Associate Automatic Monthly Order Form AWS
Mannatech SM
Associate Automatic Monthly Order Form
Live for Real
®
SM
in Europe
Enjoy the opportunity to earn 20% of your Automatic Monthly order value as a credit towards free product through the Loyalty Programme. ACCOUNT NO. (IF KNOWN) OR ASSOCIATE APPLICATION NO. (IF KNOWN) DR/MR//MRS/MS:______________ FIRST NAME:_______________________________________ SURNAME:_____________________________________________ ADDRESS:
SURNAME:_
DELIVERY ADDRESS_________________________________________________________________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________________________________________________________________________________________________
POSTCODE:___________________ MOBILE TEL:______________________________________ HOME TEL:____________________________________________ EMAIL ADDRESS:_____________________________________________________________________________________________________________________
YOUR AUTOMATIC ORDER DETAILS CODE
PRODUCT
ASSOCIATE PRICE
PV
45,50 €
42
377
Advanced Ambrotose® (120 cap.)
375
Advanced Ambrotose® powder (75 g.)
74,95 €
72
376
Advanced Ambrotose® powder (150 g.)
135,15 €
132
127
Ambrotose AO® (60 cap.)
45,50 €
42
561
Ambrotose AO® (4 x 60 cap.)
147,40 €
132
353
Ambrotose® Bulk (75 g.)
93,35 €
88
166
Essential SourceTM Omega-3 with Vitamin D3 (60 cap.)
30,65 €
28
135
MannaBears® Supplement (300 g.)
26,85 €
26
343
NutriVerusTM powder (150 g.)
63,96 €
60
151
Phyt•Aloe® (60 cap.)
39,35 €
34
107
PLUSTM (90 tab.)
39,35 €
34
112
PhytoMatrix® (120 tab.)
45,50 €
42
Please indicate your choice of date for your Automatic order BEGIN AUTOMATIC ORDER
QTY
SUBTOTAL SHIPPING & HANDLING + AUTOMATIC ORDER TOTAL =
MOD180163.190213 – Page 1 of 2
ORDER VALUE
7,00 €
Mannatech SM
Associate Automatic Monthly Order Form METHOD OF PAYMENT ❏ visa®
AUTHORISATION
PLEASE COMPLETE & SIGN
❏ mastercard®
in Europe
YOUR SIGNATURE IS REQUIRED
NOTE: Mannatech reserves the right to hold orders for verification of payment. Declined credit card orders will be held for authorisation 10 business days. Product orders are not binding until accepted by Mannatech Swiss International GmbH, Dammstrasse 19, CH 6301 Zug.
-
X_________________________________________________ ______________ card holder’s signature
®
SM
I understand the Automatic Order is voluntary and not required to participate in Mannatech, and will continue until the Corporate Office receives either my written notification or my verbal notification, by calling 1800 936 367, showing either termination or a change in the order.
credit/debit card no.
exp. date
Live for Real
date
X___________________________________________________________ SIGNATURE
____________________________________________________________________ card holder’s name printed
FAX/MAIL BY FAX: Fax this completed form to 1800 936 368. Include payment information with your order. If ordering by fax, do not mail hard copy of order to Mannatech. BY MAIL: Send this completed form with payment information to: MANNATECH LIMITED, 85A PARK DRIVE, MILTON PARK, ABINGDON, OXFORDSHIRE, OX14 4RY ENGLAND.
MOD1801631.190213 – Page 2 of 2
IMPORTANT: Unless a specific Business Period is requested, the initial order will be shipped after verification of payment. Every Business Period thereafter, orders will be generated on or about every 28 days from the date of your sign up, after verification of payment. This will create 13 shipments per calendar year, one in each four week Mannatech Business Period. Mannatech will recalculate your order total if inaccurate and make any necessary corrections.
Only one Automatic Order can be generated per account number in each Business Period.
Associate Automatic Monthly Order Form
Live for Real
®
SM
in Europe
Enjoy the opportunity to earn 20% of your Automatic Monthly order value as a credit towards free product through the Loyalty Programme. ACCOUNT NO. (IF KNOWN) OR ASSOCIATE APPLICATION NO. (IF KNOWN) DR/MR//MRS/MS:______________ FIRST NAME:_______________________________________ SURNAME:_____________________________________________ ADDRESS:
SURNAME:_
DELIVERY ADDRESS_________________________________________________________________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________________________________________________________________________________________________
POSTCODE:___________________ MOBILE TEL:______________________________________ HOME TEL:____________________________________________ EMAIL ADDRESS:_____________________________________________________________________________________________________________________
YOUR AUTOMATIC ORDER DETAILS CODE
PRODUCT
ASSOCIATE PRICE
PV
45,50 €
42
377
Advanced Ambrotose® (120 cap.)
375
Advanced Ambrotose® powder (75 g.)
74,95 €
72
376
Advanced Ambrotose® powder (150 g.)
135,15 €
132
127
Ambrotose AO® (60 cap.)
45,50 €
42
561
Ambrotose AO® (4 x 60 cap.)
147,40 €
132
353
Ambrotose® Bulk (75 g.)
93,35 €
88
166
Essential SourceTM Omega-3 with Vitamin D3 (60 cap.)
30,65 €
28
135
MannaBears® Supplement (300 g.)
26,85 €
26
343
NutriVerusTM powder (150 g.)
63,96 €
60
151
Phyt•Aloe® (60 cap.)
39,35 €
34
107
PLUSTM (90 tab.)
39,35 €
34
112
PhytoMatrix® (120 tab.)
45,50 €
42
Please indicate your choice of date for your Automatic order BEGIN AUTOMATIC ORDER
QTY
SUBTOTAL SHIPPING & HANDLING + AUTOMATIC ORDER TOTAL =
MOD180163.190213 – Page 1 of 2
ORDER VALUE
7,00 €
Mannatech SM
Associate Automatic Monthly Order Form METHOD OF PAYMENT ❏ visa®
AUTHORISATION
PLEASE COMPLETE & SIGN
❏ mastercard®
in Europe
YOUR SIGNATURE IS REQUIRED
NOTE: Mannatech reserves the right to hold orders for verification of payment. Declined credit card orders will be held for authorisation 10 business days. Product orders are not binding until accepted by Mannatech Swiss International GmbH, Dammstrasse 19, CH 6301 Zug.
-
X_________________________________________________ ______________ card holder’s signature
®
SM
I understand the Automatic Order is voluntary and not required to participate in Mannatech, and will continue until the Corporate Office receives either my written notification or my verbal notification, by calling 1800 936 367, showing either termination or a change in the order.
credit/debit card no.
exp. date
Live for Real
date
X___________________________________________________________ SIGNATURE
____________________________________________________________________ card holder’s name printed
FAX/MAIL BY FAX: Fax this completed form to 1800 936 368. Include payment information with your order. If ordering by fax, do not mail hard copy of order to Mannatech. BY MAIL: Send this completed form with payment information to: MANNATECH LIMITED, 85A PARK DRIVE, MILTON PARK, ABINGDON, OXFORDSHIRE, OX14 4RY ENGLAND.
MOD1801631.190213 – Page 2 of 2
IMPORTANT: Unless a specific Business Period is requested, the initial order will be shipped after verification of payment. Every Business Period thereafter, orders will be generated on or about every 28 days from the date of your sign up, after verification of payment. This will create 13 shipments per calendar year, one in each four week Mannatech Business Period. Mannatech will recalculate your order total if inaccurate and make any necessary corrections.
Only one Automatic Order can be generated per account number in each Business Period.
