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SMS Service Authorization Form
*A legally binding court recognized contract will be generated automatically after form submission.
Service
SMS Connect
Customer Information
Main Contact Person
Company Name
Position
Company Address
Email Address
Landline
Landline Ext.
Mobile
Service Details
Messaging Route
Critical Route
Less than 50k
50k - 100k
100k - 250k
250k - 500k
Over 500k
Monthly Message Volume
Setup Details*
Standard Account
Enterprise Account
API Account
Subscription Service*
Starter Account (Free)
Standard Subscription (US$30/mo)
SMS Inbox Number (US$30/mo)
Premium Support (US$350/mo)
Sender Address (Company name you wish to display when user receives your text)
Estimate # (please input the estimate number provided by the sales rep)
CONTACT US
Phone Number
Email Address
Google Maps