Try this, it might work.
<h2>Please fill in the form below to open a new ticket.</h2>
<form action="http://OSTICKETROOT/open.php" method="post" enctype="multipart/form-data">
<fieldset id="form-name" class="Required">
<label>Full Name:</label>
<input type="text" name="name" value="CLIENT SPECIFIC" />
<BR>
</fieldset>
<fieldset id="form-email" class="Required">
<label>Email Address:</label>
<input type="text" name="email" value="CLIENT SPECIFIC" />
<BR>
</fieldset>
<fieldset >
<label>Telephone:</label>
<input type="text" name="phone" value="CLIENT SPECIFIC" />
</fieldset>
<fieldset id="form-topic" class="Required">
<label>Help Topic:</label>
<select name="topicId">
<option value="" >Select One</option>
<BR>
<option value="0" >General Inquiry</option>
<option value="1" >Billing</option>
<option value="2" >Support</option>
</select>
</fieldset>
<fieldset id="form-subject" class="Required">
<label>Subject:</label>
<input type="text" name="subject" value="" />
</fieldset>
<fieldset id="form-message" class="Required">
<label>Message:</label>
<textarea rows="5" cols="80" name="message"></textarea>
</fieldset>
<?}?>
<fieldset id="button-group">
<input class="FormButton" type="submit" name="submit_x" value="Submit Ticket" />
<input class="FormButton" type="reset" value="Reset" />
<input class="FormButton" type="button" name="cancel" value="Cancel" onclick='window.location.href="index.php"' />
</fieldset>
</form>
Change the site root, and the CLIENT SPECIFIC stuff as needed, save as html, put it where you need it, it will call the action on your build of osticket, and take them to the page for confirmation.