path: root/extensions/MozProjectReview/template/en/default/bug/create/create-moz-project-review.html.tmpl

[%# 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 Project Review"
   generate_api_token = 1
   style_urls = [ 'extensions/MozProjectReview/web/style/moz_project_review.css' ]
   javascript_urls = [ 'js/field.js', 'js/util.js',
                       'extensions/MozProjectReview/web/js/moz_project_review.js' ]
   yui = [ 'calendar' ]
%]

<p>
  <strong>Please use this form for submitting a Mozilla Project Review</strong>
  If you have a [% terms.bug %] to file, go <a href="enter_bug.cgi">here</a>.
</p>

<p>
  (<span class="required_star">*</span> =
  <span class="required_explanation">Required Field</span>)
</p>

<form method="post" action="post_bug.cgi" id="mozProjectForm" enctype="multipart/form-data"
      onSubmit="return MPR.validateAndSubmit();">
  <input type="hidden" id="product" name="product" value="mozilla.org">
  <input type="hidden" id="component" name="component" value="Project Review">
  <input type="hidden" id="rep_platform" name="rep_platform" value="All">
  <input type="hidden" id="op_sys" name="op_sys" value="All">
  <input type="hidden" id="priority" name="priority" value="--">
  <input type="hidden" id="version" name="version" value="other">
  <input type="hidden" id="format" name="format" value="moz-project-review">
  <input type="hidden" id="bug_severity" name="bug_severity" value="normal">
  <input type="hidden" id="token" name="token" value="[% token FILTER html %]">

  <div id="initial_questions">
    <div class="header">Initial Questions</div>

    <div id="project_feature_summary_row" class="field_row">
      <span class="field_label required">Project/Feature Name:</span>
      <span class="field_data">
        <div class="field_description">Be brief yet descriptive as possible. Include name of product, 
          feature, or name of vendor involved as well if appropriate.</div>
        <input type="text" name="short_desc" id="short_desc" size="60" maxsize="255">
      </span>
    </div>

    <div id="visibility_row" class="field_row">
      <span class="field_label required">Project Visibility:</span>
      <span class="field_data">
        <div class="field_description">
          Whether project itself is a secret or not (dependent [% terms.bugs %],
          e.g. Finance and Sec Review, will be made secure whatever you choose).
        </div>
        <select name="visibility" id="visibility">
          <option value="">Select One</option>
          <option value="public">Public</option>
          <option value="private">MoCo Confidentional</option>
        </select>
      </span>
    </div>

    <div id="tracking_id_row" class="field_row">
      <span class="field_label">Tracking [% terms.Bug %] ID:</span>
      <span class="field_data">
        <div class="field_description">Master tracking [% terms.bug %] number (if it exists)?</div>
        <input type="text" name="tracking_id" id="tracking_id" size="60">
      </span>
    </div>

    <div id="contacts_row" class="field_row">
      <span class="field_label required">Points of Contact:</span>
      <span class="field_data">
        <div class="field_description">Who are the points of contact for this review?</div>
        [% INCLUDE global/userselect.html.tmpl
           id       => "cc"
           name     => "cc"
           value    => ""
           size     => 60
           classes  => ["bz_userfield"]
           multiple => 5
        %]
      </span>
    </div>

    <div id="description_row" class="field_row">
      <span class="field_label required">Description:</span>
      <span class="field_data">
        <div class="field_description">Please provide a short description of the feature / application / project / 
          business relationship (e.g. problem solved, use cases, etc.)</div>
        <textarea name="description" id="description" rows="10" cols="80"></textarea>
      </span>
    </div>

    <div id="additional_row" class="field_row">
      <span class="field_label">Additional Information:</span>
      <span class="field_data">
        <div class="field_description">Please provide links to additional information (e.g. feature page, wiki)
          if available and not yet included in feature description.)</div>
        <textarea name="additional" id="additional" rows="10" cols="80"></textarea>
      </span>
    </div>

