10DLC/A2P SMS Text Messaging Brand & Campaign Registration Form

This form can be used for first-time Brand and Campaign registrations or for additional Campaign registrations to an existing company’s Brand. You can only register one campaign per form submission. If you already have a Brand ID for your company please proceed to Part II of this form.

Part I: Brand Information & Details

By completing the form below, you are verifying the information is accurate and true. The information provided will be submitted to the "The Campaign Registry" (TCR) an Independent Reputation Authority chosen by Mobile Network Operators (MNOs) to collect Brand and Campaign data in order to allow for transparency on the 10DLC network.

Legal Company Name(Required)

The company or entity sending & receiving SMS/MMS messages.

DBA or Brand Name (If different from legal name)

Country of Registration(Required)

United States

Canada

Type of Organization(Required)

Publicly Traded Company

Private Company (Inc., LLC, Corp.)

Charity/Non-profit

Government

Tax Number/ID/EIN(Required)

State or Government Registered ID#

Legal Business Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Website(Required)

Industry/Vertical Type(Required)

Select the best vertical type that fits your business.

Contact Name(Required)

First Last

Contact Phone Number(Required)

Contact Email(Required)

Hidden

Email(Required)

Contact Address (If different from Company)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Part II: Declare your Single Use Case for the campaign that you are registering for in this form.

Most companies can be served by 'Low Volume Mixed' use case, which includes less than 2,000 messages per day or 75 Texts Per Minute. (Standard Use Cases are immediately available for all qualified registered Brands and do not require Vetting or pre/post-approval by MNOs. Special Use Cases are sensitive or critical in nature and may require Vetting or pre/post-registration approval by MNOs. During the review process you may begin to send messages).

Existing Brand ID (per applicable)

Please include your existing 10DLC BRAND ID with The Campaign Registry (TCR) ONLY IF you have previously registered your SMS-enabled number with a different carrier.

Use Case (Select One)(Required)

The indicated "Use Case" will help the MNOs determine the type of "Campaign" your messaging will fall under.

Mix Use Cases

The following section applies to "Low Volume Mix," "Mix" or "Conversational Messaging" use cases. Per applicable, you may choose up to five (5) sub-categories associated to your Mix Use Case selection above.

Two Factor Authentication

Customer Care

Fraud Alert Messaging

Marketing

Public Service Announcement

Account Notification

Delivery Notification

Higher Education

Polling and Voting

Part III: Campaign & Content Attributes

Campaign and Content Attributes are characteristics of the Campaign in which you are registering for. Please complete the following questionnaire below.

Number Pooling(Required)

Select "yes" to number pooling if you intend to use 50+ numbers under one campaign. Please note, selecting "yes" will require a different provisioning process with certain wireless carriers.

Yes

Direct Lending or Loan Arrangement(Required)

Indicates whether the campaign include content related to direct lending or other loan arrangements.

Yes

Embedded Link(Required)

Indicates whether the campaign is using an embedded URL link of any kind. Note that public URL shorteners (bitly, tinyurl) are not accepted.

Yes

Embedded Phone Number(Required)

Indicates whether the campaign is using an embedded phone number (except the required HELP information contact phone number).

Yes

Affiliate Marketing(Required)

Indicates whether the affiliate marketing being used or was used in the construction of the campaign.

Yes

Age-gated/SHAFT-C Content(Required)

Indicates whether the campaign include any age-gated content as defined by Carrier and CTIA guidelines (Content requiring the individual to be of legal age). NOTE: The following types of content are prohibited on 10DLC: Hate, Alcohol, Sex, Firearms, and Tobacco (cannabis, CBD, etc.). It’s also not allowed to be on the customer's website at all. Example: If a chiropractor's office has CBD oils on their website, the campaign will be denied even if not directly related to CBD marketing.

Yes

Campaign Description(Required)

Please explain your campaign objective or purpose IN DETAIL. In other words, how will your business use text messaging to communicate with clients, vendors, prospects, etc.

Campaign Sample Message(Required)

Please include TWO campaign sample messages. Please ensure that you include an opt-out word (STOP, END, UNSUBSCRIBE) in at least one of your messages. Example of first message: "Thank you for contacting [Company Name ]. You have been successfully opted in to receive SMS text messages. To opt-out, or unsubscribe, please reply STOP at any time. If you require further assistance, please reply HELP and a member of our team will contact you shortly."

Call to Action(Required)

This section should contain a clear and concise description of how an end user signs up to receive messages. Opt-in must be 1 to 1, can't be shared with third parties, and can't be implied. It must be clear, conspicuous, and can't be obscured within the terms & conditions and/or other agreement(s). EXAMPLE: "Consumers can opt-in to [Business Name] messaging services by texting START to [phone number]. To opt-out, text STOP at any time. For further assistance, text HELP." NOTE: If opt-in will be collected via website, then the URL of the opt-in form or button must be included or your campaign will be rejected.

Please list the phone numbers associated with this campaign.(Required)

Please list ALL phone numbers that will utilize SMS text messaging service to send and receive text messages (up to 49 numbers allowed per campaign). Phone numbers should be typed with ten digits only with one number per row. No spaces, parenthesis, or commas. Toll-free numbers do not qualify for 10DLC. To register your SMS-enabled TOLL-FREE numbers, please use this form: https://www.acctelecom.com/toll-free-messaging-compliancy-form/.

Opt-in, Opt-out, Help(Required)

The associated Brand entity agrees to include and support the following campaign content attributes. MUST SELECT ALL TO REMAIN COMPLAINT.

SUBSCRIBER OPT-IN - You are informing clients how to opt-in to your messages, and collecting and processing consumer opt-ins.

SUBSCRIBER OPT-OUT - You are informing clients how to opt-out of your message service, and collecting and processing consumer opt-outs.

SUBSCRIBER HELP - You have implemented a message reply providing customers on how they can contact the message sender after they reply with the “HELP” keyword.

Name of Person Submitting Form (if different from company contact)

First Last

Date

Comments

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