Mobile Alarm setup form

By filling out this form we’ll be able to more quickly setup your mobile alarm. You’re welcome though to call us on 866 205 4872 and we can gather this information over the phone.

Personal information

Order Number:
Name on Order
E-mail:*
Name in SMS:

Emergency contacts

Please include area codes. You can have as many as 5 phone numbers programmed into your alarm. Please remember that mobile phones will receive a Google Map and help text message of the wearers location. You may include 911 as an emergency number.
Phone 1:
Phone 2:
Phone 3:
Phone 4:
Phone 5: