For multiple changes, please submit multiple forms.
Team
*
Sales
Marketing
Support
Other
Team Member Email
*
This is for email reminder of form submission
Business Name
*
Pipedrive Organization URL
*
Website Address
*
www.website.com
Client Name
*
Billing Change(s)
*
Cancellation
Potential Cancellation
Permanent Budget Decrease
Permanent Budget Increase
Temporary Budget Decrease (Less than 30 days)
Temporary Budget Increase (Less than 30 days)
Reinstate Customer/Product
Relevant Products
*
Hosting
SEO
Search
Targeted Marketing
Reputation & SEO Booster
Site Safeguard
Search or TM: Product Type
SocialAmp
PMax
LSA
Legacy Campaign Type
New Ad Spend (for Paid Media):
New Management Fee (for Paid Media):
New SEO Package:
New SEO $ Value:
Effective Start Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
This is when we start the billing change (s)
Estimated Effective End Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
This is when temporary pause is over
Notes
*
Please list the products (website, seo, search, social, targeted marketing) being modified, the amount of the modification for each product, and any additional notes. If you have selected multiple billing changes above, please be sure to note which products receive which change. If you selected Creative Kit, please tell us which services refreshments should be used for.
Files
Browse Files
Attach any images or files here needed to complete your request.
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