LIFE Automations | Select Protocols Form

LIFE Automation Panel (AutoPanel):

(Select Protocols for Price Request)

Protocol Selection Form

The purchase of additional protocols are on a pricing tier.

If you already own protocols and would like to request a no-obligation invoice to purchase additional protocols this form is for you.

Please note: this form is specific to the LIFE AutoPanel Protocols (not the LIFE Specialties protocol series).

First name

Last name

Company name

Email

Phone

LIFE AutoPanel Protocols

Select protocols to receive an no-obligation invoice for purchase. Three protocols are the minimum purchase.

How many LIFE AutoPanel Protocols do you currently own? (Do Not include LIFE Specialties protocols - AutoPanel only.)

How many LIFE AutoPanel Protocols would you like to purchase? (Minimum of 3 protocols.)

Any additional details that you would like to share?

What payment type would you be using? (Note: Zelle and bank wires payments will expedite your order.)

Multi-line address

Country/Region

Address

City

Zip / Postal code

State

LIFE Serial # (location: underside of your LIFE box) If you purchased your LIFE System from Lotus LIFE, you do not need to fill this out.

Are you the registered LIFE System owner?

Yes

No

If you are not the LIFE System owner, please state the name of LIFE owner. Add details of the relationship and if you have permission to install software. Note: tech will need to verify with owner.

Please double check that you have selected the correct number of protocols that you would like to purchase.

Once payment is made, funds will process within days. For faster processing, payments may be made by Zelle or bank wire.

Completion of order and protocol software download will be approximately 7-10 days, and much faster by Zelle and wire.

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