Waterproof, Medical Alert, QR Codes, Free Reader Download, Generator, Dog QR Tags, Cyber Security, Medication Lists, ID, Identity

Submit your QR CODE information here!
AFTER you have paid for your purchase, please return here and submit the form below for converting to QR Code. This is the ONLY method we accept for submitting code instructions. Forms received that cannot be matched to a payment are discarded. This form DOES NOT PURCHASE the item, please use eBay's purchase and checkout features to purchase. Please refer to the item description as this will show you an example of what information you may want to have coded into the tag. Please try to keep each line of information down to under 50 characters per line and you may use abbreviations if you want to. It helps in the end to read it if you separate lines with commas. The information you enter on this form will appear while the code is read by a 2-d scanner or most Smart Phones with the free Android downloaded.
*Buyer's Name
*Buyer's Email address:
Buyer's Phone number:
Tag Wearer's Name, Age, Address, and Phone, (Separate with commas please)
Tag Wearer's Emergency Contact Name and Phone Number (Separate with commas please)
Tag Wearers Medical Alert Condition and Important Medications (Separate with commas please)
LARGE DOG TAGS

Option 1
SMALL DOG TAGS

Option 2
UPLOAD YOUR PHOTO HERE ONLY IF PURCHASING A PHOTO ID
Should be Empty:

Categories