Price Increase Notification Acknowledgment

Price Increase Notification Acknowledgment — Form Fields

This business template includes 10 fields. Vendors or suppliers have customers acknowledge an upcoming price change before it takes effect. Free to customize and use on ZenBuild.

• Customer Company Name (text, required)
• Authorized Signatory Name (text, required)
• Authorized Signatory Title (text, required)
• Email Address (email, required)
• Account Number (text, required)
• Effective Date of Price Change (dropdown selection, required) — options: 30 Days, 60 Days, 90 Days, Already Effective
• Products or Services Affected (long text, required)
• Continued Business Confirmation (dropdown selection, required) — options: Yes - Continue Service, No - Canceling, Need to Discuss
• Date of Acknowledgment (text, required)
• Comments or Concerns (long text, optional)