a Order Form - (Fill in Name) Template
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8/4/2019 a Order Form - (Fill in Name) Template
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DermalogicaPlease do not forward this on to anyone without prior consent.
Discount on Recommended Retail Price:
Options: 1 10% Standard
2 15% 1 Client referral
3 20% 2 Client Referrals
-
8/4/2019 a Order Form - (Fill in Name) Template
2/7
Key:
Stock on Hand
Recommended to Try (To be ordered)
Indicate how many Not Available
ORDER Retail Price Cost to ORDER
Item Code description size Incl VAT DISCOUNT Client (incl VAT) Savings Item Code
cleansers
101601 precleanse 150ml R 385.00 10% R 346.50 R 38.50 110522
101206 dermal clay cleanser 500ml R 555.00 10% R 499.50 R 55.50 110523
101204 dermal clay cleanser 250ml R 370.00 10% R 333.00 R 37.00 110528
101106special cleansing gel 500ml R 555.00 10% R 499.50 R 55.50
110524101104 special cleansing gel 250ml R 370.00 10% R 333.00 R 37.00 W110521
101306 essential cleansing solution 500ml R 555.00 10% R 499.50 R 55.50 110525
101304 essential cleansing solution 250ml R 370.00 10% R 333.00 R 37.00
101406 ultracalming cleanser 500ml R 555.00 10% R 499.50 R 55.50
101404 ultracalming cleanser 250ml R 370.00 10% R 333.00 R 37.00 W101716
4930 the sponge cloth Each R 165.00 10% R 148.50 R 16.50 W101714
W102106
toners W4312S
102015 multi active toner 250ml R 395.00 10% R 355.50 R 39.50 W106612
102054 soothing protection spray 250ml R 460.00 10% R 414.00 R 46.00 W103032
W106122
exfoliants W106662102152 gentle cream exfoliant 75ml R 635.00 10% R 571.50 R 63.50 W104512
102202 skin prep scrub 75ml R 390.00 10% R 351.00 R 39.00
102254 daily microfoliant 75g R 695.00 0% R 695.00 R 0.00
102305 daily resurfacer 35 doses R 700.00 10% R 630.00 R 70.00 110601
3826B exfoliating face brush Each R 195.00 0% R 195.00 R 0.00 110501
110518
moisturisers 110503
103104 active moist 100ml R 675.00 10% R 607.50 R 67.50 110504
103102 active moist 50ml R 465.00 10% R 418.50 R 46.50 110103
103204 skin smoothing cream 100ml R 720.00 10% R 648.00 R 72.00 110505
103202 skin smoothing cream 50ml R 495.00 10% R 445.50 R 49.50 W110506
103304 intensive moisture balance 100ml R 840.00 10% R 756.00 R 84.00103302 intensive moisture balance 50ml R 580.00 10% R 522.00 R 58.00
103402 barrier repair 30ml R 410.00 10% R 369.00 R 41.00 w108302
103501 sheer moisture SPF15 40ml R 475.00 10% R 427.50 R 47.50 w108702
W103502 sheer tint moisture SPF15 40ml R 475.00 10% R 427.50 R 47.50 w108402
W103505 sheer tint redness relief spf15 40ml R 495.00 10% R 445.50 R 49.50 w108802
w108603
masques w108102
104012 skin hydrating masque 75ml R 480.00 10% R 432.00 R 48.00 w108203
104102 skin refining masque 75ml R 440.00 10% R 396.00 R 44.00 w108506
104302 intensive moisture masque 75ml R 535.00 10% R 481.50 R 53.50 w4116s
w108902
concentrated boosters 108012105012 skin hydrating booster 30ml R 710.00 10% R 639.00 R 71.00
105402 gentle soothing booster 30ml R 615.00 10% R 553.50 R 61.50
105302 extra firming booster 30ml R 615.00 10% R 553.50 R 61.50 109013
105102 skin renewal booster 30ml R 635.00 10% R 571.50 R 63.50 109104
109502
targeted treatments 109501
