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Diffstat (limited to 'extensions/MozProjectReview/template/en/default/bug/create/create-moz-project-review.html.tmpl')
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diff --git a/extensions/MozProjectReview/template/en/default/bug/create/create-moz-project-review.html.tmpl b/extensions/MozProjectReview/template/en/default/bug/create/create-moz-project-review.html.tmpl new file mode 100644 index 000000000..f4fc6ea7a --- /dev/null +++ b/extensions/MozProjectReview/template/en/default/bug/create/create-moz-project-review.html.tmpl @@ -0,0 +1,697 @@ +[%# 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 %] + +[% PROCESS global/header.html.tmpl + title = "Mozilla Project Review" + style_urls = [ 'extensions/MozProjectReview/web/style/moz_project_review.css' ] + javascript_urls = [ 'js/field.js', 'js/util.js', + 'extensions/MozProjectReview/web/js/moz_project_review.js' ] + yui = [ 'autocomplete', 'calendar' ] +%] + +<p> + <strong>Please use this form for submitting a Mozilla Project Review</strong> + If you have a [% terms.bug %] to file, go <a href="enter_bug.cgi">here</a>. +</p> + +<p> + (<span class="required_star">*</span> = + <span class="required_explanation">Required Field</span>) +</p> + +<form method="post" action="post_bug.cgi" id="incidentForm" enctype="multipart/form-data" + onSubmit="return MPR.validateAndSubmit();"> + <input type="hidden" id="product" name="product" value="mozilla.org"> + <input type="hidden" id="component" name="component" value="Project Review"> + <input type="hidden" id="rep_platform" name="rep_platform" value="All"> + <input type="hidden" id="groups" name="groups" value="mozilla-corporation-confidential"> + <input type="hidden" id="op_sys" name="op_sys" value="All"> + <input type="hidden" id="priority" name="priority" value="--"> + <input type="hidden" id="version" name="version" value="other"> + <input type="hidden" id="format" name="format" value="moz-project-review"> + <input type="hidden" id="bug_severity" name="bug_severity" value="normal"> + <input type="hidden" id="token" name="token" value="[% token FILTER html %]"> + + <div id="initial_questions"> + <div class="header">Initial Questions</div> + + <div id="project_feature_summary_row" class="field_row"> + <span class="field_label required">Project/Feature Name:</span> + <span class="field_data"> + <div class="field_description">Be brief yet descriptive as possible. Include name of product, + feature, or name of vendor involved as well if appropriate.</div> + <input type="text" name="short_desc" id="short_desc" size="60" maxsize="255"> + </span> + </div> + + <div id="tracking_id_row" class="field_row"> + <span class="field_label">Tracking [% terms.Bug %] ID:</span> + <span class="field_data"> + <div class="field_description">Master tracking [% terms.bug %] number (if it exists)?</div> + <input type="text" name="tracking_id" id="tracking_id" size="60"> + </span> + </div> + + <div id="contacts_row" class="field_row"> + <span class="field_label required">Points of Contact:</span> + <span class="field_data"> + <div class="field_description">Who are the points of contact for this review?</div> + [% INCLUDE global/userselect.html.tmpl + id => "cc" + name => "cc" + value => "" + size => 60 + classes => ["bz_userfield"] + multiple => 5 + %] + </span> + </div> + + <div id="description_row" class="field_row"> + <span class="field_label required">Description:</span> + <span class="field_data"> + <div class="field_description">Please provide a short description of the feature / application / project / + business relationship (e.g. problem solved, use cases, etc.)</div> + <textarea name="description" id="description" rows="10" cols="80"></textarea> + </span> + </div> + + <div id="additional_row" class="field_row"> + <span class="field_label">Additional Information:</span> + <span class="field_data"> + <div class="field_description">Please provide links to additional information (e.g. feature page, wiki) + if available and not yet included in feature description.)</div> + <textarea name="additional" id="additional" rows="10" cols="80"></textarea> + </span> + </div> + + <div id="key_initiative_row" class="field_row"> + <span class="field_label required">Key Initiative:</span> + <span class="field_data"> + <div class="field_description">Which key initiative does this support?</div> + <select name="key_initiative" id="key_initiative"> + <option value="">Select One</option> + <option value="Firefox Desktop">Firefox Desktop</option> + <option value="Firefox Mobile">Firefox Mobile</option> + <option value="Firefox OS">Firefox OS</option> + <option value="Firefox Platform">Firefox Platform</option> + <option value="Marketplace / Apps">Marketplace / Apps</option> + <option value="Services: Persona">Services: Persona</option> + <option value="Services: WebRTC">Services: WebRTC</option> + <option value="Services: UP">Services: UP</option> + <option value="Services: Social API">Services: Social API</option> + <option value="Labs / Research / H3">Labs / Research / H3</option> + <option value="Product Support">Product Support</option> + <option value="Corp Support">Corp Support</option> + <option value="Other">Other</option> + </select> + </span> + </div> + + <div id="key_initiative_other_row" class="field_row bz_default_hidden"> + <span class="field_label"> </span> + <span class="field_data"> + <input type="text" name="key_initiative_other" id="key_initiative_other" size="60"> + </span> + </div> + + <div id="release_date_row" class="field_row"> + <span class="field_label required">Release Date:</span> + <span class="field_data"> + <div class="field_description">What is your overall key release / launch date / go live date?</div> + <input name="release_date" size="20" id="release_date" value="" + onchange="updateCalendarFromField(this)"> + <button type="button" class="calendar_button" + id="button_calendar_release_date" + onclick="showCalendar('release_date')"> + <span>Calendar</span> + </button> + <div id="con_calendar_release_date"></div> + <script type="text/javascript"> + createCalendar('release_date') + </script> + </span> + </div> + + <div id="project_status_row" class="field_row"> + <span class="field_label required">Project Status:</span> + <span class="field_data"> + <div class="field_description">What is the current state of your project?</div> + <select name="project_status" id="project_status"> + <option value="">Select One</option> + <option value="future">Future project under discussion</option> + <option value="active">Active planning</option> + <option value="development">Development</option> + <option value="ready">Ready to launch/commit</option> + <option value="launched">Already launched/committed</option> + </select> + </span> + </div> + + <div id="mozilla_data_row" class="field_row"> + <span class="field_label required">Mozilla Data:</span> + <span class="field_data"> + <div class="field_description">Does this product/service/project access, interact with, or store Mozilla + (customer, contributor, user, employee) data? Example of such data includes + email addresses, first and last name, addresses, phone numbers, credit card data.)</div> + <select name="mozilla_data" id="mozilla_data"> + <option value="">Select One</option> + <option value="Yes">Yes</option> + <option value="No">No</option> + </select> + </span> + </div> + + <div id="mozilla_related_row" class="field_row"> + <span class="field_label">Mozilla Related:</span> + <span class="field_data"> + <div class="field_description">What Mozilla products/services/projects does this product/service/project + integrate with or relate to?</div> + <input type="text" name="mozilla_related" id="mozilla_related" size="60"> + </span> + </div> + + <div id="separate_party_row" class="field_row"> + <span class="field_label required">Separate Party:</span> + <span class="field_data"> + <div class="field_description">Hardware Purchases, + Vendor agreements, NDAs, Contracts etc</div> + <select name="separate_party" id="separate_party"> + <option value="">Select One</option> + <option value="Yes">Yes</option> + <option value="No">No</option> + </select> + </span> + </div> + + <div id="initial_separate_party_questions" class="bz_default_hidden"> + <div id="relation_type_row" class="field_row"> + <span class="field_label required">Type of Relationship:</span> + <span class="field_data"> + <div class="field_description">What type of relationship?</div> + <select name="relationship_type" id="relationship_type"> + <option value="">Select One</option> + <option value="Hardware Purchase">Hardware Purchase</option> + <option value="Vendor/Services">Vendor/Services</option> + <option value="Distribution/Bundling">Distribution/Bundling</option> + <option value="Search">Search</option> + <option value="NDA">NDA</option> + <option value="Other">Other</option> + </select> + </span> + </div> + + <div id="data_access_row" class="field_row"> + <span class="field_label required">Data Access:</span> + <span class="field_data"> + <div class="field_description">Will the other party have access to Mozilla (customer, contributor, user, + employee) data? (If this is for an NDA, choose no)</div> + <select name="data_access" id="data_access"> + <option value="">Select One</option> + <option value="Yes">Yes</option> + <option value="No">No</option> + </select> + </span> + </div> + + <div id="privacy_policy_row" class="field_row"> + <span class="field_label">Privacy Policy:</span> + <span class="field_data"> + <div class="field_description">What is the url for their privacy policy?