Maintenance request

Report a maintenance or repair issue.

Fields

NametextrequiredEmailemailrequiredLocation / unittextrequiredUrgencyselectDescribe the issuetextarearequired

Code

{% comment %}
  Paste this into a Shopify section or a custom Liquid block
  (Online Store > Themes > Edit code, or an Add section > Custom Liquid).
{% endcomment %}
<form action="https://formward.eu/f/your-form-id" method="POST">
  <label for="name">Name</label>
  <input type="text" name="name" id="name" required />
  <label for="email">Email</label>
  <input type="email" name="email" id="email" required />
  <label for="location">Location / unit</label>
  <input type="text" name="location" id="location" required />
  <label for="urgency">Urgency</label>
  <select name="urgency" id="urgency">
    <option value="Low">Low</option>
    <option value="Normal">Normal</option>
    <option value="Urgent">Urgent</option>
    <option value="Emergency">Emergency</option>
  </select>
  <label for="issue">Describe the issue</label>
  <textarea name="issue" id="issue" required></textarea>
  <input type="text" name="_gotcha" tabindex="-1" autocomplete="off" style="position:absolute;left:-9999px" aria-hidden="true" />
  <button type="submit">Send</button>
</form>

Use this with Formward

Create a form, copy your endpoint, and replace https://formward.eu/f/your-form-id in the code above.

Maintenance request template, copy-paste code | Formward