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Play Football Registration
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<div class="control-group ticket_section"> <label class=" required control-label cf_type_of_request_514424-label " for="helpdesk_ticket_cf_type_of_request_514424">Type of Request</label> <div class="controls "> <select class=" required dropdown_blank section_field dynamic_sections" id="helpdesk_ticket_custom_field_cf_type_of_request_514424" name="helpdesk_ticket[custom_field][cf_type_of_request_514424]"><option value="">...</option> <option value="Self Registration" data-id="22000315018">Self Registration</option> <option value="Club Administration" data-id="22000315019">Club Administration</option></select> </div> </div> <div class="control-group ticket_section"> <label class=" required control-label cf_issue_514424-label " for="helpdesk_ticket_cf_issue_514424">Issue</label> <div class="controls "> <select class=" required dropdown_blank section_field dynamic_sections" id="helpdesk_ticket_custom_field_cf_issue_514424" name="helpdesk_ticket[custom_field][cf_issue_514424]"><option value="">...</option> <option value="Forgot password" data-id="22000314984">Forgot password</option> <option value="Don't know my FFA number" data-id="22000314985">Don't know my FFA number</option> <option value="Don't know the email address linked to my account" data-id="22000314986">Don't know the email address linked to my account</option> <option value="Incorrect DOB on my account" data-id="22000314987">Incorrect DOB on my account</option> <option value="Misspelt name on my account " data-id="22000314988">Misspelt name on my account </option> <option value="Account error" data-id="22000314989">Account error</option> <option value="Not eligible for registration package" data-id="22000314990">Not eligible for registration package</option> <option value="Online payment problem" data-id="22000314991">Online payment problem</option> <option value="Other" data-id="22000314992">Other</option></select> </div> </div> <div class="control-group ticket_section"> <label class=" required control-label players_full_name_514424-label " for="helpdesk_ticket_players_full_name_514424">Player's Full Name</label> <div class="controls "> <input class=" required text section_field span12" id="helpdesk_ticket_custom_field_players_full_name_514424" name="helpdesk_ticket[custom_field][players_full_name_514424]" size="30" type="text" /> </div> </div> <div class="control-group ticket_section"> <label class=" required control-label cf_players_date_of_birth_ddmmyyyy_514424-label " for="helpdesk_ticket_cf_players_date_of_birth_ddmmyyyy_514424">Player's Date of Birth (DD/MM/YYYY)</label> <div class="controls "> <input class=" required text section_field span12" id="helpdesk_ticket_custom_field_cf_players_date_of_birth_ddmmyyyy_514424" name="helpdesk_ticket[custom_field][cf_players_date_of_birth_ddmmyyyy_514424]" size="30" type="text" /> </div> </div> <div class="control-group ticket_section"> <label class=" control-label players_last_known_club_514424-label " for="helpdesk_ticket_players_last_known_club_514424">Player's Last Known Club</label> <div class="controls "> <input class=" text section_field span12" id="helpdesk_ticket_custom_field_players_last_known_club_514424" name="helpdesk_ticket[custom_field][players_last_known_club_514424]" size="30" type="text" /> </div> </div> <div class="control-group ticket_section"> <label class=" control-label mfn_514424-label " for="helpdesk_ticket_mfn_514424">FFA Number (If known)</label> <div class="controls "> <input class=" text section_field span12" id="helpdesk_ticket_custom_field_mfn_514424" name="helpdesk_ticket[custom_field][mfn_514424]" size="30" type="text" /> </div> </div>
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