Entrupy Plan Change Request Form
Please note that this change request is subject to review and acceptance by Entrupy Account Manager. Please contact email@example.com if you have any questions about your billing.
Authorized Person Information
The Authorized Person is the primary contact who is responsible for maintaining information, and able to request plan-level changes, on behalf of your account.
Authorized Person Full Name
Authorized Person Email Address
Authorized Person Phone Number
Billing Contact Information
All receipts and invoices will be sent to the Billing Contact. This can be same as the Authorized Person above. It is Authorized Person's responsibility to keep all billing and contact information up to date for your account.
Billing Contact Name
Billing Contact Email Address
Billing Contact Phone Number