Form Builder Support

<html><head><meta http-equiv="content-type" content="text/html; charset=UTF-8" /><style>.zsFormClass{background-color:#FFFFFF;width:600px}</style><style>.zsFontClass{color:#000000;font-family:Arial;font-size:13px}</style><style>.manfieldbdr{border-left: 1px solid #ff6448!important} .hleft{text-align:left;} input[type=file]::-webkit-file-upload-button{cursor:pointer;}.wtcsepcode{margin:0px 15px; color:#aaa; float:left;}.wtccloudattach{float:left; color:#00a3fe!important; cursor:pointer; text-decoration: none!important;}.wtccloudattach:hover{text-decoration: none!important;}.wtcuploadinput{cursor:pointer; float:left; width:62px; margin-top:-20px; opacity:0; clear:both;}.wtcuploadfile{float:left;color: #00a3fe;}.filenamecls{margin-right:15px; float:left; margin-top:5px;} .clboth{clear:both;} #zsFileBrowseAttachments{clear:both; margin:5px 0px 10px;} .zsFontClass{vertical-align:top;} #tooltip-zc{font: normal 12px Arial, Helvetica, sans-serif; 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zsResetWebForm(webFormId){document.forms['zsWebToCase_'+webFormId].reset();document.getElementById('zsSubmitButton_82886000000579154').removeAttribute('disabled');setAllDependancyFieldsMapping();zsAttachedAttachmentsCount = 0;zsAttachmentFileBrowserIdsList = [1, 2, 3, 4, 5];jQuery('#zsFileBrowseAttachments').html('');zsCloudPickerJSON = {};if(document.forms['zsWebToCase_82886000000579154']['zsCloudPickerAttachments'] != undefined){document.forms['zsWebToCase_82886000000579154']['zsCloudPickerAttachments'].value = JSON.stringify({});}zsRearrangeFileBrowseAttachments();zsChangeMousePointer();} </script></head> <div id="zohoSupportWebToCase" align="center"> <form name="zsWebToCase_82886000000579154" id="zsWebToCase_82886000000579154" action="https://desk.zoho.com/support/WebToCase" method="POST" onsubmit="return zsValidateMandatoryFields()" enctype="multipart/form-data"><input type="hidden" name="xnQsjsdp" value="a7ousWaZvr5thYo*kRl79w$$" /> <input type="hidden" name="xmIwtLD" value="NBNYdEt*24ln6Ro63Z9Muoe-o4Q-M6zK" /> <input type="hidden" name="actionType" value="Q2FzZXM=" /> <input type="hidden" id="property(module)" value="Cases" /> <input type="hidden" id="dependent_field_values_Cases" value="{&quot;JSON_VALUES&quot;:{&quot;Category&quot;:{&quot;Sub Category&quot;:{&quot;General&quot;:[&quot;Sub General&quot;],&quot;Defects&quot;:[&quot;Sub Defects&quot;]}}},&quot;JSON_SELECT_VALUES&quot;:{&quot;Status&quot;:[&quot;Open&quot;,&quot;On Hold&quot;,&quot;Escalated&quot;,&quot;Closed&quot;],&quot;Category&quot;:[&quot;General&quot;,&quot;Defects&quot;],&quot;Priority&quot;:[&quot;-None-&quot;,&quot;High&quot;,&quot;Medium&quot;,&quot;Low&quot;],&quot;Classification&quot;:[&quot;-None-&quot;,&quot;Question&quot;,&quot;Problem&quot;,&quot;Feature&quot;,&quot;Others&quot;],&quot;Mode&quot;:[&quot;Twitter&quot;,&quot;Phone&quot;,&quot;Email&quot;,&quot;Facebook&quot;,&quot;Web&quot;,&quot;Chat&quot;,&quot;Forums&quot;,&quot;Feedback Widget&quot;],&quot;Sub Category&quot;:[&quot;Sub General&quot;,&quot;Sub Defects&quot;]},&quot;JSON_MAP_DEP_LABELS&quot;:[&quot;Category&quot;]}" /> <input type="hidden" name="returnURL" value="https://www.gowebbaby.com/pages/shopify-apps-development" /> <table border="0" cellspacing="0" cellpadding="5" class="zsFormClass"> <tr> <td colspan="2" class="zsFontClass"><strong>Form Builder Support</strong></td> </tr> <br /> <tr> <td nowrap="nowrap" class="zsFontClass " width="25%" align="left">First Name  </td> <td align="left" width="75%"><input type="text" maxlength="120" name="First Name" value="" /></td> </tr> <tr> <td nowrap="nowrap" class="zsFontClass " width="25%" align="left">Last Name  </td> <td align="left" width="75%"><input type="text" maxlength="120" name="Contact Name" class="manfieldbdr" /></td> </tr> <tr> <td nowrap="nowrap" class="zsFontClass " width="25%" align="left">Email  </td> <td align="left" width="75%"><input type="text" maxlength="120" name="Email" value="" class="manfieldbdr" /></td> </tr> <tr> <td nowrap="nowrap" class="zsFontClass " width="25%" align="left">Subject  </td> <td align="left" width="75%"><input type="text" maxlength="255" name="Subject" value="" class="manfieldbdr" /></td> </tr> <tr> <td nowrap="nowrap" class="zsFontClass " width="25%" align="left">Description   </td> <td align="left" width="75%"><textarea name="Description" maxlength="3000" width="250" height="250"></textarea></td> </tr> <tr> <td nowrap="nowrap" class="zsFontClass " width="25%" align="left">Attachment   </td> <td align="left" width="75%"><span class="zsFontClass wtcuploadfile" id="zsBrowseAttachment">Attach files</span><input class="wtcuploadinput" type="file" name="attachment_1" id="zsattachment_1" style="display:block;" onclick="zsOpenFileBrowseAttachment(event)" onchange="zsRenderBrowseFileAttachment(this.value, this)" /><input class="wtcuploadinput" type="file" name="attachment_2" id="zsattachment_2" style="display:none;" onclick="zsOpenFileBrowseAttachment(event)" onchange="zsRenderBrowseFileAttachment(this.value, this)" /> <input class="wtcuploadinput" type="file" name="attachment_3" id="zsattachment_3" style="display:none;" onclick="zsOpenFileBrowseAttachment(event)" onchange="zsRenderBrowseFileAttachment(this.value, this)" /> <input class="wtcuploadinput" type="file" name="attachment_4" id="zsattachment_4" style="display:none;" onclick="zsOpenFileBrowseAttachment(event)" onchange="zsRenderBrowseFileAttachment(this.value, this)" /> <input class="wtcuploadinput" type="file" name="attachment_5" id="zsattachment_5" style="display:none;" onclick="zsOpenFileBrowseAttachment(event)" onchange="zsRenderBrowseFileAttachment(this.value, this)" /> <div class="clboth"></div> <span id="zsMaxSizeMessage" style="color:black;font-size: 8px;float: left;">Each of your file(s) can be up to 20MB in size.</span><span id="zsMaxLimitMessage" style="color:black;font-size: 8px;float: left;margin-left: 14px;display: none;">You can attach as many as 5 files at a time.</span> <div id="zsFileBrowseAttachments"></div> </td> </tr> <tr> <td colspan="2" align="center" width="25%"><input type="submit" id="zsSubmitButton_82886000000579154" class="zsFontClass" value="Submit" />     <input type="button" class="zsFontClass" value="Reset" onclick="zsResetWebForm('82886000000579154')" /></td> </tr> <br /></table> </form> </div> </html>