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 SmodicJonathan SandersAccount Manager*Maureen MorrisSami McCartneyLisa LynchHarrison TurnerTaylor HillShannon GoodBrad GoodCori NicholsonCarter HarkinsTom SmodicJonathan SandersAlyssa SmithAaron BlaiseOtherAccount 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?*New Client- Adding ServicesExisting Client- Adding New ServicesExisting Client- Changing ServicesAll Clients- Ending Service(s)All Clients- Pause BillingUpdate credit cardErrors/AdjustmentsOtherReason for Cancellation (if applicable):Products/Services Package UpdatesHourly Website EditsGenni: Chat Agent OnlyTermly Privacy Policy Add-OnM.O.S.T. ONLYM.O.S.T + Genni ChatAI TeamPlatinum Website PackagePlatinum Catalog Website PackageCatalog Add-onWebsite Maintenance PlanWebsite Maintenance Plan with Account ManagerUBG ClientOrbit PackageRocket PackageBooster PackageGold Website PackageSilver Website PackageBronze Website PackageDigital Marketing PackageGoogle Adwords Add-OnNear MeBUSH HostingGBP Add-OnExclusive Website Client - withOUT FacebookFull Service PackageStarter PackageSBO (Search Box Optimization) - Escrow PaymentSBO (Search Box Optimization) - Keyword(s) Confirmed WorkingSBO (Search Box Optimization) - Google RefundSBO (Search Box Optimization) - CancellationFacebook Organic Posts Add-OnFacebook AdsADA Compliance Add-OnProfessional Photos Add-OnProfessional Videos Add-OnTravel Expenses Add-OnSpeed Boost Add-OnCustomerMaticOther (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 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 Billing Request Details:Image attachmentsMax. file size: 128 MB. Δ