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[%# 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 %]
[% inline_style = BLOCK %]
#custom_form .field_name {
margin-bottom: 2px;
}
#custom_form .field_input {
margin-bottom: 0.5em;
}
#custom_form th {
text-align: right;
font-weight: normal;
white-space: nowrap;
}
#custom_form .heading {
text-align: left;
font-weight: bold;
border-top: 2px dotted #969696;
}
#custom_form input[type="text"], #custom_form textarea {
width: 300px;
font-family: "Fira Sans","Open Sans","Helvetica Neue",Arial,Helvetica,sans-serif;
font-size: 1em;
}
#custom_form input.short {
width: 100px;
}
#custom_form .field_input p {
margin: 2px 0;
}
.mandatory:after {
content: " *";
color: red;
}
[% END %]
[% inline_javascript = BLOCK %]
function validateAndSubmit() {
var Dom = YAHOO.util.Dom;
var alert_text = '';
if (!isFilledOut('requester_name'))
alert_text += "Please enter your name\n";
if (!isFilledOut('requester_email'))
alert_text += "Please enter your Email address\n";
if (!isFilledOut('requester_profile'))
alert_text += "Please provide your Mozillian Profile\n";
if (!isFilledOut('responsible')) {
alert_text += "Please provide your Mozillian Profile\n";
} else {
if (Dom.get('responsible').value == 'No' && !isFilledOut('responsible_other')) {
alert_text += "Please provide the person responsible for the costume\n";
}
}
if (!isFilledOut('event_count'))
alert_text += "Please enter the number of events\n";
if (!isFilledOut('event_dates'))
alert_text += "Please enter date(s) of the event\n";
if (!isFilledOut('event_type'))
alert_text += "Please enter the type of event and attendance\n";
if (!isFilledOut('goal'))
alert_text += "Please select the Mozilla Goal\n";
if (!isFilledOut('event_audience'))
alert_text += "Please enter event's main audience\n";
if (!isFilledOut('ship_firstname'))
alert_text += "Please enter the shipping First name\n";
if (!isFilledOut('ship_lastname'))
alert_text += "Please enter the shipping Last name\n";
if (!isFilledOut('ship_address1'))
alert_text += "Please enter the shipping Address 1\n";
if (!isFilledOut('ship_city'))
alert_text += "Please enter the shipping City\n";
if (!isFilledOut('ship_country'))
alert_text += "Please enter the shipping Country\n";
if (!isFilledOut('ship_phone'))
alert_text += "Please enter the shipping Phone number\n";
if (!isFilledOut('ship_email'))
alert_text += "Please enter the shipping Email address\n";
if (isFilledOut('requester_email') && !isValidEmail(Dom.get('requester_email').value))
alert_text += "Please enter a valid Email address.\n";
if (isFilledOut('ship_email') && !isValidEmail(Dom.get('ship_email').value))
alert_text += "Please enter a valid shipping Email address.\n";
if (alert_text != '') {
alert(alert_text);
return false;
}
Dom.get('short_desc').value = 'Firefox Costume Request - ' + YAHOO.util.Dom.get('requester_name').value;
return true;
}
function on_responsible_change() {
if (YAHOO.util.Dom.get('responsible').value == 'No') {
YAHOO.util.Dom.removeClass('responsible_who', 'bz_default_hidden');
}
else {
YAHOO.util.Dom.addClass('responsible_who', 'bz_default_hidden');
}
}
YAHOO.util.Event.onDOMReady(function() {
YAHOO.util.Event.addListener('responsible', 'change', on_responsible_change);
on_responsible_change();
});
[% END %]
[% PROCESS global/header.html.tmpl
title = "Firefox Costume Request Form"
generate_api_token = 1
style = inline_style
javascript = inline_javascript
javascript_urls = [ 'extensions/BMO/web/js/form_validate.js',
'js/field.js', 'js/util.js' ]
%]
<h1>Firefox Costume Request Form</h1>
<p>
Looking to get a Firefox Costume for your upcoming event(s)? Please use this
form to tell us about your event(s). Filling out this form does not guarantee
that you will receive the Fox costume. Requests are reviewed weekly. We will
get back to you with next steps after we have reviewed.
</p>
<p>
Before submitting your request, please make sure to review the
<a href="https://wiki.mozilla.org/FirefoxCostume" target="_blank">Firefox Costume wiki pages</a>.
You’ll find all the information you ever imagined needing, including details
about what we’re looking for in your request, how it’s decided where a
costume will be sent, and details about the actual costumes.
