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open html (dialog) by ribbon button

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I have to create a new ribbon button on Account.

On click of this button, HTML webresource similar to dialog should open containing  - 

One dropdown list - which are lookup values from Account form (values to be fetched from CRM)

Text field - Reason

Submit button

On submit, it should create an email containing account url and requesting email receipent to approve change request . 

Please help !!


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