 |
Yes, Please send me the following video programs: |
 |
"What Is Long-Term Care And How Do We Plan For It?" with Booklet |
$17.95 |
 |
"Planning For Incapacity: Managing Property, Person, and Health Care" with Booklet |
$17.95 |
 |
"Paying For Long-Term Care? Funding Options Including Medicaid" with Booklet |
$17.95 |
 |
"Nursing Homes and Residents: Admission, Discharge, and Transfer Rights" with Booklet |
$17.95 |
 |
"Funding Long-Term Care In South Carolina Including Medicaid" with Booklet |
$17.95 |
 |
All Five Programs with Booklets |
$68.75 |
| ____ |
Booklets at $5.95 each |
$_______ |
 |
New "Nursing Homes and Residents: Admission, Discharge, and Transfer Rights" |
$17.95 |
 |
Yes, Please send me "How To Care For Aging Parents: A Complete Guide" |
$17.95 |
| TOTAL ORDER |
$_______ |
| Name |
________________________________________ |
| Address |
________________________________________ |
| City, State, Zip |
________________________________________ |
| NOTE: Please use street address as all shipping is by UPS to confirm delivery |
My check payable to Life Management® for $_____________is enclosed
|
Please charge my credit card the total sum of $_____________. |
| _____________________________ |
_______ |
Type Card |
_______________ |
| Credit Card Number |
Expiration |
|
Visa, Mastercard, AmEx, Discover |
| _____________________________ |
________ |
_____________________________ |
| Signature |
Date |
Name on Card |
|
| |
Life Management®
P. O. Box 11704
Columbia, South Carolina 29211
Fax: 1-800-501-2663
|
|