Payment request
Request a payment or invoice settlement.
Why these fields
- Name: Name captures a short, searchable answer and is required to complete the request.
- Email: Email provides a validated reply address and is required to complete the request.
- Invoice number: Invoice number captures a short, searchable answer but remains optional.
- Amount due: Amount due collects a value that can be validated and compared and is required to complete the request.
- Due date: Due date collects an unambiguous date but remains optional.
- Notes: Notes leaves room for context and detail but remains optional.
Fields
NametextrequiredEmailemailrequiredInvoice numbertextAmount duenumberrequiredDue datedateNotestextarea
Preview
Code
{% comment %}
Paste this into a Shopify section or a custom Liquid block
(Online Store > Themes > Edit code, or an Add section > Custom Liquid).
{% endcomment %}
<form action="https://forms.formward.eu/f/your-form-id" method="POST">
<label for="name">Name</label>
<input type="text" name="name" id="name" required />
<label for="email">Email</label>
<input type="email" name="email" id="email" required />
<label for="invoice_number">Invoice number</label>
<input type="text" name="invoice_number" id="invoice_number" />
<label for="amount">Amount due</label>
<input type="number" name="amount" id="amount" required />
<label for="due_date">Due date</label>
<input type="date" name="due_date" id="due_date" />
<label for="notes">Notes</label>
<textarea name="notes" id="notes"></textarea>
<input type="text" name="_gotcha" tabindex="-1" autocomplete="off" style="position:absolute;left:-9999px" aria-hidden="true" />
<button type="submit">Send</button>
</form>Customize before publishing
- Remove fields you do not need and mark only essential answers as required.
- Replace placeholder wording with terms your audience already understands.
- Add your privacy notice, retention details and expected response time.
- Test keyboard focus, validation errors and the confirmation state on mobile.
Use this with Formward
Create a form, copy your endpoint, and replace https://forms.formward.eu/f/your-form-id in the code above.