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Advertiser

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Publisher

Email

Password

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First Name

Last Name

Registered Company Name

Company Owners / Directors

Registered DBAs

Name

Country

Address

City

State / Province / Region

ZIP / Postal Code

Phone

References

Please provide 2 – 3 U.S. Advertisers or Networks who can be used as a reference.

Name

Company Name

Email

Phone

This section is used to ensure that all vendors within the DMS ecosystem are compliant with applicable regulations.

Prior to starting with DMS, please complete the below to assist us in understanding the level of vendor compliance.

Please Note: Failure to provide the requested information below in full may significantly delay your approval.

Do you provide Leads and/or Calls?

Leads

Calls

Leads and Calls

Leads Questionnaire

Website URLs

Please provide the URLs where you are generating leads to be passed to DMS Exchange.

URL

Vertical

TCPA consent language

Are these websites owned & operated or 3rd party?

Owned & operated

3rd party

Is traffic from internal media buys or affiliate traffic?

Internal media buys

Affiliates

Are partnerships exclusive or with other brokers?

Exclusive

With other brokers

Do you collect Jornaya LeadiD and/or TrustedForm on each lead?

Yes, Jornaya LeadiD

Yes, TrustedForm

Yes, Jornaya LeadiD and TrustedForm

No, neither

Do you pay for this service?

Yes

No

How many times do you sell a lead?

Do you maintain a DNC list?

Yes

No

Please provide your DNC policy

Calls Questionnaire

How do you contact consumers?

Live Agent

Inbound Calls

SMS

Ringless Voicemail

Pre-recorded / Artificial Voice

Avatar / Soundboard

Other

Where are your call centers located?

Website URLs

Where are you receiving express written consent to dial the consumer?

URL

Vertical

TCPA consent language

Do you collect Jornaya LeadiD and/or TrustedForm on each lead?

Yes, Jornaya LeadiD

Yes, TrustedForm

Yes, Jornaya LeadiD and TrustedForm

No, neither

Do you pay for this service?

Yes

No

Do you maintain a DNC list?

Yes

No

Please provide your DNC policy

Do you scrub against the Federal DNC registry? / Do you have a SAN number?

Yes

No

Do you maintain recordings of your calls?

Yes

No

How long are recordings stored for?

Provide applicable scripts

Provide sample recordings

Do you have a Data Retention Policy?

Yes

No

Confirm how long records are stored for

How and where is data stored?

How is data encrypted?

How is data transmitted?

How are authorized users and confidential data managed?

Does your organization maintain regularly updated data privacy policies compliant with applicable privacy and data protection laws, regulations, standards, etc.?

Do you have a disaster recovery or business continuity plan?

Yes

No

Do you have any physical data protection measures in place?

Yes

No

I accept the Terms and Conditions

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Advertiser

Publisher

Leads Questionnaire

Calls Questionnaire

Thank you for applying to work as a publisher on the DMS Exchange.