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<div class="control-group ticket_section"> <label class=" required control-label cf_ordernummer814139_1486118-label " for="helpdesk_ticket_cf_ordernummer814139_1486118">Ordernummer</label> <div class="controls "> <input class=" required text section_field span12" id="helpdesk_ticket_custom_field_cf_ordernummer814139_1486118" name="helpdesk_ticket[custom_field][cf_ordernummer814139_1486118]" size="30" type="text" /> </div> </div>
<div class="control-group ticket_section"> <label class=" required control-label cf_ordernummer_1486118-label " for="helpdesk_ticket_cf_ordernummer_1486118">Ordernummer</label> <div class="controls "> <input class=" required text section_field span12" id="helpdesk_ticket_custom_field_cf_ordernummer_1486118" name="helpdesk_ticket[custom_field][cf_ordernummer_1486118]" size="30" type="text" /> </div> </div>
<div class="control-group ticket_section"> <label class=" required control-label cf_ordernummer729620_1486118-label " for="helpdesk_ticket_cf_ordernummer729620_1486118">Ordernummer</label> <div class="controls "> <input class=" required text section_field span12" id="helpdesk_ticket_custom_field_cf_ordernummer729620_1486118" name="helpdesk_ticket[custom_field][cf_ordernummer729620_1486118]" size="30" type="text" /> </div> </div>
<div class="control-group ticket_section"> <label class=" required control-label cf_artikelnummer_of_omschrijving_1486118-label " for="helpdesk_ticket_cf_artikelnummer_of_omschrijving_1486118">Artikelnummer of Omschrijving</label> <div class="controls "> <input class=" required text section_field span12" id="helpdesk_ticket_custom_field_cf_artikelnummer_of_omschrijving_1486118" name="helpdesk_ticket[custom_field][cf_artikelnummer_of_omschrijving_1486118]" size="30" type="text" /> </div> </div> <div class="control-group ticket_section"> <label class=" required control-label cf_winkel83493_1486118-label " for="helpdesk_ticket_cf_winkel83493_1486118">Winkel</label> <div class="controls "> <select class=" required dropdown_blank section_field" id="helpdesk_ticket_custom_field_cf_winkel83493_1486118" name="helpdesk_ticket[custom_field][cf_winkel83493_1486118]"><option value="">...</option> <option value="Amersfoort" data-id="77000290864">Amersfoort</option> <option value="Duiven" data-id="77000290865">Duiven</option> <option value="Garage" data-id="77000290866">Garage</option> <option value="Maastricht" data-id="77000290867">Maastricht</option> <option value="Sliedrecht" data-id="77000290868">Sliedrecht</option> <option value="Zaandam" data-id="77000290869">Zaandam</option> <option value="Loods5.nl" data-id="77000290870">Loods5.nl</option></select> </div> </div>
<div class="control-group ticket_section"> <label class=" required control-label cf_artikelnummer_of_omschrijving721182_1486118-label " for="helpdesk_ticket_cf_artikelnummer_of_omschrijving721182_1486118">Artikelnummer of Omschrijving</label> <div class="controls "> <input class=" required text section_field span12" id="helpdesk_ticket_custom_field_cf_artikelnummer_of_omschrijving721182_1486118" name="helpdesk_ticket[custom_field][cf_artikelnummer_of_omschrijving721182_1486118]" size="30" type="text" /> </div> </div> <div class="control-group ticket_section"> <label class=" required control-label cf_winkel83493_1486118-label " for="helpdesk_ticket_cf_winkel83493_1486118">Winkel</label> <div class="controls "> <select class=" required dropdown_blank section_field" id="helpdesk_ticket_custom_field_cf_winkel83493_1486118" name="helpdesk_ticket[custom_field][cf_winkel83493_1486118]"><option value="">...</option> <option value="Amersfoort" data-id="77000290864">Amersfoort</option> <option value="Duiven" data-id="77000290865">Duiven</option> <option value="Garage" data-id="77000290866">Garage</option> <option value="Maastricht" data-id="77000290867">Maastricht</option> <option value="Sliedrecht" data-id="77000290868">Sliedrecht</option> <option value="Zaandam" data-id="77000290869">Zaandam</option> <option value="Loods5.nl" data-id="77000290870">Loods5.nl</option></select> </div> </div>
