Billing Adjustment Customer Name*Adjustment Type*- Select One -New LaunchOne-time ChargeAdd Recurring ServiceRemove ServiceBudget IncreaseBudget DecreaseCredit MemoRefundPause BillingResume BillingCancelled AccountRetention AdjustmentIs This An Upgrade?*YesNoNew LaunchNew Launch*- Select One -Direct MailDeNovoDigitalCombinedFull Website OnlySetup FeeBasic Website Management PlanIs This Recurring?*YesNoNew Launch Monthly Charge Amount*Process*Immediately1st of Month15th of Month25th of Month (Driven only)New Launch One-time Charge Amount*One-time ChargeOne-time Charge Item*- Select One -BrandingDirect Mail Ala CarteWebsite DevelopmentPhotoshootVideo ShootPhotoshoot/Video ShootEmail CreationRebill ChargebackOtherOther One-Time Charge Item*One-time Charge Amount*Process*Immediately1st of Month15th of MonthAdd Recurring ServiceAdd Recurring Service*- Select One -Direct MailDigitalCombinedBasic Website Management PlanFacebook/InstagramEmail CreationCitation BurstsCall TrackingRecurring Service Monthly Charge Amount*Set Up Fee?*YesNoRecurring Service Set Up Fee Amount*Process*Immediately1st of Month15th of Month25th of Month (Driven only)Remove ServiceService To Remove*Budget IncreaseIncrease Which Service?*- Select One -FacebookGoogle AdsBingWazeNew Increased Budget Amount*Budget Increase Start Date*ImmediatelyNew Increased Ads Management Fee Amount*Process Budget Increase*Immediately1st of Month15th of MonthBudget DecreaseDecrease Which Service?*- Select One -FacebookGoogle AdsBingWazeNew Decreased Budget Amount*Budget Decrease Start Date*ImmediatelyNew Decreased Ads Management Fee Amount*Process Budget Decrease*Immediately1st of Month15th of MonthCredit MemoCredit Memo Amount*RefundRefund Which Service?*Refund Amount*Pause BillingPause Which Service?*Pause Date*ImmediatelyResume BillingResume Which Service?*Resume Date*ImmediatelyResume Monthly Charge Amount*Cancelled AccountReason for Cancellation*Last Day of Service*Retention AdjustmentRetention For Which Service?*Retention - Is This Recurring?*YesNoRetention One-time Charge Amount*Recurring Monthly Charge Amount*NotesNotesCommissionIs There A Commission?*YesNoSummaryTotal Adjustment AmountAds Management FeeSet Up FeeApproval / SubmitterApproved By*- Select One -Brandon DiazShannon NelsonBill DonatoTanya BaileySubmitted By* First Last Email* BA Password*
