Lone worker device order form
Please complete the form in order for us to configure the device as per required. If you require more information please contact us by email at info@laxsongps.com or by phone 1-866-657-1358 ext 101
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Email *
Date required:
Name of company (if applicable)
First and last name
Billing address:
Please check the unit you would like to order:
I would like to order the quantity below, please indicate the quantity needed
SOS call and alerts will be done by:
Which Alerts to be supervised by call center
Clear selection
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