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[%# 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 <reed@mozilla.com>
# David Tran <dtran@mozilla.com>
#%]
[% PROCESS global/variables.none.tmpl %]
[% PROCESS global/header.html.tmpl
title = "Swag Request Form"
javascript_urls = [ 'extensions/BMO/web/js/swag.js',
'extensions/BMO/web/js/form_validate.js',
'js/field.js' ]
yui = [ 'autocomplete' ]
%]
<div style='text-align: center; width: 98%; font-size: 2em; font-weight: bold; margin: 10px;'>Swag Request Form</div>
<p><strong>Swag Request:</strong> Please use this form to file a request for swag. </p>
<ol>
<li>You first need submit a <a href="/enter_bug.cgi?product=Marketing&format=mktgevent">Event Request Form</a>. You'll be asked for the [% terms.bug %] number below.</li>
<li>Complete and submit request below.</li>
<li>Your request will be reviewed by the appropriate person in the Engagement team.</li>
<li>Your swag request will be reviewed and if approved shipped to you from
one of our two fulfillment houses. <i>Please note that swag is expensive and
products change over time - we are happy to send you a small quantity of swag
to use at your event!</i></li>
</ol>
<p>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
Engagement team.</p>
<script language="javascript" type="text/javascript">
function trySubmit() {
var firstname = document.getElementById('firstname').value;
var lastname = document.getElementById('lastname').value;
var requester = firstname + ' ' + lastname;
var shortdesc = 'Swag Request - ' + requester;
document.getElementById('short_desc').value = shortdesc;
// the following fields we don't let the user mess with because they're
// calculated, but they need to be submitted, and disabled fields don't submit
document.getElementById('Totalswag').disabled = false;
document.getElementById('mens_total').disabled = false;
document.getElementById('womens_total').disabled = false;
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('dependson')) alert_text += "Please enter the [% terms.bug %] number for your Event Request Form\n";
if(!isValidEmail(document.getElementById('email').value)) alert_text += "Please enter a valid email address\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;
}
</script>
<form method="post" action="post_bug.cgi" id="swagRequestForm" enctype="multipart/form-data"
onSubmit="return validateAndSubmit();">
<input type="hidden" name="format" value="swag">
<input type="hidden" name="product" value="Marketing">
<input type="hidden" name="component" value="Swag 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="groups" value="mozilla-corporation-confidential">
<input type="hidden" name="token" value="[% token FILTER html %]">
<table>
<tr>
<td align="right"><strong>First Name: <span style="color: red;">*</span></strong></td>
<td align="left">
<input type="text" name="firstname" id="firstname" value="" size="20" maxlength="20" />
</td>
</tr>
<tr>
<td align="right"><strong>Last Name: <span style="color: red;">*</span></strong></td>
<td align="left">
<input type="text" name="lastname" id="lastname" value="" size="20" maxlength="20"/>
</td>
</tr>
<tr>
<td align="right"><strong>Email Address: <span style="color: red;">*</span></strong></td>
<td>
<input type="text" name="email" id="email" value="" size="50" maxlength="50"/>
</td>
</tr>
<tr>
<td align="right"><strong>CC:</strong></td>
<td colspan="3">
[% INCLUDE global/userselect.html.tmpl
id => "cc"
name => "cc"
value => cc
size => 50
multiple => 5
%]
</td>
</tr>
<tr>
<td><!-- spacer --> </td>
</tr>
<tr>
<td><!-- spacer --> </td>
</tr>
<tr>
<td align="right"><strong>[% terms.Bug %] number assigned to previously- <br>submitted <a href="/enter_bug.cgi?product=Marketing&format=mktgevent">Event Request Form</a>: <span style="color: red;">*</span></strong></td>
<td colspan="3"><input name="dependson" id="dependson"></td>
</tr>
<tr>
<td align="right"><strong>Specific swag needed?</strong></td>
<td>
<textarea id="additional" name="additional" rows="5" cols="50"></textarea>
</td>
</tr>
<tr>
<td align="right"><br><br><strong>Ship to:</strong></td>
<td colspan="3"></td>
</tr>
<tr>
<td align="right"><strong>First name:</strong></td>
<td colspan="3"><input name="shiptofirstname" id="shiptofirstname"></td>
</tr>
<tr>
<td align="right"><strong>Last name:</strong></td>
<td colspan="3"><input name="shiptolastname" id="shiptolastname"></td>
</tr>
<tr>
<td align="right"><strong>Address</strong></td>
<td colspan="3"><input name="shiptoaddress" id="shiptoaddress" size="60"></td>
</tr>
<tr>
<td align="right"><strong>Address 2</strong></td>
<td colspan="3"><input name="shiptoaddress2" id="shiptoaddress2" size="60"></td>
</tr>
<tr>
<td align="right"><strong>City</strong></td>
<td colspan="3"><input name="shiptocity" id="shiptocity"></td>
</tr>
<tr>
<td align="right"><strong>State</strong></td>
<td colspan="3"><input name="shiptostate" id="shiptostate"></td>
</tr>
<tr>
<td align="right"><strong>Country</strong></td>
<td colspan="3"><input name="shiptocountry" id="shiptocountry"></td>
</tr>
<tr>
<td align="right"><strong>Postal Code</strong></td>
<td colspan="3"><input name="shiptopcode" id="shiptopcode"></td>
</tr>
<tr>
<td align="right"><strong>Telephone</strong></td>
<td colspan="3"><input name="shiptophone" id="shiptophone"></td>
</tr>
<tr>
<td align="right"><strong>Personal ID/RUT</strong><br><small>(if your country requires this)</small></td>
<td colspan="3"><input name="shiptoidrut" id="shiptoidrut"></td>
</tr>
<tr><td colspan="4"><br><br></td></tr>
<tr>
<td align="right"><label for="comment"><strong>Any additional comments?</strong></label></td>
<td>
<textarea id="comment" name="comment" rows="5" cols="50"></textarea>
</td>
</tr>
</table>
<br>
<input type="submit" id="commit" value="Submit Request">
<p>
<strong><span style="color: red;">*</span></strong> - Required field<br />
Thanks for contacting us.
You will be notified by email of any progress made in resolving your request.
</p>
[% PROCESS global/footer.html.tmpl %]
|