Establishing secure connection…Loading editor…Preparing document…

Pricing Adjustment Document

This template is fully customizable. Edit the text, fill out the fields, and send it for signature. Give it a try!

PRICING ADJUSTMENT DOCUMENT

This Pricing Adjustment Document ("Agreement") is made effective as of by and between: Client Name: and Supplier Name: .

WHEREAS

WHEREAS, Client and Supplier are parties to one or more commercial agreements under which Supplier provides goods or services to Client (collectively, the "Underlying Agreement"); and

WHEREAS, the parties desire to adjust certain pricing terms applicable to specific goods or services described below, on the terms and conditions set forth in this Pricing Adjustment Document; and

NOW, THEREFORE, in consideration of the mutual covenants and agreements contained herein and other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the parties agree as follows:

SCOPE OF WORK

The pricing adjustments described in this Agreement apply only to the goods and services expressly identified below and do not otherwise modify any terms of the Underlying Agreement except as expressly set forth in this Agreement.

ADJUSTMENT DETAILS

The following table sets forth the specific pricing adjustments. Each listed adjustment supersedes the prior price for the item identified and becomes effective on the Effective Date specified for that line item.

Item / Description
Original Price
Adjusted Price
Effective Date

PAYMENT TERMS

All payments due under this Agreement that arise from the adjusted prices shall be invoiced and paid in accordance with the payment schedule below. Except as expressly provided herein, nothing in this Agreement alters Client's payment obligations for goods or services already rendered prior to the effective date of an adjustment.

If any invoice reflecting adjusted pricing is not paid within days after the invoice date, Client will owe a late fee equal to on the overdue balance, calculated from the date payment was due until paid in full. Late fees are in addition to any other remedies available to Supplier.

TERM AND TERMINATION

This Agreement shall commence on and shall remain in effect until unless earlier terminated in accordance with this Section.

Either party may terminate this Agreement for convenience upon written notice to the other party no less than days prior to the intended termination date. Either party may terminate immediately for cause if the other party materially breaches this Agreement or the Underlying Agreement and fails to cure such breach within 15 days after written notice.

CONFIDENTIALITY

Each party agrees that it shall keep confidential and shall not disclose to any third party any confidential or proprietary information of the other party disclosed in connection with this Agreement, including pricing, cost structures, business plans, and customer information ("Confidential Information"), except as expressly permitted in writing or as required by law. Confidential Information shall be used solely to perform obligations under this Agreement. The confidentiality obligations shall survive termination of this Agreement for a period of three (3) years.

GOVERNING LAW

This Agreement shall be governed by and construed in accordance with the laws of the State of without regard to its conflicts of law principles. The parties submit to the exclusive jurisdiction of the state and federal courts located in that State for any disputes arising out of or relating to this Agreement.

ENTIRE AGREEMENT

This Agreement, together with the Underlying Agreement as expressly modified herein, constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes all prior and contemporaneous agreements, understandings, negotiations and discussions, whether oral or written. Any amendment to this Agreement must be in writing and signed by both parties.

The parties represent and warrant that the individuals signing below are authorized to execute this Agreement on behalf of their respective parties.

Client

Printed Name:

By:

Date:

Supplier

Printed Name:

By:

Date:

Enter text✕

What the Pricing Adjustment Document Is and When It’s Used

The Pricing Adjustment Document is a formal amendment or notice used to record and authorize changes to previously agreed prices, rates, or fee schedules between parties. It identifies affected line items, shows the calculation method for new prices, states the effective date, and records any transitional or proration terms. Commonly used in procurement, supplier contracts, subscriptions, and service agreements, it creates a clear audit trail for accounting, tax, and compliance reviews and establishes the parties’ mutual consent to changed consideration.

Why a Clear Pricing Adjustment Document Matters

Using a formal Pricing Adjustment Document reduces disputes by recording agreed changes, clarifies billing and accounting treatment, and preserves evidence for audits and regulatory review.

Why a Clear Pricing Adjustment Document Matters

Who Typically Prepares and Signs These Documents

Organizations that manage negotiated pricing changes rely on this document: procurement, finance, sales, and legal teams deploy it to formalize adjustments.

  • Procurement and sourcing teams who negotiate supplier price modifications and require formal documentation.
  • Finance and billing departments updating invoices, purchase requisitions, or recurring subscription rates.
  • Sales and account managers communicating price changes to customers and securing approvals.

Cross-functional review ensures pricing changes are authorized, posted to billing systems correctly, and retained for compliance and audit purposes.

Security, Compliance, and Encryption Considerations

Encryption: TLS 1.2/1.3 in transit; AES-256 at rest
Certifications: SOC 2 Type II; ISO 27001; PCI DSS
HIPAA: Compliant with BAA available
ESIGN & UETA: Legal framework for e-signatures, record retention
21 CFR Part 11: Support for FDA-regulated workflows
Accessibility: WCAG 2.0 Level AA conformance

Step-by-Step: Create, Approve, and Execute a Pricing Adjustment

Follow these core steps to prepare, authorize, and execute a Pricing Adjustment Document consistently and with a clear audit trail.

