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diff --git a/extensions/BMO/template/en/default/bug/create/comment-shield-studies-shipping-status.txt.tmpl b/extensions/BMO/template/en/default/bug/create/comment-shield-studies-shipping-status.txt.tmpl
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+[%# 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.
+ #%]
+
+[% USE Bugzilla %]
+[% cgi = Bugzilla.cgi %]
+
+> Targeted locales
+[%+ cgi.param('targetted_locales') %]
+
+> Sampling rates
+[%+ cgi.param('sampling_rates') %]
+
+> Channel(s)
+[%+ cgi.param('channels') %]
+
+> What is the sample size needed?
+[%+ cgi.param('sample_size') %]
+
+> How long will your study run?
+[%+ cgi.param('study_length') %]