[%# 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 %]

Requester info:

Requester: [% cgi.param('firstname') %] [%+ cgi.param('lastname') %]
Profile page: [% cgi.param('profilepage') %]
Event page: [% cgi.param('eventpage') %]
Position: [% cgi.param('position') %]
Country You Reside: [% cgi.param('country') %]
Advance payment needed: [% IF cgi.param('advancepayment') %]Yes[% ELSE %]No[% END %]

Budget breakdown:

Total amount requested in $USD: [% cgi.param('budgettotal') %]
Costs per service:
Service 1: [% cgi.param('service1') %]  Cost: [% cgi.param('cost1') %]
Service 2: [% cgi.param('service2') %]  Cost: [% cgi.param('cost2') %]
Service 3: [% cgi.param('service3') %]  Cost: [% cgi.param('cost3') %]
Service 4: [% cgi.param('service4') %]  Cost: [% cgi.param('cost4') %]
Service 5: [% cgi.param('service5') %]  Cost: [% cgi.param('cost5') %]

Additional costs:
[%+ cgi.param('costadditional') %]

[%+ cgi.param("comment") IF cgi.param("comment") %]