LiveLife Alarm Setup Details

Complete your alarm setup for order - AU132131

To program your alarm, we need information about the wearer and their emergency contacts. Please fill in the details below.

"*" indicates required fields

Company

This field is for validation purposes and should be left unchanged.

Wearer Information

Please provide details of the person who will be wearing the LiveLife Alarm.

Wearer Name*

First Name Last Name

Wearer Address*

Address where the alarm will mostly be worn City State / Territory Postcode Country

Email Address (optional)

Wearer's Phone Number

Which language would you like the voice alerts from your LiveLife alarm to be in? (English is default)

Emergency Contact Details

Add at least one emergency contact who will be notified when the alarm is triggered. You can add up to 6 contacts, but one is enough to get started. 000 can be included as a contact.

Contact 1 - First Name*

Phone Number*

Contact 2 - First Name

Phone Number

Contact 3 - First Name

Phone Number

Contact 4 - First Name

Phone Number

Contact 5 - First Name

Phone Number

Contact 6 - FirstName

Phone Number

Has Emergency Contact 2

Add Emergency Contact

Has Emergency Contact 3

Add Emergency Contact

Has Emergency Contact 4

Add Emergency Contact

Has Emergency Contact 5

Add Emergency Contact

Has Emergency Contact 6

Add Emergency Contact

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Order Number

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Quote Number