Toll-Free Messaging Campaign Form
This is a mandatory verification process for Toll Free messaging delivery services (SMS/MMS). For questions or concerns about this form please contact the Billing Department at BILLING@SIPTRUNK.COM
Messaging Provider
Message Provider Compliance Email
Message Provider Compliance Phone Number
Messaging Providers Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Customer ID
*
For SIPTRUNK.COM Internal Use Only
Message Sender Legal Business Name
*
This is the State registered name of the company
Message Sender Email
example@example.com
Message Sender Contact Phone Number
Please enter a valid phone number.
Message Sender Contact Name
First Name
Last Name
Message Sender Business Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Enter the Toll Free Numbers you are registering for this use case
*
Enter ten digits with no spaces, dashes or commas
0/10
Please Summarize the Use Case or Campaign Description
*
Please be descriptive to prevent processing delays. What is the purpose of the messaging? (Calendar, alerts, reminders, marketing, advertising, etc)
0/0
List the Senders Corporate Website, Opt-In or T&Cs related to your campaign, if any
List the URL or website address
Opt-In process for consumers into the Toll Free Campaign
*
Please describe how potential subscribers are opted in to receive messages. State all opt-in methods used.
0/0
Sample Content
*
0/0
Sample Content
*
Please include at least 2 sample message
0/0
What is the Call to Action(s) by the receiving party, if any?
*
Ex. User is directed to the website opt-in via paper pamphlet, Information only no action required. etc.
Where are the Toll Free number advertised?
Please list the website URL, print ads or POS display locations.
Please choose the category that best represents your use case or content
*
Please Select
Account Management Reminders
Appointment Reminders/ Service Promotions
Banking & Lending Institute Services
Educational Services
Existing Customer Marketing Promotions
Financial or Employment Service Referrals
Group Messaging
Health Services
Interactive Messaging
Internal Employee Communications
New Customer Marketing/ Promotions
News and Content Alerts
Non-Profit Messaging
Political Messaging
Product or Service Delivery
Sweepstakes and Lottery
Two-Factor Authentication
Other
Was this messaging traffic previously on another provider?
*
No
Short Code
Long Code
Is this a fortune 500 or 1000 company?
*
Yes
No
Optional: End user phone numbers for sample content
List a few phone numbers these messages will be sent to.
Monthly Estimated Message Volume
Submit
Should be Empty: