Codestin Search App

Submit a ticket

Subject

Requester

What are you having problems with?

What product are you having problems with?

<div class="control-group ticket_section">
                     <label class="  control-label domain_name_601380-label " for="helpdesk_ticket_domain_name_601380">Domain Name</label>
            <div class="controls   ">
              <input class="  text span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][domain_name_601380]" id="helpdesk_ticket_custom_field_domain_name_601380" />
            </div> 
                  </div>
                  <div class="control-group ticket_section">
                     <label class="  control-label domains_601380-label " for="helpdesk_ticket_domains_601380">Domains</label>
            <div class="controls nested_field  ">
              <select class="  nested_field section_field" id="helpdesk_ticket_custom_field_domains_601380_29000100496" name="helpdesk_ticket[custom_field][domains_601380]"><option value="">...</option>
<option value="DNS">DNS</option>
<option value="Domain Transfer">Domain Transfer</option>
<option value="Domain Renewal">Domain Renewal</option></select><div class="level_2"><label class="">Service</label><select class="  nested_field section_field" id="helpdesk_ticket_custom_field_service_601380_29000100496" name="helpdesk_ticket[custom_field][service_601380]"><option value="">...</option>
</select></div><script>
//<![CDATA[
jQuery('#helpdesk_ticket_custom_field_domains_601380_29000100496').nested_select_tag({"data_tree":[["DNS","DNS",[["Point Domain to Server","Point Domain to Server",[]],["Change Nameserver","Change Nameserver",[]]]],["Domain Transfer","Domain Transfer",[["Transfer to Lycos","Transfer to Lycos",[]],["Transfer out of Lycos","Transfer out of Lycos",[]],["Request EPP/Auth Code","Request EPP/Auth Code",[]]]],["Domain Renewal","Domain Renewal",[["Domain expires soon","Domain expires soon",[]],["Domain is already expired","Domain is already expired",[]],["Turn On/Off Autorenew","Turn On/Off Autorenew",[]],["Domain is Suspended","Domain is Suspended",[]]]]],"initValues":null,"disable_children":false,"include_blank":"...","selected":null,"pl_value_id":"29000100496","subcategory_id":"helpdesk_ticket_custom_field_service_601380_29000100496"});
//]]>
</script>
            </div> 
                  </div>

<div class="control-group ticket_section">
                     <label class=" required control-label lycos_email_address_601380-label " for="helpdesk_ticket_lycos_email_address_601380">Lycos Email Address</label>
            <div class="controls   ">
              <input class=" required text span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][lycos_email_address_601380]" id="helpdesk_ticket_custom_field_lycos_email_address_601380" />
            </div> 
                  </div>
                  <div class="control-group ticket_section">
                     <label class=" required control-label alternate_email_address_601380-label " for="helpdesk_ticket_alternate_email_address_601380">Alternate Email Address (IMPORTANT)</label>
            <div class="controls   ">
              <input class=" required text span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][alternate_email_address_601380]" id="helpdesk_ticket_custom_field_alternate_email_address_601380" />
            </div> 
                  </div>

URL

Membername

Lycos Email Address

Alternate Email Address (IMPORTANT)

Domain Name

Description

+ Attach a file

Date of Birth

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