[%# 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. #%] [% PROCESS global/variables.none.tmpl %] [% PROCESS global/header.html.tmpl title = "Mozilla Reps Swag Request Form" generate_api_token = 1 javascript_urls = [ 'extensions/REMO/web/js/swag.js', 'extensions/REMO/web/js/form_validate.js', 'js/field.js', 'js/util.js' ] style_urls = [ "extensions/REMO/web/styles/moz_reps.css" ] %] [% IF !user.in_group("mozilla-reps") %]

Sorry, you do not have access to this page.

[% RETURN %] [% END %]

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

Review the Swag Requests SOP before you complete this form.

First Name: *
Last Name: *
Mozilla Reps Profile Page: *
Event Name: *
Event Page: *
Estimated Attendance: *
   
Shipping Details:
Ship Before: [% INCLUDE bug/field.html.tmpl bug = default, field = bug_fields.cf_due_date value = default.cf_due_date, editable = 1, no_tds = 1 %]
First Name: *
Last Name: *
Address Line 1: *
Address Line 2:
City: *
State/Region (if applicable):
Country: *
Postal Code: *
Phone (including country code): *
Custom Reference
(Fiscal or VAT-number, if known):

(if your country requires this)
Addition information for delivery person:
   
Swag Requested:
Stickers:
Buttons:
Lanyards:
T-Shirts:
Silicone Wristband:
Firefox Tattoos:
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.

[% PROCESS global/footer.html.tmpl %]