"Support Ticket"
Bootstrap 2.3.2 Snippet by mohammed

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<link href="//netdna.bootstrapcdn.com/twitter-bootstrap/2.3.2/css/bootstrap-combined.min.css" rel="stylesheet" id="bootstrap-css">
<script src="//netdna.bootstrapcdn.com/twitter-bootstrap/2.3.2/js/bootstrap.min.js"></script>
<script src="//code.jquery.com/jquery-1.11.1.min.js"></script>
<!------ Include the above in your HEAD tag ---------->
<form class="contact_form" action="" method="post" name="contact_form">
<li>
<h2> Support Ticket</h2>
<span class="required_notification">* Denotes Required Field</span>
</li>
<li>
<label for="name">Name:</label>
<input type="text" name="name" />
<span class="form_hint">required</span>
</li>
<li>
<label for="email">Email:</label>
<input type="text" name="email" />
<span class="form_hint">Proper format "name@something.com"</span>
</li>
<li>
<label for="Phone">Phone:</label>
<input type="text" name="Phone" />
<span class="form_hint">Not required</span>
</li>
<li>
<label for="proirty">Prority:</label>
<select name="dropdown" class="dropdown">
<option>Proirty...</option>
<option>Cretical</option>
<option>High</option>
<option>Medium</option>
<option>Low</option>
</select>
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:-moz-placeholder {
color: blue;
}
::-webkit-input-placeholder {
color: blue;
}
*:focus {outline: none;}
body {font: 14px/21px "Lucida Sans", "Lucida Grande", "Lucida Sans Unicode", sans-serif;}
.contact_form h2, .contact_form label {font-family:Georgia, Times, "Times New Roman", serif;}
.form_hint, .required_notification {font-size: 11px;}
.contact_form ul {
width:750px;
list-style-type:none;
list-style-position:outside;
margin:0px;
padding:0px;
}
.contact_form li{
padding:12px;
border-bottom:1px solid #eee;
position:relative;
}
.contact_form li:first-child, .contact_form li:last-child {
border-bottom:1px solid #777;
}
.contact_form h2 {
margin:0;
display: inline;
}
.required_notification {
color:#d45252;
margin:5px 0 0 0;
display:inline;
float:right;
}
.contact_form label {
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dropdown = [
'<div class="dk_container" id="dk_container_{{ id }}" tabindex="{{ tabindex }}">',
'<a class="dk_toggle">',
'<span class="dk_label">{{ label }}</span>',
'</a>',
'<div class="dk_options">',
'<ul class="dk_options_inner">',
'</ul>',
'</div>',
'</div>'
].join(''),
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