[b]Name[/b] - What is your ingame name?
[b]STEAM-ID[/b] - What is your STEAM-ID?
[b]Admins name[/b] - Who banned you/who might it be?
[b]Reason[/b] - What is/might be the reason that you got banned?
[b]Server[/b] - What server did you get banned from?
[b]Time[/b] - How long were you banned for?
[b]Story[/b] - What happend?
[b]Proof [/b]- Any proof on a video/screenshot that clearly show what happened?
[b]Extra information[/b] - Any thing you think may be relevant to your ban.

[b]Staff Member(s) Name:[/b]

[b]Staff Member(s) SteamID:[/b]

[b]What did the Staff Member(s) do?:[/b]

[b]What server(s) was this on?:[/b]

[b]Evidence:[/b]