Dunning Form

Legal Name of Franchise *

Business Address *
Street Address
Street Address Line 2

City

State / Province

Postal/Zip Code

Primary Contact *

First Name

Last Name

Primary Contact E-mail *

example@example.com

Billing E-Mail *

example@example.com

Phone Number *

Area Code

Phone Number

Attach Company Portal Logo

This is helpful if you manage multiple Owner Groups

Reply To E-mail (Notice Reply-To) *

example@example.com

Header Image URL Link

Defaults to Unishippers.com if no custom local landing page is available

Custom Message 1

Default wording will be used if none other is specified.

Payment Terms (See UONE Franchise Tab> System Config> Default Days to Age to List) *

Unishippers invoices are billed at standard Net (XX) days with a 15 day grace period to allow for mail delivery.

Please list the AGING Buckets you plan to send your notices by. Typical examples are 15/30/45 or 40/50/60 or 30/60/90.

Aging Bucket 1 = Current Balance

Aging Bucket 2 *

Aging Bucket 3 *

Aging Bucket 4 *

ACH Portal URL
Direct link to your Merchant ACH Portal

Credit Card Portal URL
Direct link to your Merchant CC Portal

Attach Custom Portal Link Images

Defaults used if none others are specified

Special Instructions
If you wish to make custom changes you can specify them here. Customizations will incur additional development costs.