Short Code Application Form

Short Code Application Form
Scale to Win Account Name*
Link to your account URL or client ID (the unique part of your URL slug).
Are you applying for new short code or migrating from a different provider?*
Is this a net new short code or a migration?
CSCA LEASE RECEIPT

If you are migrating your shortcode, please upload a Common Short Code Administration lease receipt.
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CSCA Order ID #
If applicable. This number can be found on the lease receipt.
Letter of Migration

The Letter of Migration should be on your company letterhead, signed and dated by a member of your company (director-level or higher).
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Lease Length
The default lease length for shortcode is 12 months. For a shorter lease length of 3 or 6 months, please contact sales@scaletowin.com.
Do you want to lease the shortcode for 3, 6, or 12 months?
Do you want your lease to auto-renew?*

YesNo

Estimated Daily Volume
How many messages do you estimate sending in a day?*
Shortcode pricing is 1 cent per SMS segment and 2.5 cents per MMS message.

For 2024, shortcodes have a $500 monthly fee and a $1,150 setup cost, unless you send over 100k messages per month.

Is your website carrier-compliant?

You must have an active website with a mobile terms of service and privacy policy.

Website
Your website must have:
- A compliant, publicly accessible terms of service
  A compliant, publicly accessible privacy policy (can be combined with terms of service)
Organization Website *
The website of the company/organization that is sending the messages.

Terms & Conditions Requirements
Requirements for your terms of service page

The terms of service page must include:
- Sender Name: The name of your organization or program.
- Program Description: Describe the types of messages you'll send, like "voter registration," "event updates," or "donation requests." If it's a fundraising program, you MUST mention that donation asks will be included.
- Message Frequency: How often you'll send messages, like "5 messages per week" or "Message frequency varies." Make sure this is consistent everywhere.
- Data Rates Disclosure: "Message and data rates may apply."
- T-Mobile Disclosure: "T-Mobile is not responsible for delayed or undelivered messages."
- Opt-Out Instructions: "Text STOP to cancel" (make sure this is bold).
  Support Contact: Provide an email or toll-free number for support, like "Text HELP or call 1-800-888-8888 for assistance.

Terms & Conditions Example
Example of a compliant terms of service

Mobile Terms of Service

The [Organization] shortcode (XXXXX) provides subscribers with [description of kinds of messages users can expect to receive, such as campaign updates, volunteer opportunities, donation asks, civic engagement alerts].

When you opt in to the service, we will send you a SMS message to confirm your sign-up.

You can cancel the SMS service at any time. Just text "STOP" to the short code. After you send the SMS message "STOP" to us, we will send you an SMS message to confirm that you have been unsubscribed. After this, you will no longer receive SMS messages from us. If you want to join again, just sign up as you did the first time and we will start sending SMS messages to you again.

If you are experiencing issues with the messaging program you can reply with the keyword HELP for more assistance, or you can get help directly at [support email address or toll-free number].

Carriers are not liable for delayed or undelivered messages. T-Mobile is not liable for delayed or undelivered messages.

["Message frequency varies" or another statement of frequency].

As always, message and data rates may apply for any messages sent to you from us and to us from you. If you have any questions about your text plan or data plan, it is best to contact your wireless provider.

If you have any questions regarding privacy, please read our privacy policy: [link to privacy policy]

Privacy Policy Requirements
Requirements for your privacy policy

Carriers are strict about how mobile user data is handled.
- You can only share mobile data for essential services or if required by law.
- You cannot share mobile data with affiliates or similar campaigns.
- Your privacy policy must clearly state this.
You can make this clear on your privacy with language such as:

Text messaging originator opt-in data and consent will not be shared with any third parties, provided that the foregoing does not apply to sharing (1) with vendors, consultants and other service providers who need access to such information to carry out work on our behalf (and who will not use such information for their own purposes); (2) if we believe disclosure is required by any applicable law, rule, or regulation or to comply with law enforcement or legal process.

Mobile information will not be shared with third parties/affiliates for marketing/promotional purposes.

T&C and Privacy Policy Links
Terms & Conditions URL*
If the T&C are not yet active on the website above, provide a link to a mockup image.
Privacy Policy URL*
If the PP is not yet active on the website above, provide a link to a mockup image.
Do your T&C and Privacy Policy meet the requirements outlined above?*

T&C states sender name and program descriptionT&C has a messaging frequency disclosureT&C has a message and data rates disclosureT&C has a T-Mobile disclosureT&C has opt-out and support instructionsPrivacy Policy states that mobile data is only shared to provide essential services or comply with the law

How do people sign up for your shortcode?
How will people learn about your shortcode? (Where will it be advertised?)*

WebPrintRadioTVPoint of Sale

Sign-Up Methods
How will the end user opt-in (sign up)?*

KeywordWebOther
Please provide links to or screenshots of all opt-in methods:*
Link to screenshot with the keyword to opt-in, link to URL with the keyword to opt-in, etc.
If you don't have a link to your screenshots, you can upload screenshots here:

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Call to Action
What is a call to action?

