Order Form for the
Next-Of-Kin-Info Booklet

Please provide the purchaser information requested below. This will be the “Ship To” address unless you specify otherwise. You may either complete the form online and then print it prior to mailing or faxing it OR print this form and then complete it by hand. If completing form online, please ensure all data shows before printing. Thanks.

NAME:        ADDRESS:
CITY:           STATE:       
ZIP CODE:
E-Mail:        Daytime Phone #:

(NOTE: E-Mail address and daytime telephone number are necessary in case we have a question and need to discuss your order.)

Please the appropriate box to indicate the number of copies you are ordering.

One Two Three Four Five ---- Other

Cost for first copy is $24.95; additional copies are $17.95 each. Please add shipping & handling to your order. Virginia residents: Please add Sales Tax of 5.0% on total order.

Shipping & Handling:
$00.00 to $25.00 = $3.95; $25.01 to $45.00 = $4.95; $45.01 to $65.00 = $5.95
$65.01 to $80.00 = $6.95; $80.01 to $95.00 = $7.95; $95.01 to $115.00 = $8.95

Prepare YOUR Next-Of-Kin. Order the Next-Of-Kin-Info Booklet NOW! Order extra copies to give as gifts to your friends and relatives. Shipping & Handling charges have been reduced!

Total amount of this order is: $ (Please include S&H and VA Sales Tax, if applicable.)

Payment is being made by Check Money Order Cash

For payment by cash, check or money order, please mail order form and payment to:
The Braddock Group, 4724 Pickett Road, Suite B, Fairfax, VA 22032-2028
(Please make check or money order payable to: The Braddock Group.)

The Braddock Group is committed to providing its customers a quality product. Our Next-Of-Kin-Info booklet is a quality product that has been in use for many years to assist people in locating assets and belongings of their loved ones at the appropriate time. We are confident that you will benefit from this booklet if you use it to the best advantage (fill in all the blank spaces).