Primary Business Contact First Name *

Last Name *

Email Address *

Mobile Number *

Primary Service Area *

Industry *

Callback Preference *

Want us to give your customers instant pricing estimates? (Optional) List up to 5 of your most-requested services and their starting prices. We'll use these to give your customers an immediate ballpark when they ask about cost - just like having you on the phone.

Example for a plumber: 1. Drain cleaning — starting at $189 2. Toilet repair — starting at $275 3. Water heater install — starting at $1,450 4. Leak detection — starting at $149 5. Emergency after-hours — starting at $250

How many calls are you missing each week?*

How many of those missed calls are SPAM? *

Do you currently have a Dispatcher/Receptionist answering calls during regular business hours? *

What hours is your Dispatcher/Receptionist typically working? *

How do you keep track of your inbound leads? *

Do you have a strategy in place to recapture old or lost leads? *

Do you already have a text or voicemail script that you'd like us to incorporate in your LeadTap text replies?

Job Title *

Legal Business Type *

Legal Business Name *

DBA

EIN # *

Note about EIN documentation: In the rare event your A2P 10DLC carrier registration cannot be auto-verified, we may request a copy of your IRS EIN Confirmation Letter (SS-4, Letter 147C, or CP 575). If needed, we'll send you a secure upload link — never request this via email. We securely destroy these documents within 30 days of A2P approval.

Legal Business Address *

Unit or Apt #

City *

State *

Postal Code *

Country your business is registered in *

Year business was founded *

Primary Business Phone *

Desired Area Code (1st preference) for Primary Business Phone *

Desired Area Code (2nd preference) *

Primary Business Email *

Business Website *

Business Description *

Do you have an Admin that you would like to add to your LeadTap Account?

First Name
Last Name
Phone Number
Email Address

Customer-initiated call *

I confirm that customers who receive my LeadTap messages will have first contacted my business (typically by calling and not reaching a live person). I will not use LeadTap to send unsolicited messages to people who have not contacted me.

I Am the Legal Sender *

I understand that I — not LeadTap — am the legal "sender" of all SMS messages sent through my LeadTap account to my customers. I am solely responsible for complying with the Telephone Consumer Protection Act (TCPA), the CAN-SPAM Act, and all applicable federal and state laws regarding business-to-consumer communication.

My Customers Have Consented or Will Consent *

I confirm that I will only use LeadTap to message customers who have initiated contact with my business (typically by calling and not reaching me live). For any other type of messaging — including marketing, promotional, or appointment reminder messages — I will obtain Prior Express Written Consent from my customers before sending, in compliance with TCPA requirements.

I Will Honor Opt-Outs *

I will honor any opt-out request (STOP, UNSUBSCRIBE, QUIT, CANCEL, END) from a customer within 10 business days, and I authorize LeadTap to automatically process opt-out keywords on my behalf.

A2P 10DLC Information is Accurate *

I certify that all business information I have provided is true, accurate, and matches my official IRS and state records. I understand that false information may result in carrier rejection of my registration and termination of my LeadTap account.

Carrier-Restricted Content *

I confirm my business does NOT involve any of the following without prior written approval from LeadTap: SHAFT (Sex, Hate, Alcohol, Firearms, Tobacco), cannabis or CBD, payday loans, cryptocurrency, gambling, multi-level marketing (MLM), debt consolidation, or lead generation/aggregation services.

I Will Display SMS Disclosure on My Website *

I agree to display SMS opt-in disclosure language on my business website (provided by LeadTap during onboarding) so that customers contacting me understand they may receive text messages in response. I understand LeadTap will help me draft and place this disclosure.

LeadTap Agreement Acceptance *

I have read and agree to the LeadTap Master Services Agreement, Privacy Policy, Acceptable Use Policy, and SMS Program Terms (links above).

Authorized Signatory & Indemnification-1 *

By submitting this form and signing below, I provide my electronic signature to legally bind my business to this agreement. I confirm that I am authorized to enter into this agreement on behalf of the business identified above. I agree to indemnify, defend, and hold harmless LeadTap, its officers, employees, agents, and affiliates from any and all claims, fines, damages, judgments, attorney's fees, or settlements arising from or related to: (a) my violation of the Telephone Consumer Protection Act (TCPA), CAN-SPAM Act, or any state or federal consumer protection law; (b) my failure to obtain proper consent from my end customers; (c) any messages I send through LeadTap that violate carrier policies or this agreement; or (d) any false or inaccurate information I provided during signup or onboarding.

Transactional Consent *

By checking this box, I consent to receive non-marketing text messages from LeadTap about my account, signup status, and onboarding. Message frequency varies. Message and data rates may apply. Text HELP for assistance, reply STOP to opt out.

Marketing Consent

By checking this box, I consent to receive marketing and promotional messages including special offers, product updates, and tips from LeadTap at the phone number provided. Frequency may vary. Message and data rates may apply. Text HELP for assistance, reply STOP to opt out.

Electronic Signature *

Clear