    <div id="key_initiative_row" class="field_row">
      <span class="field_label required">Key Initiative:</span>
      <span class="field_data">
        <div class="field_description">Which key initiative does this support?</div>
        <select name="key_initiative" id="key_initiative">
          <option value="">Select One</option>
          <option value="Business Support">Business Support</option>
          <option value="Content Services">Content Services</option>
          <option value="Firefox Desktop">Firefox Desktop</option>
          <option value="Firefox Mobile">Firefox Mobile</option>
          <option value="Firefox OS">Firefox OS</option>
          <option value="Firefox Platform">Firefox Platform</option>
          <option value="Labs / Research / H3">Labs / Research / H3</option>
          <option value="Marketplace / Apps">Marketplace / Apps</option>
          <option value="Services: Persona">Services: Persona</option>
          <option value="Services: Social API">Services: Social API</option>
          <option value="Services: UP">Services: UP</option>
          <option value="Services: WebRTC">Services: WebRTC</option>
          <option value="Other">Other</option>
        </select>
      </span>
    </div>

    <div id="key_initiative_other_row" class="field_row bz_default_hidden">
      <span class="field_label">&nbsp;</span>
      <span class="field_data">
        <input type="text" name="key_initiative_other" id="key_initiative_other" size="60">
      </span>
    </div>

    <div id="release_date_row" class="field_row">
      <span class="field_label required">Release Date:</span>
      <span class="field_data">
        <div class="field_description">What is your overall key release / launch date / go live date?</div>
        <input name="release_date" size="20" id="release_date" value=""
               onchange="updateCalendarFromField(this)">
        <button type="button" class="calendar_button"
                id="button_calendar_release_date"
                onclick="showCalendar('release_date')">
        <span>Calendar</span>
      </button>
      <div id="con_calendar_release_date"></div>
      <script type="text/javascript">
        createCalendar('release_date')
      </script>
      </span>
    </div>

    <div id="project_status_row" class="field_row">
      <span class="field_label required">Project Status:</span>
      <span class="field_data">
        <div class="field_description">What is the current state of your project?</div>
        <select name="project_status" id="project_status">
          <option value="">Select One</option>
          <option value="future">Future project under discussion</option>
          <option value="active">Active planning</option>
          <option value="development">Development</option>
          <option value="ready">Ready to launch/commit</option>
          <option value="launched">Already launched/committed</option>
        </select>
      </span>
    </div>

    <div id="mozilla_data_row" class="field_row">
      <span class="field_label required">Mozilla Data:</span>
      <span class="field_data">
        <div class="field_description">Does this product/service/project access, interact with, or store Mozilla
          (customer, contributor, user, employee) data? Example of such data includes
          email addresses, first and last name, addresses, phone numbers, credit card data.)</div>
        <select name="mozilla_data" id="mozilla_data">
          <option value="">Select One</option>
          <option value="Yes">Yes</option>
          <option value="No">No</option>
        </select>
     </span>
    </div>

    <div id="mozilla_related_row" class="field_row">
      <span class="field_label">Mozilla Related:</span>
      <span class="field_data">
        <div class="field_description">What Mozilla products/services/projects does this product/service/project 
          integrate with or relate to?</div>
        <input type="text" name="mozilla_related" id="mozilla_related" size="60">
      </span>
    </div>

    <div id="separate_party_row" class="field_row">
      <span class="field_label required">Separate Party:</span>
      <span class="field_data">
        <div class="field_description">Hardware Purchases,
          Vendor agreements, NDAs, Contracts etc</div>
        <select name="separate_party" id="separate_party">
          <option value="">Select One</option>
          <option value="Yes">Yes</option>
          <option value="No">No</option>
        </select>
      </span>
    </div>

    <div id="initial_separate_party_questions" class="bz_default_hidden">
      <div id="relation_type_row" class="field_row">
        <span class="field_label required">Type of Relationship:</span>
        <span class="field_data">
          <div class="field_description">What type of relationship?</div>
          <select name="relationship_type" id="relationship_type">
            <option value="">Select One</option>
            <option value="Hardware Purchase">Hardware Purchase</option>
            <option value="Vendor/Services">Vendor/Services</option>
            <option value="Firefox Distribution/Bundling">Firefox Distribution/Bundling</option>
            <option value="Search">Search</option>
            <option value="NDA">NDA</option>
            <option value="Other">Other</option>
          </select>
        </span>
      </div>

