CareCaller Special Offer Order Form

BILLING INFORMATION
Bill To Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Accounts Payable Phone Number *
Please enter a valid phone number.
Accounts Payable Email *
example@example.com
Send Monthly Invoice(s) To: *

Email To Invoice Email Mail To Billing Address Mail To Shipping Address

TERMS & CONDITIONS
Customer has read and accepts, without exclusion or limitation, the SafeGuardian Terms of Service for all CareCallers placed into service. Must be ordered in multiples of twelve (12) devices (i.e. case price). Pendants will be black color. All orders include a fourteen (14) day no-risk no-questions-asked return policy. Simply return the order within 14 days of delivery and there is no further obligation. After 14 days, no refunds or returns. Monthly service fee of forty four dollars ($44) per pendant will be invoiced beginning of next month. A twelve (12) month minimum service term is required. Early cancellation/non-return will be charged full price for pendants. Limited time offer. Offer subject to cancellation at anytime. This is a one-time use Special Offer - one redemption per agency or office location.
Customer Signature *

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