</div> + <input type="text" name="privacy_policy" id="privacy_policy" size="60"> + </span> + </div> + + <div id="vendor_cost_row" class="field_row"> + <span class="field_label required">Vendor Cost:</span> + <span class="field_data"> + <div class="field_description">What is the anticipated cost of the vendor relationship? + (Entire Contract Cost, not monthly cost)</div> + <select name="vendor_cost" id="vendor_cost"> + <option value="">Select One</option> + <option value="N/A">N/A</option> + <option value="<= $25,000"><= $25,000</option> + <option value="> $25,000">> $25,000</option> + </select> + </span> + </div> + + <div id="po_needed_row" class="field_row bz_default_hidden"> + <span class="field_label required">PO Needed?:</span> + <span class="field_data"> + <select name="po_needed" id="po_needed"> + <option value="">Select One</option> + <option value="Yes">Yes</option> + <option value="No">No</option> + </select> + </span> + </div> + </div> + </div> + + <div id="sec_review_questions" class="bz_default_hidden"> + <div class="header">Security Review</div> + + <div id="sec_review_affects_products_row"> + <span class="field_label">Affects Products:</span> + <span class="field_data"> + <div class="field_description">Does this feature or code change affect Firefox, Thunderbird or any + product or service the Mozilla ships to end users?</div> + <select name="sec_affects_products" id="sec_affects_products"> + <option value="">Select One</option> + <option value="Yes">Yes</option> + <option value="No">No</option> + </select> + </span> + </div> + + <div id="sec_review_date_row" class="field_row"> + <span class="field_label">Review Due Date:</span> + <span class="field_data"> + <div class="field_description">When would you like the review to be completed? + (<a href="https://mail.mozilla.com/home/ckoenig@mozilla.com/Security%20Review.html" + target="_blank">more info</a>)</div> + <input name="sec_review_date" size="20" id="sec_review_date" value="" + onchange="updateCalendarFromField(this)"> + <button type="button" class="calendar_button" + id="button_calendar_sec_review_date" + onclick="showCalendar('sec_review_date')"> + <span>Calendar</span> + </button> + <div id="con_calendar_sec_review_date"></div> + <script type="text/javascript"> + createCalendar('sec_review_date') + </script> + </span> + </div> + + <div id="sec_review_invitees_row" class="field_row"> + <span class="field_label">Review Invitees:</span> + <span class="field_data"> + <div class="field_description">Whom should be invited to the review?</div> + <input type="text" name="sec_review_invitees" id="sec_review_invitees" size="60"> + </span> + </div> + + <div id="sec_review_extra_row" class="field_row"> + <span class="field_label">Extra Information:</span> + <span class="field_data"> + <div class="field_description">If you feel something is missing here or you would like to provide other + kind of feedback, feel free to do so here?</div> + <textarea name="sec_review_extra" id="sec_review_extra" rows="10" cols="80"></textarea> + </span> + </div> + </div> + + <div id="privacy_policy_project_questions" class="bz_default_hidden"> + <div class="header">Privacy (Policy/Project)</div> + + <div id="privacy_policy_project_link_row" class="field_row"> + <span class="field_label">Is there a privacy policy for<br>this new feature/product?:</span> + <span class="field_data"> + <div class="field_description">If yes, please enter a url to the policy.</div> + <input type="text" name="privacy_policy_project_link" id="privacy_policy_project_link" size="60"> + </span> + </div> + + <div id="privacy_policy_project_assistance_row" class="field_row"> + <span class="field_label required">What assistance do you need from the privacy team (if any)?:</span> + <span class="field_data"> + <textarea name="privacy_policy_project_assistance" id="privacy_policy_project_assistance" rows="10" cols="80"></textarea> + </span> + </div> + </div> + + <div id="privacy_policy_vendor_questions" class="bz_default_hidden"> + <div class="header">Privacy (Policy/Vendor)</div> + + <div id="privacy_policy_vendor_user_data_row" class="field_row"> + <span class="field_label">Privacy Policy:</span> + <span class="field_data"> + <div class="field_description">Will the vendor have access to Mozilla (customer, contributor, user, employee) data?