*** SUBMISSION OF A GAME FOR REVIEW FOR INCLUSION TO THE TAB AUSTRIA FUN4FOUR PLATFORM ***

--- GAME DATA ---

Game ID: [give your game ID]
Version: [give your submission version MAJOR.MINOR.BUILD]
Is your game requiring multitouch: [YES|NO]

--- CONTACT DATA ---

Are you a company or an individual: [COMPANY|INDIVIDUAL]

Name: [give your company or individual name]
Address: [give your address, postal code, city, country]
VAT number: [give your VAT number, if you're a company and eligible for VAT booking]
VAT rate: [give your VAT rate in percent, or N/A if not applicable]

Email: [give your contact email address]
Phone: [give your contact phone number including international prefix]

--- PAYMENT ACCOUNT ---

Account Name: [give the payment account's holder name]
Bank Name: [give your payment account's bank name]
IBAN: [give your payment account's IBAN]
BIC: [give your payment account's BIC]

--- SDK AGREEMENT ---

The SDK agreement as mentioned in the submission guidelines has been duly signed and
attached to this submission: [YES|NO]

--- SIGNATURE ---

Your name which constitutes a digital signature: [your name]