Referral Program Account Ban Appeal Form
Use this form to appeal a ban on your referral program account. Provide accurate and detailed information to help us review your case.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Referral Program Username or Account ID
*
Date of Account Ban (if known)
-
Month
-
Day
Year
Date
How did you learn about your account ban?
*
Please Select
Email notification
In-app message
Unable to log in
Other
Do you know the stated reason for your ban?
*
Yes
No
If yes, please specify the reason given for your ban
Please provide your explanation or appeal statement
*
Have you received any prior warnings or suspensions in this program?
*
Yes
No
Not sure
Upload supporting evidence or documentation (optional)
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Signature (draw your signature below to confirm your appeal)
Submit Appeal
Submit Appeal
Should be Empty: