Trade Depot Widget

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<div class="control-group ticket_section">
                 <label class=" required control-label cf_sales_order_number_optional_1809103-label " for="helpdesk_ticket_cf_sales_order_number_optional_1809103">Sales Order Number</label>
            <div class="controls   ">
              <input class=" required text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_sales_order_number_optional_1809103]" id="helpdesk_ticket_custom_field_cf_sales_order_number_optional_1809103" />
            </div> 
                </div>
      <div class="control-group ticket_section">
                 <label class=" required control-label cf_sku_1809103-label " for="helpdesk_ticket_cf_sku_1809103">Product code (SKU) or name</label>
            <div class="controls   ">
              <input class=" required text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_sku_1809103]" id="helpdesk_ticket_custom_field_cf_sku_1809103" />
            </div> 
                </div>
      <div class="control-group ticket_section">
                 <label class=" required control-label cf_date_of_delivery_1809103-label " for="helpdesk_ticket_cf_date_of_delivery_1809103">Date of Delivery</label>
            <div class="controls  support-date-field ">
              <input type="text" name="helpdesk_ticket[custom_field][cf_date_of_delivery_1809103]" id="helpdesk_ticket_custom_field_cf_date_of_delivery_1809103" class=" required date section_field datepicker_popover" readonly="readonly" data-show-image="true" data-date-format="d M, yy" placeholder="" />
            </div> 
                </div>
      <div class="control-group ticket_section">
                 <label class="  control-label cf_original_purchase_price238596_1809103-label " for="helpdesk_ticket_cf_original_purchase_price238596_1809103">Original Purchase Price ($)</label>
            <div class="controls   ">
              <input class="  number section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_original_purchase_price238596_1809103]" id="helpdesk_ticket_custom_field_cf_original_purchase_price238596_1809103" />
            </div> 
                </div>
      <div class="control-group ticket_section">
                 <label class=" required control-label cf_who_signed_for_delivery_1809103-label " for="helpdesk_ticket_cf_who_signed_for_delivery_1809103">Who signed for delivery?</label>
            <div class="controls   ">
              <input class=" required text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_who_signed_for_delivery_1809103]" id="helpdesk_ticket_custom_field_cf_who_signed_for_delivery_1809103" />
            </div> 
                </div>

<div class="control-group ticket_section">
                 <label class=" required control-label cf_product_code_sku_or_name_1809103-label " for="helpdesk_ticket_cf_product_code_sku_or_name_1809103">Product code (SKU) or name</label>
            <div class="controls   ">
              <input class=" required text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_product_code_sku_or_name_1809103]" id="helpdesk_ticket_custom_field_cf_product_code_sku_or_name_1809103" />
            </div> 
                </div>
      <div class="control-group ticket_section">
                 <label class=" required control-label cf_sales_order_number_optional202884_1809103-label " for="helpdesk_ticket_cf_sales_order_number_optional202884_1809103">Sales Order Number</label>
            <div class="controls   ">
              <input class=" required text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_sales_order_number_optional202884_1809103]" id="helpdesk_ticket_custom_field_cf_sales_order_number_optional202884_1809103" />
            </div> 
                </div>

<div class="control-group ticket_section">
                 <label class=" required control-label cf_product_optional_1809103-label " for="helpdesk_ticket_cf_product_optional_1809103">Product</label>
            <div class="controls   ">
              <select class=" required dropdown_blank section_field" data-placeholder="..." name="helpdesk_ticket[custom_field][cf_product_optional_1809103]" id="helpdesk_ticket_custom_field_cf_product_optional_1809103"><option value="">...</option>
<option data-id="51000255815" value="Fridge Freezer">Fridge Freezer</option>
<option data-id="51000255971" value="Oven">Oven</option>
<option data-id="51000255958" value="Dryers">Dryers</option>
<option data-id="51000255973" value="Microwave">Microwave</option>
<option data-id="51000255816" value="Washing Machine">Washing Machine</option>
