Quote Form

Quote Request Form
What is the name of the organisation that is requesting the quote?*
What is the name of the organisation that is requesting the quote?
Who's filling out this form?*
Full name please
What is the quote request for?*

Alarm, and possibly accessoriesAccessories only
- Select the Guardian product to be programmed:*
  
  MediWatch Slim ($519)MediFone ($519)MediWatch ($519)Swissvoice ($449)mCareWatch G11 ($519)
- Please select the MediWatch base option:*
  
  Black Silicone StrapsBroochLanyard
- Please select the MediWatch Slim base option:*
  
  Black Silicone StrapsLanyard
- Please select MediFone's colour:*
  
  BlueBlack
- Please select a SIM card:*
  
  Guardian OptusGuardian TelstraGuardian Telstra UnlimitedAlready own a Guardian SIM
- Please select a SIM card:*
  
  Guardian TelstraGuardian Telstra UnlimitedAlready own a Guardian SIM
- Please select a SIM card:*
  
  ALDI UnlimitedAlready own a SIM
- Guardian Optus (prepaid $80/year) calls cost 20c/min & 20c/text.
- Guardian Telstra (prepaid $80/year) calls cost 90c/min & 20c/text.
- Guardian Telstra Unlimited (prepaid $20/month or $240/year) comes with unlimited calls & texts.
- ALDI Unlimited ($23/month or $276/year) comes with unlimited calls & texts.
- Please select the relevant mCareWatch Plan:
  
  Family Monitoring Plan (monthly)Family Monitoring Plan (yearly)Professional Monitoring Plan (monthly)Professional Monitoring Plan (yearly)
- Please select the relevant mCareWatch G11 Plan:
  
  Personal Family Response (monthly)Personal Family Response (yearly)24/7 Professional Monitoring (monthly)24/7 Professional Monitoring (yearly)
- Please confirm how often you would like to pay for the ongoing SIM costs?*
  
  Yearly ($240)Monthly ($20)
- Please confirm how often you would like to pay for the ongoing SIM costs?*
  
  Yearly ($276)Monthly ($23)
- About monitoring options:
  
  Family Monitored: The device calls the personal contacts you choose. The ongoing cost for this option is the cost of the SIM card only. The first month of SIM credit ($10 value for limited plans only) is provided free upon purchase of a new Guardian Safety Pendant.
  
  Professionally Monitored: The device calls a 24-hour monitoring service. They are always available and have all your details to get you to help quickly. The ongoing cost for this option is the cost of your chosen SIM card, plus professional monitoring. The total cost can be billed monthly or yearly.
  - Note: Guardian Personal Alarms does not typically recommend an Unlimited SIM for Professionally Monitoring clients.
- How would you like this device to be monitored?*
  
  Family MonitoredProfessionally Monitored
- Please note: Unlike 000, which has translation services, the monitoring company staff will only be able to communicate with clients in English. If the client cannot speak English, please note this in the additional information section so the monitoring company is aware and can act accordingly.*
  
  I understand.
- Please confirm how often you would like to pay for the ongoing professional monitoring costs?*
  
  Yearly excl SIM fees ($320)Monthly excl SIM fees ($29)
- User Details:
  
  Please fill in the details relevant to the person who will be using the Guardian product.
- First Name:*
- Last Name:*
- Phone Number:*
  Format: 0000000000.
- Email Address (Optional):
- NDIS number (if applicable):
- NDIS Plan Manager (if applicable):
- Is the user an existing client of us?
  
  YesNo
- User's Address:
  
  Street Address
  
  Street Address Line 2
  
  CityState
  
  Postcode
- Street Address:*
  Street name & number
- Suburb:*
- State:*
- Postcode:*
- Shipment Details:
  
  We offer various shipment methods based on your delivery address. Below are the available options and their costs:
  
  Pick Up (Warwick, WA)
  - Standard wait time: Free
  - Urgent Processing¹: $49
  AusPost Express (Australia Wide)
  - Standard wait time: $15
  - Urgent Processing¹: $49
  Local Courier (Perth Metro Area)²
  - Exclusive to the postcodes 6000 to 6210 (no postboxes): $10
  Notes:
  1. We guarantee that upon receiving all the information we need to process an order that has requested an Urgent Processing (a completed form and payment) it will be delivered in 1-2 business days.
  
  2. Delivery times may vary. The local courier will deliver when they are in your area and will contact you prior to delivery.
- Shipment Details:
  
  We offer various shipment methods based on your delivery address. Below are the available options and their costs:
  
  Pick Up (Warwick, WA)
  - Standard wait time: Free
  - Urgent Processing¹: $49
  AusPost (Australia Wide)
  - Standard: $10
  - Express: $15
  - Urgent Processing¹: $49
  Notes:
  1. We guarantee that upon receiving all the information we need to process an order that has requested an Urgent Processing (a completed form and payment) it will be delivered in 1-2 business days.
- Delivery Options:*
  
  PERTH Metro Area Only Courier ($10)AusPost Express ($15)Urgent Processing ($49)Will pick it up (free)
- Delivery:*
  
  AusPost Express + signature on delivery ($17.95)
- Delivery Option:*
  
  AusPost Express ($15)Urgent Processing ($49)Will pick it up (free)
- Delivery Option:*
  
  AusPost Standard ($10)AusPost Express ($15)Urgent Processing ($49)Will pick it up (free)
- Handoff Type:*
  
  Leave in a safe spotSignature on delivery (+$2.95)
- Please be aware that by choosing this type of handoff, you take full responsibility for any packages that may be lost or stolen. Guardian Safety Pendants will not be liable for such items.*
- What name would you like to have the quote addressed to?*
- What text would you like to show in the reference field on the quote?*
- Email address where this quote will be sent to:*
- (Optional) - Additional Email address(es) where this quote will be sent to:
- Would you like any additional mCareWatch Bands ($35 each | buy 2, get 1 free)?
  
