Your IP has been logged as 38.103.63.60 Help Button


Placing an Order


For faster service call our order line toll free at 1-800-603-4911 or please take a few minutes to fill out our online information order form.

A message to potential abusers. ADC Maintains a database of all IP Addresses associated with legitimate and fake screen names. Even if your IP Address changes constantly, the time stamp is all we need to identify you. Personal/confidential information, (credit cards, e-mail address, etc.) will be used exclusively for the exact reason we specify, when gathering it.

It is our policy not to share, sell or otherwise distribute this information to any unauthorized third party.

PLEASE FILL OUT THE INFORMATION BELOW
USE YOUR TAB KEY TO FILL IN NEXT FIELD

*Required Information MUST BE FILLED OUT

How did you hear about ADC?
Who is the ADC for?
Self Spouse Friend
Sibling Parent Patient
  Other, please specify

Person Placing Order

IF YOU ARE SUBSCRIBING TO ADC FOR YOURSELF AND PLACING
THIS ORDER THEN PROCEED TO THE SUBSCRIBER AREA

First Name:
Middle Name:
Last Name:
Address:
Apartment:
City:
State:
Zip Code:
Home Phone:
Work Phone:
Cell Phone:
Email Address:
 Best Time To Call:

Subscriber Information

*First Name:
Middle Name:
*Last Name:
*Address:
Apartment:
*City:
*State:
*Zip Code:
*Home Phone:
Work Phone:
Cell Phone:
Email Address:
Best Time To Call:
Date Of Birth:

WOULD YOU LIKE US TO NOTIFY  THE LOCAL EMERGENCY FIRST?
IF YES, WE WILL DISPATCH EMERGENCY HELP AND NOTIFY YOUR CALL LIST.
IF NO, WE WILL ONLY NOTIFY YOUR CALL LIST
Yes No 

 

RESPONDERS INFORMATION

(RESPONDERS CAN BE FAMILY MEMBERS OR FRIENDS)

Responder 1 - Name:
Does Responder Have A Key?
Yes No
Home Phone:
Work Phone:
Cell Phone:

Responder 2 - Name:
Does Responder Have A Key?
Yes No
Home Phone:
Work Phone:
Cell Phone:

Responder 3 - Name:
Does Responder Have A Key?
Yes No
Home Phone:
Work Phone:
Cell Phone:

ADC MODEL CONSOLE

High Performance 2-way voice operation-excellent audio output as well as exceptional microphone sensitivity.

CHOOSE YOUR PENDANT OR WRISTBAND STYLE TRANSMITTER
ADC 1
Necklace
Wristband
Wristband
OPTIONAL ACCESSORIES 
ADC 1
Smoke Detector
Extra Pendant

Necklace
Wristband
ADC 1
Motion Detector

Other Information or Questions:
By initialing here I authorize ADC to make the requested phone calls to my listed responders.

Check to receive e-mail from our mailing list. 
We will not share your information with anyone.

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Eastern Office
ADC
8100 Park Boulevard
Pinellas Park, Florida 33781

Western Office
ADC
16 West Pacific Avenue
Henderson, Nevada 89015


Where families and friends separated by miles can instantly connect with eacother 24/7

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