• Orderform Do-Not-Resuscitate pendant (neutral)

    www.kado-foto.nl - Version 25-11-2016

  • Dear Sir/Madam,

    We have a waiting time of about 3 weeks. Please, keep this in mind when ordering! Our apologies! The waiting time is getting shorter!

    We recommend you to discuss the wish of no resuscitation with the doctor and with your loved ones first.

    Further we recommend good information prior to purchasing on the possible consequences of wearing this DNR-pendant.
    For example, it is also important that your not resuscitate wish is included in your medical file. If you order this pendant for someone else, you need to be authorized by that person.
    Our DNR-pendants are neutral. DNR-text, name, date of birth, signature and photo are engraved on the pendant, so it is very complete and official. But it is best to check the local law and legislation in your state first, because there may be variations in DNR-regulation. We can customize your pendant, so it will be legitimate in your state/country.  
  • prevnext( X )
                product



                product



                product



                Item subtotal:€0.00

                product



                product



                product



                Total €0.00

              • Personal data for DNR-pendant:

              • Details:

                If you order a pendant for someone else, then the pendant needs to have a 'passport photo' (with the exception of mat titanium pendants) and signature. If you do NOT wish a photograph and signature to be engraved on the pendant, then you need to include a Declaration of intent or physicians statement.

                Please note: Without a photograph and signature, there is a potential risk that people will ignore the pendant. 

                The data can be scanned and emailed or uploaded below, or as a copy be sent to our postal address. Upload below is the fastest way and is preferred! (ask help, if needed)

              • Upload a File
                Annulerenof

              • Address data for shipping

              •  -

              • Text on backside of pendant

              • This text is a standard text.The text on the front side is:.
                'DO NOT RESUSCITATE'

                The text on the backside is also standard, but can be adapted. The standard text is:

                ' I FORBID ANYONE, UNDER ANY CIRCUMSTANCES TO APPLY ANY FORM OF CPR ON ME '

                Only if you prefer a custom text, you can create your own text below, Please mention this first: ' text front or back '.

                 

                 

              • Passport photograph, signature, ID-check

              • We engrave your photo identification (with the exception of the mat titanium pendants) and signature on the pendant. This meets the official requirements of a will. To check your personal data you should therefore upload a scan of your ID. You should always protect your social security number. You can upload the signature, passport photo and ID via this form. See "upload" buttons below. This can be a picture, or scan. This is the fastest way. If necessary, someone in your area may be able to assist you with the upload. However, should this not succeed, you can send the files by email to: info@kado-foto.nl or by mail.
                 

                After 30 days your credentials will be erased from our database. We will be very careful and confidential with your information!

                Please note: With the delivery of your signature gives us (Kado-foto): 1. officially the command to create and your Do-Not-Resuscitate pendant. 2. the signature for engraving on your Do-Not-Resuscitate pendant. 3. that you are well informed about the consequences of wearing a Do-Not-Resuscitate pendant. For this you can go to your family doctor. We can also provide and refer you to various sources of information. See also our website.

                 

              • If you don't want an engraved photo and signature on the pendant, this is at your own risk! (see explanation below) Because it is possible that for first responders, it might be less clear that the pendant belongs to you. This choice is free, but the penny does not meet the requirements of a Do-Not-Resuscitate pendant, because of the lack of the signature. As a result, there is a possibility that first responders will start with resuscitation.

                Ordering by post always takes longer, because the processing of the data takes more time. The fastest way, with the shortest lead time is via upload (If this does not work, then we can guide you through this by email, or you can ask people from your vicinity for help with this).

              • Upload a File
                Annulerenof
              • Upload a File
                Annulerenof
              • Clear
              • Upload a File
                Annulerenof

              • Additions/comments:

              • Payment

              • The total amount in Euro's you can find out by checking your choices on this order form, after which you can see the total amount. If we receive your order, we will give you the total amount in USD or GBP. (based on daily exchange rate) The total amount can be paid via bank transfer, in advance to:

                Kado-foto
                IBAN/SEPA account number: NL88 KNAB 0283 7125 54
                Swift-code: KNABNL2H
                 
                Please stating: your last name + order No. (see top of form of confirmation email!) + name of carrier of the DNR-pendant.
                 

                Thanks in advance for your payment!

              • Press the '' SUBMIT ORDER button ' ' below 1 time, only then your order will be sent. You need to have completed all required fields above! Note: Please make sure all the required check marks are checked! If you need assistence, please send us an email at: info@kado-foto.nl so we can help you. If you do not receive an email confirmation within 24 hours, then the order is probably not placed correctly. Please email us, or try to place an order again, where everything is filled out completely.
              •  
              • Image-83
              • Should be Empty: