Envoyer un ticket : Centre de Support PREMIUM OTT

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Objet :

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<div class="control-group ticket_section">
                     <label class="  control-label cf_n_de_commande_1329010-label " for="helpdesk_ticket_cf_n_de_commande_1329010">N° de Commande :</label>
            <div class="controls   ">
              <input class="  text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_n_de_commande_1329010]" id="helpdesk_ticket_custom_field_cf_n_de_commande_1329010" />
            </div> 
                  </div>
                  <div class="control-group ticket_section">
                     <label class=" required control-label cf_hostportal_httpexempleme8080318404_1329010-label " for="helpdesk_ticket_cf_hostportal_httpexempleme8080318404_1329010">Host/PORTAL (http://exemple.me:8080)</label>
            <div class="controls   ">
              <input class=" required text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_hostportal_httpexempleme8080318404_1329010]" id="helpdesk_ticket_custom_field_cf_hostportal_httpexempleme8080318404_1329010" />
            </div> 
                  </div>
                  <div class="control-group ticket_section">
                     <label class="  control-label cf_username_de_labonnement873559_1329010-label " for="helpdesk_ticket_cf_username_de_labonnement873559_1329010">Username de l'abonnement</label>
            <div class="controls   ">
              <input class="  text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_username_de_labonnement873559_1329010]" id="helpdesk_ticket_custom_field_cf_username_de_labonnement873559_1329010" />
            </div> 
                  </div>
                  <div class="control-group ticket_section">
                     <label class="  control-label cf_application_utilise195323_1329010-label " for="helpdesk_ticket_cf_application_utilise195323_1329010">Application utilisée</label>
            <div class="controls   ">
              <select class="  dropdown_blank section_field" data-placeholder="..." name="helpdesk_ticket[custom_field][cf_application_utilise195323_1329010]" id="helpdesk_ticket_custom_field_cf_application_utilise195323_1329010"><option value="">...</option>
<option data-id="60000844982" value="PREMIUM OTT Tivi (depuis le site)">PREMIUM OTT Tivi (depuis le site)</option>
<option data-id="60000844983" value="PREMIUM OTT MyTV (depuis le site)">PREMIUM OTT MyTV (depuis le site)</option>
<option data-id="60000844984" value="IPTV Smarters Pro">IPTV Smarters Pro</option>
<option data-id="60000844985" value="Smarters Player Lite">Smarters Player Lite</option>
<option data-id="60000844986" value="MytvOnline+">MytvOnline+</option>
<option data-id="60000844987" value="Hot Player">Hot Player</option>
<option data-id="60000844988" value="IBO Player Pro">IBO Player Pro</option>
<option data-id="60000844989" value="ROOM IPTV">ROOM IPTV</option>
<option data-id="60000844990" value="SET IPTV">SET IPTV</option>
<option data-id="60000844991" value="Duplex IPTV">Duplex IPTV</option>
<option data-id="60000844992" value="Flix IPTV">Flix IPTV</option>
<option data-id="60000844993" value="Net IPTV">Net IPTV</option>
<option data-id="60000844994" value="XCIPTV">XCIPTV</option>
<option data-id="60000844995" value="GSE Smart IPTV">GSE Smart IPTV</option>
<option data-id="60000844996" value="Formuler MYTVOnline 2">Formuler MYTVOnline 2</option>
<option data-id="60000844997" value="Formuler MYTVOnline 3">Formuler MYTVOnline 3</option>
<option data-id="60000844998" value="OTT Navigator IPTV">OTT Navigator IPTV</option>
<option data-id="60000844999" value="Televizo IPTV Player">Televizo IPTV Player</option>
<option data-id="60000845000" value="Sparkle TV">Sparkle TV</option>
<option data-id="60000845001" value="Purple Player">Purple Player</option>
<option data-id="60000845002" value="Nano Player">Nano Player</option>
<option data-id="60000845003" value="Bay IPTV">Bay IPTV</option>
<option data-id="60000845004" value="Bob Player">Bob Player</option>
<option data-id="60000845005" value="Fire IPTV">Fire IPTV</option>
<option data-id="60000845006" value="Perfect Player IPTV">Perfect Player IPTV</option>
<option data-id="60000845007" value="Lazy IPTV">Lazy IPTV</option>
<option data-id="60000845008" value="ProgTV">ProgTV</option>
<option data-id="60000845009" value="STBEmu">STBEmu</option>
<option data-id="60000845010" value="MAG Box / Stalker Portal">MAG Box / Stalker Portal</option>
