Please print out this page, fill in the information, and:

FAX it to: 1-(757)-427-0220,
PHONE the information to: (757)-427-0220 [9-9 EDT], or
SNAIL MAIL it to: F. H. P., 1236 Ginger Crescent, Virginia Beach, VA 23453

Please be sure to fill in your shipping information. Thanks.

I wish to order __________ copies of The Affordable Funeral: Going in Style, Not in Debt in the Hardback edition. [$19.95 plus shipping]

I wish to order __________ copies of The Affordable Funeral: Going in Style, Not in Debt in the Trade Paperback edition. [$14.95 plus shipping]

Make CHECKS or Money Orders payable to F. H. P.

Circle Billing Method American Express  Visa  Master Card  Discover
Name as it appears on Card _______________________________________
Credit Card Number _______________________________________
Expiration Date (MM/YY) ___/____
Phone Number _______________________________________
Circle Shipping Preference
* Standard Shipping and Handling ($2.00)
* PRIORITY MAIL ($3.85)
Full Name _______________________________________
Email Address _______________________________________
Street 1 _______________________________________
Street 2 _______________________________________
City _______________________________________
State Name _______________________________________
Zip Code _______________________________________
Special Instructions (optional) _______________________________________
_______________________________________
_______________________________________
_______________________________________
_______________________________________
_______________________________________
_______________________________________
This information is close-held. Your name/address will NOT be given/sold to anyone.

Use your BACK BUTTON to return to last page. THANK YOU!