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 accepted online).
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: The Practicalities of Self-Deliverance and Assisted Suicide for the Dying - Revised 3rd ed. (Book) $16.00  
  Addendum (Supplement) To FINAL EXIT, 3rd Edition - Updated 2007 (Printed doc) $6.00  
  FINAL EXIT on DVD - The 'how-to' DVD video. Includes new helium method demo. Adjunct to Final Exit, 3rd ed. $20.00  
  FINAL EXIT on VHS - The 'how-to' DVD video. Includes new helium method demo. Adjunct to Final Exit, 3rd ed. $15.00  
  The Good Euthanasia Guide: Where, What, and Why in Choices in Dying - 2007 edition.  (Book) $14.00  
  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  
  Lawful Exit: The Limits of Freedom for Help in Dying  (Book) $10.00  
  Advance Directives (Living Will) - Express your wishes in case of Alzheimer's or dementia (Printed doc) $5.00  
  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:
 • Books and Video: $6 first item + $4 each add'l item.
 • No shipping charge for printed documents (Final Exit Addendum or Advance Directives).

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

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