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 LynchJonathan SandersAaron BlaiseTom SmodicTaylor HillShannon GoodBrad GoodCarter HarkinsAlyssa SmithOtherAccount 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 UpdatesOld Package (include details below)Add-On Service (include details below)Hourly Website EditsGenni: Chat Agent OnlyM.O.S.T. ONLYAI Team + M.O.S.TAI TeamPlatinum Website DesignPlatinum Website Design w/ CatalogCatalog Add-onGold Website DesignSilver Website DesignBronze Website DesignWebsite Maintenance PlanWebsite Maintenance Plan with Account ManagerOrbit PackageRocket PackageBooster PackageDigital Marketing PackageGoogle Ads OnlyHosting OnlyGBP Add-OnUBG ClientOrganic Social Posts Add-OnFacebook Ads OnlyProfessional Photos Add-OnProfessional Videos Add-OnOther (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