Location: PHPKode > projects > Bug Jr. Support System > dist/SubmitSupportReq.html
<html>
<head>
<title>Submit Support Request</title>
<link rel="stylesheet" type="text/css" href="Themes/Python/Style.css">
</head>
<body bgcolor="#ffffff" link="#000099" alink="#ff0000" vlink="#000099" text="#000000">
<p align="center"><strong>When submitting a support request,&nbsp;</strong>be
sure to describe any faults in detail, and give a brief description of your
environment (i.e. machine model, operating system (such as Windows XP), amount
of RAM, Available Hard Drive Space, etc..).&nbsp; We will process your request
as soon as possible.&nbsp; When you have completed this step, you will be
e-mailed a support ticket number, which you may use to check your ticket's
status.</p>
<p align="center">
<!-- BEGIN Record support --></p>
<p align="center">
<form name="support" action="{Action}" method="post">
  <font class="PythonFormHeaderFont">Submit Support Request</font>&nbsp;
  <table class="PythonFormTABLE" cellspacing="1" cellpadding="3" border="0">
    <!-- BEGIN Error -->
    <tr>
      <td class="PythonDataTD" colspan="2">{Error}</td>
    </tr>
    <!-- END Error -->
    <tr>
      <td class="PythonFieldCaptionTD">
        <p>Describe your problem.</p>
      </td>
      <td class="PythonDataTD"><textarea class="PythonTextarea" name="support_issue" rows="3" cols="50">{support_issue}</textarea>&nbsp;</td>
    </tr>
    <tr>
      <td class="PythonFieldCaptionTD">Your Name:&nbsp;</td>
      <td class="PythonDataTD"><input class="PythonInput" value="{support_customer_name}" name="support_customer_name" style="WIDTH: 323px; HEIGHT: 20px" size="45">&nbsp;</td>
    </tr>
    <tr>
      <td class="PythonFieldCaptionTD">Your E-mail:</td>
      <td class="PythonDataTD"><input class="PythonInput" value="{support_customer_email}" name="support_customer_email" style="WIDTH: 324px; HEIGHT: 20px" size="45">&nbsp;</td>
    </tr>
    <tr>
      <td class="PythonFooterTD" nowrap align="right" colspan="2">
        <!-- BEGIN Button Insert --><input class="PythonButton" type="submit" value="Submit Request" name="Insert"><!-- END Button Insert -->&nbsp;<input type="hidden" value="{Hidden1}" name="Hidden1"></td>
    </tr>
  </table>
  <input type="hidden" value="{support_opened_datetime}" name="support_opened_datetime"><input type="hidden" value="{support_status}" name="support_status"><input type="hidden" value="{support_ticket_number}" name="support_ticket_number">
</form>
</p>
<p align="center"><!-- END Record support --></p>
</body>
</html>
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