Surviving Military Separation Order Form

(Expand this window to see the entire form)

Please use this form if you are paying with a check or money order, although it is safe, easier, faster, and free to do so by purchasing a copy directly through our site with Paypal. This will allow you to enter your credit card information into our secure system, or if you already have a Paypal account, tranfer funds as payment.

Please print out this form (control-P), carefully fill it out, and mail it to us.

Thank you.

Marc CB Maxwell

(Quantity, Title, & Amount)

I would like to order:

_____ copies of Surviving Military Separation - An Activity Guide for Family Members of Deployed Personnel. The price is $19.95 each.

$_____ (sub-total)

_____ (Local residents must add sales tax)

POSTAGE OPTIONS:

First Class: $4.35 for the first book and $1.00 each thereafter.

Priority: $4.60 for the first book and $1.00 each thereafter.

$_______ (postage)

$_________Order Total

NAME: ______________________________________

ADDRESS:___________________________________

CITY: ___________________________________ STATE: ____________________ ZIP: ______________

If you would like your items shipped another way, let us know and we will confirm pricing.

Mail this form with your check or money order to:

Surviving Military Separation
4121 Windsor Point Place
El Dorado Hills, CA 95762

Thank you for your business. We appreciate it!