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formulario solicitud cnt

formulario para ticket

// Add Shortcode
function custom_form_shortcode() {

	<form method="post" enctype="multipart/form-data" target="gform_ajax_frame_1" id="gform_1" action="/solicitudes/#gf_1">
	    <div class="grid-parent">
	        <div class="grid-33 tablet-grid-33 mobile-grid-33">
	            <label class="gfield_label" for="input_1_16">SEDE<span class="gfield_required">*</span></label>
	            <input name="input_16" id="input_1_16" type="text" value="web_admin_cntcolo" class="large" aria-required="true" aria-invalid="false">
	        </div>
	        <div class="grid-33 tablet-grid-33 mobile-grid-33">
	            <label class="gfield_label" for="input_1_4">DEPENDENCIA<span class="gfield_required">*</span></label>
	            <select name="input_4" id="input_1_4" class="large gfield_select" aria-required="true" aria-invalid="false">
	                <option value="" selected="selected">Elegir Dependencia</option>
	                <option value="K6">K6</option>
	                <option value="K7">K7</option>
	                <option value="COMERCIAL">COMERCIAL</option>
	                <option value="AUX. CONT.">AUX. CONT.</option>
	                <option value="DVR">DVR</option>
	                <option value="CONTADOR">CONTADOR</option>
	                <option value="AUX. ADMIN.">AUX. ADMIN.</option>
	                <option value="CAJA">CAJA</option>
	            </select>
	        </div>
	        <div class="grid-33 tablet-grid-33 mobile-grid-33">
	            <label class="gfield_label" for="input_1_5">ID EQUIPO<span class="gfield_required">*</span></label>
	            <select name="input_5" id="input_1_5" class="large gfield_select" aria-required="true" aria-invalid="false">
	                <option value="" selected="selected">Elegir ID Equipo</option>
	                <option value="CARTERA">CARTERA</option>
	                <option value="DVR">DVR</option>
	                <option value="K6">K6</option>
	                <option value="K7">K7</option>
	                <option value="COMERCIAL">COMERCIAL</option>
	                <option value="AUX. CONT.">AUX. CONT.</option>
	                <option value="DVR">DVR</option>
	                <option value="CONTADOR">CONTADOR</option>
	                <option value="AUX. ADMIN.">AUX. ADMIN.</option>
	                <option value="CAJA">CAJA</option>
	                <option value="ING. A CARGO">ING. A CARGO</option>
	                <option value="GERENCIA">GERENCIA</option>
	                <option value="R. HUMANO">R. HUMANO</option>
	                <option value="CONTROL INT.">CONTROL INT.</option>
	                <option value="TESORERÍA">TESORERÍA</option>
	                <option value="AUDITORÍA">AUDITORÍA</option>
	                <option value="OFICINA">OFICINA</option>
	                <option value="PISTA">PISTA</option>
	            </select>
	        </div>
	    </div>
	    <div class="grid-parent">
	        <div class="grid-33 tablet-grid-33 mobile-grid-33">
	            <label class="gfield_label" for="input_1_6">EQUIPO<span class="gfield_required">*</span></label>
	            <select name="input_6" id="input_1_6" class="large gfield_select" aria-required="true" aria-invalid="false">
	                <option value="" selected="selected">Elegir Equipo</option>
	                <option value="SOFTWARE">SOFTWARE</option>
	                <option value="IMPRESORA">IMPRESORA</option>
	                <option value="CPU">CPU</option>
	                <option value="MONITOR">MONITOR</option>
	                <option value="PORTATIL">PORTATIL</option>
	                <option value="TELÉFONO IP">TELÉFONO IP</option>
	                <option value="DVR">DVR</option>
	                <option value="PERIFÉRICO">PERIFÉRICO</option>
	                <option value="UPS">UPS</option>
	                <option value="SERVIDOR">SERVIDOR</option>
	                <option value="LECTOR BIO">LECTOR BIO</option>
	                <option value="ROUTER">ROUTER</option>
	            </select>
	        </div>
	        <div class="grid-33 tablet-grid-33 mobile-grid-33">
	            <label class="gfield_label" for="input_1_7">MARCA<span class="gfield_required">*</span></label>
	            <select name="input_7" id="input_1_7" class="large gfield_select" aria-required="true" aria-invalid="false">
	                <option value="" selected="selected">Elegir Marca</option>
	                <option value="TOSHIBA">TOSHIBA</option>
	                <option value="HP">HP</option>
	                <option value="EPSON">EPSON</option>
	                <option value="LOGITECH">LOGITECH</option>
