<div class="control-group ticket_section"> <label class=" required control-label cf_please_choose_the_below_option_for_existing_order_52905-label " for="helpdesk_ticket_cf_please_choose_the_below_option_for_existing_order_52905">Please tell us more</label> <div class="controls "> <select class=" required dropdown_blank section_field" data-placeholder="..." name="helpdesk_ticket[custom_field][cf_please_choose_the_below_option_for_existing_order_52905]" id="helpdesk_ticket_custom_field_cf_please_choose_the_below_option_for_existing_order_52905"><option value="">...</option> <option data-id="4001395605" value="I am missing part of my order">I am missing part of my order</option> <option data-id="4001395635" value="When will my order be delivered">When will my order be delivered</option> <option data-id="4001395637" value="I can't check out my order">I can't check out my order</option></select> </div> </div> <div class="control-group ticket_section"> <label class=" required control-label cf_ptum_52905-label " for="helpdesk_ticket_cf_ptum_52905">Please tell us more</label> <div class="controls "> <select class=" required dropdown_blank section_field" data-placeholder="..." name="helpdesk_ticket[custom_field][cf_ptum_52905]" id="helpdesk_ticket_custom_field_cf_ptum_52905"><option value="">...</option> <option data-id="4001397744" value="I am missing part of my order">I am missing part of my order</option> <option data-id="4001397745" value="When will my order be delivered">When will my order be delivered</option> <option data-id="4001397746" value="I can't complete my online order">I can't complete my online order</option> <option data-id="4001463716" value="I have received the incorrect items (entire order incorrect)">I have received the incorrect items (entire order incorrect)</option></select> </div> </div> <div class="control-group ticket_section"> <label class=" required control-label cf_order_number_contact_us_form_52905-label " for="helpdesk_ticket_cf_order_number_contact_us_form_52905">Order Number</label> <div class="controls "> <input class=" required number section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_order_number_contact_us_form_52905]" id="helpdesk_ticket_custom_field_cf_order_number_contact_us_form_52905" /> </div> </div> <div class="control-group ticket_section"> <label class=" required control-label cf_tell_us_52905-label " for="helpdesk_ticket_cf_tell_us_52905">Please tell us more</label> <div class="controls "> <select class=" required dropdown_blank section_field" data-placeholder="..." name="helpdesk_ticket[custom_field][cf_tell_us_52905]" id="helpdesk_ticket_custom_field_cf_tell_us_52905"><option value="">...</option> <option data-id="4001395646" value="I have a general question about a product">I have a general question about a product</option> <option data-id="4001395647" value="I received a faulty product">I received a faulty product</option> <option data-id="4001395648" value="How do I return or exchange a product">How do I return or exchange a product</option> <option data-id="4001395649" value="I received an incorrect product">I received an incorrect product</option> <option data-id="4001467257" value="I have returned a product but do not have a refund">I have returned a product but do not have a refund</option></select> </div> </div> <div class="control-group ticket_section"> <div class="controls"> <label class="checkbox "> <input name="helpdesk_ticket[custom_field][cf_faultyincorrect_item_received_photos_supplied_yn_52905]" type="hidden" value="0" /><input class=" checkbox section_field" id="helpdesk_ticket_custom_field_cf_faultyincorrect_item_received_photos_supplied_yn_52905_4001395631" type="checkbox" value="1" name="helpdesk_ticket[custom_field][cf_faultyincorrect_item_received_photos_supplied_yn_52905]" /> Faulty/Incorrect Item Received - Have you supplied a photo of the fault or incorrect item? </label> </div> </div> <div class="control-group ticket_section"> <label class=" required control-label cf_please_tell_52905-label " for="helpdesk_ticket_cf_please_tell_52905">Please tell us more</label> <div class="controls "> <select class=" required dropdown_blank section_field" data-placeholder="..." name="helpdesk_ticket[custom_field][cf_please_tell_52905]" id="helpdesk_ticket_custom_field_cf_please_tell_52905"><option value="">...</option> <option data-id="4001395650" value="I had a great experience from your store team">I had a great experience from your store team</option> <option data-id="4001395651" value="I had a great experience from your Customer Care team">I had a great experience from your Customer Care team</option> <option data-id="4001395652" value="I received poor service from your store team">I received poor service from your store team</option> <option data-id="4001395653" value="I received poor service from your Customer Care team">I received poor service from your Customer Care team</option></select> </div> </div> <div class="control-group ticket_section"> <label class=" required control-label cf_more_52905-label " for="helpdesk_ticket_cf_more_52905">Please tell us more</label> <div class="controls "> <select class=" required dropdown_blank section_field" data-placeholder="..." name="helpdesk_ticket[custom_field][cf_more_52905]" id="helpdesk_ticket_custom_field_cf_more_52905"><option value="">...</option> <option data-id="4001395655" value="An advertised sale or promotion isn't working">An advertised sale or promotion isn't working</option> <option data-id="4001395656" value="I am not receiving my loyalty points or vouchers">I am not receiving my loyalty points or vouchers</option> <option data-id="4001395657" value="I can't login to my account or see my orders">I can't login to my account or see my orders</option> <option data-id="4001395658" value="I get an error when using my voucher or gift card">I get an error when using my voucher or gift card</option> <option data-id="4001395661" value="I have a question about product pricing">I have a question about product pricing</option> <option data-id="4001395662" value="I want to purchase a gift card">I want to purchase a gift card</option> <option data-id="4001472809" value="Rockmans Fashion Account enquiry">Rockmans Fashion Account enquiry</option> <option data-id="4001395663" value="I want to update my membership details, cancel or unsubscribe">I want to update my membership details, cancel or unsubscribe</option></select> </div> </div> <div class="control-group ticket_section"> <label class=" required control-label cf_please_tell_us_more_52905-label " for="helpdesk_ticket_cf_please_tell_us_more_52905">Please tell us more</label> <div class="controls "> <select class=" required dropdown_blank section_field" data-placeholder="..." name="helpdesk_ticket[custom_field][cf_please_tell_us_more_52905]" id="helpdesk_ticket_custom_field_cf_please_tell_us_more_52905"><option value="">...</option> <option data-id="4001395639" value="I want to work at Mosaic Brands">I want to work at Mosaic Brands</option> <option data-id="4001395640" value="Charity request">Charity request</option> <option data-id="4001395642" value="I want to be a supplier">I want to be a supplier</option> <option data-id="4001439053" value="I have a general question about your stores">I have a general question about your stores</option></select> </div> </div>