Sushi Yama Widget

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Description

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Ärendetyp

<div class="control-group ticket_section">
                 <label class=" required control-label cf_restaurang_1058070-label " for="helpdesk_ticket_cf_restaurang_1058070">Restaurang</label>
            <div class="controls   ">
              <select class=" required dropdown_blank section_field" data-placeholder="..." name="helpdesk_ticket[custom_field][cf_restaurang_1058070]" id="helpdesk_ticket_custom_field_cf_restaurang_1058070"><option value="">...</option>
<option data-id="2043001300528" value="Ej tillämpbart">Ej tillämpbart</option>
<option data-id="2043001300548" value="Sthlm - Barkarby">Sthlm - Barkarby</option>
<option data-id="2043001300529" value="Sthlm - Centralstationen">Sthlm - Centralstationen</option>
<option data-id="2043001300546" value="Sthlm - Farsta">Sthlm - Farsta</option>
<option data-id="2043001863485" value="Sthlm - Fältöversten">Sthlm - Fältöversten</option>
<option data-id="2043002630584" value="Sthlm - Gallerian">Sthlm - Gallerian</option>
<option data-id="2043001300545" value="Sthlm - Gullmarsplan">Sthlm - Gullmarsplan</option>
<option data-id="2043002630585" value="Sthlm - Liljeholmstorget">Sthlm - Liljeholmstorget</option>
<option data-id="2043003144333" value="Sthlm - Odenplan">Sthlm - Odenplan</option>
<option data-id="2043001300537" value="Sthlm - PK-huset">Sthlm - PK-huset</option>
<option data-id="2043001300540" value="Sthlm - Västermalm">Sthlm - Västermalm</option>
<option data-id="2043002012889" value="Borlänge - Kupolen">Borlänge - Kupolen</option>
<option data-id="2043001979437" value="Eskilstuna - Cityhuset">Eskilstuna - Cityhuset</option>
<option data-id="2043002630588" value="Gävle - Valbo Köpcentrum">Gävle - Valbo Köpcentrum</option>
<option data-id="2043001300568" value="Göteborg - Femman">Göteborg - Femman</option>
<option data-id="2043002630589" value="Göteborg - Frölunda Torg">Göteborg - Frölunda Torg</option>
<option data-id="2043002410596" value="Göteborg - Mölndal">Göteborg - Mölndal</option>
<option data-id="2043001300567" value="Göteborg - Stenpiren">Göteborg - Stenpiren</option>
<option data-id="2043003171565" value="Göteborg - Vallgatan">Göteborg - Vallgatan</option>
<option data-id="2043002486070" value="Halmstad - Storgatan 44">Halmstad - Storgatan 44</option>
<option data-id="2043001300556" value="Jönköping - Asecs">Jönköping - Asecs</option>
<option data-id="2043002486071" value="Karlstad - Bergvik">Karlstad - Bergvik</option>
<option data-id="2043001300564" value="Karlstad - Mitt i City">Karlstad - Mitt i City</option>
<option data-id="2043001424909" value="Kungälv - Kongahälla">Kungälv - Kongahälla</option>
<option data-id="2043002630590" value="Linköping - I-Huset">Linköping - I-Huset</option>
<option data-id="2043001300553" value="Linköping - Stora Torget">Linköping - Stora Torget</option>
<option data-id="2043002486072" value="Lund - Nova Lund">Lund - Nova Lund</option>
<option data-id="2043002983738" value="Malmö - Emporia">Malmö - Emporia</option>
<option data-id="2043003122898" value="Malmö - Hansa">Malmö - Hansa</option>
<option data-id="2043002630592" value="Malmö - Mobilia">Malmö - Mobilia</option>
<option data-id="2043001300551" value="Norrköping - Drottninggatan">Norrköping - Drottninggatan</option>
<option data-id="2043001979436" value="Norrköping - Ingelsta">Norrköping - Ingelsta</option>
<option data-id="2043001300550" value="Nyköping">Nyköping</option>
<option data-id="2043002410597" value="Partille - Allum">Partille - Allum</option>
<option data-id="2043003122899" value="Sollentuna - Sollentuna Centrum">Sollentuna - Sollentuna Centrum</option>
<option data-id="2043003171566" value="Solna - Arenastaden">Solna - Arenastaden</option>
<option data-id="2043002133376" value="Skövde - Elins Esplanad">Skövde - Elins Esplanad</option>
<option data-id="2043002630595" value="Uddevalla - Torp Köpcentrum">Uddevalla - Torp Köpcentrum</option>
<option data-id="2043002630596" value="Umeå - Avion">Umeå - Avion</option>
<option data-id="2043002630597" value="Umeå - Utopia">Umeå - Utopia</option>
<option data-id="2043001300559" value="Uppsala - Centralstationen">Uppsala - Centralstationen</option>
<option data-id="2043003122900" value="Uppsala - Gränbystaden">Uppsala - Gränbystaden</option>
<option data-id="2043002630598" value="Uppsala - S:t Per Gallerian">Uppsala - S:t Per Gallerian</option>
<option data-id="2043001300561" value="Västerås - Centra">Västerås - Centra</option>
<option data-id="2043001300562" value="Västerås - Erikslund">Västerås - Erikslund</option>
<option data-id="2043002246697" value="Växjö - Grand Samarkand">Växjö - Grand Samarkand</option>
<option data-id="2043001300566" value="Örebro - Marieberg">Örebro - Marieberg</option>
<option data-id="2043001300565" value="Örebro - Stortorget">Örebro - Stortorget</option></select>
            </div> 
                </div>
      <div class="control-group ticket_section">
                 <label class=" required control-label cf_datum_1058070-label " for="helpdesk_ticket_cf_datum_1058070">Datum</label>
            <div class="controls  support-date-field ">
              <input type="text" name="helpdesk_ticket[custom_field][cf_datum_1058070]" id="helpdesk_ticket_custom_field_cf_datum_1058070" class=" required date section_field datepicker_popover" readonly="readonly" data-show-image="true" data-date-format="d M, yy" placeholder="" />
            </div> 
                </div>
      <div class="control-group ticket_section">
                 <label class=" required control-label cf_klockslag_1058070-label " for="helpdesk_ticket_cf_klockslag_1058070">Ungefärligt klockslag</label>
            <div class="controls   ">
              <input class=" required text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_klockslag_1058070]" id="helpdesk_ticket_custom_field_cf_klockslag_1058070" />
            </div> 
                </div>
      <div class="control-group ticket_section">
                 <label class="  control-label cf_kvittonummer_1058070-label " for="helpdesk_ticket_cf_kvittonummer_1058070">Ev. kvittonummer eller ordernummer för PreOrder</label>
            <div class="controls   ">
              <input class="  number section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_kvittonummer_1058070]" id="helpdesk_ticket_custom_field_cf_kvittonummer_1058070" />
            </div> 
                </div>

Kontaktformulär

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