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Please try again."); return 1; } if (ci == 2 ) { var el = document.getElementById('frm_1b3b9b37b9'); if ( typeof(el)=='object' && el != null ) { if (arg_ff1 == 1) { el.submit(); } else Preview(1,0) } }}document.write(' ');document.write('');document.write(' ');document.write(' ');document.write('');document.write(' ');document.write(' ');document.write(' ');document.write(' ');document.write(' ');document.write(' ');document.write('
');document.write('
CUSTOMER SERVICE REQUEST
');document.write('
');document.write('
');document.write('
');document.write(' Date: *');document.write(' ');document.write(' ');document.write(' ');document.write('');document.write(' ');document.write('');document.write(' ');function Sel_currd(){ currd = new Date(); var sel_Year = document.getElementById("fld_y_ba1364d4fe"); var sel_Month = document.getElementById("fld_m_ba1364d4fe"); var sel_Day = document.getElementById("fld_d_ba1364d4fe"); for (i=0; i');document.write('
');document.write(' Company: *');document.write(' ');document.write(' ');document.write('
');document.write(' Contact Person: *');document.write(' ');document.write(' ');document.write('
');document.write(' Address: *');document.write(' ');document.write(' ');document.write('
');document.write(' City: *');document.write(' ');document.write(' ');document.write('
');document.write(' State: *');document.write(' ');document.write(' ');document.write('
');document.write(' ZipCode: *');document.write(' ');document.write(' ');document.write('
');document.write(' Phone: *');document.write(' ');document.write(' ');document.write('
');document.write(' Fax: *');document.write(' ');document.write(' ');document.write('
');document.write(' Cell: *');document.write(' ');document.write(' ');document.write('
');document.write(' Email: *');document.write(' ');document.write(' ');document.write('
');document.write(' ServiceType: *');document.write(' ');document.write(' ');document.write('
');document.write(' Service Needed: *');document.write(' ');document.write(' ');document.write('
');document.write(' Manufacture: *');document.write(' ');document.write(' ');document.write('
');document.write(' Product Type: *');document.write(' ');document.write(' ');document.write('
');document.write(' Model: *');document.write(' ');document.write(' ');document.write('
');document.write(' Serial Number: *');document.write(' ');document.write(' ');document.write('
');document.write(' Purchase Date: *');document.write(' ');document.write(' ');document.write('
');document.write(' Ex Warranty Date: *');document.write(' ');document.write(' ');document.write('
');document.write(' ProblemDescription: *');document.write(' ');document.write(' ');document.write('
');document.write(' Special notes:');document.write(' ');document.write(' ');document.write('
');document.write('
');document.write(' ');document.write(' Reload image');document.write(' 		');document.write('
');document.write(' ');document.write('
');document.write(' ');document.write('');document.write('
');document.write('');document.write('
');document.write('');document.write('');document.write('
');document.write(' ');document.write(''); function Preview(to_show, to_hide ){ var tbl_hide = document.getElementById( aId[to_show] ); var tbl_show = document.getElementById( aId[to_hide] );checktags(); if ( typeof(tbl_hide)=='object' && tbl_hide!=null ) if ( typeof(tbl_show)=='object' && tbl_show!=null ) { tbl_hide.style.display = 'none'; tbl_show.style.display = ''; } tbl_pre=document.getElementById(aId[1]); tbl_pre.style.display='none'; }function submit(){ var el = document.getElementById( ); if ( typeof(el)=='object' && el != null ) el.submit();}function checktags(){ var inputList = document.getElementsByTagName("INPUT"); for(i=0; i=0)) { document.getElementById(inputList[i].id+'qzimg').style.display=""; document.getElementById(inputList[i].id+'qzimg').src='file:///'+inputList[i].value; } } } if(inputList[i].type=='checkbox') { if(inputList[i].checked==true) { var nn=inputList[i].name.substr(0, inputList[i].name.lastIndexOf("[")); document.getElementById(nn+'qz').innerHTML+=(inputList[i].value+" "); } } if(inputList[i].type=='radio') { if(inputList[i].checked==true) { document.getElementById(inputList[i].name+'qz').innerHTML=inputList[i].value; } } } var selectList = document.getElementsByTagName("SELECT"); for(i=0; i');document.write('');document.write(' ');document.write('');document.write(' ');document.write(' ');document.write(' ');document.write(' ');document.write(' ');document.write(' ');document.write(' ');document.write(' ');document.write(' ');document.write(' ');document.write(' ');document.write(' ');document.write(' ');document.write(' ');document.write(' ');document.write(' ');document.write(' ');document.write(' ');document.write(' ');document.write(' ');document.write(' ');document.write(' ');document.write(' ');document.write(' ');document.write(' ');document.write(' ');document.write(' ');document.write(' ');document.write(' ');document.write(' ');document.write(' ');document.write(' ');document.write(' ');document.write(' ');document.write(' ');document.write(' ');document.write(' ');document.write(' ');document.write(' ');document.write(' ');document.write(' ');document.write(' ');document.write(' ');document.write(' ');document.write(' ');document.write(' ');document.write(' ');document.write(' ');document.write(' ');document.write(' ');document.write(' ');document.write(' ');document.write(' ');document.write(' ');document.write(' ');document.write(' ');document.write(' ');document.write(' ');document.write(' ');document.write(' ');document.write(' ');document.write(' ');document.write(' ');document.write(' ');document.write(' ');document.write(' ');document.write(' ');document.write(' ');document.write(' ');document.write('');document.write(''); CeckDis(); document.write(' ');document.write('');