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Welcome to LifeStation.

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,
Call 800-481-4600 today
and ask about our
Michael Zydor Senior Discount!
Program Director
Order Now
and Save Even More!

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Hurry, offer ends soon.

National National National Medical Alert Better Business Dun & Bradstreet Underwriters Five Diamond
Association for Association of Association of Monitoring Bureau Listed Laboratories Central Station
Home Care Professional Chain Drug Stores Association Accredited Business Listed
and Hospice Geriatric Care
Managers
How LifeStation Works.
The solution that provides peace of mind, independence and security . . . at home.

Press your Help Button.


1 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 .

Care Specialists are ready to assist you.


2 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.

Help is on the way.


3 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.

Your LifeStation System includes:


Handsome table Help Button that can be worn as a neck
top console. pendant, wristband or belt clip.

Call 800.481.4600 or visit www.LifeStation.com


Is LifeStation for you?
Answer the following questions to determine if a LifeStation system is right for you.
 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? Maintain your
independence.
We understand asking for help
 Are you worried about falling in the shower? is new to many people. We know
you value your independence and
try hard to maintain it. That’s
 Do you have difficulty using steps or standing up? why LifeStation allows you the
opportunity to determine if a
medical alert system is right
 Do you have any one of these medical conditions: for you.
heart condition, diabetes, Chronic Obstructive Pulmonary Try it in your own home. If you
decide it’s not for you, you can
Disease (COPD), osteoporosis, arthritis? cancel at anytime.

Call to get started,


 Do you have poor vision and find it easier to simply press TODAY!
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?

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


LifeStation Answers.
Are there any costs in addition to the LifeStation monthly fee?
“Finding the LifeStation
No. Unlike others, LifeStation has no fees other than our one
system has been an answer
low monthly fee. We will never raise your rate as long as you to our entire family’s prayers.”
are with LifeStation.
“My mother is a very independent
Do I have to sign a long-term contract? and strong willed woman but her
No. There are no long-term contracts at LifeStation. health has put so many limitations on
You may cancel at any time without penalty. her. Her knee needs to be replaced
Simply call us to arrange for free return shipping. but she has other health issues that
she has to deal with first.

Will the LifeStation system work in my neighborhood? My brother, sister and I are always
Yes. The LifeStation system works everywhere worried about her being home
in the United States. alone and she refuses to lose her
independence of living on her own.
How experienced is the LifeStation monitoring center? So finding the LifeStation system
LifeStation operates its own UL Listed, CSAA Five Diamond has been an answer to our entire
monitoring center with highly trained Care Specialists. family’s prayers.

Your reputation and the supportive


What if I am unable to speak when I press the Help Button? staff you have is amazing, they are so
If they cannot hear you, LifeStation Care Specialists will helpful, kind and thoughtful. Another
follow your personalized emergency contact instructions. thing that’s amazing is how powerful
the transmitter is and the long
What happens if I accidentally push the Help Button? distances that it can pick up sound
Simply tell the Care Specialist that help is not needed. (your voice). Thank you for allowing
There are no additional charges for requests for help my mom her independence and
whether real or accidental. allowing us to feel at ease with it.”

Karen O., Pittsburgh, PA


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


Get Started Today!
LifeStation Service Plans
Monthly Fee Monthly Fee
Payment Regular Price with
LifeStation Advantages
Options Price Senior Discount
 Cancel at anytime without penalty

Annually $27.95 $26.95 Best Value

Quarterly $28.95 $27.95  No long-term contract


Monthly $29.95 $28.95
 FREE system repair or replacement

Order Now  No deposit or hidden fees


and Save Even More!
 Our own UL ® Listed monitoring center
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 24/7 Customer Assistance
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Lock Box $2.99 per month Bathroom/Hallway Help Buttons


Allows caregivers and emergency Extra Help Buttons in bathrooms, hall-
responders to access your home ways and bedrooms provide easy access
when help is needed and you are in case of a fall or other emergency.
unable to answer the door.
1 for $3.49, per month
2 for $3.29 each, per month
3 for $2.99 each, per month Our most
popular choice
Activity Assurance $5.99 per month 4 for $2.79 each, per month
Activity Assurance automatically 5 for $2.69 each, per month
checks in every day. If there is no
response, the system signals our 6 for $2.49 each, per month
monitoring center.
Additional Help Button $3.99 each, per month
An additional Help Button that
allows another person in your
home to use the system.

Call 800.481.4600 or visit www.LifeStation.com


Enrollment Form 800.481.4600 www.LifeStation.com 350 Neptune Avenue
Sheepshead Bay, NY 11235
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.

Person Using System Person Placing Order  Same as person using system

Last Name First Name Last Name First Name

Address 1 Address 1

Address 2 Address 2

City State Zip City State Zip

Cross Street Township/Municipality Phone # 1

Phone # Phone # 2

E-mail E-mail

Shipping  Ship to person placing order Name


Directions  Ship to person using system
Address
 Ship to different address (fill in information)
City/State/Zip

Payment Method  AMEX  VISA  MasterCard  Discover  EFT (Electronic Fund Transfer – see next page)
 Senior Discount Exp. Date
(mm/yyyy)
Name on Card
Product Code
*CVV Code
(3 or 4 digits)
Credit Card Number
LifeStation Service Plans Additional Services
Payment
Option Cost Senior Discount  Lock Box Bathroom/Hallway Wall Help Button
$2.99 per month  1 for $3.49 - per month
Paid Monthly  $29.95 per month  $28.95 per month  2 for $3.29 each - per month
 Extra Help Button
 3 for $2.99 each - per month
$3.99 per month
Paid Quarterly  $28.95 per month  $27.95 per month  4 for $2.79 each - per month
 Activity Assurance  5 for $2.69 each - per month
Paid Annually  $27.95 per month  $26.95 per month $5.99 per month  6 for $2.49 each - per month

* VERIFICATION VALUE CODE (CVV)


This code is a 3 or 4 digit number which helps validate that the customer
placing the order actually has the credit card in his/her possession.
For VISA, Mastercard and Discover, the CVV is a 3 digit number printed
Customer Signature Date
on 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 number
or last 4 digits of your credit card number.
For American Express, the CVV is a 4 digit number printed on the front of the
card just above your credit card number on either the right or left hand side.
Print Name
Failure to Return the System If at the termination of our Agreement, you fail to return the
LifeStation system or any accessory devices in undamaged condition (other than normal
wear and tear), you hereby authorize the replacement payment as described in our Agreement.

LifeStation Page 7
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 this
amount will appear on my bank statement for the purposes of payment and amount verification.

Name

Address

City/State/Zip Telephone No.

Your Bank’s Name

Your Bank Account No.:

l: l:
Bank Routing No.: (9 characters at bottom of your check between above symbols)

You have the authority to deduct payments as specified on the reverse side at the payment
frequency selected.

I understand this authority is to remain in full force and effect until the offices of LifeStation Inc. has
received written notification from me of its termination in such time and in such manner as to afford the
depositor 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 or
more before this payment is scheduled to be made.

Signature Date

Attach a voided check below.

O I D
V
The Automated Clearing House (ACH) division of the Federal Reserve Bank says electronic funds transfer (EFT) is by far safer and more
secure than writing a check. EFT is tracked and governed by the ACH. It is transmitted in an encrypted format while a check passes through
an average of 11 people who have access to all of your bank account and personal information.

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