  • 01
    Prepare: Identify line items, calculate new pricing, and gather supporting documentation.
  • 02
    Authorize: Obtain approvals per internal approval matrix and record dates.
  • 03
    Document: Draft amendment with effective date and explicit calculation method.
  • 04
    Execute: Obtain signatures and distribute executed copies to stakeholders promptly.

Digital Workflow: Typical Routing for Price Amendments

Typical routing sequence for issuing and completing a Pricing Adjustment Document in digital workflows remotely.

  • Upload: Add the draft document to the signing platform.
  • Place Fields: Insert price, date, and signature fields with conditional logic.
  • Sign: Send to signers, authenticate, and collect signatures.
  • Archive: Save executed copy and audit trail for compliance.

Configure Your Digital Workflow Before Sending

Set authentication, routing, and notification options to match your internal approvals and compliance needs before issuing the amendment.

Field Configuration
Signer Authentication Email link or SMS code; KBA for high-risk
Routing Order Sequential approvals or parallel signers selectable
Conditional Fields Show pricing fields only when adjustment applies
Notifications Email alerts to approvers and finance team

Platform Capabilities to Match Your Process

Choose platforms that support secure e-signing, audit trails, and required integrations for billing and ERP reconciliation.

  • Integrations: Salesforce, NetSuite, Microsoft 365, Google Workspace
  • File formats: PDF, DOCX, HTML, Excel supported
  • Authentication: Email, SMS, SSO, advanced options

Typical Timelines and Processing Expectations

Common deadlines and processing times to expect when issuing price adjustments under contract and regulatory frameworks.

Internal approval SLA:

Typical 3–10 business days depending on review tier.

Customer notice period:

As specified in contract; often 30–60 days for subscription changes.

Billing impact date:

The effective date determines the first invoice with new pricing.

Accounting cutoffs:

Month-end close cycles may delay posting of adjusted charges.

Regulatory notice deadlines:

Consumer-facing increases may require ESIGN consumer disclosure when consent is electronic.

Common Preparation Errors to Avoid

  • Failing to document the exact items and calculation method leads to billing disputes and difficulties reconciling accounts receivable balances.
  • Using vague phrases like 'market adjustment' without objective indices or formulae invites differing interpretations and dispute escalation.
  • Missing required approvals or signatures by unauthorized personnel can render the adjustment unenforceable and create contractual liability.
  • Neglecting consumer disclosure or electronic consent for customer-facing pricing changes risks regulatory challenges under ESIGN and state consumer protection laws.

Key Risks and Potential Consequences

Contract Breach: Damages and termination risk
Tax Treatment: Adjustment affects revenue recognition
Regulatory Fines: Notice failures can trigger penalties
Unauthorized Approval: Invalid signatory may void amendment
Audit Exposure: Poor records increase audit findings
Fraud Risk: Unauthorized changes attract liability

Comparing eSignature Pricing and Capabilities for Pricing Adjustments

A high-level comparison of starting prices and select capabilities across common e-sign vendors to inform platform selection for Pricing Adjustment Document workflows.

signNow DocuSign Adobe Sign PandaDoc HelloSign
Starting Price $8/user/mo $15/user/mo $14/user/mo $19/user/mo $15/user/mo
Free Trial 7-day free trial Verify with vendor Verify with vendor Verify with vendor Verify with vendor
Bulk Send Yes (Business Premium) Verify with vendor Verify with vendor Verify with vendor Verify with vendor
Audit Trail Yes Yes Yes Yes Yes
HIPAA Compliant Yes Yes Yes No No

Practical Scenarios Showing How the Document Is Used

Two representative scenarios illustrate typical use of a Pricing Adjustment Document across subscription and supplier contexts.

SaaS Subscription Update

A subscription provider issues a pricing amendment to align tier rates with new service levels, notifying affected customers in writing.

  • The document lists affected SKUs, proration rules, and effective date for billing.
  • The executed amendment becomes the official record, used by finance to update invoices and by customer service for queries.

Commercial Supplier Adjustment

A supplier revises unit pricing due to raw material cost increases and prepares a signed amendment to purchase agreements.

  • The amendment references contract line numbers and price formulas.
  • Executed copies are distributed to procurement, accounts payable, and the vendor file to ensure consistent charge posting and future audits.

Common Questions About Pricing Adjustment Documents

Answers to frequent questions about drafting, signing, enforcing, and storing Pricing Adjustment Documents in U.S. transactions.


Need help? Contact support

be ready to get more
Join over 28 million airSlate SignNow users