<option data-id="51000264122" value="All-in-One Washer/Dryer">All-in-One Washer/Dryer</option>
<option data-id="51000255974" value="Dishwashers">Dishwashers</option>
<option data-id="51000255975" value="Cooktops">Cooktops</option>
<option data-id="51000255983" value="Basins / Bowls">Basins / Bowls</option>
<option data-id="51000255984" value="Side Cabinets">Side Cabinets</option>
<option data-id="51000255977" value="Rangehoods">Rangehoods</option>
<option data-id="51000255985" value="Taps">Taps</option>
<option data-id="51000255978" value="Vacuum Cleaners">Vacuum Cleaners</option>
<option data-id="51000255986" value="Baths">Baths</option>
<option data-id="51000255979" value="Waste Disposers">Waste Disposers</option>
<option data-id="51000255987" value="Toilets">Toilets</option>
<option data-id="51000255980" value="Small Kitchen Appliance">Small Kitchen Appliance</option>
<option data-id="51000255988" value="Mirrors">Mirrors</option>
<option data-id="51000255981" value="Showers">Showers</option>
<option data-id="51000255989" value="Mirror Cabinets">Mirror Cabinets</option>
<option data-id="51000255982" value="Vanities">Vanities</option>
<option data-id="51000255990" value="Heater Towel Rails">Heater Towel Rails</option>
<option data-id="51000255991" value="Accessories">Accessories</option>
<option data-id="51000255992" value="Kitchen Cabinets">Kitchen Cabinets</option>
<option data-id="51000255993" value="Laundry Tubs">Laundry Tubs</option>
<option data-id="51000255994" value="Sink Inserts">Sink Inserts</option>
<option data-id="51000255995" value="Benchtops">Benchtops</option>
<option data-id="51000255996" value="Air Conditioner">Air Conditioner</option>
<option data-id="51000255999" value="Flooring">Flooring</option>
<option data-id="51000256000" value="Switchgear">Switchgear</option>
<option data-id="51000256001" value="Cabling">Cabling</option>
<option data-id="51000256002" value="Lighting">Lighting</option>
<option data-id="51000256003" value="PVC Plumbing">PVC Plumbing</option>
<option data-id="51000256004" value="Tools">Tools</option>
<option data-id="51000256005" value="Extractor Fans">Extractor Fans</option>
<option data-id="51000272566" value="Water Heater">Water Heater</option>
<option data-id="51000406222" value="Vacuum">Vacuum</option>
<option data-id="51000272567" value="Other">Other</option></select>
            </div> 
                </div>
      <div class="control-group ticket_section">
                 <label class="  control-label cf_error_code_1809103-label " for="helpdesk_ticket_cf_error_code_1809103">Error Code (If Applicable)</label>
            <div class="controls   ">
              <input class="  text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_error_code_1809103]" id="helpdesk_ticket_custom_field_cf_error_code_1809103" />
            </div> 
                </div>
      <div class="control-group ticket_section">
                 <label class=" required control-label cf_customer_phone_number_1809103-label " for="helpdesk_ticket_cf_customer_phone_number_1809103">Phone Number</label>
            <div class="controls   ">
              <input class=" required number section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_customer_phone_number_1809103]" id="helpdesk_ticket_custom_field_cf_customer_phone_number_1809103" />
            </div> 
                </div>
      <div class="control-group ticket_section">
                 <label class=" required control-label cf_customer_address_1809103-label " for="helpdesk_ticket_cf_customer_address_1809103">Customer Address</label>
            <div class="controls   ">
              <input class=" required text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_customer_address_1809103]" id="helpdesk_ticket_custom_field_cf_customer_address_1809103" />
            </div> 
                </div>
      <div class="control-group ticket_section">
                 <label class=" required control-label cf_suburbcity_1809103-label " for="helpdesk_ticket_cf_suburbcity_1809103">Suburb/City</label>
            <div class="controls   ">
              <input class=" required text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_suburbcity_1809103]" id="helpdesk_ticket_custom_field_cf_suburbcity_1809103" />
            </div> 
                </div>
      <div class="control-group ticket_section">
                 <label class=" required control-label cf_post_code_1809103-label " for="helpdesk_ticket_cf_post_code_1809103">Post Code</label>
            <div class="controls   ">