<option data-id="60000845011" value="VLC Media Player">VLC Media Player</option>
<option data-id="60000845012" value="Kodi">Kodi</option>
<option data-id="60000845013" value="TVMate IPTV">TVMate IPTV</option>
<option data-id="60000845014" value="OttPlayer">OttPlayer</option>
<option data-id="60000845015" value="Cloud Stream IPTV Player">Cloud Stream IPTV Player</option>
<option data-id="60000845016" value="M3U IPTV">M3U IPTV</option>
<option data-id="60000845017" value="iMPlayer">iMPlayer</option>
<option data-id="60000845018" value="IPTV Stream Player">IPTV Stream Player</option>
<option data-id="60000845019" value="IPTV Extreme">IPTV Extreme</option>
<option data-id="60000845020" value="IPTV Pro">IPTV Pro</option>
<option data-id="60000845021" value="IPTV Easy Purple Player">IPTV Easy Purple Player</option>
<option data-id="60000845022" value="MegaOTT">MegaOTT</option>
<option data-id="60000845023" value="Flex IPTV">Flex IPTV</option>
<option data-id="60000845024" value="Home IPTV">Home IPTV</option>
<option data-id="60000845025" value="Cosmi DVR IPTV Player">Cosmi DVR IPTV Player</option>
<option data-id="60000845026" value="NoraGO">NoraGO</option>
<option data-id="60000845027" value="Simple IPTV Player">Simple IPTV Player</option>
<option data-id="60000845028" value="GSE SMART IPTV PRO">GSE SMART IPTV PRO</option>
<option data-id="60000845029" value="Xtream IPTV">Xtream IPTV</option>
<option data-id="60000845030" value="XCIPTV Player">XCIPTV Player</option>
<option data-id="60000845031" value="IPTV Streamer">IPTV Streamer</option>
<option data-id="60000845032" value="All IPTV Player">All IPTV Player</option>
<option data-id="60000845033" value="Dream Player IPTV">Dream Player IPTV</option>
<option data-id="60000845034" value="TVIRL">TVIRL</option>
<option data-id="60000845035" value="MXL IPTV">MXL IPTV</option>
<option data-id="60000845036" value="Abo Player">Abo Player</option>
<option data-id="60000845037" value="Lxtream Player">Lxtream Player</option>
<option data-id="60000845038" value="Hot IPTV">Hot IPTV</option>
<option data-id="60000845039" value="UniPlayer">UniPlayer</option>
<option data-id="60000845040" value="Mia Player">Mia Player</option>
<option data-id="60000845041" value="Senso IPTV">Senso IPTV</option>
<option data-id="60000845042" value="Open TV">Open TV</option>
<option data-id="60000845043" value="M3U Player">M3U Player</option>
<option data-id="60000845044" value="Autre (merci de préciser)">Autre (merci de préciser)</option></select>
            </div> 
                  </div>
                  <div class="control-group ticket_section">
                     <label class="  control-label cf_appareil_utilis_1329010-label " for="helpdesk_ticket_cf_appareil_utilis_1329010">Appareil utilisé</label>
            <div class="controls   ">
              <select class="  dropdown_blank section_field" data-placeholder="..." name="helpdesk_ticket[custom_field][cf_appareil_utilis_1329010]" id="helpdesk_ticket_custom_field_cf_appareil_utilis_1329010"><option value="">...</option>
<option data-id="60000845196" value="Boitier Android">Boitier Android</option>
<option data-id="60000845197" value="SMART TV (application SMARTERS)">SMART TV (application SMARTERS)</option>
<option data-id="60000845198" value="SMART TV (Android TV)">SMART TV (Android TV)</option>
<option data-id="60000845199" value="SMART TV (application SMART STB)">SMART TV (application SMART STB)</option>
<option data-id="60000845200" value="Formuler (Model Z11/Z12)">Formuler (Model Z11/Z12)</option>
<option data-id="60000845201" value="Formuler (Model ZZ, Z8, ..., Z10)">Formuler (Model ZZ, Z8, ..., Z10)</option>
<option data-id="60000845202" value="MAG Box">MAG Box</option>
<option data-id="60000845203" value="Smart STB (émulation MAG)">Smart STB (émulation MAG)</option>
<option data-id="60000845204" value="Google TV (Chromecast)">Google TV (Chromecast)</option>
<option data-id="60000845205" value="Amazon Fire TV Stick">Amazon Fire TV Stick</option>
<option data-id="60000845206" value="Apple TV">Apple TV</option>
<option data-id="60000845207" value="iOS (iPhone, iPad)">iOS (iPhone, iPad)</option>
<option data-id="60000845208" value="Smartphone/Tablette Android">Smartphone/Tablette Android</option>
<option data-id="60000845209" value="Xsarius">Xsarius</option>
<option data-id="60000845210" value="Dreambox">Dreambox</option>
<option data-id="60000845211" value="Amiko Box">Amiko Box</option>
<option data-id="60000845212" value="Windows PC">Windows PC</option>
<option data-id="60000845213" value="Mac (macOS)">Mac (macOS)</option>
