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Description
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Phone Number
Preferred Contact Method
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Text Message
Email
Phone
Do you authorize us to dispatch a technician if necessary (may be billable)?
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Yes
No
<div class="control-group ticket_section"> <div class="controls"> <label class="checkbox required"> <input type="checkbox" name="helpdesk_ticket[custom_field][cf_i_acknowledge_that_i_may_be_charged_for_a_technician_to_come_onsite_717039]" id="helpdesk_ticket_custom_field_cf_i_acknowledge_that_i_may_be_charged_for_a_technician_to_come_onsite_717039_33000462077" value="1" class=" required checkbox section_field" /> I acknowledge that I may be charged for a technician to come onsite. </label> </div> </div>
Department
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Billing
Commercial Fiber
Commercial Internet
Commercial Security
General Questions
Home Fiber Internet
Home Security
Home Wireless Internet
Issue Type
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Access Control (Lock, Motion, etc.)
Alarm Panel Issue
Billing Question
Camera
Fiber Locate (Internal Use Only)
Internet Down
Internet Intermittent
Internet Slow
Plan Change
Request Service Move
Router Issue
Sales Inquiry
Other
<div class="control-group ticket_section"> <label class=" control-label cf_plan_chosen_717039-label " for="helpdesk_ticket_cf_plan_chosen_717039">Plan Chosen</label> <div class="controls "> <select class=" dropdown_blank section_field" data-placeholder="..." name="helpdesk_ticket[custom_field][cf_plan_chosen_717039]" id="helpdesk_ticket_custom_field_cf_plan_chosen_717039"><option value="">...</option> <option data-id="33000452810" value="Legacy 25M">Legacy 25M</option> <option data-id="33000452811" value="Legacy 50M">Legacy 50M</option> <option data-id="33000452812" value="NextGen 100M">NextGen 100M</option> <option data-id="33000452813" value="NextGen 200M">NextGen 200M</option> <option data-id="33000452814" value="NextGen 400M">NextGen 400M</option></select> </div> </div>