  Silicone (Red)Silicone (Navy Blue)Silicone (Orange)Mesh (Black)Mesh (Silver)Mesh (Gold)Velcro (Black)Velcro (Purple)Velcro (Pink)Velcro (Light Blue)Velcro (Rainbow)
- Would you like any additional mCareWatch G11 Bands ($35 each | buy 2, get 1 free)?
  
  Silicone (White)Silicone (Navy Blue)Silicone (Light Pink)Silicone (Burgendy)Mesh (Black)Mesh (Silver)Mesh (Gold)Mesh (Grey w/ Red Stripe)Mesh (Turquiose)Velcro (Black)Velcro (Purple)Velcro (Pink)Velcro (Light Blue)Velcro (Majestic Red)
- Would you require Geofencing for this unit?
  
  Geofencing required (+$30)
- This device supports voice prompts. Please note:
  - Any language other than English will incur a $30 language programming fee.
  - We are experiencing a significant wait time in organising the programming of an alternative language. If you have any concerns, please call us.
- Non-English voice prompts required (+$30)
- List of Extras:
  
  Note: Please check the compatibility of the extras you are choosing with the personal alarm you are ordering to avoid unnecessary complications and delays.
  
  Cleaning Kit ($6): Includes alcohol wipes (x6), ‘finger brush’ to wear while scrubbing the product (x2), microfibre cloth (x2), and cleaning instructions.
  
  Compatibility: All of our products
  
  Cleaning Kit Combo ($15): Includes the same products as the Cleaning Kit above, plus a Shower Pouch.
  Compatibility: For MediFone only
  
  Shower Pouch ($12): This is necessary if the user wants to wear the device while showering. Our pendants are water-resistant but soap and suds can cause issues to them and using them in the shower without a shower pouch may void the warranty.
  
  Compatibility: For MediFone only
  
  Screen Protector ($21): To protect the screen from scratches, you have the option of applying it yourself or requesting it to be done by our staff.
  
  Compatibility: For MediWatch & MediFone only
  
  Key Safe ($49): This is a combination lock box that will be installed on the property so that anyone with a 4-digit PIN can access the spare key to the place. Instruction on how to change the PIN will be provided but you have the option of requesting it to be done by our staff (incurs an additional $5).
  
  Key Safe Plus ($69): This is a heavy duty combination lock box with a embedded light for enhanced visibility that will be installed on the property so that anyone with a 4-digit PIN can access the spare key to the place. Instruction on how to change the PIN will be provided but you have the option of requesting it to be done by our staff (incurs an additional $5).
- Would you like to add a screen protector to your device order?
  
  Screen Protector ($21)Applied Screen Protector ($21)
- Based on descriptions above, which extra products or services the user would require?
  
  Cleaning Kit ($6)Cleaning Kit Combo ($15)Shower Pouch ($12)Key Safe ($49)Key Safe Code Setup ($5)Key Safe Plus ($69)
- Would the user like a Guardian Knight? This is a simple noise alarm of 130dB which can be activated to attract the attention of those nearby in case of emergency.
  
  Black Knight ($29)Blue Knight ($29)White Knight ($29)Pink Knight ($29)
- Would the user like any additional wearable options?
  
  Adjustable Lanyard (free)Velcro Belt Pouch ($12)Pouch-and-Lock ($49)Button Belt Pouch (MediFone, $12)
- About Pouch-and-Lock ($49): This allows our pendants to be securely locked in a pouch and attached to the user's clothing. The pouch can only be removed with a special magnet so the pendant must remain on the user's person.
- Would the user like any additional MediWatch or MediWatch Slim wearable options?
  
  Black Silicone Straps ($12)Lanyard ($12)Brooch ($12) (N/A for MediWatch Slim)White Silicone Magnetic Straps ($21)Black Silicone Magnetic Straps ($21)Blue Silicone Magnetic Straps ($21)Light Pink Silicone Magnetic Straps ($21)Black Metal Magnetic Strap ($21)Silver Metal Magnetic Strap ($21)Blue Metal Magnetic Strap ($21)Rose Gold Metal Magnetic Strap ($21)Black Velcro Strap ($21)Pink Velcro Strap ($21)
- Our company provides the payment options listed blow. How the ongoing costs are planned to be paid for?*
  
  Direct Debit (Card or Bank Transfer)A funding companyEmail the invoicePost the invoice (+$5)NDISNDIS Plan-Manager
- Nominated invoicing email: (once the quote is approved)*
- By checking this box, you acknowledge that this form is not an official quote nor an order confirmation and is merely a request for a quote. An official quote will be sent to you via email.*
- Any additional notes or questions?
- Please enter today's date:*
  
  DayMonthYear
- Should be Empty:

Quote Request Form