4G Base + Pendant + Self Managed App

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  • Connection Plan Details

    *Denotes Required fields
    INCLUDES: 1 x NEVERalone 4G Portable Pendant 1 x Smart charger base station (with bluetooth) 1 x Lanyard (necklace) 1 x A/C power supply
    Monitoring services include 4G SIM Card and data communication costs.
    Standard delivery and installations charges allowed for Adelaide Metropolitan area. NOTE: Installation outside metro area may attract additional charges.
    Options for Portable GPS Pendant ONLY.
  • Customer Details

  • Required for special promotional pricing and pensioner discounts.
  • The phone number of the individual that relates to the portable emergency response unit. EG: Mobile for portable device premises landline for base station equipment.
  • With base station installations please provide floor plans and any additional information that may assist with installation.
    Drop files here or
    Max. file size: 15 MB.
    • Please describe any special requirements that may affect the installation or operation of your PERS equipment or Monitoring Service?
    • Remote Monitoring - Nominated Contacts

      The following section is the Nominated Contacts for clients with Remote Monitoring and Tracking services activated.
    • Contact Name:Primary Ph:Secondary Ph:Email: 
    • Contact Name:Primary Ph:Secondary Ph:Email: 
    • Contact Name:Primary Ph:Secondary Ph:Email: 
    • Contact Name:Primary Ph:Secondary Ph:Email: 
    • Payment Details

    • NOTE: Invoice 7 Days Nett customers consent to additional charges for late payment in accordance with MSE T.O.T.
    • Exactly as it appears on your card
    • Numerals only do not input space, dots or dashes.
    • Numerals only do not input space, dots or dashes.
    • This field is for validation purposes and should be left unchanged.

     

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