Price Exception Request Form
Submit a request for approval to offer a special pricing exception. Please provide all relevant details to support your request.
Requester Name
*
First Name
Last Name
Requester Email Address
*
example@example.com
Department
*
Please Select
Sales
Account Management
Customer Support
Other
Customer Name
*
Customer Email Address
example@example.com
Product or Service
*
Standard Price (USD)
*
Requested Price (USD)
*
Reason for Price Exception
*
Supporting Documentation (if any)
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Type of Price Exception
*
Discount
Special Offer
Promotional Rate
Other
Duration of Price Exception
*
Please Select
One-time
One Month
Three Months
Six Months
One Year
Other
Manager/Supervisor to Approve
*
Submit Request
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