CHOOSE SAFE HOME SECURITY'S       
EMERGENCY MEDICAL ALERT SERVICE
 WITH TWO-WAY VOICE COMMUNICATION

for added Independence and peace-of-mind  

Call Toll Free
 866-367-2995

Our Pledge To You   *  AFFORDABILITY    *   RELIABILITY   *   INDEPENDENCE   *   QUALITY OF LIFE  *   PEACE OF MIND * 
 
 Purchase On Line
>
1 Person Placing Order

First Name* :

  
Last Name* :  
Address* :  
Zip Code* :  
City* :  
State* :  
E-mail Address  :   
Never shared, rented or sold
Phone* :  
Additional # :
2 Person Using System Same As Placing Order
First Name* :    
Last Name* :    
Address* :    
Zip Code* :    
City* :    
State* :    
Phone* :    
Ship To* :   Person placing order  
Person using system
Special   Instructions :  
   3. Please choose your Payment Plan

     Plan Type

Amount Per Month      

Activation fee

Total 

Amount  to be Paid Before Shipment (including Activation Fee)

Month to Month

 $29.95 $49  $29.95 $138.85  Plus  Tax
1 Year plan   $24.95 $49  $299.4 $348.4   Plus  Tax
 
Pay With:  
Name on Card: *

 
 Credit Card Type: *
Credit Card Number: *  
Expiration Date: *    
 CVV Code:    (Can be found on the back of your card) 
Billing Zip Code: *  
 

 


(A) CLICK THE SUBMIT BUTTON TO ORDER. 

(B) YOUR ORDER WILL BE PROCESSED PROMPTLY. YOU SHOULD RECEIVE A RESPONSE TO  YOUR E-MAIL ADDRESS  WITHIN 30 MINUTES.

(C) YOUR MEDICAL ALERT SYSTEM WILL BE SHIPPED WITHIN 5 DAYS. 

(D) YOUR PERSONAL INFORMATION IS TREATED WITH CONFIDENTIALITY. WE NEVER SELL, TRADE RENT OR SHARE YOUR PERSONAL DETAILS.

(E) QUESTIONS ? CONTACT LARRY TUCKER , PH:  800-833-3211 EXT. 1107 

Copyright ©  Safe Home Security, Inc.
Last modified: December 27, 2007