	                <option value="COMPAQ">COMPAQ</option>
	                <option value="IDENTICA">IDENTICA</option>
	            </select>
	        </div>
	        <div class="grid-33 tablet-grid-33 mobile-grid-33">
	            <label class="gfield_label" for="input_1_8">MODELO<span class="gfield_required">*</span></label>
	            <select name="input_8" id="input_1_8" class="large gfield_select" aria-required="true" aria-invalid="false">
	                <option value="" selected="selected">Elegir Modelo</option>
	                <option value="TECRA">TECRA</option>
	                <option value="LJP2055">LJP2055</option>
	                <option value="PRO 400">PRO 400</option>
	                <option value="L3150">L3150</option>
	                <option value="TMU-220D">TMU-220D</option>
	                <option value="L355">L355</option>
	                <option value="L375">L375</option>
	                <option value="L455">L455</option>
	                <option value="L350">L350</option>
	                <option value="LJ PRO 402 DN">LJ PRO 402 DN</option>
	                <option value="LJ PRO 400 MFP">LJ PRO 400 MFP</option>
	                <option value="DJ 3775">DJ 3775</option>
	                <option value="LJ ENTER M506">LJ ENTER M506</option>
	            </select>
	        </div>
	    </div>
	    <div class="grid-parent">
	        <div class="grid-33 tablet-grid-33 mobile-grid-33">
	            <label class="gfield_label" for="input_1_9">SERIAL<span class="gfield_required">*</span></label>
	            <input name="input_9" id="input_1_9" type="text" value="" class="large" placeholder="Introduce Serial del Equipo." aria-required="true" aria-invalid="false">
	        </div>
	        <div class="grid-33 tablet-grid-33 mobile-grid-33">
	            <label class="gfield_label" for="input_1_12">FALLA<span class="gfield_required">*</span></label>
	            <textarea name="input_12" id="input_1_12" class="textarea small" placeholder="Describe las fallas que presenta el equipo." aria-required="true" aria-invalid="false" rows="10" cols="50"></textarea>
	        </div>
	        <div class="grid-33 tablet-grid-33 mobile-grid-33">
	            <label class="gfield_label" for="input_1_13">DIAGNOSTICO<span class="gfield_required">*</span></label>
	            <textarea name="input_13" id="input_1_13" class="textarea small" placeholder="Aquí encontrarás el diagnóstico dado por el ing. de sistemas respecto al fallo presentado por el equipo." aria-required="true" aria-invalid="false" rows="10" cols="50"></textarea>
	        </div>
	    </div>
	    <div class="grid-parent">
	        <div class="grid-33 tablet-grid-33 mobile-grid-33">
	            <label class="gfield_label" for="input_1_14">SOLUCIÓN<span class="gfield_required">*</span></label>
	            <textarea name="input_14" id="input_1_14" class="textarea small" placeholder="Esta es la solución a la falla presentada por el equipo." aria-required="true" aria-invalid="false" rows="10" cols="50"></textarea>
	        </div>
	        <div class="grid-33 tablet-grid-33 mobile-grid-33">
	            <label class="gfield_label" for="input_1_17">Email</label>
	            <input name="input_17" id="input_1_17" type="text" value="">
	            <div class="gfield_description" id="gfield_description__17">Este campo es un campo de validación y debe quedar sin cambios.</div>
	        </div>
	        <div class="gform_footer top_label"> <input type="submit" id="gform_submit_button_1" class="gform_button button" value="Enviar" onclick="if(window[&quot;gf_submitting_1&quot;]){return false;}  window[&quot;gf_submitting_1&quot;]=true;  " onkeypress="if( event.keyCode == 13 ){ if(window[&quot;gf_submitting_1&quot;]){return false;} window[&quot;gf_submitting_1&quot;]=true;  jQuery(&quot;#gform_1&quot;).trigger(&quot;submit&quot;,[true]); }"> <input type="hidden" name="gform_ajax" value="form_id=1&amp;title=&amp;description=&amp;tabindex=0"> <input type="hidden" class="gform_hidden" name="is_submit_1" value="1"> <input type="hidden" class="gform_hidden" name="gform_submit" value="1"> <input type="hidden" class="gform_hidden" name="gform_unique_id" value=""> <input type="hidden" class="gform_hidden" name="state_1" value="WyJbXSIsIjQ3ZmMyZTllNGVkNWU5NmY1ZWIyZjhkYjU1NjJkMzNjIl0="> <input type="hidden" class="gform_hidden" name="gform_target_page_number_1" id="gform_target_page_number_1" value="0"> <input type="hidden" class="gform_hidden" name="gform_source_page_number_1" id="gform_source_page_number_1" value="1"> <input type="hidden" name="gform_field_values" value=""></div>
	    </div>
	</form>

}
add_shortcode( 'solicitudes', 'custom_form_shortcode' );