HOW TO GET STARTED

1. Read and sign the licensing agreement,complete the licensee survey, and the order forms.
2. Sign the documents.
3. Enclose a check with an attached order form indicating which items you wish to purchase.
4. Send in your forms with payment to:
   Assuringyourwishes.org
   c/o United Hospice of Rockland, Inc.,
   11 Stokum Lane
   New City, NY 10956.

Licensee Forms

Click here to download the Licensing Agreement, Licensee Survey and the Order Form.