              <input class=" required number section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_post_code_1809103]" id="helpdesk_ticket_custom_field_cf_post_code_1809103" />
            </div> 
                </div>
      <div class="control-group ticket_section">
                 <label class="  control-label cf_date_of_purchase_1809103-label " for="helpdesk_ticket_cf_date_of_purchase_1809103">Date of Purchase</label>
            <div class="controls  support-date-field ">
              <input type="text" name="helpdesk_ticket[custom_field][cf_date_of_purchase_1809103]" id="helpdesk_ticket_custom_field_cf_date_of_purchase_1809103" class="  date section_field datepicker_popover" readonly="readonly" data-show-image="true" data-date-format="d M, yy" placeholder="" />
            </div> 
                </div>
      <div class="control-group ticket_section">
                 <label class="  control-label cf_original_purchase_price_1809103-label " for="helpdesk_ticket_cf_original_purchase_price_1809103">Original Purchase Price ($)</label>
            <div class="controls   ">
              <input class="  number section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_original_purchase_price_1809103]" id="helpdesk_ticket_custom_field_cf_original_purchase_price_1809103" />
            </div> 
                </div>
      <div class="control-group ticket_section">
                 <label class=" required control-label cf_product_code_sku_or_name_1809103-label " for="helpdesk_ticket_cf_product_code_sku_or_name_1809103">Product code (SKU) or name</label>
            <div class="controls   ">
              <input class=" required text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_product_code_sku_or_name_1809103]" id="helpdesk_ticket_custom_field_cf_product_code_sku_or_name_1809103" />
            </div> 
                </div>
      <div class="control-group ticket_section">
                 <label class=" required control-label cf_serial_number_1809103-label " for="helpdesk_ticket_cf_serial_number_1809103">Serial Number</label>
            <div class="controls   ">
              <input class=" required text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_serial_number_1809103]" id="helpdesk_ticket_custom_field_cf_serial_number_1809103" />
            </div> 
                </div>
      <div class="control-group ticket_section">
                 <label class=" required control-label cf_sales_order_number_optional202884_1809103-label " for="helpdesk_ticket_cf_sales_order_number_optional202884_1809103">Sales Order Number</label>
            <div class="controls   ">
              <input class=" required text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_sales_order_number_optional202884_1809103]" id="helpdesk_ticket_custom_field_cf_sales_order_number_optional202884_1809103" />
            </div> 
                </div>
      <div class="control-group ticket_section">
                 <label class=" required control-label cf_installer_name_and_number_1809103-label " for="helpdesk_ticket_cf_installer_name_and_number_1809103">Installer Name and Number</label>
            <div class="controls   ">
              <input class=" required text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_installer_name_and_number_1809103]" id="helpdesk_ticket_custom_field_cf_installer_name_and_number_1809103" />
            </div> 
                </div>
      <div class="control-group ticket_section">
                 <label class="  control-label cf_existing_warranty_claim_number_optional_1809103-label " for="helpdesk_ticket_cf_existing_warranty_claim_number_optional_1809103">Existing warranty claim number (optional)</label>
            <div class="controls   ">
              <input class="  text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_existing_warranty_claim_number_optional_1809103]" id="helpdesk_ticket_custom_field_cf_existing_warranty_claim_number_optional_1809103" />
            </div> 
                </div>
      <div class="control-group ticket_section">
                  <div class="controls">
            <label class="checkbox required">
              <input type="checkbox" name="helpdesk_ticket[custom_field][cf_i_agree_to_cover_the_callout_cost_if_my_claim_is_not_covered_by_the_trade_depot_warranty_1809103]" id="helpdesk_ticket_custom_field_cf_i_agree_to_cover_the_callout_cost_if_my_claim_is_not_covered_by_the_trade_depot_warranty_1809103_51000177187" value="1" class=" required checkbox section_field" />  I agree to cover the callout cost if my claim is not covered by the Trade Depot warranty.
