Safe-Life 4G pendant programming forms Personal Medical Alarm programming form Personal Medical Alarm programming form 4G Device Programming & SIM card activation Customer Information Purchaser Name * Purchaser Name Pendant Wearer Name * Order number / Reference * Home address of pendant wearer (for Bluetooth location set up): * Home address of pendant wearer (for Bluetooth location set up): Home address of pendant wearer (for Bluetooth location set up): Home address of pendant wearer (for Bluetooth location set up): City City State/Province State/Province Zip/Postal Zip/Postal Contact Email * Confirm Contact Email * Contact Phone * If you are human, leave this field blank. Next
