Contact US - SMS Consent Form Template for 10DLC Compliance

Contact US - SMS Consent Form Template for 10DLC Compliance


Voiceware is offering its clients the following template as a way to make the required 10DLC compliance process more straightforward. This needs to be included in your website, where customers will be giving their personal information and phone numbers, specifically SMS enabled numbers. 

Make the necessary changes to the form to make it work with your company information. 

​Contact Us / SMS Consent Form

[Company Name]
[Company Address]
Phone: [Company Phone Number]

Full Name:
[_____________________________]

Email Address:
[_____________________________]

Phone Number (Mobile):
[_____________________________]

Preferred Method of Contact:
☐ Call  ☐ Text Message  ☐ Email

By checking the box and providing your phone number on this form, you consent to receive SMS messages from [Company Name]. Expect to receive messages regarding appointment reminders or customer care.

  • Message and data rates may apply.

  • Message frequency may vary.

  • You can opt-out at any time by texting STOP.

  • For help, text HELP or call us at [Company Phone Number].

  • Your information will be handled in accordance with our Privacy Policy and applicable regulations.

☐ I consent to receive SMS communications from [Company Name].

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