Submit a ticket

What is the reason for your request? *

<select
  	class="form-control parent_field nested_select_field choices "
  	id="helpdesk_ticket_custom_field_cf_test_1921801"
  	name="helpdesk_ticket[custom_field][cf_test_1921801]"
  	required
  	
    
    	data-nested-choices = "[[&quot;imprimante 3D&quot;,&quot;3D printer&quot;,[[&quot;Grand public&quot;,&quot;Public&quot;,[[&quot;Inférieur à 300 €&quot;,&quot;Less than 300 €&quot;],[&quot;Inférieur à 600 €&quot;,&quot;Less than 600 €&quot;],[&quot;Supérieur à 600 €&quot;,&quot;Greater than 600 €&quot;]]],[&quot;Professionnel&quot;,&quot;Professional&quot;,[[&quot;Inférieur à 500 €&quot;,&quot;Less than 500 €&quot;],[&quot;Inférieur à 1500 €&quot;,&quot;Less than 1500 €&quot;],[&quot;Supérieur à 1500 €&quot;,&quot;Greater than 1500 €&quot;]]],[&quot;Éducatif&quot;,&quot;Educative&quot;,[[&quot;Inférieur à 500 €&quot;,&quot;Less than 500 €&quot;],[&quot;Inférieur à 1500 €&quot;,&quot;Less than 1500 €&quot;],[&quot;Supérieur à 1500 €&quot;,&quot;Greater than 1500 €&quot;]]]]],[&quot;Scanner 3D&quot;,&quot;Scanner 3D&quot;,[]],[&quot;Filaments&quot;,&quot;Filaments&quot;,[]],[&quot;Résines&quot;,&quot;Resins&quot;,[]],[&quot;Pièces détachées&quot;,&quot;Spare parts&quot;,[]],[&quot;Autres produits&quot;,&quot;Others products&quot;,[]]]"
  	
    	data-selected-choices = "null"
  	
    	data-nested-levels = "[{&quot;id&quot;:80000006787,&quot;label&quot;:&quot;Quel est votre usage ?&quot;,&quot;label_in_portal&quot;:&quot;What is your use?&quot;,&quot;name&quot;:&quot;cf_test2_1921801&quot;,&quot;level&quot;:2,&quot;field_type&quot;:&quot;nested_child&quot;},{&quot;id&quot;:80000006788,&quot;label&quot;:&quot;Votre budget ?&quot;,&quot;label_in_portal&quot;:&quot;Your budget ?&quot;,&quot;name&quot;:&quot;cf_test3_1921801&quot;,&quot;level&quot;:3,&quot;field_type&quot;:&quot;nested_child&quot;}]"
  	
    	data-placeholder = ""
  	
    	data-required-field = "true"
  	
  >
   
     <option value>Choose...</option>

<option  data-custom-properties='{"id": ""}' value="imprimante 3D">
          3D printer
         </option>
       
         <option  data-custom-properties='{"id": ""}' value="Scanner 3D">
          Scanner 3D
         </option>
       
         <option  data-custom-properties='{"id": ""}' value="Filaments">
          Filaments
         </option>
       
         <option  data-custom-properties='{"id": ""}' value="Résines">
          Resins
         </option>
       
         <option  data-custom-properties='{"id": ""}' value="Pièces détachées">
          Spare parts
         </option>
       
         <option  data-custom-properties='{"id": ""}' value="Autres produits">
          Others products
         </option>

</select>

<div class="form-group  helpdesk_ticket_custom_field_cf_plus_prcisment_1921801">
    <label for="helpdesk_ticket_custom_field_cf_plus_prcisment_1921801" class=" form-label">
    	More precisely...
	  	
	  		<span class="fw-asterisk">*</span>
	  	
      
    </label>

<option value>Choose...</option>

<option  data-custom-properties='{"id": "{"data-id"=>80006461690}"}'value="Statut de ma commande">
            Status of my order
          </option>
       
          <option  data-custom-properties='{"id": "{"data-id"=>80006461691}"}'value="Modifier ma commande">
            Modify my order
          </option>
       
          <option  data-custom-properties='{"id": "{"data-id"=>80006461692}"}'value="Où est mon colis ?">
            Where is my package ?
          </option>
       
          <option  data-custom-properties='{"id": "{"data-id"=>80006461693}"}'value="Mon colis est marqué livré mais je ne l&#39;ai pas reçu">
            My package is marked delivered but I have not received it
          </option>
       
          <option  data-custom-properties='{"id": "{"data-id"=>80006461694}"}'value="Codes de réduction et offres">
            Reduction codes and offers
          </option>
       
          <option  data-custom-properties='{"id": "{"data-id"=>80006461695}"}'value="Autres">
            Others
          </option>

</select>

<div class="form-group  helpdesk_ticket_custom_field_cf_plus_prcisment982022_1921801">
    <label for="helpdesk_ticket_custom_field_cf_plus_prcisment982022_1921801" class=" form-label">
    	More precisely...
	  	
	  		<span class="fw-asterisk">*</span>
	  	
      
    </label>

<option value>Choose...</option>

<option  data-custom-properties='{"id": "{"data-id"=>80006461696}"}'value="J&#39;aimerais renvoyer un ou plusieurs produit(s)">
            I would like to return one or more product (s)
          </option>
       
          <option  data-custom-properties='{"id": "{"data-id"=>80006461697}"}'value="J&#39;ai reçu un produit que je n&#39;ai pas commandé">
            I received a product that I did not order
          </option>
       
          <option  data-custom-properties='{"id": "{"data-id"=>80006461698}"}'value="Mon colis / produit est endommagé">
            My package / product is damaged
          </option>
       
          <option  data-custom-properties='{"id": "{"data-id"=>80006461699}"}'value="Le produit est défectueux">
            The product is defective
          </option>
       
          <option  data-custom-properties='{"id": "{"data-id"=>80006461700}"}'value="Autres">
            Others
          </option>

</select>

<div class="form-group ">
	
		<label for="helpdesk_ticket_custom_field_cf_numro_de_facture_1921801" class=" form-label">
			Order reference
			
				<span class="fw-asterisk">*</span>
			
			
		</label>

<div class="form-group ">
	
		<label for="helpdesk_ticket_custom_field_cf_date_de_commande_1921801" class=" form-label">
			Order date
			
				<span class="fw-asterisk">*</span>
			
			
		</label>

Contact email address (that of your customer account is recommended) *

Your request *

Your message for us *

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