<option data-id="60000845214" value="Linux PC">Linux PC</option>
<option data-id="60000845215" value="Navigateur Web (Chrome, Firefox, Edge, Safari)">Navigateur Web (Chrome, Firefox, Edge, Safari)</option>
<option data-id="60000845216" value="Xbox">Xbox</option>
<option data-id="60000845217" value="PlayStation">PlayStation</option></select>
            </div> 
                  </div>
                  <div class="control-group ticket_section">
                     <label class="  control-label cf_avezvous_dj_vrifi_les_informations_disponibles_dans_votre_espace_clients_1329010-label " for="helpdesk_ticket_cf_avezvous_dj_vrifi_les_informations_disponibles_dans_votre_espace_clients_1329010">Avez-vous déjà vérifié les informations disponibles dans votre Espace Clients ?</label>
            <div class="controls   ">
              <select class="  dropdown_blank section_field" data-placeholder="..." name="helpdesk_ticket[custom_field][cf_avezvous_dj_vrifi_les_informations_disponibles_dans_votre_espace_clients_1329010]" id="helpdesk_ticket_custom_field_cf_avezvous_dj_vrifi_les_informations_disponibles_dans_votre_espace_clients_1329010"><option value="">...</option>
<option data-id="60000844844" value="Oui">Oui</option>
<option data-id="60000844845" value="Si Non - récupérer vos codes depuis Espace Clients">Si Non - récupérer vos codes depuis Espace Clients</option></select>
            </div> 
                  </div>
                  <div class="control-group ticket_section">
                     <label class="  control-label cf_avezvous_remplac_lancienne_url_oui_non_1329010-label " for="helpdesk_ticket_cf_avezvous_remplac_lancienne_url_oui_non_1329010">Avez-vous remplacé l'ancienne URL ? (Oui / Non)</label>
            <div class="controls   ">
              <select class="  dropdown_blank section_field" data-placeholder="..." name="helpdesk_ticket[custom_field][cf_avezvous_remplac_lancienne_url_oui_non_1329010]" id="helpdesk_ticket_custom_field_cf_avezvous_remplac_lancienne_url_oui_non_1329010"><option value="">...</option>
<option data-id="60000844816" value="Oui">Oui</option>
<option data-id="60000844817" value="Si NON : Remplacer le URL affiché dans votre espace clients">Si NON : Remplacer le URL affiché dans votre espace clients</option></select>
            </div> 
                  </div>

<div class="control-group ticket_section">
                     <label class="  control-label cf_n_de_commande_1329010-label " for="helpdesk_ticket_cf_n_de_commande_1329010">N° de Commande :</label>
            <div class="controls   ">
              <input class="  text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_n_de_commande_1329010]" id="helpdesk_ticket_custom_field_cf_n_de_commande_1329010" />
            </div> 
                  </div>
                  <div class="control-group ticket_section">
                     <label class=" required control-label cf_hostportal_httpexempleme8080318404_1329010-label " for="helpdesk_ticket_cf_hostportal_httpexempleme8080318404_1329010">Host/PORTAL (http://exemple.me:8080)</label>
            <div class="controls   ">
              <input class=" required text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_hostportal_httpexempleme8080318404_1329010]" id="helpdesk_ticket_custom_field_cf_hostportal_httpexempleme8080318404_1329010" />
            </div> 
                  </div>
                  <div class="control-group ticket_section">
                     <label class="  control-label cf_username_de_labonnement873559_1329010-label " for="helpdesk_ticket_cf_username_de_labonnement873559_1329010">Username de l'abonnement</label>
            <div class="controls   ">
              <input class="  text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_username_de_labonnement873559_1329010]" id="helpdesk_ticket_custom_field_cf_username_de_labonnement873559_1329010" />
            </div> 
                  </div>
                  <div class="control-group ticket_section">
                     <label class="  control-label cf_application_utilise195323_1329010-label " for="helpdesk_ticket_cf_application_utilise195323_1329010">Application utilisée</label>
            <div class="controls   ">
              <select class="  dropdown_blank section_field" data-placeholder="..." name="helpdesk_ticket[custom_field][cf_application_utilise195323_1329010]" id="helpdesk_ticket_custom_field_cf_application_utilise195323_1329010"><option value="">...</option>
<option data-id="60000844982" value="PREMIUM OTT Tivi (depuis le site)">PREMIUM OTT Tivi (depuis le site)</option>