            </label>
          </div> 
                </div>
      <div class="control-group ticket_section">
                  <div class="controls">
            <label class="checkbox ">
              <input name="helpdesk_ticket[custom_field][cf_code_of_compliance_coc_attached_1809103]" type="hidden" value="0" /><input class="  checkbox section_field" id="helpdesk_ticket_custom_field_cf_code_of_compliance_coc_attached_1809103_51000177187" type="checkbox" value="1" name="helpdesk_ticket[custom_field][cf_code_of_compliance_coc_attached_1809103]" /> Code of Compliance (COC) attached? **Please note: Hard wired, or Gas Installs must incl a COC
            </label>
          </div> 
                </div>

<div class="control-group ticket_section">
                 <label class=" required control-label cf_product_code_sku_or_name478567_1809103-label " for="helpdesk_ticket_cf_product_code_sku_or_name478567_1809103">Product code (SKU) or name</label>
            <div class="controls   ">
              <input class=" required text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_product_code_sku_or_name478567_1809103]" id="helpdesk_ticket_custom_field_cf_product_code_sku_or_name478567_1809103" />
            </div> 
                </div>
      <div class="control-group ticket_section">
                 <label class=" required control-label cf_what_part_is_required_attach_pics_if_possible_1809103-label " for="helpdesk_ticket_cf_what_part_is_required_attach_pics_if_possible_1809103">What Part is required (attach pics if possible)?</label>
            <div class="controls   ">
              <input class=" required text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_what_part_is_required_attach_pics_if_possible_1809103]" id="helpdesk_ticket_custom_field_cf_what_part_is_required_attach_pics_if_possible_1809103" />
            </div> 
                </div>
      <div class="control-group ticket_section">
                 <label class=" required control-label cf_customer_phone_number_1809103-label " for="helpdesk_ticket_cf_customer_phone_number_1809103">Phone Number</label>
            <div class="controls   ">
              <input class=" required number section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_customer_phone_number_1809103]" id="helpdesk_ticket_custom_field_cf_customer_phone_number_1809103" />
            </div> 
                </div>
      <div class="control-group ticket_section">
                 <label class=" required control-label cf_customer_address_1809103-label " for="helpdesk_ticket_cf_customer_address_1809103">Customer Address</label>
            <div class="controls   ">
              <input class=" required text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_customer_address_1809103]" id="helpdesk_ticket_custom_field_cf_customer_address_1809103" />
            </div> 
                </div>
      <div class="control-group ticket_section">
                 <label class=" required control-label cf_suburbcity_1809103-label " for="helpdesk_ticket_cf_suburbcity_1809103">Suburb/City</label>
            <div class="controls   ">
              <input class=" required text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_suburbcity_1809103]" id="helpdesk_ticket_custom_field_cf_suburbcity_1809103" />
            </div> 
                </div>

<div class="control-group ticket_section">
                 <label class=" required control-label cf_company_name_1809103-label " for="helpdesk_ticket_cf_company_name_1809103">Company Name</label>
            <div class="controls   ">
              <input class=" required text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_company_name_1809103]" id="helpdesk_ticket_custom_field_cf_company_name_1809103" />
            </div> 
                </div>
      <div class="control-group ticket_section">
                 <label class=" required control-label cf_contact_person_1809103-label " for="helpdesk_ticket_cf_contact_person_1809103">Contact Person</label>
            <div class="controls   ">
              <input class=" required text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_contact_person_1809103]" id="helpdesk_ticket_custom_field_cf_contact_person_1809103" />
            </div> 
                </div>
      <div class="control-group ticket_section">
                 <label class=" required control-label cf_did_you_install_this_ac_unit772079_1809103-label " for="helpdesk_ticket_cf_did_you_install_this_ac_unit772079_1809103">Did you install this AC Unit?</label>
            <div class="controls   ">
              <select class=" required dropdown_blank section_field" data-placeholder="..." name="helpdesk_ticket[custom_field][cf_did_you_install_this_ac_unit772079_1809103]" id="helpdesk_ticket_custom_field_cf_did_you_install_this_ac_unit772079_1809103"><option value="">...</option>
