Form

First name*

Last name*

Phone number*

Email*

Legal Company Name*

Organization Type*

Message Sender State of Incorporation*

The state where the message sender company was registered.

Street address*

Street address 2

City*

State/Region*

Postal code*

Campaign Description*

Please describe your use case and the purpose of your messages (i.e. appointment reminders, receipts, etc.)

What type of messages are being sent*

Informational: These messages inform your customers of things like service updates, appointments, and scheduling. Informational messages do not sell or promote anything regarding the business.
Marketing: A text message sent that contains a sales or marketing promotion.

How is Opt-in collected*

Please provide supporting information on how opt-in is collected: Use the drop-down menu to select an option that best describes how subscribers opt in to the messaging program

Please provide supporting information on how opt-in is collected*

Please describe how potential subscribers are opted in to receive messages.

Sample Message*

Please include 1-3 variations of messages you intend to send

Sample Message 2

Please include 1-3 variations of messages you intend to send

Sample Message 3

Please include 1-3 variations of messages you intend to send

Please choose the category that best represents your use case/content*

Are you using more than one sending number*

Yes

Estimated Monthly Message *

Canadian Traffic*

Is the majority of traffic expected to terminate to Canadian handsets?

Supporting documents