<option data-id="60000844983" value="PREMIUM OTT MyTV (depuis le site)">PREMIUM OTT MyTV (depuis le site)</option>
<option data-id="60000844984" value="IPTV Smarters Pro">IPTV Smarters Pro</option>
<option data-id="60000844985" value="Smarters Player Lite">Smarters Player Lite</option>
<option data-id="60000844986" value="MytvOnline+">MytvOnline+</option>
<option data-id="60000844987" value="Hot Player">Hot Player</option>
<option data-id="60000844988" value="IBO Player Pro">IBO Player Pro</option>
<option data-id="60000844989" value="ROOM IPTV">ROOM IPTV</option>
<option data-id="60000844990" value="SET IPTV">SET IPTV</option>
<option data-id="60000844991" value="Duplex IPTV">Duplex IPTV</option>
<option data-id="60000844992" value="Flix IPTV">Flix IPTV</option>
<option data-id="60000844993" value="Net IPTV">Net IPTV</option>
<option data-id="60000844994" value="XCIPTV">XCIPTV</option>
<option data-id="60000844995" value="GSE Smart IPTV">GSE Smart IPTV</option>
<option data-id="60000844996" value="Formuler MYTVOnline 2">Formuler MYTVOnline 2</option>
<option data-id="60000844997" value="Formuler MYTVOnline 3">Formuler MYTVOnline 3</option>
<option data-id="60000844998" value="OTT Navigator IPTV">OTT Navigator IPTV</option>
<option data-id="60000844999" value="Televizo IPTV Player">Televizo IPTV Player</option>
<option data-id="60000845000" value="Sparkle TV">Sparkle TV</option>
<option data-id="60000845001" value="Purple Player">Purple Player</option>
<option data-id="60000845002" value="Nano Player">Nano Player</option>
<option data-id="60000845003" value="Bay IPTV">Bay IPTV</option>
<option data-id="60000845004" value="Bob Player">Bob Player</option>
<option data-id="60000845005" value="Fire IPTV">Fire IPTV</option>
<option data-id="60000845006" value="Perfect Player IPTV">Perfect Player IPTV</option>
<option data-id="60000845007" value="Lazy IPTV">Lazy IPTV</option>
<option data-id="60000845008" value="ProgTV">ProgTV</option>
<option data-id="60000845009" value="STBEmu">STBEmu</option>
<option data-id="60000845010" value="MAG Box / Stalker Portal">MAG Box / Stalker Portal</option>
<option data-id="60000845011" value="VLC Media Player">VLC Media Player</option>
<option data-id="60000845012" value="Kodi">Kodi</option>
<option data-id="60000845013" value="TVMate IPTV">TVMate IPTV</option>
<option data-id="60000845014" value="OttPlayer">OttPlayer</option>
<option data-id="60000845015" value="Cloud Stream IPTV Player">Cloud Stream IPTV Player</option>
<option data-id="60000845016" value="M3U IPTV">M3U IPTV</option>
<option data-id="60000845017" value="iMPlayer">iMPlayer</option>
<option data-id="60000845018" value="IPTV Stream Player">IPTV Stream Player</option>
<option data-id="60000845019" value="IPTV Extreme">IPTV Extreme</option>
<option data-id="60000845020" value="IPTV Pro">IPTV Pro</option>
<option data-id="60000845021" value="IPTV Easy Purple Player">IPTV Easy Purple Player</option>
<option data-id="60000845022" value="MegaOTT">MegaOTT</option>
<option data-id="60000845023" value="Flex IPTV">Flex IPTV</option>
<option data-id="60000845024" value="Home IPTV">Home IPTV</option>
<option data-id="60000845025" value="Cosmi DVR IPTV Player">Cosmi DVR IPTV Player</option>
<option data-id="60000845026" value="NoraGO">NoraGO</option>
<option data-id="60000845027" value="Simple IPTV Player">Simple IPTV Player</option>
<option data-id="60000845028" value="GSE SMART IPTV PRO">GSE SMART IPTV PRO</option>
<option data-id="60000845029" value="Xtream IPTV">Xtream IPTV</option>
<option data-id="60000845030" value="XCIPTV Player">XCIPTV Player</option>
<option data-id="60000845031" value="IPTV Streamer">IPTV Streamer</option>
<option data-id="60000845032" value="All IPTV Player">All IPTV Player</option>
<option data-id="60000845033" value="Dream Player IPTV">Dream Player IPTV</option>
<option data-id="60000845034" value="TVIRL">TVIRL</option>
<option data-id="60000845035" value="MXL IPTV">MXL IPTV</option>
<option data-id="60000845036" value="Abo Player">Abo Player</option>
<option data-id="60000845037" value="Lxtream Player">Lxtream Player</option>
<option data-id="60000845038" value="Hot IPTV">Hot IPTV</option>
<option data-id="60000845039" value="UniPlayer">UniPlayer</option>
<option data-id="60000845040" value="Mia Player">Mia Player</option>
<option data-id="60000845041" value="Senso IPTV">Senso IPTV</option>
<option data-id="60000845042" value="Open TV">Open TV</option>
<option data-id="60000845043" value="M3U Player">M3U Player</option>
<option data-id="60000845044" value="Autre (merci de préciser)">Autre (merci de préciser)</option></select>
