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Delta Lifeline - Purchase Only Form
Purchase Delta Lifeline and pendant: £179 One off set up fee (excluding vat)
Please use the boxes below to tell us who will be using the alarm
Title
*
First name
*
Last name
*
Phone number
*
Users Address
*
Who is paying for the alarm? (Please select an option)
*
The person using the alarm
Someone else
Email address
*
Order notes
Please enter notes such as delivery instructions or alternative delivery address
Title
*
First name
*
Last name
*
When your order has been placed, we will contact you to ask a few more simple questions that will allow us to contact family or friends if required, when your alarm is pressed. Please ensure someone is home to accept your Delta parcel as this is a signed for service. We cannot deliver the alarm without a signature.
VAT exemption
*
Yes
No
If you or the person you are purchasing for has any long term medical conditions or any disability you do not need to pay VAT for our service. The vast majority of our users don’t pay VAT and use this simple self declaration
Medical condition
Name of the person to which the VAT exemption applies
If you or the person you are purchasing for has any long term medical conditions or any disability you do not need to pay VAT for our service. The vast majority of our users don’t pay VAT and use simple self declaration
After you click ‘Submit’ below you will be taken to PayPal to complete your purchase.
“My lifeline has given me and my family such peace of mind”
“It's given me my independence and freedom back”
“It's great to know help is available 24/7, 365 days, if I ever need it”
