Shujaa Solutions SMS application form.

1. Shujaa Solutions Ltd Tel: (+254) 020 250 9260
North Wing, 17th Floor, Anniversary Towers Web: www.shujaa.co.ke
University Way, Nairobi, Kenya Email: info@shujaa.co.ke
SMS Services Application Form
Date
Company / Organization
SHORT CODE SERVICES
Network Safaricom Airtel Kenya
Short code Number (First preference)
Short code Number (Second preference)
Short Code Number (Third preference)
Proposed date for testing
Proposed date for commercial launch
End date / Indefinitely
Projected traffic per month
Total cost to subscriber (KES)
Service Description:
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Service type (MO or MT)
Format of Service Activation: e.g. start
Format of Service Deactivation: e.g. stop
Response Expected :
THANK YOU FOR CHOOSING SHUJAA SOLUTIONS AS YOUR PREFERRED SERVICE PROVIDER

2. Shujaa Solutions Ltd Tel: (+254) 020 250 9260
North Wing, 17th Floor, Anniversary Towers Web: www.shujaa.co.ke
University Way, Nairobi, Kenya Email: info@shujaa.co.ke
BULK SMS SERVICES
Items Safaricom Airtel
100 Bulk SMS { ___ } { ___ }
500 Bulk SMS { ___ } { ___ }
1000 Bulk SMS { ___ } { ___ }
5000 Bulk SMS { ___ } { ___ }
> 5000 Bulk SMS _________ _________
*SMS Mask 1 ______________ ______________
*SMS Mask 2 ______________ ______________
*SMS Mask 3 ______________ ______________
* Note that SMS masks are alphanumeric, have a maximum of 11 characters and
should not contain spaces. They are case sensitive.
KEY CONTACTS
Name Role Mobile Number Email
THANK YOU FOR CHOOSING SHUJAA SOLUTIONS AS YOUR PREFERRED SERVICE PROVIDER

3. Shujaa Solutions Ltd Tel: (+254) 020 250 9260
North Wing, 17th Floor, Anniversary Towers Web: www.shujaa.co.ke
University Way, Nairobi, Kenya Email: info@shujaa.co.ke
Any other pertinent technical information, for example throughput required, IP
source address: ___________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
Signed:____________________________________________________
Name:_____________________________________________________
Date:______________________________________________________
Stamp:
THANK YOU FOR CHOOSING SHUJAA SOLUTIONS AS YOUR PREFERRED SERVICE PROVIDER