[%# 1.0@bugzilla.org %] [%# 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 Bugzilla Bug Tracking System. # # The Initial Developer of the Original Code is Mozilla Corporation. # Portions created by Mozilla are Copyright (C) 2008 Mozilla # Corporation. All Rights Reserved. # # Contributor(s): Reed Loden # David Tran #%] [% PROCESS global/variables.none.tmpl %] [% PROCESS global/header.html.tmpl title = "Mozilla Reps Swag Request Form" javascript_urls = [ 'extensions/BMO/web/js/swag.js', 'extensions/BMO/web/js/form_validate.js', 'js/field.js', 'js/util.js' ] style_urls = [ "extensions/BMO/web/styles/moz_reps.css", "skins/custom/calendar.css" ] yui = [ 'calendar' ] %]

These requests will only be visible to the person who submitted the request, any persons designated in the CC line, and authorized members of the Mozilla Rep team.

Mozilla Reps - Swag Request Form

First Name: *
Last Name: *
Wiki User Profile: *
Event Wiki Page: *
Estimated Attendance: *
   
Shipping Details:
Ship Before:
First Name: *
Last Name: *
Address: *
Address 2:
City: *
State:
Country: *
Postal Code: *
Contact Number: *
Personal ID/RUT:
(if your country requires this)
Addition information for delivery person:
   
Swag Requested:
Stickers:
Buttons:
Posters:
Lanyards:
T-Shirts:
Roll-Up Banners:
Horizontal Banner:
Booth Cloth:
Pens:
Other: (please specify)
 

Quantities of different swag items requested that will actually be shipped depend on stock availability and number of attendees. Mozilla cannot guarantee that all items requested will be in stock at the time of shipment and you will be notified in case an item cannot be shipped. Please request swag at least 1 month before desired delivery date.

* - Required field
Thanks for contacting us. You will be notified by email of any progress made in resolving your request.

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