Business Details

Owner's First & Last Name

First Last

Owner's Email Address*

Legal Business Name (what name do you file taxes under?)*

(i.e. "Lifted Logic Farms LLC")

Friendly Business Name*

(i.e. "Lifted Logic")

Business Details Continued

Business Phone*

(i.e. "Office Phone")

Business Email (MUST match your URL domain)*

(i.e. "info@liftedlogic.com, hello@liftedlogic.com")

Business Website URL*

(List Multiple if Applicable)

Business Logo

No file selectedBrowseMax. file size: 2 MB.

!! (350px * 180px. No bigger than 2.5 MB) !!

Business Niche*

(If you target multiple niches, choose the niche that best describes your target market.)

Other*

Does your business have multiple locations?

Does your business have multiple locations?*

Yes

No

Please list each location:*

Business Hours of Operation

Hours of Operation*

Day of the Week

Hours

(i.e. Monday 9am-5pm, Tuesday 9am-5pm, Wednesday 9am-2pm, etc.)

Office Closure Dates*

(i.e. New Year's Day, July 4th)

What timeframe can you receive lead notifications?

If different from hours of operation, please list below:

Hours of Operation*

Day of the Week

Hours

Business Information

Legal Business Type*

Co-Operative

Corporation

Limited Liability Company OR Sole Proprietorship

Non-Profit Corporation

Partnership

Business Industry

Business Registration Type*

Other*

Business Registration Number*

Business Information Continued

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Time Zone

Eastern / EST

Central / CST

Mountain / MST

Pacific / PST

Other (Please specifiy)

Other*

Authorized Representative / Point Of Contact

Name*

First Last

Email Address*

Phone Number*

Job Title / Position*

Register for A2P

Is the business entity that you are registering for A2P located in the United States or Canada?*

Yes

No

Current Lead Management System

Do you currently use a CRM?*

Yes

No

I'm not sure

Which CRM do you use?

(i.e. Hubspot, GoHighLevel, Salesforce, etc)

When someone fills out a form on your website, which team member responds to that lead?*

Please explain the process that your team uses for lead follow-up.*

Does your current website have a chat widget?*

Yes

No

I don't know

Which platform do you use for the chat widget?*

Your Team

Please add the list of team members that you would want to be added to the CRM. Must include full name and business email.

Team Member*

First & Last Name

Email

(i.e. John Smith, johnsmith@domain.com)

Notifications

Custom SMS Opt-Out Message

(i.e. "This is a new text platform for us. We would love to keep chatting with you, but if you insist we leave you alone, we respect that. Just reply STOP & your wish is our command!")

Custom Missed Call Text Back Message

(i.e. "Hi, I saw that we just missed your call! How can I help?")

Voicemail

We will need you to provide us with a voicemail script; would you rather:*

Record your own MP3 file and send

Have Lifted Logic record on your behalf

Do you prefer a male or female voice?

Do you prefer a male or female voice?*

Male

Female

No preference

Which of the following best suits your practice?

Which of the following best suits your practice?*

Option 1: "Hello, you've reached [Insert Company Name]. We're sorry we missed your call. Your wellness and beauty journey is important to us, and we’ll return your message as soon as possible during our business hours. Please leave your name, phone number, and a brief message, and one of our team members will be in touch shortly. Thank you for calling [Insert Company Name

Option 2: "Hi! Thanks so much for calling [Insert Company Name]. We’re so sorry we missed you! We might be with another client or stepping away for just a moment, but we truly appreciate your call. Please leave your name, number, and a little message — and we promise to get back to you as soon as we can. Wishing you a wonderful day, and we look forward to talking with you soon!"

Option 3: "Hi there! You’ve reached [Insert Company Name] — we’re so glad you called! We’re just away from the phone right now, but don’t worry — we’d love to call you back. Leave your name, number, and a quick message, and we’ll get back to you as soon as we can. Can’t wait to connect!"

Option 4: None of the above and I will send my own script.

Please provide your script below:

Website Information

Is your site built by Lifted Logic*

Yes

No

If not, will Lifted Logic be building you a site?

Yes

No

If your site is not built by Lifted Logic, Do you know what content management system is built on?*

Squarespace

WIX

Wordpress

Other (Please specifiy)

Other*

Current Website Username:*

Current Website Password:*

Domain Registrar Information

Who is your domain registrar?*

Your domain registrar is the website where you purchased your domain name. (i.e. GoDaddy, Namecheap, Google Domains)

Please specify:*

Will Lifted Logic be granted access to your domain registrar administration account?*

Yes (Recommended)

No

I'm not sure

Registrar Username:*

Registrar Password:*