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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 %]
#fsa_form .required:after {
content: " *";
color: red;
}
#fsa_form .field_label {
text-align: left;
font-weight: bold;
}
#fsa_form .field_desc,
#fsa_form .head_desc {
word-wrap: normal;
}
#fsa_form .head_desc {
font-size: 1.5em;
padding-bottom: .5em;
}
#fsa_form .form_section {
margin-bottom: 1em;
}
.yui-calcontainer {
z-index: 2;
}
[% END %]
[% inline_javascript = BLOCK %]
function trySubmit() {
var firstname = document.getElementById('firstname').value;
var lastname = document.getElementById('lastname').value;
var eventpage = document.getElementById('eventpage').value;
var shortdesc = 'Budget Request - ' + firstname + ' ' + lastname + ' - ' + eventpage;
document.getElementById('short_desc').value = shortdesc;
return true;
}
function validateAndSubmit() {
var alert_text = '';
if (!isFilledOut('firstname')) alert_text += "Please enter your first name\n";
if (!isFilledOut('lastname')) alert_text += "Please enter your last name\n";
if (!isFilledOut('profilepage')) alert_text += "Please enter your profile page.\n";
if (!isFilledOut('eventpage')) alert_text += "Please enter an event page address.\n";
if (!isFilledOut('cf_due_date')) alert_text += "Please enter an event date.\n";
if (!isFilledOut('position')) alert_text += "Please enter a value for position.\n";
if (!isFilledOut('country')) alert_text += "Please enter a valid value for country.\n";
if (!isFilledOut('budgettotal')) alert_text += "Please enter the total budget for the event.\n";
if (!isFilledOut('service1') || !isFilledOut('cost1')) alert_text += "Please enter at least one service and cost value.\n";
//Everything required is filled out..try to submit the form!
if (alert_text == '') {
return trySubmit();
}
//alert text, stay here on the pagee
alert(alert_text);
return false;
}
[% END %]
[% PROCESS global/header.html.tmpl
title = "FSA Budget Request Form"
generate_api_token = 1
style = inline_style
style_urls = [ 'skins/standard/enter_bug.css' ]
javascript = inline_javascript
javascript_urls = [ 'extensions/BMO/web/js/form_validate.js',
'js/util.js',
'js/field.js' ]
%]
<h1>FSA Budget Request Form</h1>
<p>
<span class="required_star">*</span> - <span class="required_explanation">Required Fields</span>
</p>
<form method="post" action="post_bug.cgi" id="fsa_form" enctype="multipart/form-data"
onSubmit="return validateAndSubmit();">
<input type="hidden" name="format" value="fsa-budget">
<input type="hidden" name="product" value="FSA">
<input type="hidden" name="component" value="Budget Requests">
<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="cc" id="cc" value="">
<input type="hidden" name="groups" value="mozilla-employee-confidential">
<input type="hidden" name="token" value="[% token FILTER html %]">
<div class="form_section">
<div class="field_label required">
First Name
</div>
<input type="text" name="firstname" id="firstname" value="" size="40" placeholder="John">
</div>
<div class="form_section">
<div class="field_label required">
Last Name
</div>
<input type="text" name="lastname" id="lastname" value="" size="40" placeholder="Doe">
</div>
<div class="form_section">
<div class="field_label required">
Mozillians Profile Page
</div>
<input type="text" name="profilepage" id="profilepage"
value="" size="40" placeholder="https://mozillians.org/u/JohnDoe">
</div>
<div class="form_section">
<div class="field_label required">
Event Page
</div>
<input type="text" name="eventpage" id="eventpage" value="" size="40">
</div>
<div class="form_section">
<div class="field_label required">
Event Date
</div>
<input name="cf_due_date" size="20" id="cf_due_date" value=""
onchange="updateCalendarFromField(this)">
<button type="button" class="calendar_button"
id="button_calendar_cf_due_date"
onclick="showCalendar('cf_due_date')">
<span>Calendar</span>
</button>
<div id="con_calendar_cf_due_date"></div>
<script [% script_nonce FILTER none %]>
createCalendar('cf_due_date')
</script>
</div>
<div class="form_section">
<div class="field_label required">
What is your position?
</div>
<select id="position" name="position">
<option value="">Select One</option>
<option value="E-Board Member">E-Board Member</option>
<option value="Regional Ambassador Lead">Regional Ambassador Lead</option>
<option value="Mozilla Rep">Mozilla Rep</option>
<option value="Firefox Club Lead">Firefox Club Lead</option>
</select>
</div>
<div class="form_section">
<div class="field_label required">
Country You Reside:
</div>
<input type="text" name="country" id="country"
value="" size="40" placeholder="USA">
</div>
<div class="form_section">
<div class="field_label required">
Is advance payment needed?
<input type="checkbox" name="advancepayment" id="advancepayment" value="1">
</div>
</div>
<div class="head_desc">Budget Request</div>
<div class="form_section">
<div class="field_label required">
Total amount requested in $USD
</div>
<input type="text" name="budgettotal" id="budgettotal" value="" size="40">
</div>
<div class="form_section">
<div class="field_label required">
Costs per service:
</div>
<table>
<tr>
<td class="required">Service 1:</td>
<td><input type="text" id="service1" name="service1" size="30"></td>
<td class="required">Cost 1:</td>
<td><input type="text" id="cost1" name="cost1" size="30"></td>
</tr>
<tr>
<td>Service 2:</td>
<td><input type="text" id="service2" name="service2" size="30"></td>
<td>Cost 2:</td>
<td><input type="text" id="cost2" name="cost2" size="30"></td>
</tr>
<tr>
<td>Service 3:</td>
<td><input type="text" id="service3" name="service3" size="30"></td>
<td>Cost 3:</td>
<td><input type="text" id="cost3" name="cost3" size="30"></td>
</tr>
<tr>
<td>Service 4:</td>
<td><input type="text" id="service4" name="service4" size="30"></td>
<td>Cost 4:</td>
<td><input type="text" id="cost4" name="cost4" size="30"></td>
</tr>
<tr>
<td>Service 5:</td>
<td><input type="text" id="service5" name="service5" size="30"></td>
<td>Cost 5:</td>
<td><input type="text" id="cost5" name="cost5" size="30"></td>
</tr>
</table>
</div>
<div class="form_section">
<div class="field_label">
Additional costs:
</div>
<textarea id="costadditional" name="costadditional" rows="5" cols="50"></textarea>
</div>
<div class="form_section">
<div class="field_label">
Additional comments:
</div>
<textarea id="comment" name="comment" rows="5" cols="50"></textarea>
</div>
<p>
<input type="submit" id="commit" value="Submit Request">
</p>
</form>
<p>
Thanks for contacting us.
</p>
[% PROCESS global/footer.html.tmpl %]
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