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<div class="control-group ticket_section">
                     <label class="  control-label cf_currency_1015598-label " for="helpdesk_ticket_cf_currency_1015598">Currency</label>
            <div class="controls   ">
              <select class="  dropdown_blank section_field" data-placeholder="..." name="helpdesk_ticket[custom_field][cf_currency_1015598]" id="helpdesk_ticket_custom_field_cf_currency_1015598"><option value="">...</option>
<option data-id="2043001198912" value="United States Dollar">United States Dollar</option>
<option data-id="2043001198913" value="EURO">EURO</option>
<option data-id="2043001198914" value="Philippine PESO">Philippine PESO</option></select>
            </div> 
                  </div>
                  <div class="control-group ticket_section">
                     <label class="  control-label cf_amount_1015598-label " for="helpdesk_ticket_cf_amount_1015598">Amount</label>
            <div class="controls   ">
              <input class="  decimal section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_amount_1015598]" id="helpdesk_ticket_custom_field_cf_amount_1015598" />
            </div> 
                  </div>

<div class="control-group ticket_section">
                     <label class=" required control-label cf_transaction_id_1015598-label " for="helpdesk_ticket_cf_transaction_id_1015598">Transaction ID</label>
            <div class="controls   ">
              <input class=" required text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_transaction_id_1015598]" id="helpdesk_ticket_custom_field_cf_transaction_id_1015598" />
            </div> 
                  </div>
                  <div class="control-group ticket_section">
                     <label class="  control-label cf_which_coin_to_redeem_1015598-label " for="helpdesk_ticket_cf_which_coin_to_redeem_1015598">Which Coin to Redeem? </label>
            <div class="controls   ">
              <select class="  dropdown_blank section_field" data-placeholder="..." name="helpdesk_ticket[custom_field][cf_which_coin_to_redeem_1015598]" id="helpdesk_ticket_custom_field_cf_which_coin_to_redeem_1015598"><option value="">...</option>
<option data-id="2043002002143" value="Bitcoin">Bitcoin</option>
<option data-id="2043002002144" value="Ethereum">Ethereum</option>
<option data-id="2043002002145" value="Litecoin">Litecoin</option>
<option data-id="2043002002146" value="Bitcoin Cash">Bitcoin Cash</option>
<option data-id="2043002002147" value="XRP">XRP</option></select>
            </div> 
                  </div>

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