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                     <label class=" required control-label cf_item_code_1828020-label " for="helpdesk_ticket_cf_item_code_1828020">Product Code</label>
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              <input class=" required text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_item_code_1828020]" id="helpdesk_ticket_custom_field_cf_item_code_1828020" />
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                     <label class=" required control-label cf_missing_preference_1828020-label " for="helpdesk_ticket_cf_missing_preference_1828020">How can we fix this for you?</label>
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              <select class=" required dropdown_blank section_field" data-placeholder="..." name="helpdesk_ticket[custom_field][cf_missing_preference_1828020]" id="helpdesk_ticket_custom_field_cf_missing_preference_1828020"><option value="">...</option>
<option data-id="80007281368" value="Refund">Refund</option>
<option data-id="80007281369" value="Replacement">Replacement</option></select>
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<div class="control-group ticket_section">
                     <label class=" required control-label cf_item_code541522_1828020-label " for="helpdesk_ticket_cf_item_code541522_1828020">Product Code</label>
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              <input class=" required text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_item_code541522_1828020]" id="helpdesk_ticket_custom_field_cf_item_code541522_1828020" />
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                     <label class=" required control-label cf_closeaccreason_1828020-label " for="helpdesk_ticket_cf_closeaccreason_1828020">How can we fix this for you?</label>
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              <select class=" required dropdown_blank section_field" data-placeholder="..." name="helpdesk_ticket[custom_field][cf_closeaccreason_1828020]" id="helpdesk_ticket_custom_field_cf_closeaccreason_1828020"><option value="">...</option>
<option data-id="80005528606" value="Refund">Refund</option>
<option data-id="80005528607" value="Replacement">Replacement</option></select>
            </div> 
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<div class="control-group ticket_section">
                     <label class=" required control-label cf_cancel_my_item_1828020-label " for="helpdesk_ticket_cf_cancel_my_item_1828020">Which item(s) are you wanting to cancel?</label>
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              <input class=" required text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_cancel_my_item_1828020]" id="helpdesk_ticket_custom_field_cf_cancel_my_item_1828020" />
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                  <div class="control-group ticket_section">
                     <label class=" required control-label cf_why_are_you_wishing_to_cancel_this_item_1828020-label " for="helpdesk_ticket_cf_why_are_you_wishing_to_cancel_this_item_1828020">Why are you wishing to cancel this item?</label>
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              <select class=" required dropdown_blank section_field" data-placeholder="..." name="helpdesk_ticket[custom_field][cf_why_are_you_wishing_to_cancel_this_item_1828020]" id="helpdesk_ticket_custom_field_cf_why_are_you_wishing_to_cancel_this_item_1828020"><option value="">...</option>
<option data-id="80005528597" value="Taking too long to arrive">Taking too long to arrive</option>
<option data-id="80005528598" value="Bought something else instead">Bought something else instead</option>
<option data-id="80005528599" value="Changed my mind">Changed my mind</option>
<option data-id="80005528600" value="A different item was cancelled so I no longer need this">A different item was cancelled so I no longer need this</option></select>
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<div class="control-group ticket_section">
                     <label class=" required control-label cf_item_code727701_1828020-label " for="helpdesk_ticket_cf_item_code727701_1828020">Product Code</label>
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              <input class=" required text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_item_code727701_1828020]" id="helpdesk_ticket_custom_field_cf_item_code727701_1828020" />
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                  <div class="control-group ticket_section">
                     <label class=" required control-label cf_rr_preference_1828020-label " for="helpdesk_ticket_cf_rr_preference_1828020">How can we fix this for you?</label>
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              <select class=" required dropdown_blank section_field" data-placeholder="..." name="helpdesk_ticket[custom_field][cf_rr_preference_1828020]" id="helpdesk_ticket_custom_field_cf_rr_preference_1828020"><option value="">...</option>
<option data-id="80007182929" value="Refund">Refund</option>
<option data-id="80007182930" value="Replacement">Replacement</option></select>
            </div> 
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