Collect Browser Info: Select this option to collect meta-information about your browser's statistics, which will be incorporated into issue submitted.
Trigger Text: (required) This field is not used and will not appear on your form.
Trigger Style: Select Custom
Issue collector form
Template: Select Custom
Custom fields: Select the fields you want available for the form
Message: Type a message, which appears in the blue information panel along the top of the dialog box.