7/30/2019 Independent Consultant Product Order Form

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Independent Consultant Product Order Form | United Kingdom 0800 977 5721arbonne.com

Effective February 2009

Consultant InormatIon (Must be completed in ull. Please print.)

Consultant Name __________________________________________________________

Independent Consultant ID _______________________ Date ______________________

Daytime Pone ____________________________________________________________

Evening Pone _____________________________________________________________

E-mail ___________________________________________________________________

Total Amount o Order

rTick tis box i te order is to be delivered to above Arbonne Independent Consultant.

delIvery InormatIon (Complete i delivery is to oter tan Independent Consultants address.)

Deliver to_________________________________ C/O ___________________________

Address __________________________________________________________________

City ________________________________________ County ______________________

Postcode _________________________________________________________________

Daytime Pone ____________________________________________________________

Evening Pone ____________________________________________________________

method o Payment

Credit Card Type

o MasterCard o Visa o American Express o Maestro

Credit Card No.

Star t Da te _________________________________________

Issue No. _________________________________________

Billing Postcode ____________________________________

Expiry DateI autorise Arbonne to carge te above Order Total or tis order. I tere are any

miscalculations, Arbonne will contact me to arrange a revised autority.

Amount applied to tis order ___________________________

Cardolders Name (Printed)

__________________________________________________

Cardolders Pone ___________________________________

Cardolders Signature

__________________________________________________

o Tick ere i using more tan one credit card,

and attac inormation on a separate seet.

Total amount o credit card carges applied to tis order

_________________________________________________

P cp p :arBonne euroPe srl

c/o Arbonne UK Ltd.

Unit 16 Basset Court

Loake Close

Grange Park

Nortampton, NN4 5EZ

Fax 0844 463 8042

or, p 0800 977 5721MondayFriday: 9 a.m.6 p.m.

or, i @ b.cOn te last business day (Close Day) o te mont, all Internet

orders must be received by 10 p.m. and all telepone, ax and post

orders must be received by 5 p.m. to be processed tat day and

applied to te current calendar mont.

Item Qty ProduCt srP*(vat InClusIve)

ConsultantPrICe*

(vat InClusIve)Qv*

(vat ici) Qv*

o pc? ac ii o ick c bw.

li 1 total srP (Total beore your Independent Consultant discount)

li 2 total IndePendent Consultant PrICe (From Independent Consultant Price/QV List)

li 3 total Qv

*Ceck tat totals ave been multiplied by quantity ordered.

Prices are VAT inclusive, i applicable. Please reer to te Independent Consultant Price/Qualiying Volume List online or current Independent Consultant prices.

Please keep a copy or your records

Wite Copy = Send to Arbonne Yellow Copy = New Independent Consultants copies

ac i , p f (Tick all tat apply): o Additional Independent Consultant Product Order Form(s) o Independent Consultant Application & Agreement o Suggested Retail Price List & Order Form(s)

t n. pg _________

OFFICE USE

Date Recd

Amt. RecdMO No.

-Oter

DB/CR

To be Cgd

Cg. Approval No.

Processed By

Order No.

6332R05 04

2009 ARBONNE INTERNATIONAL, LLC

ALL RIGhTS RESERVED.

ARBONNE.COM

Arbonne Europe Srl (Arbonne) o Bundesstrasse 3, Postac 4028, 6304 Zug, Switzerland, is te promoter o tis direct selling opportunity in te United Kingdom. Te goods wicare sold under tis opportunity are skin care and colour cosmetics produced or supplied by Arbonne and suc oter goods or services as Arbonne may market rom time to time.

Arbonne Europe Srl, a company registered in Switzerland at

registered ofce: Bundesstrasse 3, Postac 4028, 6304 Zug,

Switzerland. VAT number 894 5181 85.

Independent Consultants Signature _____________________________________________________________________________________________

I wis to order te products set out above and I agree to pay te total price due. I note tat I ave te rigt to cancel tis order in accordance wit te Notice o Rigt toCancel overlea.

Item Qty sPeCIal ProduCts and BusIness aIds srP(vat InClusIve)total srP*(Qty x srP)

PwP Available wit every 45 SRP increment (See Line 1)

aii PwP

3950P Gi sh Gi NutriMinC RE9 Anti-Ageing Body Care System wort 54 or 14 wit

eac 90 increment o retail sales or14

7223P Gi sh Gi SeaSource Detox Spa Set 20

507 t ui rwh spci 65 SRP o product or 12 wit every 150increment o retail sales

12

1903 1 rsvP Please attac Suggested Retail Price List & Order Form and enter priceup to 400 SRP or 200 200

1904 1 rsvP2 Please attac Suggested Retail Price List & Order Form and enter priceup to 400 SRP or 200 200

Bi aili i bw

li 4 total sPeCIal ProduCt(s) & BusIness aIds

li 5 delIvery (VAT inclusive) | 7 Pone/Fax/Post Orders | 6 Internet orders

li 6 total PayaBle (Line 2+4+5)

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sig b Ci _______________________________________________________________________________________

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