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Vermont Ethics Network
64 Main Street, Room 25
Montpelier, Vermont 05602-2951
(802) 828-2909
Publication Order Form
Publication

 Category Price
Num.
Total
Taking Steps to Plan for Critical Health Care Decisions Single Copy $3.00
_1_
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  Multiple Copies $2.50
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  Pre-boxed Lots of 120 $2.00
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Optional VT Dept. Health Long Form Advance Directive   $2.00
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When You must Make Medical Decisions for Someone Else

  
$3.00

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Improving End-of-Life Care Through Advance Care Planning

   $5.00
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Registering Your Advance Directive   Free
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Shipping Charges
2-10 copies $5.00
11-20 copies $6.50
21- 49 copies $8.00
50-119 copies $9.00
Box(120) $10.00
 
Unless exempt, add 6 % VT Sales Tax to all orders.
Sales Tax:
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Shipping:
 _______
 
Total:
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Make checks payable to the Vermont Ethics Network
    
       

Name:___________________________________
Address:_________________________________
City:_____________________ST: ___Zip:_______