A2P/10DLC - Registration Form

A2P/10DLC Brand & Campaign Registration Form
Disclaimer: There are pre-requisites that need to be met in order for ThreePBX to enable your SMS/MMS (text messaging) services.

Option 1. A Website

or

Option 2. A Social Media Account

If you have any questions prior to completing this form, please reach out to our customer service team at 1877-771-7464 or email support@threepbx.com
Contact Name:*
Contact Phone Number:*
Website:*
Legal Company Name:*
Site Name:*
Contact Email:*
DBA (if different for legal name):
Employer Identification # (EIN): *
Legal Business Address: *

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Verifing Your Online Presence
Does your company have a website?

YesNo
Does your website have a Privacy Policy Page?*

YesNo
Add the Privacy Policy Website Link from your website *
Unsure what the privacy policy should mention? Please include the disclaimer on your privacy policy page as mentioned on the example.

CLIKE HERE TO VIEW
Please answer the following questions:
If your answer was No, we will need to validate your company's online presense using social media.

Next Steps, you should create a post with both the full SMS disclosure and a Privacy Policy link or actual text of a short Privacy Policy. You can make that social media post “sticky” so that it always appears at the top of the social media presence for this business. Another option is to link it in the “About” section (applies to Facebook). Privacy Policies can be in a linked Google documents or written out in the social media post.

PLEASE DO NOT CONTINUE TO FILL OUT THIS FORM IF YOUR PRIVATE POLICY HAS NOT BEEN IMPLEMENTED ON YOUR SOCIAL MEDIA
Does your website have a contact form requesting the phone number of your client(s) or prospect(s)?*

YesNo
If your answer was YES, please include a disclaimer for all of the forms on the website.

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The purpose of an SMS Disclosure is to ensure that the consumer consents to receiving text messages and fully understands the nature of the program.

If you are using SMS for "Markeing Purposes". You may use the disclaimer on the example.
Click Here to View

If you are using SMS for "Non-Markeing Purposes". You may use the disclaimer on the example.
Click Here to View
Brand Information & Details
What type of legal form is the organization? (Choose One)*

Publicly Traded CompanyPrivate CompanySole ProprietorshipCharity/Non-profit CompanyGovernment
Choose a Vertical Type**
What type of conversational messaging will you be using SMS for? (Choose Five)*

(2FA) Two Factor AuthenticationCustomer CareFraud Alert MessagingMarketingPublic Service AnnouncementAccount NotificationDelivery NotificationHigher EducationPolling and Voting
How does the company obtain customers' phone numbers for text messaging? (Check all that apply)

Implied Consent (Consumer initiates a text message to the brand)Express Consent: Form (Consumer completed a form with their signature, either on paper or in digital format)Express Consent: Verbal (Consumer gives explicit consent via phone or in person)Express Consent Keyword (Cusumer sends an explicit keyword, such as "START", or opt in to a number)Express Consent: Webform (Consumer enters their number in a form and checks a box to consent to SMS from the brand)
Implied Consent

Consumer initiates a text message and no recurring messages will be sent after

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IMPORTANT: Please note that double opt in is mandatory if you choose this consent process
Please specify in the box below where the company's phone number was listed or advertised, that prompted the consumer to reach out to the comapny. (e.g..; through an advertisement on a website, calling card, flyers,etc.) It must be clear that consumer is the one who first sends a text message to the company. *
Express Consent: Form

Consumer completes a form with their signature, either on paper or in digital format
ReachUC Complete
- Call
- Send Message
Please specify where the form is located, link if electronic form
Physical Form - Upload a Copy Below

Browse Files

Cancelof
Please add the SMS disclosure language here*
Express Consent: Verbal

Consumer gives explicit concent via phone or in person
Describe methods and processes for customers to opt-in verbally, such as during a phone call or in person.*
Provide the script used to obtain verbal consent. The script must contain SMS disclusures informing customers what they are signing up for and implementing the SMS disclosure elements as checked above.*
Express Consent: Keyword

Consumer sends an explicit keyword, such as "START", to opt in to a number
Select the keyword customers can use to opt-in*

STARTOPT-INSUBSCRIBEOther
Specify the 10-digit number customers can text to opt-in verbally, such as during a phone call or in person. *
Provide a link to the advertisement where the instructions to opt-in are displayed.*
Please add the SMS disclosure language here*
Express Consent: Webform

Consumer enters their number in a form and checks a box to consent to SMS from the brand
In the box below, please provide the link to the webform on your website where customers can opt in. Please include all links with a webform. Use "Add Webform Link" button to add more fields
Add Webform LInk
Please add the SMS disclosure language here*
Instructions: enter an 'X' in the highlighted area. Example: (X)

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).
What type of legal form is the organization? (Choose One)

Low Volume Mixed - Small throughput, any combination of use-cases. Examples include: Small Businesses (Pizza Shops,Insurance, Salons, IT Business, 2FA, Light customer2FA - Any authentication,verification, or a one-time passcode. (Standard)Customer Care - All customer interaction,including account management and customer support. (Standard)Delivery Notifications - Information about thestatus of the delivery of a product or service. (Standard)Fraud Alert Messaging - Messaging regarding potentialfraudulent activity on an account. (Standard)Higher Education - Campaigns created on behalfof Colleges or Universities. It also includes School Districts and educationalinstitutions that fall outside of any "free to the consumer"Marketing - Any communication with marketing and/or promotional content. (Standard)Mixed - Any undeclared combination of use-cases (Standard)Polling and voting -Requests for surveys and voting for non-political arenas. (Standard)Public Service Announcement- An informational message that is meant to raise the audience's awarenessabout an important issue. (Standard)Security Alert - Anotification that the security of a system, either a software or hardware, has been compromised in some way and there is an action you need to take.(Standard)Carrier Exemptions -Exemption by Carrier. (Special)Charity - Communicationsfrom a registered charity aimed at providing help and raising money for those in need. Includes 5013C Charity. Does not include: Religious organizations.(Special)Conversational Messaging -Peer-to-peer app-based group messaging with proxy/pooled numbers for enterpriseor A2P communications. (Special)Emergency - Notificationservices that are designed to support public safety/health during naturaldisasters, armed conflicts, pandemics, and other national or regionalemergencies. (Special)Sweepstakes - Allsweepstakes messaging. (Special)Political - Part of an organized effort toinfluence the decision-making of a specific group. Only available to 501(c)(4) and 527Organizations. (Special)Social - Communication within or between closedcommunities. (For example, influencer's alerts). (Special)Sole Proprietor - Limited to entities without an EIN / Tax ID. (Special)Agents and Franchises Agents; Franchises; local branches post-registration approval by MNO is required for this Use Case. (Special)
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A2P/10DLC Brand & Campaign Registration Form