<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_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_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_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_list_missing_items_1809103-label " for="helpdesk_ticket_cf_list_missing_items_1809103">List missing items</label> <div class="controls "> <textarea class=" required paragraph section_field span12" rows="6" placeholder="" name="helpdesk_ticket[custom_field][cf_list_missing_items_1809103]" id="helpdesk_ticket_custom_field_cf_list_missing_items_1809103"> </textarea> </div> </div> <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_supplied_item_codesskuname_1809103-label " for="helpdesk_ticket_cf_supplied_item_codesskuname_1809103">Supplied item code(s)/SKU/name</label> <div class="controls "> <input class=" required text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_supplied_item_codesskuname_1809103]" id="helpdesk_ticket_custom_field_cf_supplied_item_codesskuname_1809103" /> </div> </div> <div class="control-group ticket_section"> <label class=" required control-label cf_correct_item_codesskuname_1809103-label " for="helpdesk_ticket_cf_correct_item_codesskuname_1809103">Correct item code(s)/SKU/name</label> <div class="controls "> <input class=" required text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_correct_item_codesskuname_1809103]" id="helpdesk_ticket_custom_field_cf_correct_item_codesskuname_1809103" /> </div> </div> <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=" control-label cf_product_code_sku_or_name66922_1809103-label " for="helpdesk_ticket_cf_product_code_sku_or_name66922_1809103">Product code (SKU) or name</label> <div class="controls "> <input class=" text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_product_code_sku_or_name66922_1809103]" id="helpdesk_ticket_custom_field_cf_product_code_sku_or_name66922_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_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_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=" 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=" 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_which_product_sku_1809103-label " for="helpdesk_ticket_cf_which_product_sku_1809103">Which Product / SKU?</label> <div class="controls "> <textarea class=" required paragraph section_field span12" rows="6" placeholder="" name="helpdesk_ticket[custom_field][cf_which_product_sku_1809103]" id="helpdesk_ticket_custom_field_cf_which_product_sku_1809103"> </textarea> </div> </div>