      <div id="data_access_row" class="field_row">
        <span class="field_label required">Data Access:</span>
        <span class="field_data">
          <div class="field_description">Will the other party have access to Mozilla (customer, contributor, user,
            employee) data? (If this is for an NDA, choose no)</div>
          <select name="data_access" id="data_access">
            <option value="">Select One</option>
            <option value="Yes">Yes</option>
            <option value="No">No</option>
          </select>
        </span>
      </div>

      <div id="privacy_policy_row" class="field_row">
        <span class="field_label">Privacy Policy:</span>
        <span class="field_data">
          <div class="field_description">What is the url for their privacy policy?</div>
          <input type="text" name="privacy_policy" id="privacy_policy" size="60">
        </span>
      </div>

      <div id="vendor_cost_row" class="field_row">
        <span class="field_label required">Vendor Cost:</span>
        <span class="field_data">
          <div class="field_description">What is the anticipated cost of the vendor relationship?
            (Entire Contract Cost, not monthly cost)</div>
          <select name="vendor_cost" id="vendor_cost">
            <option value="">Select One</option>
            <option value="N/A">N/A</option>
            <option value="&lt;= $25,000">&lt;= $25,000</option>
            <option value="&gt; $25,000">&gt; $25,000</option>
          </select>
        </span>
      </div>

      <div id="po_needed_row" class="field_row bz_default_hidden">
        <span class="field_label required">PO Needed?:</span>
        <span class="field_data">
            <select name="po_needed" id="po_needed">
            <option value="">Select One</option>
            <option value="Yes">Yes</option>
            <option value="No">No</option>
          </select>
        </span>
      </div>
    </div>
  </div>

  <div id="sec_review_questions" class="bz_default_hidden">
    <div class="header">Security Review</div>

    <div id="sec_review_affects_products_row">
      <span class="field_label">Affects Products:</span>
      <span class="field_data">
        <div class="field_description">Does this feature or code change affect Firefox, Thunderbird or any 
          product or service the Mozilla ships to end users?</div>
        <select name="sec_affects_products" id="sec_affects_products">
          <option value="">Select One</option>
          <option value="Yes">Yes</option>
          <option value="No">No</option>
        </select>
      </span>
    </div>

    <div id="sec_review_date_row" class="field_row">
      <span class="field_label">Review Due Date:</span>
      <span class="field_data">
        <div class="field_description">When would you like the review to be completed?
          (<a href="https://mail.mozilla.com/home/ckoenig@mozilla.com/Security%20Review.html"
              target="_blank">more info</a>)</div>
        <input name="sec_review_date" size="20" id="sec_review_date" value=""
               onchange="updateCalendarFromField(this)">
        <button type="button" class="calendar_button"
                id="button_calendar_sec_review_date"
                onclick="showCalendar('sec_review_date')">
        <span>Calendar</span>
      </button>
      <div id="con_calendar_sec_review_date"></div>
      <script type="text/javascript">
        createCalendar('sec_review_date')
      </script>
      </span>
    </div>

    <div id="sec_review_invitees_row" class="field_row">
      <span class="field_label">Review Invitees:</span>
      <span class="field_data">
        <div class="field_description">Whom should be invited to the review?</div>
        <input type="text" name="sec_review_invitees" id="sec_review_invitees" size="60">
      </span>
    </div>

    <div id="sec_review_extra_row" class="field_row">
      <span class="field_label">Extra Information:</span>
      <span class="field_data">
        <div class="field_description">If you feel something is missing here or you would like to provide other 
          kind of feedback, feel free to do so here?</div>
        <textarea name="sec_review_extra" id="sec_review_extra" rows="10" cols="80"></textarea>
      </span>
    </div>
  </div>

  <div id="data_compliance_questions" class="bz_default_hidden">
    <div class="header">Data Compliance</div>