106401 climate control 21.3g R 520.00 10% R 468.00 R 52.00
climate control lip treatment 4.5g R 104.00 10% R 93.60 R 10.40 109204
106403 climate control lip treatment 9-pk R 935.00 10% R 841.50 R 93.50 109304
109402
eye treatments 4910
106152 soothing eye make up remover 118ml R 285.00 10% R 256.50 R 28.50W106202 total eye care 15ml R 540.00 10% R 486.00 R 54.00
106252 intensive eye repair 15ml R 550.00 10% R 495.00 R 55.00 110012
110304
AGE smart 110404
101511 skin resurfacing cleanser 150ml R 470.00 10% R 423.00 R 47.00 110202
102021 antioxidant hydramist 150ml R 485.00 10% R 436.50 R 48.50
102321 multivitamin thermafoliant 75ml R 655.00 10% R 589.50 R 65.50
104403 multivitamin recovery masque 75ml R 560.00 10% R 504.00 R 56.00 w111255
105411 MAP-15 regenerator 8g R 988.00 10% R 889.20 R 98.80 w111501
106013 multivitamin power concentrate 45caps R 635.00 10% R 571.50 R 63.50 w110529
W103701 dynamic skin recovery spf30 50ml R 830.00 10% R 747.00 R 83.00 w110507
103603 super rich repair 50ml R 925.00 10% R 832.50 R 92.50 w111010112014 power rich - 5tubes 50ml R 2,060.00 10% R 1,854.00 R 206.00 111100
106053 multivitamin power firm 15ml R 565.00 10% R 508.50 R 56.50 111200
113511 renewal lip complex 1.75ml R 345.00 10% R 310.50 R 34.50 111300
w111400
111600
NAME:
-
8/4/2019 a Order Form - (Fill in Name) Template
3/7
-
8/4/2019 a Order Form - (Fill in Name) Template
4/7
Key:
Stock on Hand
Recommended to Try (To be ordered)
w many Not Available
Retail Price Cost to ORDER
Item Code description size Incl VAT DISCOUNT Client (incl VAT) Savings Item Code
cleansers
101601 precleanse 150ml R 385.00 15% R 327.25 R 57.75 110522
101206 dermal clay cleanser 500ml R 555.00 15% R 471.75 R 83.25 110523
101204 dermal clay cleanser 250ml R 370.00 15% R 314.50 R 55.50 110528
101106 special cleansing gel 500ml R 555.00 15% R 471.75 R 83.25 110524
101104 special cleansing gel 250ml R 370.00 15% R 314.50 R 55.50 W110521
101306 essential cleansing solution 500ml R 555.00 15% R 471.75 R 83.25 110525
101304 essential cleansing solution 250ml R 370.00 15% R 314.50 R 55.50
101406 ultracalming cleanser 500ml R 555.00 15% R 471.75 R 83.25
101404 ultracalming cleanser 250ml R 370.00 15% R 314.50 R 55.50 W101716
4930 the sponge cloth Each R 165.00 15% R 140.25 R 24.75 W101714
W102106
toners W4312S
102015 multi active toner 250ml R 395.00 15% R 335.75 R 59.25 W106612
102054 soothing protection spray 250ml R 460.00 15% R 391.00 R 69.00 W103032
W106122
exfoliants W106662102152 gentle cream exfoliant 75ml R 635.00 15% R 539.75 R 95.25 W104512
102202 skin prep scrub 75ml R 390.00 15% R 331.50 R 58.50
102254 daily microfoliant 75g R 695.00 0% R 695.00 R 0.00
102305 daily resurfacer 35 doses R 700.00 15% R 595.00 R 105.00 110601
3826B exfoliating face brush Each R 195.00 0% R 195.00 R 0.00 110501
110518
moisturisers 110503
103104 active moist 100ml R 675.00 15% R 573.75 R 101.25 110504
103102 active moist 50ml R 465.00 15% R 395.25 R 69.75 110103
103204 skin smoothing cream 100ml R 720.00 15% R 612.00 R 108.00 110505
103202 skin smoothing cream 50ml R 495.00 15% R 420.75 R 74.25 W110506
103304 intensive moisture balance 100ml R 840.00 15% R 714.00 R 126.00103302 intensive moisture balance 50ml R 580.00 15% R 493.00 R 87.00
