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-rw-r--r--extensions/BMO/template/en/default/bug/create/comment-fxos-mcts-waiver.txt.tmpl36
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diff --git a/extensions/BMO/template/en/default/bug/create/comment-fxos-mcts-waiver.txt.tmpl b/extensions/BMO/template/en/default/bug/create/comment-fxos-mcts-waiver.txt.tmpl
new file mode 100644
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+++ b/extensions/BMO/template/en/default/bug/create/comment-fxos-mcts-waiver.txt.tmpl
@@ -0,0 +1,36 @@
+[%# This Source Code Form is subject to the terms of the Mozilla Public
+ # License, v. 2.0. If a copy of the MPL was not distributed with this
+ # file, You can obtain one at http://mozilla.org/MPL/2.0/.
+ #
+ # This Source Code Form is "Incompatible With Secondary Licenses", as
+ # defined by the Mozilla Public License, v. 2.0.
+ #%]
+[% PROCESS global/variables.none.tmpl %]
+[% USE Bugzilla %]
+[% cgi = Bugzilla.cgi +%]
+> Company Name
+[%+ cgi.param('company_name') %]
+
+> Device Description
+[%+ cgi.param('device_desc') %]
+
+> Firefox OS Release
+[%+ cgi.param('ffos_release') %]
+
+> Branding Tier
+[%+ cgi.param('branding_tier') %]
+
+> Distribution Countries
+[%+ cgi.param('dist_countries') %]
+
+> Distribution Channel
+[%+ cgi.param('dist_channel') %]
+
+> Reason for Waiver Request
+[%+ cgi.param('reason') %]
+
+> Rationale for Granting Waiver Request
+[%+ cgi.param('rationale') %]
+
+> Impact Analysis
+[%+ cgi.param('impact') %]