Mobile SMS Consent Form

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: _________________________