</div> + <select name="privacy_policy_vendor_user_data" id="privacy_policy_vendor_user_data"> + <option value="">Select One</option> + <option value="Yes">Yes</option> + <option value="No">No</option> + </select> + </span> + </div> + + <div id="privacy_policy_vendor_extra" class="bz_default_hidden"> + <div id="privacy_policy_vendor_link_row" class="field_row"> + <span class="field_label">Vendor's Privacy Policy:</span> + <span class="field_data"> + <div class="field_description">Please provide link to vendor's privacy policy</div> + <input type="text" name="privacy_policy_vendor_link" id="privacy_policy_vendor_link" size="60"> + </span> + </div> + + <div id="privacy_policy_vendor_questionnaire_row" class="field_row"> + <span class="field_label">Privacy Questionnaire:</span> + <span class="field_data"> + <div class="field_description">Has vendor completed Mozilla Vendor Privacy Questionnaire?</div> + <select name="privacy_policy_vendor_questionnaire" id="privacy_policy_vendor_questionnaire"> + <option value="">Select One</option> + <option value="Yes">Yes</option> + <option value="No">No</option> + </select> + </span> + </div> + </div> + </div> + + <div id="legal_questions" class="bz_default_hidden"> + <div class="header">Legal</div> + + <div id="legal_priority_row" class="field_row"> + <span class="field_label required">Priority:</span> + <span class="field_data"> + <div class="field_description">Priority to your team</div> + <select name="legal_priority" id="legal_priority"> + <option value="">Select One</option> + <option value="high">High</option> + <option value="medium">Medium</option> + <option value="low">Low</option> + </select> + </span> + </div> + + <div id="legal_timeframe_row" class="field_row"> + <span class="field_label required">Time Frame For Completion<br>of Legal Portion?:</span> + <span class="field_data"> + <div class="field_description">What is the desired time frame to have the legal component/involvement completed.</div> + <select name="legal_timeframe" id="legal_timeframe"> + <option value="2 days">2 days</option> + <option value="a week">a week</option> + <option value="2-4 weeks">2-4 weeks</option> + <option value="will take a while but please start soon"> + will take a while but please start soon</option> + <option value="no rush" selected>no rush</option> + </select> + </span> + </div> + + <div id="legal_cc_row" class="field_row"> + <span class="field_label">Cc:</span> + <span class="field_data"> + [% INCLUDE global/userselect.html.tmpl + id => "legal_cc" + name => "legal_cc" + value => "" + size => 60 + classes => ["bz_userfield"] + multiple => 5 + %] + </span> + </div> + + <div id="legal_other_party_row" class="field_row"> + <span class="field_label">Other Party:</span> + <span class="field_data"> + <div class="field_description">Name of other party involved</div> + <input type="text" name="legal_other_party" id="legal_other_party" size="60"> + </span> + </div> + + <div id="legal_help_from_legal_row" class="field_row"> + <span class="field_label required">What help do you<br>need from Legal?</span> + <span class="field_data"> + <div class="field_description"> + Please explain specifically what help you need from Legal. If none, put "No Legal help needed."</div> + <textarea name="legal_help_from_legal" id="legal_help_from_legal" rows="10" cols="80"></textarea> + </span> + </div> + + <div id="legal_sow_questions" class="bz_default_hidden"> + <div class=field_row"> + <span class="field_label">SOW Details:</span> + <span class="field_data"> + Please provide the following information for the SOW + </span> + </div> + + <div id="legal_sow_vendor_name_row" class="field_row"> + <span class="field_label required">Legal Vendor Name:</span> + <span class="field_data"> + <input type="text" name="legal_sow_vendor_name" id="legal_sow_vendor_name" size="60"> + </span> + </div> + + <div id="legal_sow_vendor_address_row" class="field_row"> + <span class="field_label required">Vendor Address:</span> + <span class="field_data"> + <textarea name="legal_sow_vendor_address" id="legal_sow_vendor_address" rows="10" cols="80"></textarea> + </span> + </div> + + <div id="legal_sow_vendor_email_row" class="field_row"> + <span class="field_label required">Vendor Email for Notices:</span> + <span class="field_data"> + <input type="text" name="legal_sow_vendor_email" id="legal_sow_vendor_email" size="60"> + </span> + </div> + + <div id="legal_sow_vendor_mozcontact_row" class="field_row"> + <span class="field_label required">Main Mozilla Contact:</span> + <span class="field_data"> + [% INCLUDE