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Name

Email Address

Subject

Department

Priority

Message

Attachments

Choose file

Allowed File Extensions: .jpg, .gif, .jpeg, .png, .doc, .docx, .xls, .xlsx, .ppt, .pptx, .pub, .txt, .pdf, .odt, .ods, .odp, .odg, .csv, .tif, .tiff, .plain, .xlsx, .ai, .wav (Max file size: 2MB)

DBA or Brand Name

Legal Company Name

What type of legal form is the org?

Tax Number / ID / EIN

Phone Number

Business Contact Email

Address

City

State

Zip

Vertical Type

Website

Campaign Description

The rest of the questions are specific to the CAMPAIGN.

Message Flow

How do people opt in to receiving texts from you, and what do you send?

Sample Messages

Please provide 1 to 5 examples of what you may send.

Will more than 50 numberss be used for this campaign?

(Check if yes)

Will the campaign include content related to direct lending or other loan arrangements?

(Check if yes)

Are you using an embedded link of any kind?

(Check if yes)

Are you using any embedded phone number beyond the contact number in the HELP response?

(Check if yes)

Will the campaign include any age-gated content as defined by carrier and CTIA guidelines?

(Check if yes)

Terms & Conditions URL

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