ORDER FORM SELF-DELIVRANCE2 SELF-DELIVRANCE2 order Shipping : (Europe 3€ Other 6€) .

Price 50 € .…........ € Total _______ €

I can wire transfer

or I have paid via PayPal on the web site and understand the book will only be shipped only once this order form is signed and properly filled out and paid for (Paypal accepts credit card payments as well) I am a member of a Right to Die Society affiliated with the World Federation (http://www.worldrtd.net) Signature ………………………….. A photocopy of my active membership card accompanies this order form. Shipping information Name : .............................. ............. ................... First Name : ......................................................... Address to send to : .................................................... ................................................. ZIP code ............... Mail address :........................ @ ............................... Phone : ............................................................. REMINDER – if you read french you may wish to order SURE-VIE, the pamphlet for a safer life. This can be ordered either through the World Federation or the AAVIVRE web site www.aavivre.fr Pascal H. Landa – 92 bd de Port Royal 75005 Paris France

Questions? Write to [email protected] SELF-DELIVRANCE2 is written for those who, confronted by refusals and hypocritical denials from professionals refusing to accompany the individual at end of life in peace and serenity, want to live fully up to the last minute knowing that they can end their lives when living is no longer “worthwhile” for them. SELF-DELIVRANCE2 is the result of extensive experience witnessed by numerous people all over the world. We no longer present solutions based on pharmaceutical chemicals as we now consider them unreliable unless provided by a reputable source under medical control. Only expensive and extensive testing of what can be bought and illegally imported could guarantee quality. Medical knowhow is often required, Pentobarbital for example should be administered intravenously as it burns the tissues and when swallowed can be thrown up. Thus we cannot propose these means to non professionals. Our society's elected officials, in France and in many countries, ignore their citizen's repeatedly stated demand over the years for a law of liberty and medical acts done legally in total transparency. We refuse to submit to the dictates of the medical financial lobbies and by religious organizations wanting to keep the power of the shadow of death on their flocks. We believe that for an individual to be a HUMAN BEING, we have to accept his right to make decisions for himself, even if we could think otherwise for him, as long as he hurts no one else. This is the philosophy of the HUMAN RIGHTS CHARTER and ultimately the price of FREEDOM. The price paid for this booklet is to pay for the costs of printing and the rest of the money collected by this means is used to try to obtain a law of liberty at end of life world wide in order that this booklet can become a museum piece. I want this booklet to be viewed as a historical witness of the inability of legislators to face powerful lobbies who kept our populations subject to the goodwill of the medical and financial powers that be. How much anxiety, distress and even medical torture can we accept in the name of the “sanctity of life”? Only the individual should decide! End of life is BIG BUSINESS, we have to put an end to this and reallocate the billions spent in the last 6 months of life, when the person is often transformed into a cash source and an experimental subject against his will, to the tasks of medical prevention and medical care.

Index READER INFORMATION..................................................................................................................6 CRITERIA FOR FREEDOM AT END OF LIFE............................................................................ 7 WHAT YOU SHOULD KNOW.......................................................................................................... 8 THE CHOICES IN FRANCE..........................................................................................................9 1.ASSISTED DYING BY TERMINAL SEDATION.................................................................9 2DYING FROM HUNGER........................................................................................................9 3THE PLASTIC BAG METHOD............................................................................................ 10 4FOREIGN COUNTRY........................................................................................................... 10 SELF POISONING............................................................................................................................ 11 LEARNING PHASE - EXPERIENCE AND TEST THE PROCESS...........................................11 YOU NOW KNOW:...................................................................................................................... 14 THE DECISION TO ACT............................................................................................................. 15 YOU ARE READY....................................................................................................................... 18 FINAL REMARKS............................................................................................................................ 19 Pascal H. Landa – 92 bd de Port Royal 75005 Paris France

AUTODELIVRANCE2 US order form.pdf

Page 1 of 2. ORDER FORM SELF-DELIVRANCE2. SELF-DELIVRANCE2 order Price 50 €. Shipping : (Europe 3€ Other 6€) . ............ €. Total ______ €. I can wire transfer. or I have paid via PayPal on the web site and understand the book will. only be shipped only once this order form is signed and properly filled out.

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