Wholesale Form - Xinix

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Company credentials

Business name * Business address * Business website * Main phone number * Fax number * State of incorporation * Year incorporated * Years in business * VAT/Sales tax number * Company registration number *

Contact details

Contact details

Primary contact details

Primary contact name * Phone number * Email * Teams

Billing contact details

Billing contact name * Phone number * Email * Teams

Rates contact details

Rates contact name * Phone number * Email * Teams

Technical contact details

Technical contact name * Phone number * Email * Teams

Contact details

Principal 1

Principal name/title * Ownership (%) * Phone number * Email *

Principal 2

Principal name/title * Ownership (%) * Phone number * Email *

Principal 3

Principal name/title * Ownership (%) * Phone number * Email *

Principal 4

Principal name/title * Ownership (%) * Phone number * Email *

Principal 5

Principal name/title * Ownership (%) * Phone number * Email *

Compliance details

Compliance details

Business description (multiple types allowed) *

VoIP Hosted PBX Conference call Wireless Call/contact center Facilities-based long distance provider Other

Please describe *

Type of business *

Wholesale Retail Both

Percent of mix *

Type of traffic *

Short duration Long duration Both

Percent of mix *

ACD

Short duration * Long duration *

ASR

Short duration * Long duration *

SDP

Short duration * Long duration *

Short duration *

ACD ASR SDP

Long duration *

ACD ASR SDP

FCC 499 filer ID * RMD ID * FRN number * OCN * FEIN (federal tax ID No) * CPNI confirmation number * Company incorporation file number * State sales tax number

Are you STIR/SHAKEN compliant? *

Yes No

Whom are you getting your STIR/SHAKEN certificate from?

Company name * Company phone number * Contact person * Contact person email *

Has customer registered with the Robocall Mitigation Database? *

Yes No

Has customer implemented STIR/SHAKEN authentication framework? *

Yes No

Is customer currently signing calls? *

Yes No

Are you signing calls for your customer? *

Yes No

Does customer support and comply with the ITG tracing process? *

Yes No

Has customer been the originator or U.S. point of entry for more than 5 tracebacks or notifications for unlawful call activity within the last year? *

Yes No

Has customer been the originator or U.S. point of entry for more than 3 tracebacks or notifications for calls verified to be falsely purporting to be from any government agency (SSA, IRS, etc.)? *

Yes No

Has customer been determined to be a “Non-Cooperative Voice Service Provider” by US Telecom? *

Yes No

Has customer been blocked from a service provider’s network pursuant to FCC final notification order? *

Yes No

Has your organization received a Cease and Desist Letter from the FCC? *

Yes No

Has customer, or any of its principals, been subject to an adverse judgment relating to the Voice Service Provider Customer’s dialing, origination, routing, or transmitting of unlawful robocalls? *

Yes No

Are you or any shareholders of your company a U.S. citizen? *

Yes No

Do you have a written robocall mitigation plan? *

Yes No

What mechanisms are implemented to detect and mitigate scam or spam traffic profiles? *

Do you have end users as your direct customers? *

Yes No

What mechanisms are implemented to detect and mitigate scam or spam traffic profiles within your network?

Do you monitor? *

ASR drops ACD anomalies CPS spikes CLI patterns

What triggers investigation? *

High CPS spike Short duration burst Customer complaints Traceback notice

Do you sell them the DID numbers yourself? *

Yes No

Do you filter the traffic based on the federal Do Not Call list? *

Yes No

Do your customers have legal documents to prove the legitimacy of their campaigns? *

Yes No

Do your customers regularly monitor leads to avoid “not interested” or “do not call” responses? *

Yes No

Does your customer generate any form of automated IVR, robocall, or avatar calls? *

Yes No

If required due to an investigation by the FCC, ITG, or any downstream provider, can you provide verifiable proof that the Caller ID is legally owned by you or your end customer? *

Yes No

Does your organization ensure that end users provide prior express written consent in compliance with the TCPA for telemarketing calls? *

Yes No

Do your automated calls include required opt-out mechanisms? *

Yes No

If required due to an investigation by the FCC, ITG, or any downstream carrier/provider, can you provide documentary evidence demonstrating campaign legal compliance and customer authorization? *

Yes No

How many tracebacks have you received in the past 3 months? * Were any of the tracebacks POE? If yes, how many? * Have you lost any vendors to fraud or tracebacks in the last 6 months? * What action do you take against carriers that send fraudulent traffic to your network? *

What STIR/SHAKEN attestation level do you apply? If you have all, please mention the percentage beside each token. *

A B C All

A * B * C *

Banking information

Banking information

Does your company have a U.S. Bank Account(s)? *

Yes No

Bank name * Account # * Bank address * Contact name * Contact email * Contact phone number * Contact fax *

I hereby authorize my financial institutions and trade creditors to release information regarding my accounts, credit standing, payment history, and any other relevant financial data to Aertel Ltd or its authorized representatives for the purpose of evaluating and verifying creditworthiness.

