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 or money order to:

ERGO
24829 Norris Lane
Junction City, OR 97448 USA
Phone: 1-541-998-1873
 		• Email address is ergo-store-support@finalexit.org.
• 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.
Name:  
Organization:  
Address:  
Address 2:  
City:  
State/Prov:  
Postal Code:  
Country:  
Day Phone:  
E-mail:  

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  
  Good Life, Good Death - Memoir by Derek Humphry - 2017. (Hardbound Book) $10.00  
  Jean's Way - 2003 printing. Updated with new preface. (Book) $10.00  
  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 Media Mail:
 • Books: $7 first item + $4 each add'l item.

 International Shipping (including Canada) - USPS Air Mail:
 • Books: $28 first item + $5 each add'l item.

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

Updated Apr 11, 2020