</p>
<form method="post" action="post_bug.cgi" enctype="multipart/form-data"
onSubmit="return validateAndSubmit();">
<input type="hidden" name="format" value="costume">
<input type="hidden" name="product" value="Marketing">
<input type="hidden" name="component" value="General">
<input type="hidden" name="rep_platform" value="All">
<input type="hidden" name="op_sys" value="Other">
<input type="hidden" name="priority" value="--">
<input type="hidden" name="version" value="unspecified">
<input type="hidden" name="bug_severity" id="bug_severity" value="normal">
<input type="hidden" name="short_desc" id="short_desc" value="">
<input type="hidden" name="groups" value="mozilla-engagement">
<input type="hidden" name="token" value="[% token FILTER html %]">
<div id="custom_form">
<h2>Requester's Information</h2>
<div class="field_name mandatory">
Name
</div>
<div class="field_input">
<input type="text" name="requester_name" id="requester_name">
</div>
<div class="field_name mandatory">
Email
</div>
<div class="field_input">
<input type="text" name="requester_email" id="requester_email">
</div>
<div class="field_name mandatory">
Mozillian Profile
</div>
<div class="field_input">
<input type="text" name="requester_profile" id="requester_profile">
</div>
<div class="field_name mandatory">
Will you be responsible for the costume at its destination?
</div>
<div class="field_input">
<select id="responsible" name="responsible">
<option></option>
<option>Yes</option>
<option>No</option>
</select>
<div id="responsible_who" class="bz_default_hidden mandatory">
Who will be responsible for the costume?<br>
<input type="text" name="responsible_other" id="responsible_other">
</div>
</div>
<h2>Event Information</h2>
<div class="field_name mandatory">
Number of events Foxy will support
</div>
<div class="field_input">
<input type="text" name="event_count" id="event_count" class="short">
</div>
<div class="field_name mandatory">
Event date(s)
</div>
<div class="field_input">
<input type="text" name="event_dates" id="event_dates">
</div>
<div class="field_name mandatory">
Type of event(s) and estimated attendance at each
</div>
<div class="field_input">
<textarea name="event_type" id="event_type" rows="5" cols="50"
placeholder="Examples: Firefox OS in store launch event, Mozilla
[%~ %] company event, Conference, Press Conference,
[%~ %] Hack-a-thon."></textarea>
</div>
<div class="field_name mandatory">
Mozilla Goal
</div>
<div class="field_input">
<select name="goal" id="goal">
<option></option>
<option>Firefox OS</option>
<option>Firefox Browser</option>
<option>Services</option>
<option>Org Support</option>
<option>Million Mozillians</option>
<option>Other</option>
</select>
</div>
<div class="field_name mandatory">
Main audience at the event
</div>
<div class="field_input">
<textarea name="event_audience" id="event_audience" rows="5" cols="50"
placeholder="Examples: Developers, Students, Mozillians, General
[%~ %] Public, Other."></textarea>
</div>
<div class="field_name">
Event name (if applicable)
</div>
<div class="field_input">
<input type="text" name="event_name" id="event_name">
</div>
<div class="field_name">
Event website/wiki page (if applicable)
</div>
<div class="field_input">
<input type="text" name="event_page" id="event_page">
</div>
<h2>Shipping Information</h2>
<div class="field_name mandatory">
First name
</div>
<div class="field_input">
<input type="text" name="ship_firstname" id="ship_firstname">
</div>
<div class="field_name mandatory">
Last name
</div>
<div class="field_input">
<input type="text" name="ship_lastname" id="ship_lastname">
</div>
<div class="field_name mandatory">
Address 1
</div>
<div class="field_input">
<input type="text" name="ship_address1" id="ship_address1">
</div>
<div class="field_name">
Address 2
</div>
<div class="field_input">
<input type="text" name="ship_address2" id="ship_address2">
</div>
<div class="field_name mandatory">
City
</div>
<div class="field_input">
<input type="text" name="ship_city" id="ship_city">
</div>
<div class="field_name">
State
</div>
<div class="field_input">
<input type="text" name="ship_state" id="ship_state">
</div>
<div class="field_name mandatory">
Country
</div>
<div class="field_input">
<input type="text" name="ship_country" id="ship_country">
</div>
<div class="field_name">
Postal Code
</div>
<div class="field_input">
<input type="text" name="ship_postcode" id="ship_postcode" class="short">
</div>
<div class="field_name">
Personal tax ID (if required)
</div>
<div class="field_input">
<input type="text" name="ship_taxid" id="ship_taxid">
</div>
<div class="field_name mandatory">
Phone number
</div>
<div class="field_input">
<input type="text" name="ship_phone" id="ship_phone">
</div>
<div class="field_name mandatory">
Email
</div>
<div class="field_input">
<input type="text" name="ship_email" id="ship_email">
</div>
<div class="field_name">
More Information
</div>
<div class="field_input">
<textarea name="notes" id="notes" rows="5" cols="50"
placeholder="Additional notes, comments, etc."></textarea>
</div>
<h2></h2>
<input type="submit" id="commit" value="Submit Request">
</div>
</form>
<p>
<span class="mandatory"></span> Required Field
</p>
[% PROCESS global/footer.html.tmpl %]
|