Payment request

Request a payment or invoice settlement.

Fields

NametextrequiredEmailemailrequiredInvoice numbertextAmount duenumberrequiredDue datedateNotestextarea

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://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>

Use this with Formward

Create a form, copy your endpoint, and replace https://formward.eu/f/your-form-id in the code above.

Payment request template, copy-paste code | Formward