Live Life Alarms Mobile Setup Form

Mobile Alarm setup form

Please fill out this form at your earliest convenience. We will not be able to process and send your order out until we receive this setup information.

Personal information

Order Number*

Name on Order*

E-mail:

Name of person wearing pendant:*

Location Address where the alarm will be worn:*

Street Address City State Postcode Country

Emergency contacts

Please include area codes. You can have as many as 6 phone numbers programmed into your alarm. Please remember that mobile phones will receive a Google Map and help text message of the wearers location. You may include 000 as an emergency number.

Phone 1:

Phone 2:

Phone 3:

Phone 4:

Phone 5:

Phone 6: