Customer KYC · TalkTelX

Basic Information

Company Name *

DBA, Holding co., etc.

Incorporation Date *

Incorporation State, Country *

Company Type *

Business Registration # *

Tax ID

Company Address *

Main Contact *

Designation *

Mobile Number *

Phone Number *

Email Address *

Website

Social Media Profiles

Teams ID

Billing Address (if different)

Billing Email

Billing Phone

Rates Email

Notices Email

Low Balance Notice Email

Tech Support Email

Traffic Profile

Traffic Type *

Ports Requirements *

CPS *

Sessions *

Expected monthly VoIP minutes *

Countries/regions most traffic terminates to *

Main lines of business & revenue sources

Other VoIP carriers worked with

Compliance

Telecom regulatory action/fine/penalty in last 5 years? *

Active National DNC Registry subscription? *

Other DNC/TCPA scrubbing services? *

DNC / TCPA compliance provider

Certification/consent to deliver pre-recorded messages?

Any carrier blocked your traffic / FCC bad-actor flag? *

Lost a civil case (TSR/TCPA/robocalls/DNC/spoofing)? *

Outbound calls display your own company name in Caller ID? *

Use auto-dialer or play pre-recorded audio? *

Prior consent from parties reached via auto-dialing?

IP address(es) you will use to send traffic

Trade References

Reference 1 — Company

Reference 1 — Contact

Reference 1 — Phone

Reference 1 — Email

Reference 1 — Teams ID

Reference 2 — Company

Reference 2 — Contact

Reference 2 — Phone

Reference 2 — Email

Reference 2 — Teams ID

Reference 3 — Company

Reference 3 — Contact

Reference 3 — Phone

Reference 3 — Email

Reference 3 — Teams ID

Required Documents

PDF, JPG or PNG · up to 8 MB each.

EIN / Business Registration Certificate *

Government ID (Passport/National ID/DL) *

Articles of Incorporation *

Certification & Authorised Signature

Customer / Company Name *

Print Name (signer) *

Title *

Date *

I certify that the information provided is true, complete and accurate to the best of my knowledge, and that I am authorised to submit this form on behalf of the company.