This form is to be used for all general site edits. "*" indicates required fields Submitted By:*Alyssa SmithKelly McDonaldCori NicholsonMaureen MorrisSami McCartneyLisa LynchHarrison TurnerShannon GoodBrad GoodTaylor HillCarter HarkinsTom SmodicXander MarellaLisa CookeAccount Manager*Maureen MorrisSami McCartneyLisa LynchHarrison TurnerTaylor HillShannon GoodBrad GoodCori NicholsonCarter HarkinsTom SmodicXander MarellaAlyssa SmithAaron BlaiseLisa CookeOtherAccount Manager Email* PriorityLow PriorityMedium PriorityHigh PriorityUrgent PriorityLow - Whenever it can be completed Medium - 7 days High - 2 days Urgent - Same day or within 24 hoursClient Name*Company Name*Billing Contact if Different from Client Name:Purpose of Billing Request?Adding productChanging ProductDeleting productSuspending billingUpdate credit cardAdjustmentsOtherReason for Cancellation (if applicable):Products/Services Package UpdatesGenni: Chat Agent OnlyM.O.S.T. ONLYM.O.S.T + Genni BundlePlatinum Website PackagePlatinum Catalogue Website PackageWebsite Maintenance PlanWebsite Maintenance Plan with Account ManagerUBG ClientOrbit PackageRocket PackageBooster PackageGold Website PackageSilver Website PackageBronze Website PackageDigital Marketing PackageNear MeExclusive Website Client - withOUT FacebookFull Service PackageStarter PackageBUSH HostingSBO (Search Box Optimization) - Escrow PaymentSBO (Search Box Optimization) - Keyword(s) Confirmed WorkingSBO (Search Box Optimization) - Google RefundSBO (Search Box Optimization) - CancellationGoogle Adwords Add-OnGBP Add-OnFacebook Organic Posts Add-OnFacebook AdsADA Compliance Add-OnProfessional Photos Add-OnProfessional Videos Add-OnTravel Expenses Add-OnSpeed Boost Add-OnHourly Website EditsCustomer Engine PackageOther (see notes)Indicate which service is to be added, removed, or suspended. If suspended, indicate in the notes when billing is to resume! Click control + left click to select multiple services.What type of Client is this? Agency Rate Agency Rate with Catalog Affinity Rate (UBG, HPBA, NCSG) Affinity Rate with Catalog FWQA What are the terms? 6 months 12 months 24 months Month to Month (can cancel at any time) One Time Fee (Examples: Hourly Charges, Email Campaign, etc.) How long is the contract for? Is there a one time set up fee? Yes No, Waived by Manager Effective Date MM slash DD slash YYYY Date billing changes are to go into effectOne Time Invoice? Yes No Update Contact or Credit Card Information? Yes No Credit Card / Billing Information ChangesUse field for new billing address, card holder, billing email, etc. Submit Credit Card number to Tina via Taylor's LASTPASSSpecify Package Pricing Details:Image attachmentsMax. file size: 128 MB. Δ