Pay-Per-Call
Buyer Intake Form

You only pay when the phone rings. Complete this form so we can set up your call campaign correctly from day one.

⚠️ No calls route until this form and the signed insertion order (IO) are returned. New buyers are set up on a prepay basis.

1 Company & Contacts

Legal Company Name *

DBA (if different)

Website

Business Address

Primary Contact Name / Title *

Primary Contact Phone *

Primary Contact Email *

Live Ops Contact name + cell, reachable during routing hours

Billing Contact Name

Billing Contact Email

Vertical / Service Type * e.g., garage door, water damage, plumbing

Target Geos * states / cities / zips included

Excluded Geos

Daily Call Cap

Hours of Operation + Timezone * e.g., Mon–Fri 8am–6pm ET

Destination Number(s) / DID *

SIP Endpoint (if applicable)

IVR / Screening Required? press-1, zip prompt, screening questions

Failover Number if main line busy / no answer

Call Recording Consent OK to record in all target states

CRM / Tracking Integration Needed? webhook, tracking pixel, etc.

W-9 Provided?

Billing Model *

Payment Method

A 3% processing fee applies to credit card payments. Processed securely via our deposit page.

Initial Deposit / Prepay Amount ($)

License # if regulated vertical

Insurance Certificate Provided? home services

Compliance Notes TCPA, state disclosures — only if outbound/transfers involved

Anything else we should know?