            </div> 
                  </div>
                  <div class="control-group ticket_section">
                     <label class="  control-label cf_appareil_utilis_1329010-label " for="helpdesk_ticket_cf_appareil_utilis_1329010">Appareil utilisé</label>
            <div class="controls   ">
              <select class="  dropdown_blank section_field" data-placeholder="..." name="helpdesk_ticket[custom_field][cf_appareil_utilis_1329010]" id="helpdesk_ticket_custom_field_cf_appareil_utilis_1329010"><option value="">...</option>
<option data-id="60000845196" value="Boitier Android">Boitier Android</option>
<option data-id="60000845197" value="SMART TV (application SMARTERS)">SMART TV (application SMARTERS)</option>
<option data-id="60000845198" value="SMART TV (Android TV)">SMART TV (Android TV)</option>
<option data-id="60000845199" value="SMART TV (application SMART STB)">SMART TV (application SMART STB)</option>
<option data-id="60000845200" value="Formuler (Model Z11/Z12)">Formuler (Model Z11/Z12)</option>
<option data-id="60000845201" value="Formuler (Model ZZ, Z8, ..., Z10)">Formuler (Model ZZ, Z8, ..., Z10)</option>
<option data-id="60000845202" value="MAG Box">MAG Box</option>
<option data-id="60000845203" value="Smart STB (émulation MAG)">Smart STB (émulation MAG)</option>
<option data-id="60000845204" value="Google TV (Chromecast)">Google TV (Chromecast)</option>
<option data-id="60000845205" value="Amazon Fire TV Stick">Amazon Fire TV Stick</option>
<option data-id="60000845206" value="Apple TV">Apple TV</option>
<option data-id="60000845207" value="iOS (iPhone, iPad)">iOS (iPhone, iPad)</option>
<option data-id="60000845208" value="Smartphone/Tablette Android">Smartphone/Tablette Android</option>
<option data-id="60000845209" value="Xsarius">Xsarius</option>
<option data-id="60000845210" value="Dreambox">Dreambox</option>
<option data-id="60000845211" value="Amiko Box">Amiko Box</option>
<option data-id="60000845212" value="Windows PC">Windows PC</option>
<option data-id="60000845213" value="Mac (macOS)">Mac (macOS)</option>
<option data-id="60000845214" value="Linux PC">Linux PC</option>
<option data-id="60000845215" value="Navigateur Web (Chrome, Firefox, Edge, Safari)">Navigateur Web (Chrome, Firefox, Edge, Safari)</option>
<option data-id="60000845216" value="Xbox">Xbox</option>
<option data-id="60000845217" value="PlayStation">PlayStation</option></select>
            </div> 
                  </div>
                  <div class="control-group ticket_section">
                     <label class="  control-label cf_une_chane_gratuite_fonctionnetelle_oui_non_1329010-label " for="helpdesk_ticket_cf_une_chane_gratuite_fonctionnetelle_oui_non_1329010">Une chaîne gratuite fonctionne-t-elle ? (Oui / Non)</label>
            <div class="controls   ">
              <select class="  dropdown_blank section_field" data-placeholder="..." name="helpdesk_ticket[custom_field][cf_une_chane_gratuite_fonctionnetelle_oui_non_1329010]" id="helpdesk_ticket_custom_field_cf_une_chane_gratuite_fonctionnetelle_oui_non_1329010"><option value="">...</option>
<option data-id="60000844824" value="Oui">Oui</option>
<option data-id="60000844825" value="Non">Non</option></select>
            </div> 
                  </div>
                  <div class="control-group ticket_section">
                     <label class="  control-label cf_le_problme_concernetil_toutes_les_chanes_oui_non_1329010-label " for="helpdesk_ticket_cf_le_problme_concernetil_toutes_les_chanes_oui_non_1329010">Le problème concerne-t-il toutes les chaînes ? (Oui / Non)</label>
            <div class="controls   ">
              <select class="  dropdown_blank section_field" data-placeholder="..." name="helpdesk_ticket[custom_field][cf_le_problme_concernetil_toutes_les_chanes_oui_non_1329010]" id="helpdesk_ticket_custom_field_cf_le_problme_concernetil_toutes_les_chanes_oui_non_1329010"><option value="">...</option>
<option data-id="60000844826" value="Oui">Oui</option>
<option data-id="60000844827" value="Non">Non</option></select>
            </div> 
                  </div>

<div class="control-group ticket_section">
                     <label class="  control-label cf_n_de_commande_1329010-label " for="helpdesk_ticket_cf_n_de_commande_1329010">N° de Commande :</label>
            <div class="controls   ">
              <input class="  text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_n_de_commande_1329010]" id="helpdesk_ticket_custom_field_cf_n_de_commande_1329010" />
            </div> 
