Short Code Order Form

Service Type

Please check all that apply.

Description of Service

Describe the application/service associated with the short code.

Opt-In process

Carriers require OPT-IN for all short code campaigns.

For Premium campaigns, carriers generally require DOUBLE OPT-IN.
Please list below how the Opt-in Process will be implemented for your application:

1. Call To Action (CTA)
   TV advertising lists short code, keyword, pricing and key Terms/Conditions
2. Call To Action SMS Response
   Content of Text Message. Example: 'CHAT'
3. Mobile Terminated SMS
   Content of Text Message. Example: 'Thank U. U will be charged $0.99 per msg/received. 18yr+svc. Reply with 'Y' to confirm. www.chatr.co.nz'
4. Confirmation SMS (For Double Opt-In)
   Content of Text Message. Example: 'Y'
5. Final Confirmation SMS to handset
   Content of Text Message. Example: 'Thank U for registering. Start chatting by texting 'CHAT <ur msg>'. To opt-out, reply with STOP. www.chatr.co.nz'

Opt-Out process.

Carriers require support of QUIT, STOP, and END as standard opt-out keywords for all short code campaigns.

Please describe Opt-Out process below

1. Mobile Originated SMS
   Content of Text Message. Example: 'STOP' or 'CANCEL' or 'END' or 'QUIT'
2. Mobile Terminated SMS)
   Content of Text Message. Example: 'Your xxxx service has now been cancelled. Thank you for using www.chatr.co.nz'

Bulletin Connect will notify you whenever it receives an Opt-Out request by SMS. </BR>
Email Address to receive Opt-Out notifications <INPUT name="OptOut_Email_Address" type="text" size="55" value="">

Once a user has opted out of your service, no further messages should be sent to them.

If you continue to send them messages, your account will be suspended.

Usage Notification SMS.

Carriers require you to notify mobile users by SMS when their expenditure with you reaches $30 in a month.

Please detail the content of the SMS message you send when a mobile user has spent this amount with your service.

Use of HELP Keyword.

Carriers require that you implement a HELP keyword. Please describe below the content of the Mobile Terminated message that consumers will receive when they text HELP to the short code.

Contest Requirements.

If you are offering a contest or competition service, you need to be aware of, and conform with, all legal requirements and restrictions.

Subscription Services.

If you are offering a monthly subscription service, you need to provide a SMS notification to the consumer 3 days before the renewal.

Please provide the content of the renewal message below.

User Interaction.

Please describe step by step interaction with the user, after the opt-in process has been completed.
Please specify clearly when the premium billing event takes place, and how often users will receive a premium billed message (for subscription services).

Message Flow Example / Test plan.

Please provide a detailed message flow example of how the user will interact with the application. This exact message flow example must be available to the carrier for testing and verification that the application is working as described. Attach text of all messages that will be sent to participating users.

See notes below for an example of how detailed the answer needs to be.

The answer must be accurate and complete. The carrier will follow the instructions below to test that your application is working as described.

ANY DEVIATION WILL AUTOMATICALLY LEAD TO A FAILED CERTIFICATION, WHICH MAY REQUIRE US TO RE-APPLY FOR APPROVAL AND MAY DELAY THE PREMIUM BILLING IMPLEMENTATION BY SEVERAL WEEKS!

Program Duration.

Please provide your intended date for the program to go live. This date will be dependent on when the carriers approve the application.

Client Notes.

Please list any additional information you wish to add to your application.

Please use this section to describe the expectation of monthly volumes and premium transactions, as well as any specific peak flow considerations. Carriers are particularly worried about traffic spikes. If spikes will occur, they need to be specifically documented in this section.

Monthly Traffic Volumes.

Peak Usage.

Please provide the elements of your marketing and promotion plan that underpin your assumption of "Total Addressable Market" in above section.

You will be solely responsible for providing customer support with respect to the use and functionality of the Premium SMS service. You will need to make a toll free number, email address, and website available through which you provide customer care. Customer support needs to be available between 8am and 8pm, 7 days a week.

Messages can be routed to mQuery or Bulletin Connect

mQuery Settings.

Bulletin Connect Settings.

Once you submit this form for approval Bulletin.net will be in touch within 3 business days.
Bulletin may make recommendations and/or changes to your application and ask your to confirm and sign off these changes before we submit the application to any carrier.

All costs incurred during the short code application process will be passed onto the applicant regardless of whether the application is successful.