ORDER FORM
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 ________________________________________
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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 $_____________.
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Life Management®
P. O. Box 11704
Columbia, South Carolina 29211

Fax: 1-800-501-2663