Cell Phone Opt-In Submission Form

Cell Phone Opt-In

* Indicates required field

Name *

First

Last

Client ID # *

Enter Email *

Cell Phone Number *

Terms, Conditions, Privacy Policy *

I have read and agree to the Terms Policy (link to document below submit button)

By checking the box you agree to receive recurring messages from Behavioral Intervention Services, LLC, Reply STOP to Opt out. Reply HELP for help. Message frequency varies. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. No mobile information will be shared with third parties/affiliates for marketing/promotional purposes. All OPT-IN requests include text messaging originator opt-in data and consent; this information will not be shared with third parties.

Submit

Terms, Conditions, & Privacy Document Link

Amy Christiansen
661-333-5545
P.O. Box 13488 ~ Bakersfield, CA 93389
[email protected]

Please use the Contact Us form for any correspondence or the Request Client Report for any client requests

Cell Phone Opt-In ​to receive text messages

Cell Phone Opt-In

Cell Phone Opt-In
to receive text messages