Ein Ticket einreichen

Ihre E-Mail-Adresse *

Betreff *

Beschreibung *

<div class="form-group ">
	
		<label for="helpdesk_ticket_custom_field_cf_vk_nummer_2399159" class=" form-label">
			Betroffene VK-Nummern
			
				<span class="fw-asterisk">*</span>
			
			
		</label>

<input
  	type="text"
  	class="form-control "
  	id="helpdesk_ticket_custom_field_cf_vk_nummer_2399159"
		placeholder=""
  	name="helpdesk_ticket[custom_field][cf_vk_nummer_2399159]"
		
  	required
	
		
  >

<div class="invalid-feedback helpdesk_ticket_custom_field_cf_vk_nummer_2399159"></div>
</div>

<div class="form-group  helpdesk_ticket_custom_field_cf_buchhandel_und_verlage373873_2399159">
    <label for="helpdesk_ticket_custom_field_cf_buchhandel_und_verlage373873_2399159" class=" form-label">
    	Sie sind:
	  	
	  		<span class="fw-asterisk">*</span>
	  	
      
    </label>

<select
    	class="form-control choices section-field"
    	id="helpdesk_ticket_custom_field_cf_buchhandel_und_verlage373873_2399159"
    	name="helpdesk_ticket[custom_field][cf_buchhandel_und_verlage373873_2399159]"
      
      	data-placeholder = ''
    	
    	required
     	
     	
    >

<option value>Auswählen...</option>

<option  data-custom-properties='{"id": "{"data-id"=>101001165853}"}'value="Buchhändler">
            Buchhändler
          </option>
       
          <option  data-custom-properties='{"id": "{"data-id"=>101001165854}"}'value="Verlag">
            Verlag
          </option>

</select>

<div class="invalid-feedback helpdesk_ticket_custom_field_cf_buchhandel_und_verlage373873_2399159"></div>
  </div>

Abbrechen