Rites of Passage Order Form
Please print form and mail to:
Rites of Passage
P.O. Box 226
Vanderpool TX 78885

Phone: 830-966-6170, Fax 830-966-2470, email: fonehome@indian-creek.net

Product Description Qty.
Price
Total
Note Cards Set of 8 cards w/envelopes   $30.00  
Poster Between Now and Forever   $15.00  
Poster Rites of Passage   $15.00  
Poster Old man in cowboy hat   $15.00  
Poster Old Woman Profile   $15.00  
Poster The Angle Picture (Unframed)   $10.00  
Poster The Angle Picture (Framed)   $30.00  
Video As It Is In Heaven-
An Interview with Dannion Brinkley
  $29.95  
Video Turning Toward the Morning (Individual)   $29.95  
Video Turning Toward the Morning (Organization)   $59.95  
Video Walking Us Home
The Hospice Experience (Individual)
  $29.95  
Video Walking Us Home
The Hospice Experience (Organization)
  $59.95  
Video Driving to Utopia (Individual)   $29.95  
Video Driving to Utopia (Organization)   $59.95  
Video We're Almost Home Now (Individual)   $29.95  
Video We're Almost Home Now(Organization)   $59.95  
Video Jason the Way We Live Today (Individual)   $19.95  
Video Jason the Way We Live Today (Organization)   $59.95  
Video Angels Watch Over Me (Individual)   $29.95  
Video Angels Watch Over Me (Organization)   $59.95  
Video Bringing the Circle Together (Individual)   $29.95  
Video Bringing the Circle Together (Organization)   $59.95  
  *Shipping Charges      
  Order Total      

*Shipping Charges:

1 item $6
2 items $12
3 items $15
4 items $18
5 or more items $21
(Please add $3/item for Canadian Mailings)


Customer Information:

Name: _______________________________________________________________

Address: _____________________________________________________________

City: _____________________________ State: _____ Zip: _____________________

Phone number: ____________________ Email: ______________________________