Jifeline application form

Homepage > Jifeline application form

Order Jifeline

How does it work?

To use the Jifeline services, the Jifeline J-Rex and a stable internet connection is required.

No subscriptions or costly updates.
Only the one-time purchase of the Jifeline hardware is sufficient. Then you only pay when you use it. You can see in advance what the desired service costs, so that it immediately becomes clear what you can charge to your customer.

Special offer for Brink customers.
Brink customers can benefit from a special offer when purchasing the Jifeline J-Rex.
Simply submit your request using the form below the order button, and we will contact you with the current conditions.

Not a Brink customer yet? You can also fill in the form, and we will inform you about the possibilities.

More information

Jifeline application form

Fill out the form below to purchase your own Jifeline device through Brink. An agreement including SEPA direct debit from Jifeline Remote Diagnostics BV is required for invoicing the services. Our customer service will help you with this.

Company name:*

Street + house nr*

Postal Code:*

Place:*

Country:*

Contact person*

Phone number:*

E-mail address:*

VAT number*

Jifeline J-Rex WIFI remote diagnose interface (Art. Nr. 766159)

Amount:*

I understand that an agreement -including SEPA direct debit- with Jifeline Remote Diagnostic B.V. will be needed in order to start using the coding device.