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<div class="form-group "> <label for="helpdesk_ticket_custom_field_customer_phone_number_152229" class=" form-label"> Requester's Phone Number (w/Area Code) </label> <input type="text" class="form-control " id="helpdesk_ticket_custom_field_customer_phone_number_152229" placeholder="" name="helpdesk_ticket[custom_field][customer_phone_number_152229]" aria-describedby = "helpdesk_ticket_custom_field_customer_phone_number_152229-error-message" > <div class="invalid-feedback helpdesk_ticket_custom_field_customer_phone_number_152229" id="helpdesk_ticket_custom_field_customer_phone_number_152229-error-message"></div> </div> <div class="form-group "> <label for="helpdesk_ticket_custom_field_subscribers_street_address_152229" class=" form-label"> Requester's Address </label> <input type="text" class="form-control " id="helpdesk_ticket_custom_field_subscribers_street_address_152229" placeholder="" name="helpdesk_ticket[custom_field][subscribers_street_address_152229]" aria-describedby = "helpdesk_ticket_custom_field_subscribers_street_address_152229-error-message" > <div class="invalid-feedback helpdesk_ticket_custom_field_subscribers_street_address_152229" id="helpdesk_ticket_custom_field_subscribers_street_address_152229-error-message"></div> </div> <div class="form-group "> <label for="helpdesk_ticket_custom_field_subscribers_zip_code_152229" class=" form-label"> What is your zip code? <span class="fw-asterisk">*</span> </label> <input type="text" class="form-control " id="helpdesk_ticket_custom_field_subscribers_zip_code_152229" placeholder="" name="helpdesk_ticket[custom_field][subscribers_zip_code_152229]" required data-number = "true" aria-describedby = "helpdesk_ticket_custom_field_subscribers_zip_code_152229-error-message" > <div class="invalid-feedback helpdesk_ticket_custom_field_subscribers_zip_code_152229" id="helpdesk_ticket_custom_field_subscribers_zip_code_152229-error-message"></div> </div> <div class="nested_field"> <div class="form-group "> <label for="helpdesk_ticket_custom_field_cf_news_choose_a_category_for_your_support_needs_152229" class="form-label"> Choose a category for your support needs: <span class="fw-asterisk">*</span> </label> <select class="form-control parent_field nested_select_field choices " id="helpdesk_ticket_custom_field_cf_news_choose_a_category_for_your_support_needs_152229" name="helpdesk_ticket[custom_field][cf_news_choose_a_category_for_your_support_needs_152229]" required data-nested-choices = "[["Antenna/Cable/Satellite","Antenna/Cable/Satellite",[["Antenna/Over-The-Air","Antenna/Over-The-Air",[["Signal Issue","Signal Issue"],["Audio Issue","Audio Issue"],["Video/Display Issue","Video/Display Issue"],["Closed Captioning Issue","Closed Captioning Issue"],["Programming Guide Issue","Programming Guide Issue"],["Advertising","Advertising"],["Other","Other"]]],["Cable (Please list provider name in body of your submission)","Cable (Please list provider name in body of your submission)",[["Signal Issue","Signal Issue"],["Audio Issue","Audio Issue"],["Video/Display Issue","Video/Display Issue"],["Closed Captioning Issue","Closed Captioning Issue"],["Programming Guide Issue","Programming Guide Issue"],["Advertising","Advertising"],["Other","Other"]]],["Satellite (Please list provider name in body of your submission)","Satellite (Please list provider name in body of your submission)",[["Signal Issue","Signal Issue"],["Audio Issue","Audio Issue"],["Video/Display Issue","Video/Display Issue"],["Closed Captioning Issue","Closed Captioning Issue"],["Programming Guide Issue","Programming Guide Issue"],["Advertising","Advertising"],["Other","Other"]]]]],["Streaming TV Support","Streaming TV Support",[["Apple TV","Apple TV",[["Loading/Crashing Issue","Loading/Crashing Issue"],["Audio Issue","Audio Issue"],["Video/Display Issue","Video/Display Issue"],["Closed Captioning Issue","Closed Captioning Issue"],["Advertising","Advertising"],["Programming Guide Issue","Programming Guide Issue"],["Other","Other"]]],["Android TV","Android TV",[["Loading/Crashing Issue","Loading/Crashing Issue"],["Audio Issue","Audio Issue"],["Video/Display Issue","Video/Display Issue"],["Closed Captioning Issue","Closed Captioning Issue"],["Advertising","Advertising"],["Programming Guide Issue","Programming Guide Issue"],["Other","Other"]]],["Fire TV","Fire TV",[["Loading/Crashing Issue","Loading/Crashing Issue"],["Audio Issue","Audio Issue"],["Video/Display Issue","Video/Display Issue"],["Closed Captioning Issue","Closed Captioning Issue"],["Advertising","Advertising"],["Programming Guide Issue","Programming Guide Issue"],["Other","Other"]]],["Roku TV","Roku TV",[["Loading/Crashing Issue","Loading/Crashing Issue"],["Audio Issue","Audio Issue"],["Video/Display Issue","Video/Display Issue"],["Closed Captioning Issue","Closed Captioning Issue"],["Advertising","Advertising"],["Programming Guide Issue","Programming Guide Issue"],["Other","Other"]]],["Other Streaming Service (Please list provider name in body of your submission)","Other Streaming Service (Please list provider name in body of your submission)",[["Loading/Crashing Issue","Loading/Crashing Issue"],["Audio Issue","Audio Issue"],["Video/Display Issue","Video/Display Issue"],["Closed Captioning Issue","Closed Captioning Issue"],["Advertising","Advertising"],["Programming Guide Issue","Programming Guide Issue"],["Other","Other"]]]]],["Website Support","Website Support",[["Chrome","Chrome",[["Loading/Crashing","Loading/Crashing"],["Content","Content"],["Advertising","Advertising"],["Display","Display"],["Newsletters","Newsletters"],["Story Suggestion/News Tip","Story Suggestion/News Tip"],["Schedule","Schedule"],["Suggestion/Comments","Suggestion/Comments"],["Other","Other"]]],["Safari","Safari",[["Loading/Crashing","Loading/Crashing"],["Content","Content"],["Advertising","Advertising"],["Display","Display"],["Newsletters","Newsletters"],["Story Suggestion/News Tip","Story Suggestion/News Tip"],["Schedule","Schedule"],["Suggestion/Comments","Suggestion/Comments"],["Other","Other"]]],["Firefox","Firefox",[["Loading/Crashing","Loading/Crashing"],["Content","Content"],["Advertising","Advertising"],["Display","Display"],["Newsletters","Newsletters"],["Story Suggestion/News Tip","Story Suggestion/News Tip"],["Schedule","Schedule"],["Suggestion/Comments","Suggestion/Comments"],["Other","Other"]]],["Edge","Edge",[["Loading/Crashing","Loading/Crashing"],["Content","Content"],["Advertising","Advertising"],["Display","Display"],["Newsletters","Newsletters"],["Story Suggestion/News Tip","Story Suggestion/News Tip"],["Schedule","Schedule"],["Suggestion/Comments","Suggestion/Comments"],["Other","Other"]]],["Other (Please list browser name in body of your submission)","Other (Please list browser name in body of your submission)",[["Loading/Crashing","Loading/Crashing"],["Content","Content"],["Advertising","Advertising"],["Display","Display"],["Newsletters","Newsletters"],["Story Suggestion/News Tip","Story Suggestion/News Tip"],["Schedule","Schedule"],["Suggestion/Comments","Suggestion/Comments"],["Other","Other"]]]]],["Mobile App Support","Mobile App Support",[["iPhone","iPhone",[["Loading/Crashing","Loading/Crashing"],["Livestream Issue","Livestream Issue"],["Technical Issue","Technical Issue"],["Content","Content"],["Story Suggestion/News Tip","Story Suggestion/News Tip"],["Advertising","Advertising"],["Notifications","Notifications"],["App Feature Request","App Feature Request"],["General Inquiry","General Inquiry"]]],["iPad","iPad",[["Loading/Crashing","Loading/Crashing"],["Livestream Issue","Livestream Issue"],["Technical Issue","Technical Issue"],["Content","Content"],["Story Suggestion/News Tip","Story Suggestion/News