                  </div>
                  <div class="control-group ticket_section">
                     <label class=" required control-label cf_hostportal_httpexempleme8080318404_1329010-label " for="helpdesk_ticket_cf_hostportal_httpexempleme8080318404_1329010">Host/PORTAL (http://exemple.me:8080)</label>
            <div class="controls   ">
              <input class=" required text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_hostportal_httpexempleme8080318404_1329010]" id="helpdesk_ticket_custom_field_cf_hostportal_httpexempleme8080318404_1329010" />
            </div> 
                  </div>
                  <div class="control-group ticket_section">
                     <label class="  control-label cf_username_de_labonnement873559_1329010-label " for="helpdesk_ticket_cf_username_de_labonnement873559_1329010">Username de l'abonnement</label>
            <div class="controls   ">
              <input class="  text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_username_de_labonnement873559_1329010]" id="helpdesk_ticket_custom_field_cf_username_de_labonnement873559_1329010" />
            </div> 
                  </div>
                  <div class="control-group ticket_section">
                     <label class="  control-label cf_application_utilise195323_1329010-label " for="helpdesk_ticket_cf_application_utilise195323_1329010">Application utilisée</label>
            <div class="controls   ">
              <select class="  dropdown_blank section_field" data-placeholder="..." name="helpdesk_ticket[custom_field][cf_application_utilise195323_1329010]" id="helpdesk_ticket_custom_field_cf_application_utilise195323_1329010"><option value="">...</option>
<option data-id="60000844982" value="PREMIUM OTT Tivi (depuis le site)">PREMIUM OTT Tivi (depuis le site)</option>
<option data-id="60000844983" value="PREMIUM OTT MyTV (depuis le site)">PREMIUM OTT MyTV (depuis le site)</option>
<option data-id="60000844984" value="IPTV Smarters Pro">IPTV Smarters Pro</option>
<option data-id="60000844985" value="Smarters Player Lite">Smarters Player Lite</option>
<option data-id="60000844986" value="MytvOnline+">MytvOnline+</option>
<option data-id="60000844987" value="Hot Player">Hot Player</option>
<option data-id="60000844988" value="IBO Player Pro">IBO Player Pro</option>
<option data-id="60000844989" value="ROOM IPTV">ROOM IPTV</option>
<option data-id="60000844990" value="SET IPTV">SET IPTV</option>
<option data-id="60000844991" value="Duplex IPTV">Duplex IPTV</option>
<option data-id="60000844992" value="Flix IPTV">Flix IPTV</option>
<option data-id="60000844993" value="Net IPTV">Net IPTV</option>
<option data-id="60000844994" value="XCIPTV">XCIPTV</option>
<option data-id="60000844995" value="GSE Smart IPTV">GSE Smart IPTV</option>
<option data-id="60000844996" value="Formuler MYTVOnline 2">Formuler MYTVOnline 2</option>
<option data-id="60000844997" value="Formuler MYTVOnline 3">Formuler MYTVOnline 3</option>
<option data-id="60000844998" value="OTT Navigator IPTV">OTT Navigator IPTV</option>
<option data-id="60000844999" value="Televizo IPTV Player">Televizo IPTV Player</option>
<option data-id="60000845000" value="Sparkle TV">Sparkle TV</option>
<option data-id="60000845001" value="Purple Player">Purple Player</option>
<option data-id="60000845002" value="Nano Player">Nano Player</option>
<option data-id="60000845003" value="Bay IPTV">Bay IPTV</option>
<option data-id="60000845004" value="Bob Player">Bob Player</option>
<option data-id="60000845005" value="Fire IPTV">Fire IPTV</option>
<option data-id="60000845006" value="Perfect Player IPTV">Perfect Player IPTV</option>
<option data-id="60000845007" value="Lazy IPTV">Lazy IPTV</option>
<option data-id="60000845008" value="ProgTV">ProgTV</option>
<option data-id="60000845009" value="STBEmu">STBEmu</option>
<option data-id="60000845010" value="MAG Box / Stalker Portal">MAG Box / Stalker Portal</option>
<option data-id="60000845011" value="VLC Media Player">VLC Media Player</option>
<option data-id="60000845012" value="Kodi">Kodi</option>
<option data-id="60000845013" value="TVMate IPTV">TVMate IPTV</option>
<option data-id="60000845014" value="OttPlayer">OttPlayer</option>
<option data-id="60000845015" value="Cloud Stream IPTV Player">Cloud Stream IPTV Player</option>
<option data-id="60000845016" value="M3U IPTV">M3U IPTV</option>
<option data-id="60000845017" value="iMPlayer">iMPlayer</option>
<option data-id="60000845018" value="IPTV Stream Player">IPTV Stream Player</option>
<option data-id="60000845019" value="IPTV Extreme">IPTV Extreme</option>