global/userselect.html.tmpl + id => "legal_sow_vendor_mozcontact" + name => "legal_sow_vendor_mozcontact" + value => "" + size => 60 + classes => ["bz_userfield"] + multiple => 5 + %] + </span> + </div> + + <div id="legal_sow_vendor_contact_row" class="field_row"> + <span class="field_label required">Main Vendor Contact and Email:</span> + <span class="field_data"> + <input type="text" name="legal_sow_vendor_contact" id="legal_sow_vendor_contact" size="60"> + </span> + </div> + + <div id="legal_sow_vendor_services_row" class="field_row"> + <span class="field_label required">Vendor Services to be Provided:</span> + <span class="field_data"> + <textarea name="legal_sow_vendor_services" id="legal_sow_vendor_services" rows="10" cols="80"></textarea> + </span> + </div> + + <div id="legal_sow_vendor_deliverables_row" class="field_row"> + <span class="field_label required">Description of Deliverables:</span> + <span class="field_data"> + <textarea name="legal_sow_vendor_deliverables" id="legal_sow_vendor_deliverables" rows="10" cols="80"></textarea> + </span> + </div> + + <div id="legal_sow_start_date_row" class="field_row"> + <span class="field_label required">Start Date:</span> + <span class="field_data"> + <input name="legal_sow_start_date" size="20" id="legal_sow_start_date" value="" + onchange="updateCalendarFromField(this)"> + <button type="button" class="calendar_button" + id="button_calendar_legal_sow_start_date" + onclick="showCalendar('legal_sow_start_date')"> + <span>Calendar</span> + </button> + <div id="con_calendar_legal_sow_start_date"></div> + <script type="text/javascript"> + createCalendar('legal_sow_start_date') + </script> + </span> + </div> + + <div id="legal_sow_end_date_row" class="field_row"> + <span class="field_label required">End Date:</span> + <span class="field_data"> + <input name="legal_sow_end_date" size="20" id="legal_sow_end_date" value="" + onchange="updateCalendarFromField(this)"> + <button type="button" class="calendar_button" + id="button_calendar_legal_sow_end_date" + onclick="showCalendar('legal_sow_end_date')"> + <span>Calendar</span> + </button> + <div id="con_calendar_legal_sow_end_date"></div> + <script type="text/javascript"> + createCalendar('legal_sow_end_date') + </script> + </span> + </div> + + <div id="legal_sow_vendor_payment_row" class="field_row"> + <span class="field_label required">Rate of Pay:</span> + <span class="field_data"> + <div class="field_description">Include currency</div> + <input type="text" name="legal_sow_vendor_payment" id="legal_sow_vendor_payment" size="60"> + </span> + </div> + + <div id="legal_sow_vendor_payment_basis_row" class="field_row"> + <span class="field_label required">Basis for Payment:</span> + <span class="field_data"> + <div class="field_description">hourly, flat fee, per deliverable, etc.</div> + <input type="text" name="legal_sow_vendor_payment_basis" id="legal_sow_vendor_payment_basis" size="60"> + </span> + </div> + + <div id="legal_sow_vendor_hours_row" class="field_row"> + <span class="field_label">Average/Max Hours:</span> + <span class="field_data"> + <div class="field_description">If hourly, either average or maximum hours per week/month</div> + <input type="text" name="legal_sow_vendor_hours" id="legal_sow_vendor_hours" size="60"> + </span> + </div> + + <div id="legal_sow_vendor_payment_schedule_row" class="field_row"> + <span class="field_label required">Payment Schedule:</span> + <span class="field_data"> + <div class="field_description">"When will we make payments? E.g. every 30 days; half due up front, + half on completion; following acceptance of each deliverable, etc.</div> + <input type="text" name="legal_sow_vendor_payment_schedule" id="legal_sow_vendor_payment_schedule" size="60"> + </span> + </div> + + <div id="legal_sow_vendor_total_max_row" class="field_row"> + <span class="field_label required">Total Not to Exceed Amount:</span> + <span class="field_data"> + <input type="text" name="legal_sow_vendor_total_max" id="legal_sow_vendor_total_max" size="60"> + </span> + </div> + + <div id="legal_sow_vendor_special_terms_row" class="field_row"> + <span class="field_label">Any Special Terms:</span> + <span class="field_data"> + <textarea name="legal_sow_vendor_special_terms" id="legal_sow_vendor_special_terms" rows="10" cols="80"></textarea> + </span> + </div> + + <div id="legal_sow_vendor_product_line_row" class="field_row"> + <span class="field_label required">Product Line:</span> + <span class="field_data"> + <select id="legal_sow_vendor_product_line" name="legal_sow_vendor_product_line"> + <option value="">Select One</option> + <option