{{{#!html

<form action="/nemo/newticket?version=release-3.6&type=type&severity=severity&summary=summary" method="get">
<table class="">
<tr>
<td style="border: none; vertical-align: middle">Summary</td>
<td style="border: none;">
<input type="text" name="summary" size="29" placeholder="Type a short description"
</td>
</tr>
<tr>
<td style="border: none;">Type</td>
<td style="border: none;">
<input type="radio" name="type" value="Bug" checked> Bug
<input type="radio" name="type" value="Enhancement"> Enhancement
<input type="radio" name="type" value="Defect"     > Defect
</td>
</tr>
<tr>
<td style="border: none;">Severity</td>
<td style="border: none;">
<input type="radio" name="severity" value="minor" checked> minor
<input type="radio" name="severity" value="major"        > major
<input type="radio" name="severity" value="critical"     > critical
</td>
</tr>
</table>
<p><input type="submit" value="Open a new ticket"/></p>
</form>

}}}