    <div id="data_comp_request_type_row" class="field_row">
      <span class="field_label required">Type of request</span>
      <span class="field_data">
        <select id="data_comp_request_type" name="data_comp_request_type">
          <option value="">-- Select --</option>
          <option value="General">General</option>
          <option value="Data Compliance">Data Compliance</option>
          <option value="Vendor Review">Vendor Review</option>
          <option value="Privacy Policy">Privacy Policy</option>
          <option value="Other">Other</option>
        </select>
      </span>
    </div>

    <div class="data_comp_area_row">
      <span class="field_label required">Area</span>
      <span class="field_data">
        <select id="data_comp_area" name="data_comp_area">
          <option value="">-- Select --</option>
          <option value="Firefox">Firefox</option>
          <option value="Cloud Services">Cloud Services</option>
          <option value="FxOS">FxOS</option>
          <option value="Foundation">Foundation</option>
          <option value="Engagement">Engagement</option>
          <option value="IT">IT</option>
          <option value="Content Services">Content Services</option>
          <option value="Platform">Platform</option>
          <option value="Other">Other</option>
        </select>
      </span>
    </div>

    <div id="data_comp_description_row">
      <span class="field_label required">Description</span>
      <span class="field_data">
        <div class="field_description">
          Describe the data compliance issue: If your request involves changes
          or additional data collection, please describe that collection,
          including specific fields, where the data will be stored, how long it
          will be stored, and who will have access to the data.
        </div>
        <textarea name="data_comp_desc" id="data_comp_desc" rows="10" cols="60"
                  class="wide"></textarea>
      </span>
    </div>

    <div id="data_comp_urgency_row">
      <span class="field_label required">Urgency</span>
      <span class="field_data">
        <select id="data_comp_urgency" name="data_comp_urgency">
          <option value="">-- Select --</option>
          <option value="blocker">blocker</option>
          <option value="critical">critical</option>
          <option value="major">major</option>
          <option value="normal">normal</option>
          <option value="minor">minor</option>
          <option value="trivial">trivial</option>
          <option value="enhancement">enhancement</option>
        </select>
      </span>
    </div>

    <div id="data_comp_handling_change_row">
      <span class="field_label required">Collection/Handling Change</span>
      <span class="field_data">
        <div class="field_description">
          Does this request involve a change in data collection or handling?
        </div>
        <select id="data_comp_handling_change" name="data_comp_handling_change">
          <option value="">-- Select --</option>
          <option value="Yes">Yes</option>
          <option value="No">No</option>
        </select>
      </span>
    </div>

    <div id="data_comp_practice_change_row">
      <span class="field_label required">Practice Change</span>
      <span class="field_data">
        <div class="field_description">
          Does this request involve a change in to the business unit's data practices?
        </div>
        <select id="data_comp_practice_change" name="data_comp_practice_change">
          <option value="">-- Select --</option>
          <option value="Yes">Yes</option>
          <option value="No">No</option>
        </select>
      </span>
    </div>

    <div id="data_comp_other_row">
      <span class="field_label">Other</span>
      <span class="field_data">
        <div class="field_description">
          Please include any additional information, including links to relevant
          material, details regarding user benefit, etc.
        </div>
        <textarea name="data_comp_other" id="data_comp_other" rows="10" cols="60"
                  class="wide"></textarea>
      </span>
    </div>
  </div>

  <div id="legal_questions" class="bz_default_hidden">
    <div class="header">Legal</div>

    <div id="legal_priority_row" class="field_row">
      <span class="field_label required">Priority:</span>
      <span class="field_data">
        <div class="field_description">Priority to your team</div>
        <select name="legal_priority" id="legal_priority">
          <option value="">Select One</option>
          <option value="high">High</option>
          <option value="medium">Medium</option>
          <option value="low">Low</option>
        </select>
      </span>
    </div>

