option value="">...</option>
<option data-id="80009716555" value="Ersatzprodukt">Ersatzprodukt</option>
<option data-id="80009716556" value="Gutschrift">Gutschrift</option>
<option data-id="80009716557" value="Reparatur">Reparatur</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" /> Haben Sie eine Beschreibung 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" autocomplete="off" /><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 Bild 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=" required control-label cf_filiaallocatie_2063069-label " for="helpdesk_ticket_cf_filiaallocatie_2063069">Store location</label>
            <div class="controls   ">
              <input class=" required 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_artikelnummer_en_2063069-label " for="helpdesk_ticket_cf_artikelnummer_en_2063069">Article number(s) (you can find these inside the bag on a white label; the article number starts with a C)</label>
            <div class="controls   ">
              <input class="  text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_artikelnummer_en_2063069]" id="helpdesk_ticket_custom_field_cf_artikelnummer_en_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 or question</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">
                 <label class="  control-label cf_gewenste_oplossing822403_2063069-label " for="helpdesk_ticket_cf_gewenste_oplossing822403_2063069">Desired solution:</label>
            <div class="controls   ">
              <select class="  dropdown_blank section_field" data-placeholder="..." name="helpdesk_ticket[custom_field][cf_gewenste_oplossing822403_2063069]" id="helpdesk_ticket_custom_field_cf_gewenste_oplossing822403_2063069"><option value="">...</option>
<option data-id="80009716552" value="Replacement product">Replacement product</option>
<option data-id="80009716553" value="Credit">Credit</option>
<option data-id="80009716554" value="Repair">Repair</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" /> Have you added a description?
            </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" autocomplete="off" /><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]" /> Have you added an image 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=" required control-label cf_filiaallocatie_fr_2063069-label " for="helpdesk_ticket_cf_filiaallocatie_fr_2063069">Succursale / site</label>
            <div class="controls   ">
              <input class=" required 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_artikelnummers_2063069-label " for="helpdesk_ticket_cf_artikelnummers_2063069">Numéro(s) d’article (vous les trouverez dans le sac sur une étiquette blanche ; le numéro d’article commence par un C)</label>
            <div class="controls   ">
              <input class="  text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_artikelnummers_2063069]" id="helpdesk_ticket_custom_field_cf_artikelnummers_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 ou question</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">
                 <label class="  control-label cf_gewenste_oplossing_2063069-label " for="helpdesk_ticket_cf_gewenste_oplossing_2063069">Solution souhaitée :</label>
            <div class="controls   ">
              <select class="  dropdown_blank section_field" data-placeholder="..." name="helpdesk_ticket[custom_field][cf_gewenste_oplossing_2063069]" id="helpdesk_ticket_custom_field_cf_gewenste_oplossing_2063069"><option value="">...</option>
<option data-id="80009716549" value="Produit de remplacement">Produit de remplacement</option>
<option data-id="80009716550" value="Avoir">Avoir</option>
<option data-id="80009716551" value="Réparation">Réparation</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" autocomplete="off" /><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]" /> Avez-vous ajouté une description ?
            </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" autocomplete="off" /><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]" /> Avez-vous ajouté une image du défaut ?
            </label>
          </div> 
                </div>

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