Service Request form: Submission #1631

Submission information

Submission Number: 1631

Submission ID: 132744

Submission UUID: 63502b2a-ecb5-4fe1-9997-66bfb79cef95

Submission URI: /en/form/service-request-form

Créé: Wed, 07/29/2026 - 18:30

Terminé: Wed, 07/29/2026 - 18:30

Changed: Wed, 07/29/2026 - 18:30

Remote IP address: 172.17.0.2

Submitted by: Anonyme

Langue: French

Is draft: No

Webform: Service Request form

Top Header Text New request

Your request concerns Claim

Your last name sdfasd

Your first name Order

Your email bicstest681@gmail.com

Order number or description asdfsdafdsa

Phone number 03 89 41 96

Desired solution Je souhaite conserver la commande avec une remise

Your message sdfasd

Attachment {Empty}

User id 321

Status New

Ticket id 00002190

SF Case Id 500AW00000iG0fWYAS

Help text Les champs marqués "*" sont obligatoires

Secondary tabs