Order Form

Order SEND Angel and Smoke Angel

Complete the order form below and then follow the link to complete the Direct Debit mandate online. Your orders will be processed within 24hrs. For further information contact Andy on 07873 520 999.

Person/Company Name (Required):
Company Address:(required)
Post Code:(required)
Telephone No:(required)
Email Address:(required)
User Name:(required)
User Address:(required)
Contact No:(required)
Date Ordered:(required)
Telephone Number required for the 2 button:(required)
Employment Details / Associated Risks: (Field Based / Fixed Employment)
Additional Notes:(including doctors name and address, users date of birth, medical conditions or any special circumstances)
Escalation Contact Numbers:(Inc: Name | Position | Tel No: | Mobile No: | Second Contact No: |
Where did you hear about us?:(required)
Which colour would you like?:(required)
ARC Contact Numbers: Tel:0151 922 6107 Mobile: 0800 622 6107
I confirm that a full demonstration of the SEND Angel / Smoke Angel Device has been carried out and that I understand how it operates.I also confirm that I have been fully shown how to use both Devices.
I have read & understand the contents of this Service Agreement & the Fair Usage Policy
& agree to return the equipment in good condition to AngelTech Ltd when contract expires.
Please check that the form has been completed in full before submitting your order. Once you submit the form you will be redirected to the Direct Debit mandate required to finalise your order.