<option data-id="60000845020" value="IPTV Pro">IPTV Pro</option>
<option data-id="60000845021" value="IPTV Easy Purple Player">IPTV Easy Purple Player</option>
<option data-id="60000845022" value="MegaOTT">MegaOTT</option>
<option data-id="60000845023" value="Flex IPTV">Flex IPTV</option>
<option data-id="60000845024" value="Home IPTV">Home IPTV</option>
<option data-id="60000845025" value="Cosmi DVR IPTV Player">Cosmi DVR IPTV Player</option>
<option data-id="60000845026" value="NoraGO">NoraGO</option>
<option data-id="60000845027" value="Simple IPTV Player">Simple IPTV Player</option>
<option data-id="60000845028" value="GSE SMART IPTV PRO">GSE SMART IPTV PRO</option>
<option data-id="60000845029" value="Xtream IPTV">Xtream IPTV</option>
<option data-id="60000845030" value="XCIPTV Player">XCIPTV Player</option>
<option data-id="60000845031" value="IPTV Streamer">IPTV Streamer</option>
<option data-id="60000845032" value="All IPTV Player">All IPTV Player</option>
<option data-id="60000845033" value="Dream Player IPTV">Dream Player IPTV</option>
<option data-id="60000845034" value="TVIRL">TVIRL</option>
<option data-id="60000845035" value="MXL IPTV">MXL IPTV</option>
<option data-id="60000845036" value="Abo Player">Abo Player</option>
<option data-id="60000845037" value="Lxtream Player">Lxtream Player</option>
<option data-id="60000845038" value="Hot IPTV">Hot IPTV</option>
<option data-id="60000845039" value="UniPlayer">UniPlayer</option>
<option data-id="60000845040" value="Mia Player">Mia Player</option>
<option data-id="60000845041" value="Senso IPTV">Senso IPTV</option>
<option data-id="60000845042" value="Open TV">Open TV</option>
<option data-id="60000845043" value="M3U Player">M3U Player</option>
<option data-id="60000845044" value="Autre (merci de préciser)">Autre (merci de préciser)</option></select>
            </div> 
                  </div>
                  <div class="control-group ticket_section">
                     <label class="  control-label cf_appareil_utilis_1329010-label " for="helpdesk_ticket_cf_appareil_utilis_1329010">Appareil utilisé</label>
            <div class="controls   ">
              <select class="  dropdown_blank section_field" data-placeholder="..." name="helpdesk_ticket[custom_field][cf_appareil_utilis_1329010]" id="helpdesk_ticket_custom_field_cf_appareil_utilis_1329010"><option value="">...</option>
<option data-id="60000845196" value="Boitier Android">Boitier Android</option>
<option data-id="60000845197" value="SMART TV (application SMARTERS)">SMART TV (application SMARTERS)</option>
<option data-id="60000845198" value="SMART TV (Android TV)">SMART TV (Android TV)</option>
<option data-id="60000845199" value="SMART TV (application SMART STB)">SMART TV (application SMART STB)</option>
<option data-id="60000845200" value="Formuler (Model Z11/Z12)">Formuler (Model Z11/Z12)</option>
<option data-id="60000845201" value="Formuler (Model ZZ, Z8, ..., Z10)">Formuler (Model ZZ, Z8, ..., Z10)</option>
<option data-id="60000845202" value="MAG Box">MAG Box</option>
<option data-id="60000845203" value="Smart STB (émulation MAG)">Smart STB (émulation MAG)</option>
<option data-id="60000845204" value="Google TV (Chromecast)">Google TV (Chromecast)</option>
<option data-id="60000845205" value="Amazon Fire TV Stick">Amazon Fire TV Stick</option>
<option data-id="60000845206" value="Apple TV">Apple TV</option>
<option data-id="60000845207" value="iOS (iPhone, iPad)">iOS (iPhone, iPad)</option>
<option data-id="60000845208" value="Smartphone/Tablette Android">Smartphone/Tablette Android</option>
<option data-id="60000845209" value="Xsarius">Xsarius</option>
<option data-id="60000845210" value="Dreambox">Dreambox</option>
<option data-id="60000845211" value="Amiko Box">Amiko Box</option>
<option data-id="60000845212" value="Windows PC">Windows PC</option>
<option data-id="60000845213" value="Mac (macOS)">Mac (macOS)</option>
<option data-id="60000845214" value="Linux PC">Linux PC</option>
<option data-id="60000845215" value="Navigateur Web (Chrome, Firefox, Edge, Safari)">Navigateur Web (Chrome, Firefox, Edge, Safari)</option>
<option data-id="60000845216" value="Xbox">Xbox</option>
<option data-id="60000845217" value="PlayStation">PlayStation</option></select>
            </div> 
                  </div>
                  <div class="control-group ticket_section">
                     <label class="  control-label cf_le_problme_survientil_certaines_heures_oui_non_1329010-label " for="helpdesk_ticket_cf_le_problme_survientil_certaines_heures_oui_non_1329010">Le problème survient-il à certaines heures ? (Oui / Non)</label>
