Order Form

There are two methods to order from the ERGO Store:

1. Order securely online through the ERGO Store using a credit card, e-check, PayPal payment, money
     order or regular check.
2. Or complete and mail this form with your check, money order or credit card (Visa/MC only) info to:

24829 Norris Lane
Junction City, OR 97448 USA
Phone: 1-541-998-1873
• Email address is ergo-store-support@finalexit.org.
• Please do NOT email your credit card information.
• US and international shipping prices are quoted below.
• All prices are US dollars.
• eBooks or eDocs can only be ordered via the ERGO Store.

Print this form from your computer then complete by hand. Thank You for Your Order.
Address 2:  
Postal Code:  
Day Phone:  

Qty. Title Price Amt.
  FINAL EXIT - 3rd edition paperback. (Updated 2010 printing) : The Practicalities of Self-Deliverance and Assisted Suicide for the Dying. (Book) $17.00  
  FINAL EXIT on DVD - 'How-to' DVD video includes helium method demo. Adjunct to Final Exit 3rd ed. $20.00  
  COMBO ITEM: FINAL EXIT, 3rd edition paperback (2010 printing) - AND - FINAL EXIT on DVD - Final Exit 3rd edition paperback WITH 'How-to' Final Exit on DVD video.(Combo order not available online). $30.00  
  Good Life, Good Death - Memoir by Derek Humphry - 2008. (Book) $12.00  
  Jean's Way - 2003 printing. Updated with new preface. (Book) $12.00  
  Jean Murió A Su Manera - Jean's Way in Spanish language. 2007 reprint of original 1978 edition. (Book) $12.00  
  Annual ERGO Membership* - Support scientific research into self-deliverance ($25.00 and up).    
  Contribute to ERGO* - Thank you for your contribution and support.    
Shipping & Handling:

 USA Shipping - USPS First Class:
 • Books and Video: $6 first item + $4 each add'l item.

 International Shipping (including Canada) - USPS Air Mail:
 • Books and Video: $15 first item + $5 each add'l item.

* no shipping charges for Annual ERGO membership or contributions to ERGO. Thank you!    
See chart at left

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