[%# 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 Budget Request Form" style_urls = [ 'extensions/REMO/web/styles/moz_reps.css' ] javascript_urls = [ 'extensions/REMO/web/js/form_validate.js', 'js/util.js', 'js/field.js' ] %] [% IF user.in_group("mozilla-reps") %]

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Mozilla Reps - Budget Request Form

First Name: *
Last Name: *
Wiki user profile:*
Event wiki page: *
   
Is advance payment needed?
   
Budget breakdown:
Total amount requested in $USD: *
Costs per service:
Service 1: * Cost 1: *
Service 2: Cost 2:
Service 3: Cost 3:
Service 4: Cost 4:
Service 5: Cost 5:
Additional costs:
   
Success measurement:
How will the event help push the Mozilla project forward? *
Metric 1: * Success scenario: *
Metric 2: Success scenario:
Metric 3: Success scenario:
Additional information:
 

* - Required field
Thanks for contacting us.

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