Wire2Air Toll-Free Verification form

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Business Legal Name:* This field is required.
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DBA or Brand Name (if different from legal Name)
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Business Registered Address:* This field is required.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
United States
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
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Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
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Greenland
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Guadeloupe
Guam
Guatemala
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Guinea
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Indonesia
Iran
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Israel
Italy
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Japan
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Jordan
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Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
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Sudan
Suriname
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eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
4
Business Tax ID Number (EIN):* This field is required.
5
Business Website* This field is required.
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Business Contact Information:* This field is required.
Full Name
Contact Number
Email address
7
Campaign Name* This field is required.Provide name of your text messaging campaigns; ex. TJ Club Text alerts, ELMInsurre Policy Reminders
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Campaign Description* This field is required.Describe your business and what are using text messages to communicate
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SELECT A USE CASE THAT BEST MATCHES YOUR MESSAGING CAMPAIGN* This field is required.We suggest you choose one use case closest to your text message types
Alerts
Promotional Marketing
Two Factor Authentication (OTP)
Voting/Polling
Customer Sevice
Education
Donations
Emergency Alerts
Fraud Alerts
Political
Public Service Announcement
Sweepstakes/Contest
Chat
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Texting number(s):* This field is required.Enter assigned Texting Number (Local Number, Toll-free, or Landline Number
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Summarize the use-case:Please describe your use case and the purpose of your messages (i.e. appointment reminders, receipts, education, marketing etc)
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How will consumers be opting in to SMS programs?* This field is required.
KEYWORD (TEXT TO JOIN, Customer text a keyword to your texting number to join)
INTERACTIVE VOICE RESPONSE
WEBSITE (Customer will opt-in online through a form on your website)
Paper forms (Employees onboarding, or in-store or in-person fill-out signup form physically)
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ENTER THE KEYWORD(S) END USERS WILL USE TO OPT IN TO THIS CAMPAIGN.
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Keyword Call to Action MessageHow do you advertise the keyword? This is an example, edit as per your specific campaign. Replace placeholders with your keyword, texting number, and campaign name Example: Text {KEYWORD} to {TEXT NUMBER} to receive {CAMPAIGN_NAME} {USE_CASE}. Message and data rates may apply. Msg freq varies. Text HELP for help or STOP to cancel. For terms: {TERMS_URL}.
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INTERACTIVE VOICE RESPONSE CALL-TO-ACTION MESSAGEThis is an example, edit as per your specific campaign. Example: Want to sign up for {CAMPAIGN_NAME} {USE_CASE} texts? We’ll send you recurring messages. Message and data rates may apply. Terms & Conditions can be found at {TERMS_URL}.
Replace placeholder with your keyword, texting number, and campaign name
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VERBAL CALL-TO-ACTION MESSAGEThis is an example, edit as per your specific campaign. Example: Want to sign up for {CAMPAIGN_NAME} {USE_CASE} texts? We’ll send you recurring messages. Message and data rates may apply. Terms & Conditions can be found at {TERMS_URL}.
Replace placeholder with your keyword, texting number, and campaign name
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WEBSITE CALL-TO-ACTION MESSAGEThis is an example, edit as per your specific campaign. Example: Sign up online at {URL} to receive {CAMPAIGN_NAME} {USE_CASE}. Message and data rates may apply. Msg freq varies. Text HELP for help or STOP to cancel. For terms: {TERMS_URL}.
Replace placeholder with your web signup and Terms URL and campaign name
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OPT-IN WEBSITE URL
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Opt-in Confirmation Message* This field is required.An opt-in confirmation message is sent to the users after they opt in. Example: {Brand Name}: Thanks for opting in for SMS updates! Msg freq varies. Reply STOP to cancel, HELP 4 help. Msg&data rates may apply. T&C: http://xyx.com/tc
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How will consumers be opting in to SMS programs?* This field is required.Example: Is it via online/sign up forms, email campaigns, a text to join promotion, IVR, website
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Please provide screenshots, email campaign, or paper form or IVR transcript of opt-in workflows
Drag and drop files here
Select files to upload
Max. file size: 10.0MB
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Sample Text message content:* This field is required.Provide a sample text message including any links or call to the action phone number. Example: Your monthly payment is due today. - "Please call us at 1-800-999--9999 to make the payment. Reply STOP to cancel. Msg&Data rates may apply" - "Free Bagel for the day! Click on the link https://bit.ly/XrSft to redeem. Reply STOP to cancel. Msg&Data rates may apply." - "Your appointment with {{1}} is coming up on {{2}} at {{3}}. Reply Yes to confirm."
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Sample MMS message content:
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Sample MMS attachment: Upload a sample image you want to send along with MMS text content
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
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Customer Service Phone Number* This field is required.
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Customer Service Email* This field is required.
example@example.com
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URL To Your Terms and ConditionsA link to Text message campaign terms and conditions.
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Privacy Policy LinkExample:
Should be Empty: