Order Form

Now there are several ways 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. (Visa/MC/Amex/Discover via Google Checkout & PayPal).
2. Or if using Visa/MC you can complete and fax this form to 1-541-998-1873.
3. Or complete and mail this form with your check, money order or credit card (Visa/MC only) info to:

ERGO
24829 Norris Lane
Junction City, OR 97448 USA
Phone/Fax: 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 - Derek Humphry.
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Qty. Title Price Amt.
  FINAL EXIT - 3rd edition: The Practicalities of Self-Deliverance and Assisted Suicide for the Dying (Book). Includes 2009 Addendum (Supplement). $17.00  
  Addendum (Supplement) To FINAL EXIT, 3rd Edition - Updated 2009 (Printed doc) $6.00  
  FINAL EXIT on DVD - 'How-to' DVD video includes helium method demo. Adjunct to Final Exit 3rd ed. $20.00  
  FINAL EXIT on VHS - 'How-to' DVD video includes helium method demo. Adjunct to Final Exit 3rd ed. $15.00  
  Good Life, Good Death - Memoir by Derek Humphry - 2008 (Book) $18.00  
  The Good Euthanasia Guide: Where, What, and Why in Choices in Dying - 2008 edition.  (Book) $16.00  
  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.    
  Subtotal:  
Shipping & Handling:

 USA Shipping - USPS First Class:
 • Books and Video: $6 first item + $4 each add'l item.
 • No shipping charge for printed documents (Final Exit Addendum).

 International Shipping (including Canada) - USPS Air Mail:
 • Books and Video: $11 first item + $5 each add'l item.
 • $1 shipping charge for printed documents (Final Exit Addendum).
   
* no shipping charges for Annual ERGO membership or contributions to ERGO. Thank you!     		Shipping:
See chart at left		  
  Total:  

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