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Your Business

Customer SMS Review Request Consent

Form version 1.0 · Provided by LocalReview Direct · Retained by the business

I agree to receive a text message from the business named above containing a link to leave a review of the work completed for me. I understand that:

  • Messages are sent only after a completed, paid job — typically one per job.
  • Msg & data rates may apply.
  • I can reply STOP at any time to stop messages, or HELP for help.
  • Consent is not a condition of purchase.
  • Messages are delivered through LocalReview Direct, a service of Income Empire Business LLC, the business's messaging provider.

Verbal consent script (if taken verbally, tick the box below): "Hi, this is [Business Name]. May we send you a text message with a link to leave us a Google review? If you say yes, you will receive review request text messages from [Business Name] at this mobile number, about 1 message per completed job. Msg & data rates may apply. Reply STOP to opt out at any time, or HELP for help. Consent is not a condition of purchase. Our privacy policy is at localreviewdirect.com/privacy."

Customer name
Mobile number10-digit US mobile
Job / invoice reference
Date of service

How consent was given

Verbal at point of sale Signed this form Customer texted us first
Customer signature
Date
Staff member recording consent
Date