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A2P Registration

Business Details

Legal Business Name *

Enter the exact business name, as registered with the Government and mentioned in your tax documents (CP 575). E.g. Leadconnector LLC rather than Leadconnector.

Email (Main business email) (If it's a gmail or other mass email account, please make up an email account called info@THEIRWEBSITEURL.COM) *

Business Website URL (GO TO WEBSITE IN A NEW TAB AND COPY THE URL, THEN PASTE IT HERE) *

Business Website Contact Page URL (GO TO WEBSITE AND FIND THE PAGE—USUALLY THE CONTACT PAGE—THAT HAS A CONTACT FORM ON IT. COPY AND PASTE THE URL FOR THAT PAGE HERE.) *

Business Type *

Tax ID / EIN *

Business Address

Must be a valid address linked to your business.

Street Address *

City *

State *

Zip

Authorized Representative Details

Authorized Rep Full Name *

Authorized Rep Email *

Authorized Representative's Phone Number *

Enter Campaign Details (this is filled out automatically by Madia I/S)

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