Printable Order Form For

Deathing: An Intelligent Alternative to the Final Moments of Life, 1992 ed., Paperback

Name: __________________________________________________

Address: ________________________________________________

Address: ________________________________________________

City: ___________________________ State: ___________________

Zip: ___________________ Phone: _(______)_______-___________

Email: ________________________________

Autographed copy of Deathing:
An Intelligent Alternative to the Final Moments of Life @ $19.95 each_(___)_$________

Standard copy of Deathing:
An Intelligent Alternative to the Final Moments of Life @ $14.95 each_(___)_$________

                                                                          Shipping and Handling___$_______
Priority Mail S&H ____$6.25 per each copy-3-5 days
Media Mail S&H_____$2.85 per each copy-5-9 days
Call or email for S&H on Quantity Orders

Email for more information afg@deathing.org                           Total____________________$________
Or Telephone 785-625-8765
to expedite order

Enclose Check or Money Order for Total. Personal Check orders will not be shipped until check clears.

Mail Filled out form and Payment to:

Deathing Book Order
%Gerald D Crotinger
1700 Dechant Rd #17
Hays KS 67601-2448