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  Palliative Care Guide Order Form


Embracing Life & Facing Death: A Jewish Guide to Palliative Care is published by CLAL-The National Jewish Center for Learning and Leadership, a leader in the Jewish healing movement. To purchase a copy, print out and fax or mail the order form below to CLAL. Or to place your order by phone contact CLAL at 212-779-3300 (x104). The cost, per copy, is $18. Checks should be made out and sent to CLAL, 440 Park Avenue South, 4th Floor, New York, NY 10016.

To place your order online, complete the following form and click once on the submit button at the bottom of the page. This online form has been designed to ensure that your transaction is 100% secure.

 

1. Indicate how many copies of the book you wish to order.

Embracing Life and Facing Death - A Jewish Guide to Palliative Care for $18 per copy (shipping included). (Add $4 for international shipping.) Quantity

2. Provide the following billing information:
(Asterisk indicates required fields.)

*Name  
*Street Address
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*City
*State/Province
*Zip/Postal Code
*Country
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*E-mail

 

CREDIT CARD BILLING INFORMATION

*Credit Card
*Cardholder name as it appears on card.
*Credit Card Number
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(To locate security code, click here)
*Expiration Date (mm/yy)  

 

SHIPPING ADDRESS (if different than billing address)
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If you are sending the book as a gift, and would like us to enclose a gift card, indicate that here.

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