ClickHouse/website/templates/support/form.html

<div id="contact" class="section pt-5">
    <div class="container">
	
		<form action="https://webto.salesforce.com/servlet/servlet.WebToCase?encoding=UTF-8" method="POST">

			<input type=hidden name="orgid" value="00D5f000000JueF">
			<input type=hidden name="retURL" value="https://clickhouse.com/thank-you/">

			<div class="mb-3" style="max-width:720px;">
				<div class="row">
					<div class="form-group col-md-6 mb-3">
						<input class="form-control" id="name" placeholder="Contact Name*" maxlength="80" name="name" size="20" type="text" required>
					</div>
					<div class="form-group col-md-6 mb-3">
						<input class="form-control" id="email" placeholder="Your Work Email*" maxlength="80" name="email" size="20" type="text" required>
					</div>
					<div class="form-group col-12 mb-3">
						<textarea class="form-control" id="00N5f00000MFsS2" name="00N5f00000MFsS2" wrap="soft" rows="4" placeholder="Enter any additional emails (1 per line)..."></textarea>
					</div>
					<div class="form-group col-md-12 mb-3 is-select">
						<select class="form-control" id="priority" name="priority">
							<option disabled selected>Severity Classification</option>
							<option value="Sev-1">Severity 1 - Critical Business Impact: DBMS is not functioning or is stopped or severely impacted so that Customer cannot reasonably continue use of DBMS and no Workaround is available.</option>
							<option value="Sev-2">Severity 2 - Major Business Impact: DBMS is functioning inconsistently causing significantly impaired Customer usage and productivity, such as periodic work stoppages and feature crashes.</option>
							<option value="Sev-3">Severity 3 - Minor Business Impact: DBMS is functioning inconsistently causing slightly impaired Customer usage and productivity but Customer can work around such inconsistency or impairment.</option>
						</select>
					</div>
					<div class="form-group col-md-12 mb-3">
						<input class="form-control" id="subject" maxlength="80" name="subject" size="20" type="text" placeholder="Case Subject" />
					</div>
					<div class="form-group col-md-12 mb-3">
						<textarea class="form-control" name="description" wrap="soft" rows="4" placeholder="Enter your case details..."></textarea>
					</div>
					<div class="form-group col-md-12 mb-0">
						<input class="form-control" id="00N5f00000QbcrO" placeholder="Customer Reference Number" maxlength="25" name="00N5f00000QbcrO" size="20" type="text" />
					</div>

				</div>
			</div>

			<div class="d-flex justify-content-start">
				<input type="submit" name="submit" value="Submit" class="btn btn-lg btn-secondary">
			</div>
			
		</form>
        
        <hr class="is-yellow mt-10">

    </div>
</div>