Price Increase Notification Acknowledgment Form — Form Fields
This sales template includes 10 fields. Capture signed acknowledgment from customers when they receive advance notice of a price increase. Free to customize and use on ZenBuild.
Customer Name (text, required)
Company Name (text, required)
Email Address (email, required)
Account Number (text, optional)
Current Contract End Date (text, required)
Current MRR (USD) (number, required)
New MRR Effective Date (USD) (number, required)
Do You Accept the New Pricing? (multiple choice, required) — options: Yes – Continue Service, Yes – Would Like to Discuss, No – Intend to Cancel
Questions or Concerns (long text, optional)
I acknowledge receipt of the price change notification (checkboxes, required)
