PartsEngine Canada Widget

Description

Type

<div class="control-group ticket_section">
                 <label class=" required control-label vehicle_make_model_year_104470-label " for="helpdesk_ticket_vehicle_make_model_year_104470">Vehicle Make / Model / Year (ex. Ford F150 crew cab 2019)</label>
            <div class="controls   ">
              <input class=" required text section_field span12" id="helpdesk_ticket_custom_field_vehicle_make_model_year_104470" name="helpdesk_ticket[custom_field][vehicle_make_model_year_104470]" size="30" type="text" />
            </div> 
                </div>
      <div class="control-group ticket_section">
                 <label class="  control-label name_of_the_inquiring_product_104470-label " for="helpdesk_ticket_name_of_the_inquiring_product_104470">Name of the Inquiring Product:</label>
            <div class="controls   ">
              <input class="  text section_field span12" id="helpdesk_ticket_custom_field_name_of_the_inquiring_product_104470" name="helpdesk_ticket[custom_field][name_of_the_inquiring_product_104470]" size="30" type="text" />
            </div> 
                </div>
      <div class="control-group ticket_section">
                 <label class=" required control-label get_back_to_me_104470-label " for="helpdesk_ticket_get_back_to_me_104470">Get back to me by</label>
            <div class="controls   ">
              <select class=" required dropdown_blank section_field dynamic_sections" id="helpdesk_ticket_custom_field_get_back_to_me_104470" name="helpdesk_ticket[custom_field][get_back_to_me_104470]"><option value="">...</option>
<option value="By E-mail" data-id="1002895075">By E-mail</option>
<option value="By Phone" data-id="1002895076">By Phone</option></select>
            </div> 
                </div>
      <div class="control-group ticket_section">
                 <label class="  control-label phone_number_104470-label " for="helpdesk_ticket_phone_number_104470">Phone Number</label>
            <div class="controls   ">
              <input class="  text section_field span12" id="helpdesk_ticket_custom_field_phone_number_104470" name="helpdesk_ticket[custom_field][phone_number_104470]" size="30" type="text" />
            </div> 
                </div>

<div class="control-group ticket_section">
                 <label class=" required control-label order_number_104470-label " for="helpdesk_ticket_order_number_104470">Order number</label>
            <div class="controls   ">
              <input class=" required number section_field span12" id="helpdesk_ticket_custom_field_order_number_104470" name="helpdesk_ticket[custom_field][order_number_104470]" size="30" type="text" />
            </div> 
                </div>
      <div class="control-group ticket_section">
                 <label class="  control-label item_tracking_number_104470-label " for="helpdesk_ticket_item_tracking_number_104470">Item Tracking Number:</label>
            <div class="controls   ">
              <input class="  text section_field span12" id="helpdesk_ticket_custom_field_item_tracking_number_104470" name="helpdesk_ticket[custom_field][item_tracking_number_104470]" size="30" type="text" />
            </div> 
                </div>
      <div class="control-group ticket_section">
                  <div class="controls">
            <label class="checkbox required">
              <input class=" required checkbox section_field" id="helpdesk_ticket_custom_field_i_have_attached_both_pictures_and_a_case_description_for_this_warranty_claim_104470_1002895074" name="helpdesk_ticket[custom_field][i_have_attached_both_pictures_and_a_case_description_for_this_warranty_claim_104470]" type="checkbox" value="1" /> xxxxxxx
            </label>
          </div> 
                </div>

<div class="control-group ticket_section">
                 <label class=" required control-label order_number_104470-label " for="helpdesk_ticket_order_number_104470">Order number</label>
            <div class="controls   ">
              <input class=" required number section_field span12" id="helpdesk_ticket_custom_field_order_number_104470" name="helpdesk_ticket[custom_field][order_number_104470]" size="30" type="text" />
            </div> 
                </div>
      <div class="control-group ticket_section">
                 <label class=" required control-label item_condition_104470-label " for="helpdesk_ticket_item_condition_104470">Item Condition</label>
            <div class="controls   ">
              <select class=" required dropdown_blank section_field dynamic_sections" id="helpdesk_ticket_custom_field_item_condition_104470" name="helpdesk_ticket[custom_field][item_condition_104470]"><option value="">...</option>
<option value="Item in new condition with original packaging" data-id="1002895077">Item in new condition with original packaging</option>
<option value="Item In new condition without original packaging" data-id="1002895078">Item In new condition without original packaging</option>
<option value="Used &amp; Installed" data-id="1002895079">Used & Installed</option></select>
            </div> 
                </div>
      <div class="control-group ticket_section">
                  <div class="controls">
            <label class="checkbox required">
              <input class=" required checkbox section_field" id="helpdesk_ticket_custom_field_pictures_of_the_pending_return_product_have_been_attached_104470_1001399454" name="helpdesk_ticket[custom_field][pictures_of_the_pending_return_product_have_been_attached_104470]" type="checkbox" value="1" /> Pictures of the pending return product have been attached.
            </label>
          </div> 
                </div>

Help & Support

1 error prohibited this ticket from being saved