Form

First name*

Last name*

Phone number*

Email*

Job title*

Job Type*

Legal company name*

Legal company name must match your IRS SS-4.

Company Name/DBA*

This is how your company is informally known (ex: "Coke").

Company Legal Street Address*

Must match the address your IRS SS-4.

Street address 2

City*

State/Region*

Postal code*

Website URL*

Tax EIN*

IRS SS-4*

Please upload your company's S-4. See IRS instructions here.

Business Type*

Company Industry*

IT Support Contact Email Address*

IT Support Contact Phone Number*

Approx. Monthly Message Volume*

How many phone numbers do you need?*

Please describe what you use SMS for. *

EX: I use SMS to market to my existing customers, who are expecting to hear from me.

Will you send content related to lending?*

Yes

No

Will you use embedded links in your messages?*

Note this will cause additional regulatory scrutiny and may delay approval.

Yes

No

Will any of your content be age restricted?*

Yes

No

Will any of your messages be used for Affiliate Marketing?*

Yes

No

How do end users opt into receiving SMS?*

EX: My customers opt into receiving text messages when they provide their phone number on our website.

What are your Opt In Keywords?*

EX: OPTIN, OPT-IN, START, GO, SUBSCRIBE, CONSENT, AGREE

Sample Opt In*

Please provide a screenshot of your SMS Opt-In message(s)

How do end users opt out of receiving SMS?*

EX: My customers opt out of receiving text messages by replying "stop" to a message.

What are your Opt Out Keywords?*

EX: STOP, CEASE, OPTOUT, LEAVE, UNSUBSCRIBE

Sample Opt Out*

Please provide a screenshot of your SMS Opt-Out message(s)

What are your keywords for HELP?*

EX: HELP, ASSIST, CONTACT

Please provide a sample HELP message*

EX: For help, reply HELP

Please provide a sample SMS message (One of Two)*

EX: Hi! This is Courtney from Message IQ. Please log into your account: app.smartramp.com

Please provide a sample SMS message (Two of Two)*

EX: Please reply to this text to receive your 10% discount!

Preferred Area Codes

Please provide at least 3 preferred area codes for your new number