This brochure describes how a LifeStation medical alert system provides independence and peace of mind to seniors and their loved ones for less than $1/day. With a medical alert system from LifeStation, backed by our UL Listed monitoring center, help is available 24/7 at the touch of a button.
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Thank you for requesting information about medical alert monitoring from LifeStation. LifeStation is much more than a service – it is the comfort that you and your loved ones experience knowing that immediate assistance is always available 24 hours a day, 365 days a year. Benefits of our medical alert monitoring include: LifeStation’s very own UL ® Listed, CSAA ® Five Diamond monitoring center Cancel at any time without penalty No long-term contract Free shipping and activation LifeStation offers three convenient ways to get started: Call a LifeStation Associate at 800-481-4600. Visit www.LifeStation.com and place your order. Complete the enclosed order form and mail or fax it to LifeStation. Get started today and experience the same peace of mind enjoyed by thousands of LifeStation customers and their families. Sincerely, Michael Zydor Program Director Welcome to LifeStation. National Association for Home Care and Hospice National Association of Professional Geriatric Care Managers National Association of Chain Drug Stores Medical Alert Monitoring Association Better Business Bureau Accredited Business Dun & Bradstreet Listed Underwriters Laboratories Listed Five Diamond Central Station Call 800-481-4600 today and ask about our Senior Discount! Order Now and Save Even More! Hurry, offer ends soon. LIFESTATION LIFESTATION LIFESTATION LIFESTATION LIFESTATION LIFESTATION LIFESTATION LIFESTATION LIFESTATION LIFESTATION LIFESTATION LIFESTATION LIFESTATION LIFESTATION LIFESTATION LIFESTATION LIFESTATION LIFESTATION LIFESTATION LIFESTATION LIFESTATION LIFESTATION LIFESTATION LIFESTATION LIFESTATION LIFESTATION LIFESTATION LIFESTATION LIFESTATION LIFESTATION LIFESTATION LIFESTATION LIFESTATION LIFESTATION LIFESTATION LIFESTATION LIFESTATION LIFESTATION LIFESTATION LIFESTATION LIFESTATION LIFESTATION LIFESTATION LIFESTATION LIFESTATION USE CODE BD1
Transcript
Thank you for requesting information about medical alert monitoring from LifeStation. LifeStation is much more than a service – it is the comfort that you and your loved ones experience knowing that immediate assistance is always available 24 hours a day, 365 days a year.
Benefits of our medical alert monitoring include:
LifeStation’s very own UL® Listed, CSAA® Five Diamond monitoring center Cancel at any time without penalty No long-term contract Free shipping and activation
LifeStation offers three convenient ways to get started: Call a LifeStation Associate at 800-481-4600. Visit www.LifeStation.com and place your order. Complete the enclosed order form and mail or fax it to LifeStation.
Get started today and experience the same peace of mind enjoyed by thousands of LifeStation customers and their families.
Sincerely,
Michael ZydorProgram Director
Welcome to LifeStation.
National Association for
Home Care and Hospice
National Association of Professional
Geriatric CareManagers
National Association of
Chain Drug Stores
Medical Alert Monitoring Association
Better Business Bureau
Accredited Business
Dun & BradstreetListed
Underwriters Laboratories
Listed
Five Diamond Central Station
Call 800-481-4600 today and ask about our Senior Discount!
Press your Help Button.Wear your waterproof Help Button at all times. In the event of an at-home emergency, simply press the Help Button and you will be instantly connected to a LifeStation Care Specialist .
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The LifeStation Monitoring Center is staffed by our trained Care Specialists who stand ready to provide caring, responsive service. When LifeStation receives your alert, your individual response plan is put into action.
Care Specialists are ready to assist you.
Help is on the way.When seconds are critical, LifeStation gets you the immediate response you need. We will notify emergency services, friends and family members in whichever order you choose. A LifeStation Care Specialist will stay on the line with you until help arrives.
