[%# 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 %]

Gender:
[%+ cgi.param('gender') %]

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 %]

Mozillians.org Account URL:
[% IF cgi.param('mozillian') %]
[%+ cgi.param('mozillian') %]
[% ELSE %]
-
[% END %]

References:
[% IF cgi.param('cc') %]
[%+ cgi.param('cc').join(", ") %]
[% END %]

What are you currently doing at Mozilla?
[% IF cgi.param('involved') %]
[%+ cgi.param('involved') %]
[% END %]

When First Contributed:
[% IF cgi.param('firstcontribute') %]
[%+ cgi.param('firstcontribute') %]
[% ELSE %]
-
[% END %]

Languages Spoken:
[%+ cgi.param('languages') %]

How did you learn 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 %]