Medical Alarms USA, LLC Order Form

MEDICAL ALARMS
USA, LLC

North
1-800-432-7502

South
1-877-480-0960

Select Your Plan:

BEST PLAN: Annual $22.00 per month (plus tax) Annual: $264.00 plus tax 12 month contract $25.00 early cancellation fee Payable by credit card only Installation available for additional fee of $35.00 (if in installation grid) otherwise mailed out

BETTER PLAN: Quarterly $25.00 per month (plus tax) Quarterly: $75.00 plus tax 3 month contract $10.00 early cancellation fee Payable by credit card only Installation available for additional fee of $35.00 (if in installation grid) otherwise mailed out

GOOD PLAN: Monthly $30.00 per month (plus tax) Monthly: $30.00 plus tax 30 day contract No cancellation fee Payable by check or credit card only Installation available for additional fee of $35.00 (if in installation grid) otherwise mailed out