The solution that provides peace of mind, independence and security . . . at home.
Handsome table top console.
Help Button that can be worn as a neck pendant, wristband or belt clip.
Your LifeStation System includes:
How LifeStation Works.
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Call 800.481.4600 or visit www.LifeStation.com
Do you live alone?
Are you 65 years of age or older?
Have you fallen in the last 3 years?
Are you worried about falling and not being able
to reach the phone?
Are you worried about falling in the shower?
Do you have difficulty using steps or standing up?
Do you have poor vision and find it easier to simply press
a button than use a standard telephone?
Do you use a cane for balance or walking?
Are your loved ones worried about you when you’re home alone?
Is it important for you to continue living independently?
Answer the following questions to determine if a LifeStation system is right for you.
If you answered YES to any of the previous questions then you should try a LifeStation system.
Call 800.481.4600 or visit www.LifeStation.com
Is LifeStation for you?
Maintain your independence.
We understand asking for help is new to many people. We know you value your independence and try hard to maintain it. That’s why LifeStation allows you the opportunity to determine if a medical alert system is right for you.
Try it in your own home. If you decide it’s not for you, you can cancel at anytime.
Call to get started, TODAY!
LifeStation Answers.Are there any costs in addition to the LifeStation monthly fee? No. Unlike others, LifeStation has no fees other than our one low monthly fee. We will never raise your rate as long as you are with LifeStation.
Do I have to sign a long-term contract? No. There are no long-term contracts at LifeStation. You may cancel at any time without penalty. Simply call us to arrange for free return shipping.
Will the LifeStation system work in my neighborhood? Yes. The LifeStation system works everywhere in the United States.
How experienced is the LifeStation monitoring center? LifeStation operates its own UL Listed, CSAA Five Diamond monitoring center with highly trained Care Specialists.
What if I am unable to speak when I press the Help Button? If they cannot hear you, LifeStation Care Specialists will follow your personalized emergency contact instructions.
What happens if I accidentally push the Help Button? Simply tell the Care Specialist that help is not needed. There are no additional charges for requests for help whether real or accidental.
What if my LifeStation system requires service? A replacement system will be shipped at no cost to you.
What if I move or go on vacation? You can easily unplug the system and take it with you. Simply notify us of your new location.
Can more than one person be protected at my home? Yes. You can order a Help Button for an additional user.
How quickly can I get started? Once your order is placed, we will immediately ship a LifeStation system that you will receive in a few days. You will be able to set up the system yourself.
Call 800.481.4600 or visit www.LifeStation.com
“Finding the LifeStation system has been an answer
to our entire family’s prayers.”
“My mother is a very independent and strong willed woman but her health has put so many limitations on her. Her knee needs to be replaced but she has other health issues that she has to deal with first.
My brother, sister and I are always worried about her being home alone and she refuses to lose her independence of living on her own. So finding the LifeStation system has been an answer to our entire family’s prayers.
Your reputation and the supportive staff you have is amazing, they are so helpful, kind and thoughtful. Another thing that’s amazing is how powerful the transmitter is and the long distances that it can pick up sound (your voice). Thank you for allowing my mom her independence and allowing us to feel at ease with it.”
Karen O., Pittsburgh, PA
Allows caregivers and emergency responders to access your home when help is needed and you are unable to answer the door.
Lock Box $2.99 per month
An additional Help Button that allows another person in your home to use the system.
Activity Assurance automatically checks in every day. If there is no response, the system signals our monitoring center.
Additional Help Button $3.99 each, per month
Activity Assurance $5.99 per month
Extra Help Buttons in bathrooms, hall-ways and bedrooms provide easy access in case of a fall or other emergency.
