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Ban ID (if applicable) Your Text Here
Your in-game name Your Text Here
Ban or infraction appeal? Your Text Here
Date and time of ban/infraction including timezone Your Text Here
Ban/infraction reason and details Your Text Here
Why was this ban/infraction wrongfully issued? Your Text Here
What was the situation which lead to this wrongful ban/infraction? What was happening? Your Text Here
Any witnesses that can vouch for you? Your Text Here
Any more information to provide? Your Text Here