Top Banner
Calculate Payment Medical ID $ Custom Engraving $ 7.00 Wallet Card Qty. ___ x $2.95 = $ Processing (Credit Card Orders Only) Standard 7-10 Days $ 0.00 Shipping & Handling (Must Choose One) Standard Post $ 9.00 Express Post $ 14.00 Medical IDs Save Lives TOTAL OTHER MEDICAL CONDITIONS MEDICINES TAKEN ALLERGIC TO Billing / Shipping Address NAME ADDRESS CITY/TERRITORY POSTAL CODE PHONE EMAIL Please Bill My Credit Card Check/Money Order Enclosed NAME CARD NO. EXP. DATE CVV CODE To Be Engraved Conditions mDiabetes mHypoglycaemia mAngina mAlzheimer’s mHeart Patient mAbnormal EKG mPacemaker mHaemophilia mEpilepsy mSeizure Disorder mRenal Failure mAsthma mMultiple Sclerosis mGlaucoma mVision Impaired Print clearly and attach a separate piece of paper if you require more room. Engraving space is limited, if you need help please give us a call. Mail-in Order Form Mail form with payment to o UMID, PO Box 108, NORTH RYDE, BC NSW 1670 Male Female Age___ (If Child) NAME Shop More Selections at www.Med-ID.com Prices subject to change. Go online for current pricing and products. $ ‘‘ There are three members in my family that wear medical IDs. The information on all three medical ID bracelets in my family could mean the difference between life and death. While I know they won’t prevent something bad from happening to me or my loved ones it gives peace of mind knowing that the proper professionals would know how to treat any of us in the event of an emergency. – Eleanor R RECOMMENDED FOR: Diabetes Allergies Heart Disease Blood Thinners Seizures www. Med-ID.com Go online for more styles and other interchangeable IDs! 07.24.17 AUWEB
2

Mail-in Order Form - Shop Medical Alert ID Bracelets ......Custom Engraving $ 7.00 Wallet Card Qty. ___ x $2.95 = $ Processing (Credit Card Orders Only) Standard 7-10 Days $ 0.00 Shipping

Jul 06, 2020

Download

Documents

dariahiddleston
Welcome message from author
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
Page 1: Mail-in Order Form - Shop Medical Alert ID Bracelets ......Custom Engraving $ 7.00 Wallet Card Qty. ___ x $2.95 = $ Processing (Credit Card Orders Only) Standard 7-10 Days $ 0.00 Shipping

Calculate Payment Medical ID $ Custom Engraving $ 7.00 Wallet Card Qty. ___ x $2.95 = $

Processing (Credit Card Orders Only) Standard 7-10 Days $ 0.00

Shipping & Handling (Must Choose One) Standard Post $ 9.00 Express Post $ 14.00

Medical IDs Save Lives

TOTAL

OTHER MEDICAL CONDITIONS

MEDICINES TAKEN

ALLERGIC TO

Billing / Shipping Address

NAME

ADDRESS

CITY/TERRITORY POSTAL CODE

PHONE EMAIL

Please Bill My Credit Card Check/Money Order Enclosed

NAME

CARD NO. EXP. DATE CVV CODE

To Be Engraved

ConditionsmDiabetesmHypoglycaemiamAngina

mAlzheimer’smHeart PatientmAbnormal EKGmPacemaker

mHaemophiliamEpilepsymSeizure DisordermRenal Failure

mAsthmamMultiple SclerosismGlaucomamVision Impaired

Print clearly and attach a separate piece of paper if you require more room. Engraving space is limited, if you need help please give us a call.

Mail-in Order FormMail form with payment to o UMID, PO Box 108,

NORTH RYDE, BC NSW 1670

Male Female Age___ (If Child)

NAME

Shop More Selections at www.Med-ID.comPrices subject to change. Go online for current pricing and products.

$

‘‘

‘‘

There are three members in my familythat wear medical IDs. The informationon all three medical ID bracelets in my family could mean the difference between life and death. While I know they won’t prevent something bad from happening to me or my loved ones it gives peace of mind knowing that the proper professionals would know how to treat any of us in the event of an emergency.

– Eleanor R

RECOMMENDED FOR: DiabetesAllergiesHeart DiseaseBlood ThinnersSeizures

www.Med-ID.com

Go online for more styles and other interchangeable IDs!

07.2

4.17

AUWEB

Page 2: Mail-in Order Form - Shop Medical Alert ID Bracelets ......Custom Engraving $ 7.00 Wallet Card Qty. ___ x $2.95 = $ Processing (Credit Card Orders Only) Standard 7-10 Days $ 0.00 Shipping

m $29.99

m Stainless Steel

m Women $47.99

m Gold Tone

m Men $47.99 m Men $49.99

mRose Gold

m Women $49.99

m Onyx

Flex Select Style

m Brown

m Earth

m Black

m Rustic

m $40.99 m $49.99 m $49.99

Stainless Steel

Stainless Steel

Silicone CollectionsIncludes 9 Interchangeable Band Colours. See sample of each colour below.

SleekSelect Style

Bracelets

Leather CollectionsFlex Stainless Steel $42.99Adjustable Bracelet LengthSelect Style

Kids Action $29.99Select Style

Adjustable Bracelet Length

Urban $42.99Select ColourAdjustable Bracelet Length

Epic $42.99Select StyleAdjustable Bracelet Length

Eternity $57.99Select Metal

Expansion WristbandSelect Gender and Metal

Select Band Design

Circle Bracelet Length: 15.5 cm 18 cm 21 cm 23 cm

Circle Bracelet Length: Measure wrist-add 1.5 cm: 18 cm 20 cm 23 cm Other _____

Circle Bracelet Length: 16.5 cm 18.5 cm 20 cm 23 cm

Select Colour m Brown m Black

mVintage Crystal mCanyon Sky mWestern Rose

m Red $42.99

m $42.99

m Embossed

m $94.99

m $74.99

m $79.99 m $114.99

m $104.99m $84.99

m $89.99 m $124.99

m $114.99

m $40.99

m Embossed

m Super Star

m Dolphin

Stainless Steel

Stainless Steel

Dog Tags Stainless Steel $57.99

Stainless Steel

Stainless Steel

Sterling Silver 10Kt Gold-Filled

Sterling Silver

Sterling Silver

Rose Gold

Rose Gold

Sterling Silver

Gold Tone

10Kt Gold-Filled

10Kt Gold-Filled

Onyx

Onyx

10Kt Gold-Filled

mRed $57.99

m Red Outline $42.99

m Large $40.99

m Large Embossed

m Red $99.99

m $79.99

m Red

m $54.99

m Red Outline

m Choo Choo

m Floral Butterfly

m Red $109.99

m Embossed $89.99

mLarge $54.99

m Large Red Outline

mEmbossed $104.99

m Red $139.99

m $134.99

m $54.99

m Red

m Dinosaur

mRed $149.99

m Embossed $129.99

m Large $54.99

m Large Red

m Embossed $139.99

mReflection mHarmony mMontana Black

MingleSelect Emblem ColorSterling Silver

ClassicSelect Style and Metal

Classic and PremierSelect Style and Metal

Necklaces

Expandable Wallet Card

PremierSelect Style and Metal

PendantsSelect Style and Metal

An ideal place for details that may change or do not fit on your medical ID.

m $2.95

m $57.99

m $124.99

m $144.99m$104.99

m $114.99m $124.99m $124.99m $124.99

0 cm.5 9.5 18.5

1 10 192 11 203 12 214 13 225 14 236 15 247 16 258 9 17 18 26 271.5 10.5 19.52.5 11.5 20.53.5 12.5 21.54.5 13.5 22.55.5 14.5 23.56.5 15.5 24.57.5 16.5 25.58.5 17.5 26.5

All necklaces are 61cm in length

Circle Bracelet Length: 18 cm 20 cm

Circle Bracelet Length: Measure wrist-add 1.5 cm: 18 cm 20 cm 23 cm Other _____

m $29.99