<option data-id="51001039571" value="Yes">Yes</option>
<option data-id="51001039572" value="No">No</option></select>
            </div> 
                </div>
      <div class="control-group ticket_section">
                 <label class=" required control-label cf_if_no_who_was_the_installer_1809103-label " for="helpdesk_ticket_cf_if_no_who_was_the_installer_1809103">If no, who was the installer?</label>
            <div class="controls   ">
              <input class=" required text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_if_no_who_was_the_installer_1809103]" id="helpdesk_ticket_custom_field_cf_if_no_who_was_the_installer_1809103" />
            </div> 
                </div>
      <div class="control-group ticket_section">
                 <label class=" required control-label cf_sales_order_number_1809103-label " for="helpdesk_ticket_cf_sales_order_number_1809103">Sales Order Number</label>
            <div class="controls   ">
              <input class=" required text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_sales_order_number_1809103]" id="helpdesk_ticket_custom_field_cf_sales_order_number_1809103" />
            </div> 
                </div>
      <div class="control-group ticket_section">
                 <label class=" required control-label cf_tenant_full_name_1809103-label " for="helpdesk_ticket_cf_tenant_full_name_1809103">Tenant Full Name</label>
            <div class="controls   ">
              <input class=" required text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_tenant_full_name_1809103]" id="helpdesk_ticket_custom_field_cf_tenant_full_name_1809103" />
            </div> 
                </div>
      <div class="control-group ticket_section">
                 <label class=" required control-label cf_tenant_contact_phone_1809103-label " for="helpdesk_ticket_cf_tenant_contact_phone_1809103">Tenant Contact Phone</label>
            <div class="controls   ">
              <input class=" required text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_tenant_contact_phone_1809103]" id="helpdesk_ticket_custom_field_cf_tenant_contact_phone_1809103" />
            </div> 
                </div>
      <div class="control-group ticket_section">
                 <label class="  control-label cf_tenant_email_optional_1809103-label " for="helpdesk_ticket_cf_tenant_email_optional_1809103">Tenant Email (optional)</label>
            <div class="controls   ">
              <input class="  text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_tenant_email_optional_1809103]" id="helpdesk_ticket_custom_field_cf_tenant_email_optional_1809103" />
            </div> 
                </div>
      <div class="control-group ticket_section">
                 <label class=" required control-label cf_full_address_of_property_1809103-label " for="helpdesk_ticket_cf_full_address_of_property_1809103">Full Address of Property</label>
            <div class="controls   ">
              <input class=" required text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_full_address_of_property_1809103]" id="helpdesk_ticket_custom_field_cf_full_address_of_property_1809103" />
            </div> 
                </div>
      <div class="control-group ticket_section">
                 <label class=" required control-label cf_are_there_dogs_on_site_1809103-label " for="helpdesk_ticket_cf_are_there_dogs_on_site_1809103">Are there dogs on site?</label>
            <div class="controls   ">
              <select class=" required dropdown_blank section_field" data-placeholder="..." name="helpdesk_ticket[custom_field][cf_are_there_dogs_on_site_1809103]" id="helpdesk_ticket_custom_field_cf_are_there_dogs_on_site_1809103"><option value="">...</option>
<option data-id="51001039568" value="Yes">Yes</option>
<option data-id="51001039569" value="No">No</option>
<option data-id="51001039570" value="Unknown">Unknown</option></select>
            </div> 
                </div>
      <div class="control-group ticket_section">
                 <label class=" required control-label cf_any_other_property_risks_1809103-label " for="helpdesk_ticket_cf_any_other_property_risks_1809103">Any other property risks?</label>
            <div class="controls   ">
              <input class=" required text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_any_other_property_risks_1809103]" id="helpdesk_ticket_custom_field_cf_any_other_property_risks_1809103" />
            </div> 
                </div>
      <div class="control-group ticket_section">
                 <label class=" required control-label cf_kainga_ora_product660894_1809103-label " for="helpdesk_ticket_cf_kainga_ora_product660894_1809103">Kainga Ora Product</label>
            <div class="controls   ">