    <div id="legal_timeframe_row" class="field_row">
      <span class="field_label required">Time Frame For Completion<br>of Legal Portion?:</span>
      <span class="field_data">
        <div class="field_description">What is the desired time frame to have the legal component/involvement completed.</div>
        <select name="legal_timeframe" id="legal_timeframe">
          <option value="2 days">2 days</option>
          <option value="a week">a week</option>
          <option value="2-4 weeks">2-4 weeks</option>
          <option value="will take a while but please start soon">
            will take a while but please start soon</option>
          <option value="no rush" selected>no rush</option>
        </select>
      </span>
    </div>

    <div id="legal_cc_row" class="field_row">
      <span class="field_label">Cc:</span>
      <span class="field_data">
        [% INCLUDE global/userselect.html.tmpl
           id       => "legal_cc"
           name     => "legal_cc"
           value    => ""
           size     => 60
           classes  => ["bz_userfield"]
           multiple => 5
        %]
      </span>
    </div>

    <div id="legal_other_party_row" class="field_row">
      <span class="field_label">Other Party:</span>
      <span class="field_data">
        <div class="field_description">Name of other party involved</div>
        <input type="text" name="legal_other_party" id="legal_other_party" size="60">
      </span>
    </div>

    <div id="legal_help_from_legal_row" class="field_row">
      <span class="field_label required">What help do you<br>need from Legal?</span>
      <span class="field_data">
        <div class="field_description">
          Please explain specifically what help you need from Legal. If none, put "No Legal help needed."</div>
        <textarea name="legal_help_from_legal" id="legal_help_from_legal" rows="10" cols="80"></textarea>
      </span>
    </div>

    <div id="legal_sow_questions" class="bz_default_hidden">
      <div class=field_row">
        <span class="field_label">SOW Details:</span>
        <span class="field_data">
          Please provide the following information for the SOW
         </span>
      </div>

      <div id="legal_sow_vendor_name_row" class="field_row">
        <span class="field_label required">Legal Vendor Name:</span>
        <span class="field_data">
          <input type="text" name="legal_sow_vendor_name" id="legal_sow_vendor_name" size="60">
        </span>
      </div>

      <div id="legal_sow_vendor_address_row" class="field_row">
        <span class="field_label required">Vendor Address:</span>
        <span class="field_data">
          <textarea name="legal_sow_vendor_address" id="legal_sow_vendor_address" rows="10" cols="80"></textarea>
        </span>
      </div>

      <div id="legal_sow_vendor_email_row" class="field_row">
        <span class="field_label required">Vendor Email for Notices:</span>
        <span class="field_data">
          <input type="text" name="legal_sow_vendor_email" id="legal_sow_vendor_email" size="60">
        </span>
      </div>

      <div id="legal_sow_vendor_mozcontact_row" class="field_row">
        <span class="field_label required">Main Mozilla Contact:</span>
        <span class="field_data">
          [% INCLUDE global/userselect.html.tmpl
             id       => "legal_sow_vendor_mozcontact"
             name     => "legal_sow_vendor_mozcontact"
             value    => ""
             size     => 60
             classes  => ["bz_userfield"]
             multiple => 5
          %]
        </span>
      </div>

      <div id="legal_sow_vendor_contact_row" class="field_row">
        <span class="field_label required">Main Vendor Contact and Email:</span>
        <span class="field_data">
          <input type="text" name="legal_sow_vendor_contact" id="legal_sow_vendor_contact" size="60">
        </span>
      </div>

      <div id="legal_sow_vendor_services_row" class="field_row">
        <span class="field_label required">Vendor Services to be Provided:</span>
        <span class="field_data">
          <textarea name="legal_sow_vendor_services" id="legal_sow_vendor_services" rows="10" cols="80"></textarea>
        </span>
      </div>

      <div id="legal_sow_vendor_deliverables_row" class="field_row">
        <span class="field_label required">Description of Deliverables:</span>
        <span class="field_data">
          <textarea name="legal_sow_vendor_deliverables" id="legal_sow_vendor_deliverables" rows="10" cols="80"></textarea>
        </span>
      </div>

