Contact Name*:
Client Name:
Address, Line 1:
Address, Line 2:
City*:
State*: ZIP Code*:
Contact Phone*: Ext.:
Client Phone:
Email Address*:
Best time for confirmation call / Any Comments:
  
Mobile Medical Alert For Seniors
Medical Alert Monitoring Association
Alert 911 Medical Alert Kit

Order The Connect America ® 
Alert  911 System
With Monitoring

Copyright© 2008 - All Right Reserved - Alert 911 | A Connect America.com, LLC Company
National Head Quarters: 2193 West Chester Pike, Broomall, PA. 19008 - Nationwide Service Available

BBBOnLine Reliability Seal

1:: Complete The Basic On-line Order Form
* = Required Fields

2:: We Call You
Delivery scheduled and order completed. Sensitive personal medical information required and collected prior to delivery.

3::  System  Delivered To You By FedEx Ground.
 Includes; Unit, Charger, Warranty Card and Instructions.
Expedited Delivery Available At Additional Cost.  

EASY AS  1-2-3 !

1.  ALERT 911 GPS MEDICAL ALERT UNIT.
 1. PLUG IN BATTERY CHARGER.
1. SIMPLE SETUP INSTRUCTIONS.
1. WARRANTY CARD.
24/7 MONITORING WITH GPS TRACKING SERVICE WHEN NEEDED.
EQUIPMENT COST: $0.00
 SHIPPING / ACTIVATION FEE: $49.95 MONTHLY MONITORING ONLY

$49.95 Per Month
Order By Phone:: 1-866-294-4199

 No Long Term Contract - Simply Return Unit Undamaged To Cancel Contract

INTERNET SPECIAL !

OPTIONAL EXTRAS !

Custom Designed Clip-on Case -- $15.00
Custom Watch Strap -- $15.00
 Lock-Box (Store Door Key) -- $35.00
 One Time Payments -- no additional montly fees
aaaaaaaaaaaaiii