Opt-In Notification Form For Employer

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Employee Consent to Receive Text Messages

By checking this box, you agree to receive SMS notifications from Jefferson Telecom. SMS notifications may include work updates or emergency alerts from your employer. Message and data rates may apply. Message frequency varies. Reply STOP to unsubscribe or HELP for help.

I agree to receive text messages (Opt-In)

Your Name(Required)

First Last

Employer(Required)

Cell Phone(Required)