Short Code Request Form

Please fill out this form to request a Short Code.

Company Information

Include your full company name and DBA if applicable.

Full Physical Mailing Address

If applicable

Primary Contact Information

URL of your SignalWire Space (e.g., example.signalwire.com)

Please copy and paste the Project ID.

Additional Required Contact Information

Will receive updates about the campaign, which may include SignalWire feedback notes, Carrier rejection notices (if any), and Carrier status changes.

The person or alias responsible for compliance issues. In the case of an audit, SignalWire will contact this person or team for corrective action guidance.

Campaign Information

The name of your program. This should be consistent with the name used throughout the message flow.

Leave blank if you don’t have one. SignalWire will acquire a number on your behalf.

Select Standard Rate for messages that may be charged to the end user, or FTEU (Free to End User) for free campaigns.

A brief description of the program. Provide enough detail to clearly explain what the program will be used for.

Content Definition

Provide as much detail as possible about the content and message flow of your short code campaign.

The registration will be submitted to all carriers unless specified.

Choose One Time for programs that send single messages, or Subscription for recurring message programs.

Type of messages that will be sent to users. Preferably limit your campaign to one type of content.

Describe the flow of messages for your campaign. Be as detailed as possible.

Messages users send to the short code each month.

Messages your system sends to users each month.

Example Message Content

Provide 1–3 examples of actual messages your users will receive. Include campaign name, opt-out language, and optional customer support info.

Example (Two Factor Authentication):
[SignalWire Verification Alerts] Your Code is 123456. Reply STOP to opt out.

Example (Appointment Notification):
[HittingDoc Schedule] You have an appointment with Coach Paul tomorrow at 6PM. Call 888-888-8888 if running late. Reply STOP to opt out.

Example (Marketing):
[B2B Pizza Alerts] 2 for 1 is here! Stop in today for a free pizza with purchase. Reply STOP to opt out.

Call to Action

Describe how your users will opt into the campaign and what they will see. Include all required disclaimers and links. You may also upload supporting images at the end of this form.

Examples:

  • Texting a keyword to the short code
  • Providing mobile number on a website
  • Opt-in through physical signage or printed materials

Requirements: Campaign name and description, message frequency (e.g. 4msgs/mo), opt-out instructions (Reply STOP), help instructions (Reply HELP), T&C and Privacy Policy links, and "Message and data rates may apply".

Terms & Conditions

Provide your campaign’s terms and conditions. Include both the URL (if hosted) and the full text version below.

Requirements:

  • Program/brand name
  • Message frequency (e.g., 4msgs/mo)
  • Customer care contact (email, phone, or URL)
  • Complete opt-out instructions in bold
  • "Message and data rates may apply"
  • "Carriers not responsible for delayed or undelivered messages"

Opt-In Messaging

Provide the message your users will receive immediately after opting in. This message must include required compliance statements.

Example:
ACME SMS Alerts: You are now subscribed to 1msg per day. Reply HELP for info, STOP to cancel. Msg and data rates may apply.

Required elements:

  • Campaign name
  • Message frequency
  • Opt-out instructions (e.g., Reply STOP)
  • Help instructions (e.g., Reply HELP)
  • “Message and data rates may apply” disclaimer

Opt-Out Messaging

Provide the exact message a user will receive after texting a valid opt-out keyword (e.g. STOP, END, CANCEL).

Example:
ACME SMS Alerts: You have been opted out and will not receive additional messages. For more info, call 888-888-8888.

Requirements:

  • Campaign name
  • Confirmation that the user has unsubscribed
  • Assurance that they will no longer receive messages

Opt-Out Keywords (Optional)

By default, your campaign must recognize these standard opt-out keywords: STOP, END, QUIT, CANCEL, UNSUBSCRIBE.
If your campaign supports any additional keywords (e.g., “LEAVE”, “REMOVE”), list them below.

Customer Care Information

Provide accurate customer support contact details. These will be used by end users who need assistance with your messaging program.

Help Messaging

Provide the automated response a user will receive when they request HELP. It must direct users to your customer support.

Requirements:

  • Include campaign name
  • Include at least one support method (phone number, email, or direct link to contact form)
  • If you provide a URL, it must lead directly to a support/contact page

Example:
ACME SMS Alerts: For more info, call 888-888-8888 or visit support.acme.com.

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