Customer Renewal Request Form

Customer Renewal Request Form — Form Fields

This sales template includes 7 fields. Simplify the contract renewal process by having customers express their intent and preferences ahead of renewal. Early visibility into renewal likelihood helps prevent churn. Free to customize and use on ZenBuild.

• Company Name (text, required)
• Primary Contact Name (text, required)
• Contact Email (email, required)
• Renewal Intent (multiple choice, required) — options: Ready to renew as-is, Renew with changes (upgrade/downgrade), Considering alternatives — want to discuss, Planning to cancel
• Preferred Contract Term (dropdown selection, optional) — options: Monthly, Annual, Multi-year (2–3 years)
• Overall satisfaction with our product/service (1 = dissatisfied, 5 = very satisfied) (rating, required)
• Any changes or concerns to discuss before renewing? (long text, optional)