A call to action (CTA) is a prompt that tells people how to sign up for your shortcode. It must include:
- Instructions: Tell users how to sign up.
  - For keyword opt-in, tell users what keyword to text and the shortcode to send it to. Example: "Text JOIN to 12345 for campaign updates."
  - For web opt-in, tell them that "By entering your phone number, you're agreeing to receive ..."
- Organization Name and Program: Include your organization's name and a brief program description.
- Fundraising Notice: If you plan to raise funds through the shortcode, say "Messaging includes donation asks."
- Frequency Notice: State how often messages will be sent. This should match your TOC.
- Data Rates Notice: Include a "Msg&Data rates may apply" notice.
- PP/TOC links: You must include links to your privacy policy and terms of service.
See example of keyword call to action below.
Call-to-action - what is the prompt to sign up for the shortcode?*
Use the language of your real call-to-action.

Opt-In Keywords and Confirmation
What words can people text to the shortcode to sign up?*
Provide the exact keyword(s) for sign-up. For example, someone might text "JOIN" to the shortcode. Keywords should be 15 characters or less. If this is a migration, provide the same keywords you used in your original application.
Opt-in Confirmation

After signing up, people must get a confirmation message from the shortcode. The message should be 160 characters or less and must include:
- Program Name: The name of your program.
- Message Frequency: How often you'll send messages, i.e. "Message frequency varies." or "1 msg/week".
- Data Rates Disclosure: A note that message and data rates may apply.
- STOP Instructions: How to opt out (e.g., "Reply STOP to end").
- HELP Instructions: How to get help (e.g., "Reply HELP for help").
Example: “Welcome to Scale to Win Alerts! Msg&data rates may apply. 1msg/day. Reply STOP to end. Reply HELP for help.”
What message do people get after signing up?*

The actual message people receive confirming they've signed up. 160 char max. 0/160

What kinds of messages will you send?
Type of Program*
Please select the type of program content that best fits your use case.
Is the message sender a federal political committee (registered with the FEC)?*

YesNo
Will the message sender raise funds through the shortcode?*

YesNo
FEC committee ID:*

Program Description
Program description

Provide the exact description of your program as it appears in your SMS terms and conditions. It should also be in your call-to-action (CTA). Be specific. If you'll be collecting donations, make sure to mention that in the description.
Program description as stated in the terms of service:*
Description of what the campaign promotes, exactly as it appears on your terms of service page. Be specific. If messaging includes donations, you must include "donation asks" in your description.

HELP interaction
HELP interaction
- Help Keyword: You must provide keywords that people can text to the shortcode to get support. At a minimum, you must include the keyword "HELP."
- Help Request Confirmation: You must provide the exact message people will receive after they text for support. Example: “STW Employee Alerts. Help at 833-789-8398. Msg&data rates may apply. Reply STOP to cancel.”
What words can people text to your shortcode to get help?*
At minimum, the HELP keyword is required.
What reply will people get when they text for help?*
Share the exact message people will get after texting the keyword HELP (and any other support keywords) to the short code.

Opt-Out Interaction
Opt-out interaction
- Opt-out Keyword(s): You must provide keywords that people can text to the shortcode to unsubscribe. At a minimum, you must include the keyword "STOP."
- Opt-out Confirmation: You must provide the exact message people will receive after they text to unsubscribe. Example: “STW Employee Alerts: You are unsubscribed from Scale to Win Support Alerts. No more messages will be sent.”
What words can people text to your shortcode to opt out?*
Please note that STOP is required at a minimum.
What reply will people get after texting to opt out?*
The message an end-user will receive after texting the keyword STOP to the short code.

Sample Messages
What's an example message subscribers might receive from your shortcode?*
Please provide a sample of the kind of message that will be sent from the short code.
What's another example message subscribers could receive from your shortcode?*
Please provide a second sample of the kind of message that will be sent from the short code.

Sender Information

Organization information must match the sender used in the texts.
Message Sender: Legal Organization Name*
The name of the company/organization that is sending the messages.
Message Sender: EIN (Nine-Digit Tax ID)*
i.e. 99-9999999
Message Sender’s Legal Organization Address *

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Contact Information
Organization Contact*

First NameLast Name
Contact Email*
example@example.com
Contact Phone Number*
Please enter a valid phone number.
Is the organization contact the person we should contact with questions about the application?*

YesNo
Primary Scale to Win Contact: Name

First NameLast Name
Primary Scale to Win Contact: Email
example@example.com
Primary Scale to Win Contact: Phone Number
Please enter a valid phone number.
How will people learn about your shortcode?*

WebPrintRadioTVPoint of Sale
How frequently will messages be sent from the shortcode?

Subscription: Contacts will receive messages from the short code on a recurring basis (i.e., daily/weekly/monthly alerts).Transactional: Messages are only sent if the end-user initiates contact with the short code (i.e., 2FA alert)
Pin/Opt-In: Outbound (optional)

If applicable, share the actual message that would be sent to the end user. 160 characters max.0/0
If you're collecting double opt-in, share the reply people receive to confirm opt-in:
If applicable, share the exact behavior the end user will have to take for the double opt-in (i.e. reply START to the subscription confirmation message.)
If you're reminding people to renew their subscription, what reminder will you send?
If applicable, include the exact behavior the end user will have to take for double opt-in (i.e., START).
If people confirm subscription renewal, what reply will they get?
Anything else we should know?
Anything else you want to upload?

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Should be Empty:

Short Code Application Form

Is your website carrier-compliant?

How do people sign up for your shortcode?

What kinds of messages will you send?

Sender Information