Toll-free Number Messaging Compliancy Form

Legal Company Name(Required)

DBA (if applicable)(Required)

Organization Type(Required)

Message Sender: State of Incorporation(Required)

Primary Company Address or Corporate Headquarters(Required)

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

Company Contact(Required)

Name of person completing this form.

First Last

Contact Email(Required)

Hidden

Campaign Description(Required)

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

What type of messages are being sent?(Required)

How is opt-in collected?(Required)

Please provide IVR Phone Number(Required)

Please provide Keyword(Required)

Please describe the POS opt-in flow(Required)

Via Paper Form(Required)

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

Please provide opt-in URL(Required)

Provide screenshot of opt-in(Required)

An opt-in screenshot is REQUIRED for marketing use cases. Failure to upload a screenshot will immediately disqualify your verification request.

Max. file size: 128 MB.

Other(Required)

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

Please provide supporting information of how opt-in is collected.(Required)

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

Sample Messages(Required)

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

Please choose the category that best represents your use case/content.(Required)

If you answered "other," please describe your use case/content.

Are you using more than 1 sending number?(Required)

Yes

Phone number associated with this campaign(Required)

Please describe the business use for using more than one sending number.(Required)

Carriers are very sensitive to the prohibited practice of snowshoeing or spreading the same or similar traffic over multiple sending telephone numbers, as the primary purpose for snowshoeing is generally an attempt to evade carrier spam filters. Therefore, carriers will request an explanation if more than one toll-free number is listed.

Toll-Free Number List(Required)

Please upload an excel file of the business name per toll-free number.

Max. file size: 128 MB.

Estimated Monthly Message Volume(Required)

Canadian Traffic

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

Yes

Supporting Documentation

Please upload a Letter of Agency (LOA), RespOrg form, or Customer Service Record (CSR) to confirm the toll-free number(s) belong to your organization. Please contact your voice services provider to obtain this documentation.

Max. file size: 128 MB.

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