Alternative billing system declaration form

Please complete this declaration form if you intend to offer an alternative billing system to users through enrollment in the user choice billing pilot and/or alternative billing without user choice program. Please be sure to review the market availability, eligibility, and requirements for each program you intend to enroll in before completing this form. 

At this time, we can only respond to emails sent in English, Chinese, Japanese, and Korean. 

* Required field

Please enter the registered company name (not a trading name) listed on your registration documents in the official language of your organization’s country.

Please enter the address in the official language of the registered company’s country of residence.
Please list the package names you want to register, separated by commas. You can find your app's package name beneath your app name in Play Console. Your package name will be in this format: com.example.app123
Which alternative billing program(s) do you intend to enroll in? Please select all that applies. *
This is the mailing address we will use on your invoices.
This is where we will send your invoices. Your email must match the domain of your company’s developer account and cannot be a personal email account.
My app’s contact details in Play Console are up to date and functional. *
Please ensure your store listing contact details (email and website) are up to date so users can resolve inquiries related to subscriptions, refund requests, and all other customer support inquiries. You can check and/or update your information in Play Console (Grow > Store presence > Store settings).
My app’s billing system complies with the Payment Card Industry Data Security Standard. *

By checking this box, you certify that the additional billing system you will use complies with the current PCI Data Security Standard, or that the billing system to be used is of a type that will not handle card data.

My app's billing system has a dispute resolution process for unauthorized transactions. *
By checking this box, you certify that your billing system has a process for users to dispute unauthorized transactions.
Please provide an email address or URL.
By submitting this form, I acknowledge that I agree to the Terms of Service

If you are signing the Terms of Service on behalf of an entity or organization, then the following apply: (a) do not sign unless you are authorized by that entity or organization to do so; and (b) you represent and warrant that: (i) you have full legal authority to bind that entity or organization to the Terms of Service; (ii) you have read and understand the Terms of Service; and (iii) you agree, on behalf of that entity or organization, to the Terms of Service.
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