103402 barrier repair 30ml R 410.00 15% R 348.50 R 61.50 w108302
103501 sheer moisture SPF15 40ml R 475.00 15% R 403.75 R 71.25 w108702
W103502 sheer tint moisture SPF15 40ml R 475.00 15% R 403.75 R 71.25 w108402
W103505 sheer tint redness relief spf15 40ml R 495.00 15% R 420.75 R 74.25 w108802
w108603
masques w108102
104012 skin hydrating masque 75ml R 480.00 15% R 408.00 R 72.00 w108203
104102 skin refining masque 75ml R 440.00 15% R 374.00 R 66.00 w108506
104302 intensive moisture masque 75ml R 535.00 15% R 454.75 R 80.25 w4116s
w108902
concentrated boosters 108012105012 skin hydrating booster 30ml R 710.00 15% R 603.50 R 106.50
105402 gentle soothing booster 30ml R 615.00 15% R 522.75 R 92.25
105302 extra firming booster 30ml R 615.00 15% R 522.75 R 92.25 109013
105102 skin renewal booster 30ml R 635.00 15% R 539.75 R 95.25 109104
109502
targeted treatments 109501
106401 climate control 21.3g R 520.00 15% R 442.00 R 78.00
climate control lip treatment 4.5g R 104.00 15% R 88.40 R 15.60 109204
106403 climate control lip treatment 9-pk R 935.00 15% R 794.75 R 140.25 109304
109402
eye treatments 4910
106152 soothing eye make up remover 118ml R 285.00 15% R 242.25 R 42.75W106202 total eye care 15ml R 540.00 15% R 459.00 R 81.00
106252 intensive eye repair 15ml R 550.00 15% R 467.50 R 82.50 110012
110304
AGE smart 110404
101511 skin resurfacing cleanser 150ml R 470.00 15% R 399.50 R 70.50 110202
102021 antioxidant hydramist 150ml R 485.00 15% R 412.25 R 72.75
102321 multivitamin thermafoliant 75ml R 655.00 15% R 556.75 R 98.25
104403 multivitamin recovery masque 75ml R 560.00 15% R 476.00 R 84.00 w111255
105411 MAP-15 regenerator 8g R 988.00 15% R 839.80 R 148.20 w111501
106013 multivitamin power concentrate 45caps R 635.00 15% R 539.75 R 95.25 w110529
W103701 dynamic skin recovery spf30 50ml R 830.00 15% R 705.50 R 124.50 w110507
103603 super rich repair 50ml R 925.00 15% R 786.25 R 138.75 w111010112014 power rich - 5tubes 50ml R 2,060.00 15% R 1,751.00 R 309.00 111100
106053 multivitamin power firm 15ml R 565.00 15% R 480.25 R 84.75 111200
113511 renewal lip complex 1.75ml R 345.00 15% R 293.25 R 51.75 111300
w111400
111600
NAME:
-
8/4/2019 a Order Form - (Fill in Name) Template
5/7
-
8/4/2019 a Order Form - (Fill in Name) Template
6/7
Key:
Stock on Hand
Recommended to Try (To be ordered)
w many Not Available
Retail Price Cost to ORDER
Item Code description size Incl VAT DISCOUNT Client (incl VAT) Savings Item Code
cleansers
101601 precleanse 150ml R 385.00 20% R 308.00 R 77.00 110522
101206 dermal clay cleanser 500ml R 555.00 2% R 543.90 R 11.10 110523
101204 dermal clay cleanser 250ml R 370.00 20% R 296.00 R 74.00 110528
101106 special cleansing gel 500ml R 555.00 20% R 444.00 R 111.00 110524
101104 special cleansing gel 250ml R 370.00 20% R 296.00 R 74.00 W110521
101306 essential cleansing solution 500ml R 555.00 20% R 444.00 R 111.00 110525
101304 essential cleansing solution 250ml R 370.00 20% R 296.00 R 74.00
101406 ultracalming cleanser 500ml R 555.00 20% R 444.00 R 111.00
101404 ultracalming cleanser 250ml R 370.00 20% R 296.00 R 74.00 W101716
4930 the sponge cloth Each R 165.00 20% R 132.00 R 33.00 W101714
