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+[%# The contents of this file are subject to the Mozilla Public
+ # License Version 1.1 (the "License"); you may not use this file
+ # except in compliance with the License. You may obtain a copy of
+ # the License at http://www.mozilla.org/MPL/
+ #
+ # Software distributed under the License is distributed on an "AS
+ # IS" basis, WITHOUT WARRANTY OF ANY KIND, either express or
+ # implied. See the License for the specific language governing
+ # rights and limitations under the License.
+ #
+ # The Original Code is the REMO Bugzilla Extension.
+ #
+ # The Initial Developer of the Original Code is the Mozilla Foundation
+ # Portions created by the Initial Developers are Copyright (C) 2011 the
+ # Initial Developer. All Rights Reserved.
+ #
+ # Contributor(s): Byron Jones <glob@mozilla.com>
+ #%]
+[% USE Bugzilla %]
+[% cgi = Bugzilla.cgi %]
+First Name:
+[%+ cgi.param('first_name') %]
+
+Last Name:
+[%+ cgi.param('last_name') %]
+
+Under 18 years old:
+[%+ IF cgi.param('underage') %]Yes[% ELSE %]No[% END %]
+
+Sex:
+[%+ cgi.param('sex') %]
+
+City:
+[%+ cgi.param('city') %]
+
+Country:
+[%+ cgi.param('country') %]
+
+Local Community:
+[% IF cgi.param('community') %]
+[%+ cgi.param('community') %]
+[% ELSE %]
+-
+[% END %]
+
+IM:
+[% IF cgi.param('im') %]
+[%+ cgi.param('im') %]
+[% ELSE %]
+-
+[% END %]
+
+References:
+[% IF cgi.param('references') %]
+[%+ cgi.param('references') %]
+[% ELSE %]
+-
+[% END %]
+
+Currently Involved with Mozilla:
+[% IF cgi.param('involved') %]
+[%+ cgi.param('involved') %]
+[% ELSE %]
+-
+[% END %]
+
+Languages Spoken:
+[%+ cgi.param('languages') %]
+
+How did you lean about Mozilla Reps:
+[%+ cgi.param('learn') %]
+
+What motivates you most about joining Mozilla Reps:
+[%+ cgi.param('motivation') %]
+
+Comments:
+[% IF cgi.param('comments') %]
+[%+ cgi.param('comments') %]
+[% ELSE %]
+-
+[% END %]