Name

Email Address

Business URL

Ad Permalink or Share URL

Ad landing page URL

How much adspend have you spent under this account? How much adspend have you spent under this account? $0 $1-100 $100-500 $500-1000 $1000+

Do you have a business manager account set up? Do you have a business manager account set up? Yes No

How many? How many? 1 2

How many ad accounts do you have? How many ad accounts do you have? 1-3 4-7 8+

Have you read FB's community guidelines and advertising policies already? Have you read FB's community guidelines and advertising policies already? Yes No

Rate yourself how sure you are that you're not violating any policies. Rate yourself how sure you are that you're not violating any policies. 1 - I have no idea what I'm doing wrong 2 - I might have a clue what I'm doing wrong but I'm not sure 3 - I'm pretty sure I'm in the clear 4 - I'm 100% sure they made a mistake

Describe what your campaigns were like before you were disabled.

Describe what happened when you were blocked/disabled.

What have you done already to resolve the matter?

Number