W102106
toners W4312S
102015 multi active toner 250ml R 395.00 20% R 316.00 R 79.00 W106612
102054 soothing protection spray 250ml R 460.00 20% R 368.00 R 92.00 W103032
W106122
exfoliants W106662102152 gentle cream exfoliant 75ml R 635.00 20% R 508.00 R 127.00 W104512
102202 skin prep scrub 75ml R 390.00 20% R 312.00 R 78.00
102254 daily microfoliant 75g R 695.00 0% R 695.00 R 0.00
102305 daily resurfacer 35 doses R 700.00 20% R 560.00 R 140.00 110601
3826B exfoliating face brush Each R 195.00 0% R 195.00 R 0.00 110501
110518
moisturisers 110503
103104 active moist 100ml R 675.00 20% R 540.00 R 135.00 110504
103102 active moist 50ml R 465.00 20% R 372.00 R 93.00 110103
103204 skin smoothing cream 100ml R 720.00 20% R 576.00 R 144.00 110505
103202 skin smoothing cream 50ml R 495.00 20% R 396.00 R 99.00 W110506
103304 intensive moisture balance 100ml R 840.00 20% R 672.00 R 168.00103302 intensive moisture balance 50ml R 580.00 20% R 464.00 R 116.00
103402 barrier repair 30ml R 410.00 20% R 328.00 R 82.00 w108302
103501 sheer moisture SPF15 40ml R 475.00 20% R 380.00 R 95.00 w108702
W103502 sheer tint moisture SPF15 40ml R 475.00 20% R 380.00 R 95.00 w108402
W103505 sheer tint redness relief spf15 40ml R 495.00 20% R 396.00 R 99.00 w108802
w108603
masques w108102
104012 skin hydrating masque 75ml R 480.00 20% R 384.00 R 96.00 w108203
104102 skin refining masque 75ml R 440.00 20% R 352.00 R 88.00 w108506
104302 intensive moisture masque 75ml R 535.00 20% R 428.00 R 107.00 w4116s
w108902
concentrated boosters 108012105012 skin hydrating booster 30ml R 710.00 20% R 568.00 R 142.00
105402 gentle soothing booster 30ml R 615.00 20% R 492.00 R 123.00
105302 extra firming booster 30ml R 615.00 20% R 492.00 R 123.00 109013
105102 skin renewal booster 30ml R 635.00 20% R 508.00 R 127.00 109104
109502
targeted treatments 109501
106401 climate control 21.3g R 520.00 20% R 416.00 R 104.00
climate control lip treatment 4.5g R 104.00 20% R 83.20 R 20.80 109204
106403 climate control lip treatment 9-pk R 935.00 20% R 748.00 R 187.00 109304
109402
eye treatments 4910
106152 soothing eye make up remover 118ml R 285.00 20% R 228.00 R 57.00W106202 total eye care 15ml R 540.00 20% R 432.00 R 108.00
106252 intensive eye repair 15ml R 550.00 20% R 440.00 R 110.00 110012
110304
AGE smart 110404
101511 skin resurfacing cleanser 150ml R 470.00 20% R 376.00 R 94.00 110202
102021 antioxidant hydramist 150ml R 485.00 20% R 388.00 R 97.00
102321 multivitamin thermafoliant 75ml R 655.00 20% R 524.00 R 131.00
104403 multivitamin recovery masque 75ml R 560.00 20% R 448.00 R 112.00 w111255
105411 MAP-15 regenerator 8g R 988.00 20% R 790.40 R 197.60 w111501
106013 multivitamin power concentrate 45caps R 635.00 20% R 508.00 R 127.00 w110529
W103701 dynamic skin recovery spf30 50ml R 830.00 20% R 664.00 R 166.00 w110507
103603 super rich repair 50ml R 925.00 20% R 740.00 R 185.00 w111010112014 power rich - 5tubes 50ml R 2,060.00 20% R 1,648.00 R 412.00 111100
106053 multivitamin power firm 15ml R 565.00 20% R 452.00 R 113.00 111200
113511 renewal lip complex 1.75ml R 345.00 20% R 276.00 R 69.00 111300
w111400
111600
NAME:
-
8/4/2019 a Order Form - (Fill in Name) Template
7/7