value="Firefox OS">Firefox OS</option> + <option value="Firefox Desktop">Firefox Desktop</option> + <option value="Firefox Mobile">Firefox Mobile</option> + <option value="Firefox Platform">Firefox Platform</option> + <option value="Marketplace/Apps">Marketplace/Apps</option> + <option value="Lab/Research">Lab/Research</option> + <option value="Services">Services</option> + <option value="Product Support">Product Support</option> + <option value="Corp Support">Corp Support</option> + </select> + </span> + </div> + </div> + + <div id="legal_vendor_services_where_row" class="field_row bz_default_hidden"> + <span class="field_label required">Vendor Services Location:</span> + <span class="field_data"> + <div class="field_description">Where will the services primarily be provided?</div> + <select name="legal_vendor_services_where" id="legal_vendor_services_where"> + <option value="">Select One</option> + <option value="U.S.">U.S.</option> + <option value="Europe">Europe</option> + <option value="Canada">Canada</option> + <option value="Global">Global</option> + <option value="Another region of the world">Another region of the world</option> + <option value="A single country">A single country</option> + </select> + <br> + <input class="bz_default_hidden" type="text" + name="legal_vendor_single_country" id="legal_vendor_single_country" size="60"> + </span> + </div> + </div> + + <div id="finance_questions" class="bz_default_hidden"> + <div class="header">Finance</div> + + <div id="finance_purchase_vendor_row" class="field_row"> + <span class="field_label required">Vendor:</span> + <span class="field_data"> + <input type="text" name="finance_purchase_vendor" maxsize="255" size="60" id="finance_purchase_vendor"> + </span> + </div> + + <div id="finance_purchase_inbudget_row" class="field_row"> + <span class="field_label required">Is this line item in budget?:</span> + <span class="field_data"> + <div class="field_description">If not, please explain purchase need and why not in budget.</div> + <textarea name="finance_purchase_inbudget" id="finance_purchase_inbudget" rows="10" cols="80"></textarea> + </span> + </div> + + <div id="finance_purchase_what_row" class="field_row"> + <span class="field_label required">What is the purchase for?:</span> + <span class="field_data"> + <textarea name="finance_purchase_what" id="finance_purchase_what" rows="10" cols="80"></textarea> + </span> + </div> + + <div id="finance_purchase_why_row" class="field_row"> + <span class="field_label required">Why is the purchase needed?:</span> + <span class="field_data"> + <textarea name="finance_purchase_why" id="finance_purchase_why" rows="10" cols="80"></textarea> + </span> + </div> + + <div id="finance_purchase_risk_row" class="field_row"> + <span class="field_label required">What is the risk<br>if not purchased?:</span> + <span class="field_data"> + <textarea name="finance_purchase_risk" id="finance_purchase_risk" rows="10" cols="80"></textarea> + </span> + </div> + + <div id="finance_purchase_alternative_row" class="field_row"> + <span class="field_label required">What is the alternative?:</span> + <span class="field_data"> + <textarea name="finance_purchase_alternative" id="finance_purchase_alternative" rows="10" cols="80"></textarea> + </span> + </div> + + <div id="finance_purchase_urgency_row" class="field_row"> + <span class="field_label required">When do the items need<br>to be ordered by?:</span> + <span class="field_data"> + <select name="finance_purchase_urgency" id="finance_purchase_urgency"> + <option value="within 24 hours">within 24 hours</option> + <option value="1 to 3 days">1 to 3 days</option> + <option value="a week">a week</option> + <option value="no rush" selected>no rush</option> + </select> + </span> + </div> + + <div id="finance_shipment_address_row" class="field_row"> + <span class="field_label">What is the shipment address<br>(if applicable)?:</span> + <span class="field_data"> + <div class="field_description">Please enter the full address.</div> + <textarea name="finance_shipment_address" id="finance_shipment_address" rows="10" cols="80"></textarea> + </span> + </div> + + <div id="finance_purchase_cost_row" class="field_row"> + <span class="field_label required">Total Cost:</span> + <span class="field_data"> + <input type="text" name="finance_purchase_cost" id="finance_purchase_cost" size="60"> + </span> + </div> + </div> + + <input type="submit" id="commit" value="Submit Review"> +</form> + +<p> + Thanks for contacting us. You will be notified by email of any progress made in resolving your request. +</p> + +[% PROCESS global/footer.html.tmpl %] |