SMS Registration Information Form

Business Information

Legal Business Name(Required)

Enter the full legal business name exactly as registered with the IRS.

DBA / Brand Name(Required)

Enter the name customers recognize your business by if it differs from the legal name.

Business Tax ID (EIN)(Required)

Enter your EIN or business tax ID. This is required for mobile carrier verification.

Business Website(Required)

Website Manager Name(Required)

We may need to contact this person to add required SMS compliance updates to your website.

Website Manager Email(Required)

Website Manager Phone Number(Required)

Privacy Policy URL(Required)

Terms & Conditions URL(Required)

Business Industry(Required)

Select the industry that best describes your business. This is required for SMS registration with mobile carriers.

Other:

Primary Business Contact

Email(Required)

Phone(Required)

Standard SMS Opt-In Methods

Mobile carriers require businesses to document how customers consent to receive text messages. These have been pre-selected based on your business communication needs.

Optional SMS Opt-In Methods

Select any additional opt-in methods your business plans to use.

Keyword Options (Choose One)

Phone Number Customers Text

Enter the phone number customers will text to subscribe.

Website Opt-In Page URL

Provide the webpage where customers can enter their phone number and agree to receive SMS messages.

SMS Sample Messages

Mobile carriers require two sample text messages that your business may send to customers. You may either provide your own sample messages or choose to use standard compliant messages provided by VQTech.

Sample Message #1(Required)

Example: Hello [Name], this is [Your Business Name] confirming your appointment scheduled for [Date]. Message frequency varies. Message and data rates may apply. Reply STOP to opt out or HELP for assistance.

Sample Message #2(Required)

Example: Hi [Name], this is [Your Business Name] with an update regarding your service request. Please contact us at [Phone Number] if you have any questions. Message frequency varies. Message and data rates may apply. Reply STOP to opt out.

Numbers To Be Used For SMS

Enter each phone number you want to use for text messaging. In the second column: Enter the extension number if messages should go to one user OR enter "GROUP" if multiple users should be able to log in, view, and reply to messages. Example: 4322123971 | ext. 101 OR 4992123972 | Group