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Application for participation

You are a provider of social, music or video App and would like to participate to the Epic Offer, fill in the form here under. 

Only 1 App per application form.

Company
{{errorMessages.companyname.required}} {{errorMessages.companyname.pattern}}
{{errorMessages.vat.required}} {{errorMessages.vat.pattern}}
{{errorMessages.street.required}} {{errorMessages.street.pattern}}
{{errorMessages.number.required}} {{errorMessages.number.pattern}}
{{errorMessages.box.required}} {{errorMessages.box.pattern}}
{{errorMessages.zipcode.required}} {{errorMessages.zipcode.pattern}}
{{errorMessages.city.required}} {{errorMessages.city.pattern}}
* Mandatory fields
Contact
Commercial contact person
{{errorMessages.firstname.required}} {{errorMessages.firstname.pattern}}
{{errorMessages.lasttname.required}} {{errorMessages.lasttname.pattern}}
{{errorMessages.email.required}} {{errorMessages.email.pattern}}
{{errorMessages.countrycode.required}} {{errorMessages.countrycode.pattern}}
{{errorMessages.telefoon.required}} {{errorMessages.telefoon.pattern}}
Technical contact person
{{errorMessages.same.required}} {{errorMessages.same.pattern}}
{{errorMessages.firstname2.required}} {{errorMessages.firstname2.pattern}}
{{errorMessages.name2.required}} {{errorMessages.name2.pattern}}
{{errorMessages.emailtech.required}} {{errorMessages.emailtech.pattern}}
{{errorMessages.countrycodetech.required}} {{errorMessages.countrycodetech.pattern}}
{{errorMessages.telefoontech.required}} {{errorMessages.telefoontech.pattern}}
* Mandatory fields
Info about the App
{{errorMessages.appname.required}} {{errorMessages.appname.pattern}}
{{errorMessages.category.required}} {{errorMessages.category.pattern}}
{{errorMessages.description.required}} {{errorMessages.description.pattern}}
{{errorMessages.appstore.required}} {{errorMessages.appstore.pattern}}
{{errorMessages.playstore.required}} {{errorMessages.playstore.pattern}}
* Mandatory fields
Technical info about the App
{{errorMessages.p2pprotocol.required}} {{errorMessages.p2pprotocol.pattern}}
{{errorMessages.ip.required}} {{errorMessages.ip.pattern}}
{{errorMessages.domain.required}} {{errorMessages.domain.pattern}}
{{errorMessages.sni.required}} {{errorMessages.sni.pattern}}
{{errorMessages.protocols.required}} {{errorMessages.protocols.pattern}}
{{errorMessages.url.required}} {{errorMessages.url.pattern}}
{{errorMessages.portnumbers.required}} {{errorMessages.portnumbers.pattern}}
* Mandatory fields
General Terms & Conditions

* Mandatory fields
{{errorMessages.GDPRoptInOptOut.required}} {{errorMessages.GDPRoptInOptOut.pattern}}

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