      <div id="legal_sow_start_date_row" class="field_row">
        <span class="field_label required">Start Date:</span>
        <span class="field_data">
          <input name="legal_sow_start_date" size="20" id="legal_sow_start_date" value=""
                 onchange="updateCalendarFromField(this)">
          <button type="button" class="calendar_button"
                  id="button_calendar_legal_sow_start_date"
                  onclick="showCalendar('legal_sow_start_date')">
            <span>Calendar</span>
          </button>
          <div id="con_calendar_legal_sow_start_date"></div>
          <script type="text/javascript">
            createCalendar('legal_sow_start_date')
          </script>
        </span>
      </div>

      <div id="legal_sow_end_date_row" class="field_row">
        <span class="field_label required">End Date:</span>
        <span class="field_data">
          <input name="legal_sow_end_date" size="20" id="legal_sow_end_date" value=""
                 onchange="updateCalendarFromField(this)">
          <button type="button" class="calendar_button"
                  id="button_calendar_legal_sow_end_date"
                  onclick="showCalendar('legal_sow_end_date')">
            <span>Calendar</span>
          </button>
          <div id="con_calendar_legal_sow_end_date"></div>
          <script type="text/javascript">
            createCalendar('legal_sow_end_date')
          </script>
        </span>
      </div>
      
      <div id="legal_sow_vendor_payment_row" class="field_row">
        <span class="field_label required">Rate of Pay:</span>
        <span class="field_data">
          <div class="field_description">Include currency</div>
          <input type="text" name="legal_sow_vendor_payment" id="legal_sow_vendor_payment" size="60">
        </span>
      </div>

      <div id="legal_sow_vendor_payment_basis_row" class="field_row">
        <span class="field_label required">Basis for Payment:</span>
        <span class="field_data">
          <div class="field_description">hourly, flat fee, per deliverable, etc.</div>
          <input type="text" name="legal_sow_vendor_payment_basis" id="legal_sow_vendor_payment_basis" size="60">
        </span>
      </div>

      <div id="legal_sow_vendor_hours_row" class="field_row">
        <span class="field_label">Average/Max Hours:</span>
        <span class="field_data">
          <div class="field_description">If hourly, either average or maximum hours per week/month</div>
          <input type="text" name="legal_sow_vendor_hours" id="legal_sow_vendor_hours" size="60">
        </span>
      </div>

      <div id="legal_sow_vendor_payment_schedule_row" class="field_row">
        <span class="field_label required">Payment Schedule:</span>
        <span class="field_data">
          <div class="field_description">"When will we make payments? E.g. every 30 days; half due up front, 
            half on completion; following acceptance of each deliverable, etc.</div>
          <input type="text" name="legal_sow_vendor_payment_schedule" id="legal_sow_vendor_payment_schedule" size="60">
        </span>
      </div>

      <div id="legal_sow_vendor_total_max_row" class="field_row">
        <span class="field_label required">Total Not to Exceed Amount:</span>
        <span class="field_data">
          <input type="text" name="legal_sow_vendor_total_max" id="legal_sow_vendor_total_max" size="60">
        </span>
      </div>

      <div id="legal_sow_vendor_special_terms_row" class="field_row">
        <span class="field_label">Any Special Terms:</span>
        <span class="field_data">
          <textarea name="legal_sow_vendor_special_terms" id="legal_sow_vendor_special_terms" rows="10" cols="80"></textarea>
        </span>
      </div>

      <div id="legal_sow_vendor_product_line_row" class="field_row">
        <span class="field_label required">Product Line:</span>
        <span class="field_data">
          <select id="legal_sow_vendor_product_line" name="legal_sow_vendor_product_line">
            <option value="">Select One</option>
            <option value="Firefox OS">Firefox OS</option>
            <option value="Firefox Desktop">Firefox Desktop</option>
            <option value="Firefox Mobile">Firefox Mobile</option>
            <option value="Firefox Platform">Firefox Platform</option>
            <option value="Marketplace/Apps">Marketplace/Apps</option>
            <option value="Lab/Research">Lab/Research</option>
            <option value="Services">Services</option>
            <option value="Product Support">Product Support</option>
            <option value="Corp Support">Corp Support</option>
          </select>
        </span>
      </div>
    </div>
    
