[%# 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 +%]
[%+ PROCESS global/variables.none.tmpl +%]
:: Requester's Information

Name:
[%+ cgi.param("requester_name") %]

Email:
[%+ cgi.param("requester_email") %]

Mozillian Profile:
[%+ cgi.param("requester_profile") %]

Responsibile for the Costume:
[%+ cgi.param("responsible") == "Yes" ? "Requester" : cgi.param("responsible_other") %]

:: Event Information

Number of Events:
[%+ cgi.param("event_count") %]

Event Dates:
[%+ cgi.param("event_dates") %]

Type of Event and estimated attendance:
[%+ cgi.param("event_type") %]

Mozilla Goal:
[%+ cgi.param("goal") %]

Main Audience:
[%+ cgi.param("event_audience") %]

Event Name:
[%+ cgi.param("event_name") || "-" %]

Event website/wiki page:
[%+ cgi.param("event_page") || "-" %]

:: Shipping Information

First name:
[%+ cgi.param("ship_firstname") %]

Last name:
[%+ cgi.param("ship_lastname") %]

Address 1:
[%+ cgi.param("ship_address1") %]

Address 2:
[%+ cgi.param("ship_address2") %]

City:
[%+ cgi.param("ship_city") %]

State:
[%+ cgi.param("ship_state") %]

Country:
[%+ cgi.param("ship_country") %]

Postal Code:
[%+ cgi.param("ship_postcode") %]

Personal tax ID:
[%+ cgi.param("ship_taxid") %]

Phone number:
[%+ cgi.param("ship_phone") %]

Email:
[%+ cgi.param("ship_email") %]

Additional Notes:
[%+ cgi.param("notes") || "-" %]