Information Form

You have chosen to use a CareAlert managed, low-cost emergency sim card for just $6.49/month. Payment options are available and can be chosen below. This sim will allow 8 emergency calls every month. If you use all emergency credit the CareAlert will still be able to call Triple Zero. There are no lock-in contracts and you can cancel at any time. *NOTE: SIM CARD FEES ARE NON REFUNDABLE.

PLEASE NOTE: This form is to register your managed sim card only. Once you have submitted your information please continue to "view your cart" to complete the purchase of your CareAlert Smart Dialler.

Name *

Phone No. *

Email Address *

Sim Card Payment Option:

Monthly ($6.49/m) Yearly ($64.95 *SAVE $12.43*)

Credit Card:

Visa Mastercard Amex

Credit Card No. *

Expiry Date *

CCV *

Note:

Your credit card will not be charged until you complete the full purchase of your CareAlert Smart Dialler. The information on this form is required to satisfy Australian consumer laws.

Information Form

Customer Service

Contact Information

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