Purchase Forms

Gerowise^®INTERNATIONAL

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Purchase Forms

A New Book

Search for Significance:

Finding Meaning in Times of Change, Challenge, and Chaos

Purchase Form

Please print and mail to the address below

Title	Quantity	Price	Sub Total
Search for Significance		$14.00

		Subtotal
		SHIPPING
		*TOTAL*

$6.00 shipping and handling charge per book
Free shipping and handling for orders of two or more books
Prices are in US dollars. Please make check or money order payable to:
GEROWISE EDUCATIONAL SERVICES
and mail to:
Geri Marr Burdman, Ph.D.
10047 Main Street (Suite 306)
Bellevue, WA 98004, USA

NAME: _________________________________________________________

ADDRESS: _______________________________________________________

PHONE: _(_____)_____-__________ email: __________________________

Books will be shipped upon receipt of payment - Thank you for your purchase

DVDs Purchase Form

Please print and mail to the address below

Title	Quantity	Price	Sub Total
Finding Meaning in Times of Change: Remembering Dr. Viktor Frankl		$35.00
Embracing the Circle of Life		$30.00
Embracing the Now: Look to this Day		$35.00
A Hospice Perspective		$35.00
Life is Calling: How Far Will You Go?		$35.00

		Subtotal
		SHIPPING
		*TOTAL*

$6.00 shipping and handling charge per DVD
Free shipping and handling for orders of two or more DVDs
Prices are in US dollars. Please make check or money order payable to:
GEROWISE EDUCATIONAL SERVICES
and mail to:
Geri Marr Burdman, Ph.D.
10047 Main Street (Suite 306)
Bellevue, WA 98004, USA

NAME: _________________________________________________________

ADDRESS: _______________________________________________________

PHONE: _(_____)_____-__________ email: __________________________

DVDs will be shipped upon receipt of payment - Thank you for your purchase