              <select class=" required dropdown_blank section_field" data-placeholder="..." name="helpdesk_ticket[custom_field][cf_kainga_ora_product660894_1809103]" id="helpdesk_ticket_custom_field_cf_kainga_ora_product660894_1809103"><option value="">...</option>
<option data-id="51001039559" value="Midea Xtreme Plus 2.6kW">Midea Xtreme Plus 2.6kW</option>
<option data-id="51001039560" value="Midea Xtreme Plus 3.5kW">Midea Xtreme Plus 3.5kW</option>
<option data-id="51001039561" value="Midea Xtreme Plus 5.0kW">Midea Xtreme Plus 5.0kW</option>
<option data-id="51001039562" value="Midea Xtreme Plus 6.0kW">Midea Xtreme Plus 6.0kW</option>
<option data-id="51001039563" value="Midea Xtreme Plus 7.0kW">Midea Xtreme Plus 7.0kW</option>
<option data-id="51001039564" value="Midea Xtreme Plus 8.0kW">Midea Xtreme Plus 8.0kW</option>
<option data-id="51001039565" value="Midea Xtreme Plus 9.0kW">Midea Xtreme Plus 9.0kW</option>
<option data-id="51001039566" value="Ducted Series">Ducted Series</option>
<option data-id="51001039567" value="Other">Other</option></select>
            </div> 
                </div>
      <div class="control-group ticket_section">
                 <label class=" required control-label cf_model_number_sku_1809103-label " for="helpdesk_ticket_cf_model_number_sku_1809103">Model Number (SKU)</label>
            <div class="controls   ">
              <input class=" required text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_model_number_sku_1809103]" id="helpdesk_ticket_custom_field_cf_model_number_sku_1809103" />
            </div> 
                </div>
      <div class="control-group ticket_section">
                 <label class=" required control-label cf_outdoor_unit_model_number_1809103-label " for="helpdesk_ticket_cf_outdoor_unit_model_number_1809103">Outdoor Unit Model Number </label>
            <div class="controls   ">
              <input class=" required text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_outdoor_unit_model_number_1809103]" id="helpdesk_ticket_custom_field_cf_outdoor_unit_model_number_1809103" />
            </div> 
                </div>
      <div class="control-group ticket_section">
                 <label class=" required control-label cf_outdoor_unit_serial_number_1809103-label " for="helpdesk_ticket_cf_outdoor_unit_serial_number_1809103">Outdoor Unit Serial Number </label>
            <div class="controls   ">
              <input class=" required text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_outdoor_unit_serial_number_1809103]" id="helpdesk_ticket_custom_field_cf_outdoor_unit_serial_number_1809103" />
            </div> 
                </div>
      <div class="control-group ticket_section">
                 <label class=" required control-label cf_indoor_unit_model_number_1809103-label " for="helpdesk_ticket_cf_indoor_unit_model_number_1809103">Indoor Unit Model Number</label>
            <div class="controls   ">
              <input class=" required text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_indoor_unit_model_number_1809103]" id="helpdesk_ticket_custom_field_cf_indoor_unit_model_number_1809103" />
            </div> 
                </div>
      <div class="control-group ticket_section">
                 <label class=" required control-label cf_indoor_unit_serial_number_1809103-label " for="helpdesk_ticket_cf_indoor_unit_serial_number_1809103">Indoor Unit Serial Number (Heatpump only)</label>
            <div class="controls   ">
              <input class=" required text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_indoor_unit_serial_number_1809103]" id="helpdesk_ticket_custom_field_cf_indoor_unit_serial_number_1809103" />
            </div> 
                </div>
      <div class="control-group ticket_section">
                 <label class=" required control-label cf_date_of_installation_1809103-label " for="helpdesk_ticket_cf_date_of_installation_1809103">Date of Installation</label>
            <div class="controls  support-date-field ">
              <input type="text" name="helpdesk_ticket[custom_field][cf_date_of_installation_1809103]" id="helpdesk_ticket_custom_field_cf_date_of_installation_1809103" class=" required date section_field datepicker_popover" readonly="readonly" data-show-image="true" data-date-format="d M, yy" placeholder="" />
            </div> 
                </div>
      <div class="control-group ticket_section">
                 <label class=" required control-label cf_error_codes_or_describe_the_fault_1809103-label " for="helpdesk_ticket_cf_error_codes_or_describe_the_fault_1809103">Error Codes or Describe the Fault?</label>
            <div class="controls   ">
              <input class=" required text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_error_codes_or_describe_the_fault_1809103]" id="helpdesk_ticket_custom_field_cf_error_codes_or_describe_the_fault_1809103" />
            </div> 
                </div>

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