1 for $3.49, per month
2 for $3.29 each, per month
3 for $2.99 each, per month
4 for $2.79 each, per month
5 for $2.69 each, per month
6 for $2.49 each, per month
Our most popular choice
Bathroom/Hallway Help Buttons
Get Started Today! Payment Regular Price with Options Price Senior Discount
Person Using System Person Placing Order � Same as person using system
Paid Monthly � $29.95 per month � $28.95 per month
Paid Quarterly � $28.95 per month � $27.95 per month
Paid Annually � $27.95 per month � $26.95 per month
Name
Address
City/State/Zip
Name on Card
Credit Card Number
Last Name First Name
Address 1
Address 2
City State Zip
Cross Street Township/Municipality
Phone #
E-mail
� Senior Discount
Customer Signature Date
Print Name
Last Name First Name
Address 1
Address 2
City State Zip
Phone # 1
Phone # 2
E-mail
1. Please fill in all applicable information.2. Order ONLINE at www.LifeStation.com, MAIL your form to the above address or FAX to 866-725-8677.3. Your LifeStation System will be shipped the day your order is received.
Payment Method � AMEX � VISA � MasterCard � Discover � EFT (Electronic Fund Transfer – see next page)
ShippingDirections
* VERIFICATION VALUE CODE (CVV)This code is a 3 or 4 digit number which helps validate that the customerplacing the order actually has the credit card in his/her possession.
For VISA, Mastercard and Discover, the CVV is a 3 digit number printedon the back of the card. Look on the back of your card in the signature box.The CVV is the 3 digit code printed after your 16 digit credit card numberor last 4 digits of your credit card number.
For American Express, the CVV is a 4 digit number printed on the front of thecard just above your credit card number on either the right or left hand side.
� Lock Box$2.99 per month
� Extra Help Button$3.99 per month
� Activity Assurance$5.99 per month
Failure to Return the System If at the termination of our Agreement, you fail to return theLifeStation system or any accessory devices in undamaged condition (other than normalwear and tear), you hereby authorize the replacement payment as described in our Agreement.
Payment Cost Senior DiscountOption Bathroom/Hallway Wall Help Button� 1 for $3.49 - per month� 2 for $3.29 each - per month� 3 for $2.99 each - per month� 4 for $2.79 each - per month� 5 for $2.69 each - per month� 6 for $2.49 each - per month
� Ship to person placing order
� Ship to person using system
� Ship to different address (fill in information)
LifeStation Service Plans Additional Services
Exp. Date(mm/yyyy)
*CVV Code(3 or 4 digits)
Product Code
Enrollment Form - ONLINE - Head:Layout 1 4/24/2009 9:36 AM Page 1
LifeStation Page 7
800.481.4600 www.LifeStation.com
Enrollment Form350 Neptune AvenueSheepshead Bay, NY 11235
You have the authority to deduct payments as specified on the reverse side at the paymentfrequency selected.
I understand this authority is to remain in full force and effect until the offices of LifeStation Inc. hasreceived written notification from me of its termination in such time and in such manner as to afford thedepositor a reasonable opportunity to act on it. I maintain the right to stop payment of the debit entry(deduction) by written notification delivered to the offices of LifeStation Inc. ten (10) business days ormore before this payment is scheduled to be made.
Signature Date
Attach a voided check below.
The Automated Clearing House (ACH) division of the Federal Reserve Bank says electronic funds transfer (EFT) is by far safer and moresecure than writing a check. EFT is tracked and governed by the ACH. It is transmitted in an encrypted format while a check passes throughan average of 11 people who have access to all of your bank account and personal information.
Name
Address
City/State/Zip Telephone No.
Your Bank’s Name
Your Bank Account No.:
Bank Routing No.: (9 characters at bottom of your check between above symbols)
Electronic Funds Transfer Information Form
I hereby authorize LifeStation Inc. to notify my bank through the Electronic Funds Transfer (EFT)process, to transfer the amount as specified on the reverse side, to their bank. I understand thisamount will appear on my bank statement for the purposes of payment and amount verification.
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Enrollment Form - ONLINE:Layout 1 4/22/2009 3:11 PM Page 2