            <div class="controls   ">
              <select class="  dropdown_blank section_field" data-placeholder="..." name="helpdesk_ticket[custom_field][cf_le_problme_survientil_certaines_heures_oui_non_1329010]" id="helpdesk_ticket_custom_field_cf_le_problme_survientil_certaines_heures_oui_non_1329010"><option value="">...</option>
<option data-id="60000844833" value="Oui">Oui</option>
<option data-id="60000844834" value="Non">Non</option></select>
            </div> 
                  </div>
                  <div class="control-group ticket_section">
                     <label class="  control-label cf_une_autre_connexion_4gwifi_atelle_t_teste_oui_non_1329010-label " for="helpdesk_ticket_cf_une_autre_connexion_4gwifi_atelle_t_teste_oui_non_1329010">Une autre connexion (4G/wifi) a-t-elle été testée ? (Oui / Non)</label>
            <div class="controls   ">
              <select class="  dropdown_blank section_field" data-placeholder="..." name="helpdesk_ticket[custom_field][cf_une_autre_connexion_4gwifi_atelle_t_teste_oui_non_1329010]" id="helpdesk_ticket_custom_field_cf_une_autre_connexion_4gwifi_atelle_t_teste_oui_non_1329010"><option value="">...</option>
<option data-id="60000844835" value="Oui">Oui</option>
<option data-id="60000844836" value="Non">Non</option></select>
            </div> 
                  </div>

<div class="control-group ticket_section">
                     <label class="  control-label cf_adresse_email_utilise_lors_de_la_commande_1329010-label " for="helpdesk_ticket_cf_adresse_email_utilise_lors_de_la_commande_1329010">Adresse e-mail utilisée lors de la commande</label>
            <div class="controls   ">
              <input class="  text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_adresse_email_utilise_lors_de_la_commande_1329010]" id="helpdesk_ticket_custom_field_cf_adresse_email_utilise_lors_de_la_commande_1329010" />
            </div> 
                  </div>
                  <div class="control-group ticket_section">
                     <label class="  control-label cf_numro_de_commande_si_disponible_1329010-label " for="helpdesk_ticket_cf_numro_de_commande_si_disponible_1329010">Numéro de commande (si disponible)</label>
            <div class="controls   ">
              <input class="  text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_numro_de_commande_si_disponible_1329010]" id="helpdesk_ticket_custom_field_cf_numro_de_commande_si_disponible_1329010" />
            </div> 
                  </div>

<div class="control-group ticket_section">
                     <label class="  control-label cf_pays_1329010-label " for="helpdesk_ticket_cf_pays_1329010">Pays</label>
            <div class="controls   ">
              <input class="  text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_pays_1329010]" id="helpdesk_ticket_custom_field_cf_pays_1329010" />
            </div> 
                  </div>
                  <div class="control-group ticket_section">
                     <label class="  control-label cf_exprience_iptv_1329010-label " for="helpdesk_ticket_cf_exprience_iptv_1329010">Expérience IPTV :</label>
            <div class="controls   ">
              <select class="  dropdown_blank section_field" data-placeholder="..." name="helpdesk_ticket[custom_field][cf_exprience_iptv_1329010]" id="helpdesk_ticket_custom_field_cf_exprience_iptv_1329010"><option value="">...</option>
<option data-id="60000844837" value="Débutant">Débutant</option>
<option data-id="60000844838" value="Intermédiaire">Intermédiaire</option>
<option data-id="60000844839" value="Expérimenté">Expérimenté</option></select>
            </div> 
                  </div>
                  <div class="control-group ticket_section">
                     <label class="  control-label cf_volume_estim_1329010-label " for="helpdesk_ticket_cf_volume_estim_1329010">Volume estimé :</label>
            <div class="controls   ">
              <select class="  dropdown_blank section_field" data-placeholder="..." name="helpdesk_ticket[custom_field][cf_volume_estim_1329010]" id="helpdesk_ticket_custom_field_cf_volume_estim_1329010"><option value="">...</option>
<option data-id="60000844840" value="&lt; 10 clients">&lt; 10 clients</option>
<option data-id="60000844841" value="10–100clients">10–100clients</option>
<option data-id="60000844842" value="&gt; 100 clients">&gt; 100 clients</option></select>
            </div> 
                  </div>

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