Segma SMS Route Registration

Fill out this form to get started with your 10-DLC, Shortcode or TollFree.

Brand

Campaign

Additional Info

Please provide some information about the designated contact at your company for SMS-related information*

First Name

Please specify an answer

Last Name

Please specify an answer

What is the legal incorporated name of your company?

Include LLC or INC. Name should match state records.

Legal Company Name

Please specify an answer

What is your EIN or non-US tax number/ID?

Employer Identification Number is required for 10-DLC Registration

EIN

Please specify an answer

What business name do you use with your customers?*

This could be your website name, DBA, or company name.

Business Name

Please specify an answer

Which of these best describes your company?

What is your EIN or non-US tax number/ID?

Employer Identification Number is required for 10-DLC Registration

EIN

Please specify an answer

What is your company's legal address?

This address should correspond with your EIN. Providers will be checking to ensure this matches with the IRS database.

Address

Please specify an answer

Address Line 2

Please specify an answer

City/Town

Please specify an answer

State/Region/Province

Please specify an answer

Zip/Post code

Please specify an answer

Country

Please specify an answer

What website is associated with this text campaign?*

https://

Please specify an answer

What industry does your company operate in?

Please choose an option

Agriculture

Construction, Materials, and Trade Services

Education

Energy and Utilities

Entertainment

Financial Services

Gambling and Lottery

Government Services and Agencies

HR, Staffing or Recruitment

Healthcare and Life Sciences

Hospitality and Travel

Information Technology Services

Insurance

Legal

Manufacturing

Media and Communication

Non-profit Organization

Political

Postal and Delivery

Professional Services

Real Estate

Retail and Consumer Products

Transportation or Logistics

Brand

Campaign

Additional Info

Which of these use cases best describes your texting intent?*

This will help us determine the correct campaign type for your needs.

Please choose an option

2FA

Account Verification

Customer Care

Delivery Notification

Fraud Alert Messaging

Higher Education

Low Volume Mixed

Machine to Machine

Marketing

Mixed

Polling and Voting

Public Service Announcement

Security Alert

Enter the url where you collect text message opt-ins.*

If they are collected offline, please write a brief description of the opt-in process.

Website/URL

Please specify an answer

Will you be sending links in your messages?

Please choose an option

Yes

Provide the URLs for the end landing page where the consumer will land once they click.

Website/URL

Please specify an answer

Website/URL

Please specify an answer

Website/URL

Please specify an answer

What short URL's will you be using?

Website/URL

Please specify an answer

Write a description of the brand (website) and campaign use case using the template below.*

Template: <Website Name> is a <short description of your website model> . This campaign will be used to <state how the declared use case relates to their messaging content>.

Example: "Segma.io is a campaign management platform. This campaign will be used for internal employee notifications."

Please specify an answer

Brand

Campaign

Additional Info

Last thing! In order to complete your 10-DLC registration, we'll need to get some sample text messages from you. These will be used to verify your messaging content matches your specific registration type.

Please provide an example text message below (1/3)

Please specify an answer

Please provide an example text message below (2/3)

Please specify an answer

Please provide an example text message below (3/3)

Please specify an answer

Thank you

We appreciate you filling out this form, we will be in touch you soon!

Segma SMS Route Registration

Fill out this form to get started with your 10-DLC, Shortcode or TollFree.

Please provide some information about the designated contact at your company for SMS-related information*

What is the legal incorporated name of your company?

Include LLC or INC. Name should match state records.

What is your EIN or non-US tax number/ID?

Employer Identification Number is required for 10-DLC Registration

What business name do you use with your customers?*

This could be your website name, DBA, or company name.

Which of these best describes your company?

What is your EIN or non-US tax number/ID?

Employer Identification Number is required for 10-DLC Registration

What is your company's legal address?

This address should correspond with your EIN. Providers will be checking to ensure this matches with the IRS database.

What website is associated with this text campaign?*

What industry does your company operate in?

Which of these use cases best describes your texting intent?*

This will help us determine the correct campaign type for your needs.

Enter the url where you collect text message opt-ins.*

Will you be sending links in your messages?

Provide the URLs for the end landing page where the consumer will land once they click.

What short URL's will you be using?

Write a description of the brand (website) and campaign use case using the template below.*

Template: <Website Name> is a <short description of your website model> . This campaign will be used to <state how the declared use case relates to their messaging content>.

Example: "Segma.io is a campaign management platform. This campaign will be used for internal employee notifications."

Last thing! In order to complete your 10-DLC registration, we'll need to get some sample text messages from you. These will be used to verify your messaging content matches your specific registration type.

Thank you

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