This authorization may be used to obtain both verbal and written information and shall remain valid for 90 days from the date of signature below.

Financial information authorization *

I agree

Trade references

Trade references

Reference 1

Min 2 are mandatory *

Trade reference name * Account # * Trade reference address * Contact name * Contact email * Contact phone number * Contact fax *

Reference 2

Trade reference name * Account # * Trade reference address * Contact name * Contact email * Contact phone number * Contact fax *

Reference 3

Trade reference name * Account # * Trade reference address * Contact name * Contact email * Contact phone number * Contact fax *

Reference 4

Trade reference name * Account # * Trade reference address * Contact name * Contact email * Contact phone number * Contact fax *

Reference 5

Trade reference name * Account # * Trade reference address * Contact name * Contact email * Contact phone number * Contact fax *

I hereby authorize my financial institutions and trade creditors to release information regarding my accounts, credit standing, payment history, and any other relevant financial data to Aertel Ltd or its authorized representatives for the purpose of evaluating and verifying creditworthiness.

This authorization may be used to obtain both verbal and written information and shall remain valid for 90 days from the date of signature below.

Trade reference authorization *

I agree

Declared information

Declared information

I declare (or certify, verify, or state) under penalty of perjury that the above-mentioned information is true and correct

Name * Contact number * Email ID * Designation *

If required due to an investigation by the FCC, ITG, or any downstream provider, can you provide verifiable proof that the Caller ID is legally owned by you or your end customer? *

Yes No

Does your organization ensure that end users provide prior express written consent in compliance with the TCPA for telemarketing calls? *

Yes No

Do your automated calls include required opt-out mechanisms? *

Yes No

If required due to an investigation by the FCC, ITG, or any downstream carrier/provider, can you provide documentary evidence demonstrating that (i) the campaign is legally compliant under applicable U.S. laws (including TCPA), and (ii) your customers are duly authorized to originate calls on behalf of the campaign owner? *

Yes No

NDA Agreement

Download

Please download and review the non-disclosure Agreement (NDA), then sign it in the signature box below.

Sign the NDA *

Draw your signature in the box using a mouse, stylus, or finger.

Please be advised that the content of this form is subject to the terms of a Non-Disclosure Agreement (NDA) previously executed between the involved parties. All information disclosed herein shall be considered strictly confidential and protected under the provisions of the aforementioned NDA.

Final confirmation

I declare (or certify, verify, or state) under penalty of perjury that all information provided above is true, complete, and accurate.

I further represent, warrant, and undertake that all traffic originated, transmitted, or routed through Aertel Ltd shall at all times be lawful and in full compliance with all applicable laws and regulations, including but not limited to the rules and regulations of the Federal Communications Commission (FCC) and the Telephone Consumer Protection Act (TCPA).

The customer expressly warrants that no traffic shall involve or relate to caller ID spoofing, fraudulent activity, scam operations, unlawful robocalls, or any form of illegal telecommunications activity.

The customer acknowledges and agrees that Aertel Ltd shall have the absolute right, at its sole discretion, to suspend, restrict, or terminate services immediately and without prior notice in the event of any suspected or actual breach of these obligations or applicable laws.

The customer agrees to defend, indemnify, and hold harmless Aertel Ltd, its affiliates, directors, officers, employees, and partners from and against any and all claims, demands, actions, damages, losses, liabilities, penalties, fines (including per-call fines), costs, and expenses (including legal fees) arising out of or related to any non-compliant, unlawful, or fraudulent traffic or any breach of the above representations and warranties.

The customer further agrees that it shall remain fully liable for any regulatory actions, carrier claims, or third-party disputes arising from its traffic and shall cooperate fully with any investigation conducted by Aertel Ltd, regulators, or downstream carriers, including providing all requested documentation and evidence without delay.

Services shall not be activated until all KYC documentation has been fully verified and formally approved by Aertel Ltd. The customer shall remain solely responsible for the origination of all traffic and shall not rely on Aertel Ltd for compliance verification or legal validation of such traffic.

Aertel Ltd reserves the right to request additional verification documents, including but not limited to government-issued identification of directors or beneficial owners, based on internal risk assessment or regulatory requirements.

Final confirmation agreement *

I agree to the NDA, the final confirmation above, and the use of my electronic signature to execute the NDA.

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