The provisioned phone number in 10-digit format (e.g. 2065551212)
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Your answer
Use Case
Enter a minimum of 1 and maximum of 5 use-cases from the list. For example: Turner Insurance, Inc will use text messaging for account notification, customer care, and marketing.
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Required
Legal Business Name *
Your answer
Friendly name of business (DBA)
If no DBA, use the same legal business name
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Your answer
Tax Identifier
Tax ID of the business (9 digits).
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Your answer
Business Type *
Choose
Sole Prop
Private
Public
Non Profit
Government
Business Vertical *
Choose
Agriculture
Automotive
Beauty
Communication
Construction
Education
Energy
Entertainment
Financial
Fitness
Gambling
Government
Healthcare
Hospitality
Insurance
Legal
Manufacture
Media
NGO
Real Estate
Retail
Sports
Staffing
Technology
Transportation
Veterinary
Address *
Your answer
City *
Your answer
State *
Choose
AK
AL
AR
AS
AZ
CA
CO
CT
DC
DE
FL
GA
GY
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VA
VI
WA
WI
WV
WY
Zip Code *
Your answer
Country *
Choose
US
CA
Business Website *
Your answer
Contact Name
First and last name of primary business contact
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Your answer
Contact Phone
Phone number of primary business contact
Your answer
Contact Email
Email address of primary business contact
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Your answer
Sample Message #1
Min 40 characters. Sample text message that illustrates use-case. For example: “This is your appointment reminder for Tuesday, 8/31/21, at 10:00 AM with Dr. Smith”
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Your answer
Sample Message #2
Min 40 characters. Additional sample text message that illustrates use-case. Provide one sample per use case.
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Your answer
Sample Message #3
Min 40 characters. Additional sample text message that illustrates use-case. Provide one sample per use case.
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Your answer
Opt-in Message
Min 20 characters. This should be an example of the first message the end-user receives once they opt-in. For example: “Tranquil Family Dentistry: Thanks for being on time. We will text when it is time to come in.”
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Your answer
Message Flow
Min 40 characters. Describes how a consumer opts-in to the campaign, therefore giving consent to the sender to receive their messages. For example: “The end-user calls their provider and lets them know they have arrived. The provider asks if they would like to receive a text when their provider is ready to see them. The end-user texts the keyword ALERTS to the number to receive texts from the provider.”
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Your answer
Campaign Description
Min 250 characters. This should describe the overall campaign and what it will be used for. For example: “This campaign will be used to message users after they arrive for an appointment so they can wait in their car and are sent a message when their provider is ready to see them.”