Public sample authorization form

Internal Operator Alert authorization

This page shows the exact offline form used for the isolated Middle America Homes Internal Operator Alerts SMS program. It is publicly available so the consent language and steps can be reviewed without a login.

SMS is a voluntary, separate channel

The operator may decline or revoke SMS without losing employment, system access, any product or service, any transaction, or the ability to complete an operational action. Separate transactional email alerts remain available.

SAMPLE — this webpage cannot be submitted. Nothing on this page signs anyone up for text messages.

Middle America Homes Internal Operator Alerts authorization

Version: 2026-07-31.v1. Eligible recipient: one company operator whose exact mobile number is separately allowlisted by Middle America Homes.

Operator name or initials:
Protected mobile number:
Signature:
Date, time, and time zone:
The operator must actively mark this unchecked box on the completed paper copy. Marking the sample shown in a browser does not enroll anyone.

I voluntarily authorize recurring automated SMS alerts from Middle America Homes, identified as Middle America Homes Ops, to the mobile number written above. Alerts are limited to secure sign-in or authentication-approval requests, legal or permission reviews, production outages, and material releases. Message frequency varies and will not exceed 3 alerts per 15 minutes, 6 per hour, or 12 per day. Message and data rates may apply. Reply STOP to end SMS. Reply HELP or INFO for help. SMS consent is optional and is not a condition of employment, system access, using any product or service, any transaction, or completing any operational action. I may decline or revoke SMS without losing access or the ability to act, and separate transactional email alerts remain available.

This webpage does not submit or store information. Viewing it, typing into a browser, or marking a browser copy does not enroll anyone. Middle America Homes provides the printed copy directly to the sole eligible operator and receives the signed copy back in person or through its established private administrative channel. Middle America Homes then verifies the completed record and exact allowlisted number before any SMS eligibility or activation decision.

There is no keyword enrollment. Consent is not inferred from employment, access, a public record, possession of a number, a seller or customer relationship, another messaging program, or any marketing list.

Read the Internal Operator Alert Terms and Internal Operator Alert Privacy Notice. Questions can be directed to Middle America Homes at (260) 908-9906, seth@middleamericahomes.com, or through the contact page.