Submit a request

Please select your contact reason below

Your email address

Timezone(optional)

Language

What is your preferred language for communications with our team?

Region

Which region are you based in?

What can we help you with?

Company Name

Please provide the company name here

Company Website(optional)

Please provide the URL to the company's website here

Company Address

Please provide the full address, including number, street, city, country, and postal code

Emergency Address

Please provide the full address, including number, street, city, country, and postal code if your emergency address differs from your company address. The emergency address is provided to first responders if an emergency number is dialed from the line.

Authorized Contact: Name

What is the name of the authorized contact on the account?

Reseller Partner Status

Are you a reseller partner submitting on behalf of your client account?

Number Type(s)

What number type(s) would you like to obtain?

Country/Countries

Please specify the country or countries you would like to purchase numbers for

How many numbers are you looking to port?

RIO Code(s)(optional)

RIO codes are only applied to French porting requests, please disregard if you are porting numbers from a different country.

Numbers to Port

Please provide the number(s) here, including any country code or applicable prefix, separated by commas

Service Address

Please provide the full address including number, street, city, country, and postal code

Range

Are some of these numbers part of a range?

Specify Range

Please specify this range

Current Provider

What is the name of your current phone provider?

Account Number

What is your account number at your current provider?

Brand Name

Please provide the brand name here

Company Name

The legal name of the business

Form of Business

The form of business establishment

CNAM or STIR/SHAKEN

What would you like to request?

Business Type

Please select the appropriate business type

Business Industry

Business Registration ID Type

EIN

Tax ID of the business. Please use 9 digits for the US and Canada. Only the 9 first digits of the Business Number (BN) are accepted for Canada.

EIN

Tax ID of the business. Please use 9 digits for the US and Canada. Only the 9 first digits of the Business Number (BN) are accepted for Canada.

Website

The website/online presence of the business

Contact Details: Phone Number

Required by the TCR, with the prefix in 11-digit format. Exactly like this: 14561112223

Contact Details: Email Address

Address: Street and Number

Address: City

Address: US State

Please use the two-digit state code. (Ex: NY, TX)

Address: Postal Code

Address: Country

Please use the two-digit ISO county code. (Ex: US, CA)

DUNS Number

Business Regions of Operations

Compliance Contact: Name

Someone at your business who can respond to compliance questions if they arise. Please include the contact's first name and last name

Compliance Contact: Email Address

Please provide the compliance contact's email address here

Included Number(s)

Please provide the number(s) here, including any country code or applicable prefix, separated by commas

Compliance Contact: Phone Number

Please provide the compliance contact's number here, including any country code or applicable prefix

Expected Monthly Message Volume

Approximately how many messages do you anticipate sending in a given month?

Are you registering more than five toll-free numbers?

Toll-Free Numbers to Verify

Please provide the number(s) here, including any country code or applicable prefix, separated by commas

Use Case Category

What type of messages are you sending?

Description of Use Case

Please describe your messaging use case with a minimum of 40 characters. Keep in mind that "Invalid" input errors are often due to minimum length not reached.

Message Samples(optional)

Please include a message template or message example for your use case

Opt-in Description

How do your recipients provide consent to receive messages?

Opt-in Details(optional)

Link to, the image of, or scanned copy of the opt-in page or process

Authorized Representative (1/2): Name

Please include the name of the authorized representative

Authorized Representative (1/2): Contact Number

Please include the phone number of the authorized representative

Authorized Representative (1/2): Email Address

Please include the email address of the authorized representative

Authorized Representative (1/2): Job Title

Please include the job title of the authorized representative

Authorized Representative (2/2): Name

Please include the name of the authorized representative

Authorized Representative (2/2): Contact Number

Please include the phone number of the authorized representative

Authorized Representative (2/2): Email Address

Please include the email address of the authorized representative

Authorized Representative (2/2): Job Title

Please include the job title of the authorized representative

Company's Stock Symbol

If public company

Stock Exchange

If public company

Type of Business

Vertical or segment in which the business operates

Use Case

Sub-Use Case (1/3)

Sub-Use Case 2/3

Sub-Use Case (3/3)

Description of Use Case

Please describe your messaging use case with a minimum of 40 characters. Keep in mind that "Invalid" input errors are often due to minimum length not reached.

Sample Message (1/3)

Example of a text message. The minimum length for the sample message is 20 characters. Keep in mind that "Invalid" input errors are often due to minimum length not reached.

Sample Message (2/3)

Example of a text message. The minimum length for the sample message is 20 characters. Keep in mind that "Invalid" input errors are often due to minimum length not reached.

Sample Message (3/3)

Example of a text message. The minimum length for the sample message is 20 characters. Keep in mind that "Invalid" input errors are often due to minimum length not reached.

Embedded Links

Will embedded links or URLs be included in the messages?

Embedded Number

Will phone numbers be included or embedded in the messages?

Age-Gated Content

Do the messages include age-gated content?

Subscriber Opt-in

Please confirm that you retrieve consent of your recipients before sending SMS

Subscriber Opt-out

Please confirm that you use opt-out language when initiating conversation

Subscriber Help

Please confirm help message compatibility

Opt-Out Message

Please include the opt-out language included in the start of the conversation. The minimum length for the opt-out message is 20 characters. Keep in mind that "Invalid" input errors are often due to minimum length not reached. The default opt-out message is: "Reply STOP to opt-out"

Help Message

Help message of the campaign received. The minimum length for the help message is 20 characters. The default opt-out message is: "Reply STOP to opt out, reply START to resubscribe" Keep in mind that "Invalid" input errors are often due to minimum length not reached.

Message Flow

How does a user opt-in for this campaign, and what type of confirmation do they receive once they have opted in? The minimum length for the message flow is 40 characters. Please keep in mind that "Invalid" input errors are often due to minimum length not reached.

Numbers Included in Campaign

Does the campaign intend to use more than 50 phone numbers?

Included Numbers

Please provide the number(s) here, including any country code or applicable prefix, separated by commas. Exactly like this: 12345678911, 1234569811, 12345677711

Acknowledgment

I acknowledge and agree that Aircall will make billing adjustments at a later time to pass through A2P10DLC registration fees. Learn more about A2P 10DLC registration fees here: https://help.aircall.io/en/articles/5628892/

Confirmation of Update to Existing Campaign

By using this template, you agree to delete and replace phone numbers to be registered

Upon creation, will this number be part of an existing Interactive voice response (IVR)?(optional)

Subject

Please include a concise line of text summarizing your query

Description

Please provide detailed information regarding your query

Attachments(optional)

Add file or drop files here