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<div class="control-group ticket_section"> <div class="controls"> <label class="checkbox "> <input name="helpdesk_ticket[custom_field][cf_i_have_used_the_text_box_above_to_attach_a_selfie_1253816]" type="hidden" value="0" /><input class=" checkbox section_field" id="helpdesk_ticket_custom_field_cf_i_have_used_the_text_box_above_to_attach_a_selfie_1253816_47001746668" type="checkbox" value="1" name="helpdesk_ticket[custom_field][cf_i_have_used_the_text_box_above_to_attach_a_selfie_1253816]" /> To help our artists provide the most accurate recommendations, please attach a makeup-free selfie, using the text box above, taken in natural light - facing a window during the day, avoiding direct sunlight or shadows. Please tick this box to confirm. </label> </div> </div> <div class="control-group ticket_section"> <label class=" required control-label cf_product_picker_1253816-label " for="helpdesk_ticket_cf_product_picker_1253816">I would like to request a sample card for...</label> <div class="controls "> <select class=" required dropdown_blank section_field" data-placeholder="..." name="helpdesk_ticket[custom_field][cf_product_picker_1253816]" id="helpdesk_ticket_custom_field_cf_product_picker_1253816"><option value="">...</option> <option data-id="47001742900" value="Seamless Skin Enhancing Tint">Seamless Skin Enhancing Tint</option> <option data-id="47001742901" value="Seamless Skin Foundation">Seamless Skin Foundation</option></select> </div> </div> <div class="control-group ticket_section"> <label class=" control-label cf_shade_suiter_1253816-label " for="helpdesk_ticket_cf_shade_suiter_1253816">I believe I would be suited to these three shades:</label> <div class="controls "> <input class=" text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_shade_suiter_1253816]" id="helpdesk_ticket_custom_field_cf_shade_suiter_1253816" /> </div> </div> <div class="control-group ticket_section"> <label class=" required control-label cf_current_products_using_1253816-label " for="helpdesk_ticket_cf_current_products_using_1253816">My current foundation or tint product and shade is...</label> <div class="controls "> <input class=" required text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_current_products_using_1253816]" id="helpdesk_ticket_custom_field_cf_current_products_using_1253816" /> </div> </div> <div class="control-group ticket_section"> <label class=" required control-label cf_address_1253816-label " for="helpdesk_ticket_cf_address_1253816">My shipping information is below:</label> <div class="controls "> <textarea class=" required paragraph section_field span12" rows="6" placeholder="" name="helpdesk_ticket[custom_field][cf_address_1253816]" id="helpdesk_ticket_custom_field_cf_address_1253816"> </textarea> </div> </div>
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