<div class="control-group ticket_section"> <label class=" required control-label cf_naam_1486118-label " for="helpdesk_ticket_cf_naam_1486118">Naam</label> <div class="controls "> <input class=" required text section_field span12" id="helpdesk_ticket_custom_field_cf_naam_1486118" name="helpdesk_ticket[custom_field][cf_naam_1486118]" size="30" type="text" /> </div> </div> <div class="control-group ticket_section"> <label class=" required control-label cf_adres_1486118-label " for="helpdesk_ticket_cf_adres_1486118">Adres</label> <div class="controls "> <input class=" required text section_field span12" id="helpdesk_ticket_custom_field_cf_adres_1486118" name="helpdesk_ticket[custom_field][cf_adres_1486118]" size="30" type="text" /> </div> </div> <div class="control-group ticket_section"> <label class=" required control-label cf_postcode_1486118-label " for="helpdesk_ticket_cf_postcode_1486118">Postcode</label> <div class="controls "> <input class=" required text section_field span12" id="helpdesk_ticket_custom_field_cf_postcode_1486118" name="helpdesk_ticket[custom_field][cf_postcode_1486118]" size="30" type="text" /> </div> </div> <div class="control-group ticket_section"> <label class=" required control-label cf_plaats_1486118-label " for="helpdesk_ticket_cf_plaats_1486118">Plaats</label> <div class="controls "> <input class=" required text section_field span12" id="helpdesk_ticket_custom_field_cf_plaats_1486118" name="helpdesk_ticket[custom_field][cf_plaats_1486118]" size="30" type="text" /> </div> </div> <div class="control-group ticket_section"> <label class=" required control-label cf_telefoonnummer_1486118-label " for="helpdesk_ticket_cf_telefoonnummer_1486118">Telefoonnummer</label> <div class="controls "> <input class=" required text section_field span12" id="helpdesk_ticket_custom_field_cf_telefoonnummer_1486118" name="helpdesk_ticket[custom_field][cf_telefoonnummer_1486118]" size="30" type="text" /> </div> </div> <div class="control-group ticket_section"> <label class=" required control-label cf_winkel650930_1486118-label " for="helpdesk_ticket_cf_winkel650930_1486118">Levering</label> <div class="controls "> <select class=" required dropdown_blank section_field" id="helpdesk_ticket_custom_field_cf_winkel650930_1486118" name="helpdesk_ticket[custom_field][cf_winkel650930_1486118]"><option value="">...</option> <option value="Levering aan huis" data-id="77000280260">Levering aan huis</option> <option value="Afhalen bij Loods 5 in Amersfoort" data-id="77000280261">Afhalen bij Loods 5 in Amersfoort</option> <option value="Afhalen bij Loods 5 in Duiven" data-id="77000280262">Afhalen bij Loods 5 in Duiven</option> <option value="Afhalen bij Loods 5 in Maastricht" data-id="77000280263">Afhalen bij Loods 5 in Maastricht</option> <option value="Afhalen bij Loods 5 in Sliedrecht" data-id="77000280264">Afhalen bij Loods 5 in Sliedrecht</option> <option value="Afhalen bij Loods 5 in Zaandam" data-id="77000280265">Afhalen bij Loods 5 in Zaandam</option></select> </div> </div>
<div class="control-group ticket_section"> <label class=" control-label cf_ordernummer660720_1486118-label " for="helpdesk_ticket_cf_ordernummer660720_1486118">Ordernummer</label> <div class="controls "> <input class=" text section_field span12" id="helpdesk_ticket_custom_field_cf_ordernummer660720_1486118" name="helpdesk_ticket[custom_field][cf_ordernummer660720_1486118]" size="30" type="text" /> </div> </div>
<div class="control-group ticket_section"> <label class=" required control-label cf_winkel83493_1486118-label " for="helpdesk_ticket_cf_winkel83493_1486118">Winkel</label> <div class="controls "> <select class=" required dropdown_blank section_field" id="helpdesk_ticket_custom_field_cf_winkel83493_1486118" name="helpdesk_ticket[custom_field][cf_winkel83493_1486118]"><option value="">...</option> <option value="Amersfoort" data-id="77000290864">Amersfoort</option> <option value="Duiven" data-id="77000290865">Duiven</option> <option value="Garage" data-id="77000290866">Garage</option> <option value="Maastricht" data-id="77000290867">Maastricht</option> <option value="Sliedrecht" data-id="77000290868">Sliedrecht</option> <option value="Zaandam" data-id="77000290869">Zaandam</option> <option value="Loods5.nl" data-id="77000290870">Loods5.nl</option></select> </div> </div>
<div class="control-group ticket_section"> <label class=" control-label cf_ordernummer756676_1486118-label " for="helpdesk_ticket_cf_ordernummer756676_1486118">Ordernummer</label> <div class="controls "> <input class=" text section_field span12" id="helpdesk_ticket_custom_field_cf_ordernummer756676_1486118" name="helpdesk_ticket[custom_field][cf_ordernummer756676_1486118]" size="30" type="text" /> </div> </div>
<div class="control-group ticket_section"> <label class=" control-label cf_ordernummer258332_1486118-label " for="helpdesk_ticket_cf_ordernummer258332_1486118">Ordernummer</label> <div class="controls "> <input class=" text section_field span12" id="helpdesk_ticket_custom_field_cf_ordernummer258332_1486118" name="helpdesk_ticket[custom_field][cf_ordernummer258332_1486118]" size="30" type="text" /> </div> </div>
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