Please Complete this form for On-line, Fax and Mail orders.
Emerge Alert style products are supplied by Apothecary Products, Inc.
Made by an outside supplier
Medical Emerg Alert® ID Bracelet with Large Engraved Text on back
Raised Medical Emblem on Front Engraved Text engraved in LARGE PRINT on back of bracelet and necklace
This Medical Emerg Alert® ID Bracelet is available in two (2) lengths: The bracelet tags are 1-1/2" X 1/2"
Curb style stainless steel bracelet chain
with stainless steel Postive Closure clasp
We can custom make the bracelet to fit any wrist size.
Please follow the instructions for measuring the wrist for a custom fit.
In order to insure a proper fit, measure the wrist as follows:
Measure the wrist with a string (or tape measure) allowing the string to fit
exactly like you want the bracelet to fit and submit that measurement to us below.
OR
Measure the wrist with a string (or tape measure) allowing the string to fit
snug and then YOU ADD 1/2 inch to that measurement and submit that measurement to us below.
Regardless of the method you use to make the bracelet and chain length measurement,
Please note: We DO NOT ADD to the measurement that you submit to us.
This will be the total length of your bracelet, including bracelet chain and bracelet tag
from tip to tip. (Far tip of closure clasp to the far tip of hook ring.)
Enter Medical Information Here for the BACK SIDE OPTIONS of Pendant:
Text engraved in ALL CAPITAL LETTERS All text centered on back side of bracelet
Text entered is limited by the amount of available space on bracelet Note: Number in parentheses( ) indicates MAXIMUM # of letters & spaces per line
Back Side Line 1: (20) Back Side Line 2: (20) Back Side Line 3: (12) Back Side Line 4: (20) Back Side Line 5: (20)
Recommendation: Include "SEE WALLET CARD" on the last line above. Keep a medical wallet card with current meds, medical conditions and emergency contacts in your wallet or purse. Keep right behind your driver's license in your wallet.
Our engraving dept. reviews the above information submitted for obvious misspellings regarding common medical conditions,etc., and will do our best to correct the spelling.
However, it is the responsibility of the customer to review the order for accuracy BEFORE placing the order.
Note: This custom engraved item cannot be changed once the order has been submitted to MedIDs.com
A few seconds may be required to add this order to the shopping cart.
Medical Emerg Alert® ID Bracelet is produced by an outside supplier
A business day is defined as Mon-Fri 8:00AM to 4:00PM (Non- Holidays)
or
Your credit/debit card account number is never given to MedIds.com when submitted on-line. See our Privacy Policy hereOn mail orders we accept U.S. Money Orders Only
Please review the above order on next page and when you receive your Order Confirmation E-Mail for accuracy. All custom engraved products are non-refundable as stated in our return policy. To expedite the order, we accept U.S. Money Orders Only!
If the Print Button does not work on your computer, click on "FILE" - and choose "PRINT" on your browser.
Mail a copy of this completed form with U.S. Money Order for $26.00 (This amount includes S&H for USPS Standard Mail)payable to "MedIDs.com" to:
MedIDs.com
2400 Cypress St., Su 50 - PMB 211
West Monroe, Louisiana 71291-4563
Or FAX a copy of above order along with credit information below to:
(866) 908-8843
Your mailing address where you receive your monthly card billing statement, if different from the above mailing address. _____________________________________________
_____________________________________________
PLEASE ALLOW TWO WEEKS FOR DELIVERY AFTER RECEIPT OF ORDER
Emerg Alert ® is a registered trademark of Apothecary Products, Inc.
Id On Me ® is a registered trademark of ID Ware, Inc.
Road ID® is a registered trademark of Road ID Inc.
MEDIDS.COM ® is NOT affiliated with the Medic Alert Foundation ®
"Medic Alert" is a registered trademark of the MEDIC ALERT FOUNDATION ®
Please Complete this form for On-line, Fax and Mail orders.
What are the spellings for some of the common medical conditions / medications?
Please use this order form for on line Cedit Card orders