NOTE: The following form is to be filled out in its entirety – incomplete or insufficient information will be denied and result in delays of processing your request. 

- Should mobile carriers require follow-up for clarity around provided information – you will need to ensure the support case is monitored for any actions required during the registration process. 

- Billing for 10DLC and campaign registration starts at the time the application is submitted, before the number is registered for use.

This is for the brand/company which is the content provider and is responsible for the traffic. We use this data to vet the brand if needed.

Company name

Company mailing address

Company tax ID number

Primary contact name

Primary phone number

Company web page

Industry Sector

Stock exchange short name & symbol (for public companies only)

Support Email and support number

Public, Private, or Charity

Use-case, message sample, opt in/out information

Please provide campaign description:

Please select your 10DLC use-case (you may select more than one):

☐ 2FA and Pin Codes 

☐ Account Notification 

☐ Customer Care

☐ Delivery Notification
☐ Fraud Alert Messaging

☐ Higher Education

☐ Marketing

☐ Polling and voting

☐ Security Alert

☐ Public Service Announcement

Special Use-cases:

☐ Carrier exemptions

☐ Charity

☐ Conversational Messaging

☐ Emergency

☐ Political

☐ Social

☐ Sweepstake

Please provide sample messages you are planning to use for your 10DLC campaign. Up to 3 templates can be provided under one campaign.

Template 1: 

Template 2:

Template 3:

Please provide Confirmation MT, HELP and STOP flow and template.

Confirmation MT: N/A

HELP template:
 

STOP/Opt out template:

How can a user sign up to receive messages from your 10DLC? Please mark all applicable options.

☐ Sign up by sending a text message to your 10DLC

☐ Sign up on your website or mobile application 

☐ Other (Please describe)

Are you porting or migrating numbers from a different provider?

Are you planning to use a pool of numbers?

Please provide an estimate of your monthly or daily SMS volume.