<STYLE TYPE='text/css'>BODY, input, select, table {
font-size: 12px;font-family: Arial,Helvetica,FreeSans,'sans - serif';}
</STYLE>
<div id='feedback-main-div' style='font-size: 12px; font-family: Arial,Helvetica,FreeSans,sans-serif'>
<div id='feedback-error'></div>
<form enctype='multipart/form-data' id='feedback-form' name='feedback-form' target='feedback-response' method='post' action='http://jira.teamlead.ru/plugins/servlet/feedback/create'>
<input type='hidden' name='form-index' id='form-index' value='2'/>
<div><input type='text' id='feedback-summary' name='feedback-summary' size='60' placeholder='Summary' value=''/></div>
<div><TEXTAREA id='feedback-body' name='feedback-body' COLS='62' ROWS='5' placeholder='You can specify the details ...'></TEXTAREA></div>
<div><select id='feedback-affect-version' name='feedback-affect-version'>
<option value='' selected >Select a version</option>
<option value='16120'>Confluence</option>
<option value='16121'>JIRA</option>
<option value='16922'>FishEye</option>
<option value='16923'>Crucible</option>
<option value='16924'>Bamboo</option>
<option value='16925'>Crowd</option>
<option value='16926'>Tomcat</option>
<option value='16927'>FeCru</option>
<option value='17020'>Apache</option>
<option value='17021'>SVN</option>
</select>
</div>
<div><input type='text' id='customfield_12740' name='customfield_12740' placeholder='Адрес инсталляции' size='38' value=''/></div>
<div><select id='customfield_12647' name='customfield_12647'>
<option value='' >Пользователей</option>
<option value='11297'>10</option>
<option value='11298'>25</option>
<option value='11299'>50</option>
<option value='11300'>100</option>
<option value='11380'>500</option>
<option value='11381'>2000</option>
<option value='11382'>Unlim</option>
</select></div>
<div><select id='customfield_12646' name='customfield_12646'>
<option value='' >Язык интерфейсов</option>
<option value='11295'>Английский</option>
<option value='11296'>Русский</option>
</select></div>
<div><select id='feedback-priority' name='feedback-priority'>
<option value='' selected >Priority</option>
<option value='1'>Блокирующий</option>
<option value='2'>Критический</option>
<option value='3'>Важный</option>
<option value='4'>Желательный</option>
<option value='5'>Незначительный</option>
</select>
</div>
<input type='text' id='feedback-email' name='feedback-email' placeholder='E-mail' size='38' value=''/>
<input type='button' value=' Ask ' onclick='addFeedback()'/>
</form></div>
<iframe id='feedback-response' name='feedback-response' frameborder='no' style='display: none' width='450' height='200'></iframe><div id='feedback-new-issue-div'><input type='button' id='feedback-new-issue-button' value='Create more issue'></div><script type='text/javascript'>
jQuery(window).load(function()
{
   jQuery('#feedback-main-div').show();
   jQuery('#feedback-new-issue-div').hide();
   jQuery('#feedback-response').hide();
   jQuery('#feedback-new-issue-button').click(function ()
   {
    jQuery('#feedback-form')[0].reset();
    jQuery('#feedback-main-div').show();
    jQuery('#feedback-new-issue-div').hide();
    jQuery('#feedback-response').hide();
   });
});

function addFeedback() {
   var summary = jQuery('#feedback-summary').val();
   var email = jQuery('#feedback-email').val();
   if (summary == '' || email == '')
   {
    var message = '';
    if (summary == '')
    {
     message = message + '<div>Enter the summary</div>';
    }
    if (email == '')
    {
     message = message + '<div>Enter E-mail</div>';
    }
    jQuery('#feedback-error').html(message);
    return false;
}
   jQuery('#feedback-error').html('');
   jQuery('#feedback-main-div').hide();
   jQuery('#feedback-new-issue-div').show();
   jQuery('#feedback-response').show();
   jQuery('#feedback-form').submit();
   return false;
}
</script>