    <div id="legal_vendor_services_where_row" class="field_row bz_default_hidden">
      <span class="field_label required">Vendor Services Location:</span>
      <span class="field_data">
        <div class="field_description">Where will the services primarily be provided?</div>
        <select name="legal_vendor_services_where" id="legal_vendor_services_where">
          <option value="">Select One</option>
          <option value="U.S.">U.S.</option>
          <option value="Europe">Europe</option>
          <option value="Canada">Canada</option>
          <option value="Global">Global</option>
          <option value="Another region of the world">Another region of the world</option>
          <option value="A single country">A single country</option>
        </select>
        <br>
        <input class="bz_default_hidden" type="text"
               name="legal_vendor_single_country" id="legal_vendor_single_country" size="60">
      </span>
    </div>
  </div>

  <div id="finance_questions" class="bz_default_hidden">
    <div class="header">Finance</div>

     <div id="finance_purchase_vendor_row" class="field_row">
       <span class="field_label required">Vendor:</span>
       <span class="field_data">
         <input type="text" name="finance_purchase_vendor" maxsize="255" size="60" id="finance_purchase_vendor">
       </span>
     </div>

    <div id="finance_purchase_inbudget_row" class="field_row">
      <span class="field_label required">Is this line item in budget?:</span>
      <span class="field_data">
        <div class="field_description">If not, please explain purchase need and why not in budget.</div>
        <textarea name="finance_purchase_inbudget" id="finance_purchase_inbudget" rows="10" cols="80"></textarea>
      </span>
    </div>

    <div id="finance_purchase_what_row" class="field_row">
      <span class="field_label required">What is the purchase for?:</span>
      <span class="field_data">
        <textarea name="finance_purchase_what" id="finance_purchase_what" rows="10" cols="80"></textarea>
      </span>
    </div>

    <div id="finance_purchase_why_row" class="field_row">
      <span class="field_label required">Why is the purchase needed?:</span>
      <span class="field_data">
        <textarea name="finance_purchase_why" id="finance_purchase_why" rows="10" cols="80"></textarea>
      </span>
    </div>

    <div id="finance_purchase_risk_row" class="field_row">
      <span class="field_label required">What is the risk<br>if not purchased?:</span>
      <span class="field_data">
        <textarea name="finance_purchase_risk" id="finance_purchase_risk" rows="10" cols="80"></textarea>
      </span>
    </div>

    <div id="finance_purchase_alternative_row" class="field_row">
      <span class="field_label required">What is the alternative?:</span>
      <span class="field_data">
        <textarea name="finance_purchase_alternative" id="finance_purchase_alternative" rows="10" cols="80"></textarea>
      </span>
    </div>

    <div id="finance_purchase_urgency_row" class="field_row">
      <span class="field_label required">When do the items need<br>to be purchased by?:</span>
      <span class="field_data">
        <select name="finance_purchase_urgency" id="finance_purchase_urgency">
          <option value="3 to 5 days">3 to 5 days</option>
          <option value="7 to 10 days">7 to 10 days</option>
          <option value="two weeks">two weeks</option>
          <option value="no rush" selected>no rush</option>
        </select>
      </span>
    </div>

    <div id="finance_shipment_address_row" class="field_row">
      <span class="field_label">What is the shipment address<br>(if applicable)?:</span>
      <span class="field_data">
        <div class="field_description">Please enter the full address.</div>
        <textarea name="finance_shipment_address" id="finance_shipment_address" rows="10" cols="80"></textarea>
      </span>
    </div>

    <div id="finance_purchase_cost_row" class="field_row">
      <span class="field_label required">Total Cost:</span>
      <span class="field_data">
        <div class="field_description">Please include currency type (e.g. USD, EUR)</div>
        <input type="text" name="finance_purchase_cost" id="finance_purchase_cost" size="60">
      </span>
    </div>
  </div>

  <input type="submit" id="commit" value="Submit Review">
</form>

<p>
  Thanks for contacting us. You will be notified by email of any progress made in resolving your request.
</p>

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