Tip"],["Advertising","Advertising"],["Notifications","Notifications"],["App Feature Request","App Feature Request"],["General Inquiry","General Inquiry"]]],["Android Phone","Android Phone",[["Loading/Crashing","Loading/Crashing"],["Livestream Issue","Livestream Issue"],["Technical Issue","Technical Issue"],["Content","Content"],["Story Suggestion/News Tip","Story Suggestion/News Tip"],["Advertising","Advertising"],["Notifications","Notifications"],["App Feature Request","App Feature Request"],["General Inquiry","General Inquiry"]]],["Android Tablet","Android Tablet",[["Loading/Crashing","Loading/Crashing"],["Livestream Issue","Livestream Issue"],["Technical Issue","Technical Issue"],["Content","Content"],["Story Suggestion/News Tip","Story Suggestion/News Tip"],["Advertising","Advertising"],["Notifications","Notifications"],["App Feature Request","App Feature Request"],["General Inquiry","General Inquiry"]]],["Other (Please list device type in body of submission)","Other (Please list device type in body of submission)",[["Loading/Crashing","Loading/Crashing"],["Livestream Issue","Livestream Issue"],["Technical Issue","Technical Issue"],["Content","Content"],["Story Suggestion/News Tip","Story Suggestion/News Tip"],["Advertising","Advertising"],["Notifications","Notifications"],["App Feature Request","App Feature Request"],["General Inquiry","General Inquiry"]]]]],["Other Support","Other Support",[]]]" data-selected-choices = "null" data-nested-levels = "[{"id":5000007343,"label":"NEWS How Are You Viewing:","label_in_portal":"How Are You Viewing:","name":"cf_news_how_are_you_viewing_152229","level":2,"field_type":"nested_child"},{"id":5000007344,"label":"NEWS Choose which field best applies:","label_in_portal":"Choose which field best applies:","name":"cf_news_choose_which_field_best_applies_152229","level":3,"field_type":"nested_child"}]" data-placeholder = "" data-required-field = "true" aria-describedby = "helpdesk_ticket_custom_field_cf_news_choose_a_category_for_your_support_needs_152229-error-message" > <option value>Choose...</option> <option data-custom-properties='{"id": ""}' value="Antenna/Cable/Satellite"> Antenna/Cable/Satellite </option> <option data-custom-properties='{"id": ""}' value="Streaming TV Support"> Streaming TV Support </option> <option data-custom-properties='{"id": ""}' value="Website Support"> Website Support </option> <option data-custom-properties='{"id": ""}' value="Mobile App Support"> Mobile App Support </option> <option data-custom-properties='{"id": ""}' value="Other Support"> Other Support </option> </select> <div class="invalid-feedback helpdesk_ticket_custom_field_cf_news_choose_a_category_for_your_support_needs_152229" id="helpdesk_ticket_custom_field_cf_news_choose_a_category_for_your_support_needs_152229-error-message"></div> </div> <div class="child_field ps-18"></div> </div> <div class="form-group "> <label for="helpdesk_ticket_custom_field_cf_news_how_are_you_viewing_antennacable_providersatellite_provider_etc_152229" class=" form-label"> How Are You Viewing (Antenna/Cable Provider/Satellite Provider, etc.): </label> <input type="text" class="form-control " id="helpdesk_ticket_custom_field_cf_news_how_are_you_viewing_antennacable_providersatellite_provider_etc_152229" placeholder="" name="helpdesk_ticket[custom_field][cf_news_how_are_you_viewing_antennacable_providersatellite_provider_etc_152229]" aria-describedby = "helpdesk_ticket_custom_field_cf_news_how_are_you_viewing_antennacable_providersatellite_provider_etc_152229-error-message" > <div class="invalid-feedback helpdesk_ticket_custom_field_cf_news_how_are_you_viewing_antennacable_providersatellite_provider_etc_152229" id="helpdesk_ticket_custom_field_cf_news_how_are_you_viewing_antennacable_providersatellite_provider_etc_152229-error-message"></div> </div>
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