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<div class="control-group ticket_section">
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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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                  </div>
                  <div class="control-group ticket_section">
                     <label class=" required control-label cf_missing_preference_1828020-label " for="helpdesk_ticket_cf_missing_preference_1828020">Cum putem rezolva această problemă pentru dumneavoastră?</label>
            <div class="controls   ">
              <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">Rambursare</option>
<option data-id="80007281369" value="Replacement">Înlocuire</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">Codul produsului</label>
            <div class="controls   ">
              <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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                  </div>
                  <div class="control-group ticket_section">
                     <label class=" required control-label cf_closeaccreason_1828020-label " for="helpdesk_ticket_cf_closeaccreason_1828020">Cum putem rezolva această problemă pentru dumneavoastră?</label>
            <div class="controls   ">
              <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">Rambursare</option>
<option data-id="80005528607" value="Replacement">Înlocuire</option></select>
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                  </div>

<div class="control-group ticket_section">
                     <label class=" required control-label cf_item_code727701_1828020-label " for="helpdesk_ticket_cf_item_code727701_1828020">Codul produsului</label>
            <div class="controls   ">
              <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">Cum putem rezolva această problemă pentru dumneavoastră?</label>
            <div class="controls   ">
              <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">Rambursare</option>
<option data-id="80007182930" value="Replacement">Înlocuire</option></select>
            </div> 
                  </div>

<div class="control-group ticket_section">
                     <label class=" required control-label cf_item_code_1828020-label " for="helpdesk_ticket_cf_item_code_1828020">Codul produsului</label>
            <div class="controls   ">
              <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" />
            </div> 
                  </div>
                  <div class="control-group ticket_section">
                     <label class=" required control-label cf_missing_preference_1828020-label " for="helpdesk_ticket_cf_missing_preference_1828020">Cum putem rezolva această problemă pentru dumneavoastră?</label>
            <div class="controls   ">
              <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">Rambursare</option>
<option data-id="80007281369" value="Replacement">Înlocuire</option></select>
            </div> 
                  </div>

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