Mobile SMS Consent Form

Littleman IT Tech Solutions Client Consent Form
Please download and sign this form and email it back to us or fax it.
SMS Communication Consent Form
Carefully read the following information before consenting to receive text messages from [Littleman IT Tech Solutions].
By checking the box below and submitting information, you consent to receive recurring text messages from [Littleman IT Tech Solutions] regarding [Purpose of messages, e.g., promotions, new products, order updates, alerts] at the mobile number provided.
Please read and acknowledge the following disclosures:
  • Message Frequency: Message frequency will vary (e.g., “You can expect to receive up to [Number] messages per month”).
  • Cost: Message and data rates may apply.
  • Consent Not Condition of Purchase: Consent to receive SMS messages is not required as a condition of any purchase of goods or services.
  • Opt-Out: You can opt out of receiving messages at any time by replying STOP to any message. Replying HELP will provide customer care information.
  • No Auto dialer Disclosure: Messages may be sent using an automatic telephone dialing system (ATDS) or other automated technology.
  • Privacy & Terms: For more information on how data is handled and the terms of service, review the [Privacy Policy]([Link to your Privacy Policy]) and [Terms and Conditions] ([Link to your Terms and Conditions]).
Your Information:
Field Input
Full Name: _____________________________________
Mobile Phone Number: _____________________________________
Consent:
[ ] Yes, I agree to receive text messages from [Your Company Name] at the mobile number provided, and I have read and understand the disclosures above.
[Submit/Sign-up/Accept] Full Name: _________________________