Associate Product Order Form
Mannatech SM
Associate Product Order Form ASSOCIATE INFORMATION (PLEASE PRINT) o ACCOUNT NO. OR o APPLICATION ID NO.
DATE
Live for Real
®
SM
in Europe
SHIP TO INFORMATION (PLEASE PRINT) SURNAME
FIRST NAME
SURNAME
BUSINESS NAME
FIRST NAME
ADDRESS EMAIL ADDRESS (PLEASE PRINT): ADDRESS
HOW TO ORDER
ADDRESS
BY TELEPHONE: Simply call Mannatech on 1800 936 367 with your order. Have your debit/ credit card number ready. If ordering by telephone, do not mail, or fax original hard copy of order to Mannatech. BY FAX: Fax this completed form to 1800 936 368. Include debit/credit card information with your order. If ordering by fax, do not fax twice or mail hard copy of order or cheque to Mannatech. BY MAIL: Send this completed form with debit/credit card information to: Mannatech Swiss International GmbH, c/o 2 MANNATECH LIMITED, 85A PARK DRIVE, MILTON PARK, ABINGDON, OXFORDSHIRE, OX14 4RY ENGLAND
POST CODE
MOBILE TELEPHONE
HOME TELEPHONE
BY EMAIL: Scan your Associate Product Order form and email to [email protected].
code
single product description
associate cost
apo
pv
370
Advanced Ambrotose® (120 cap.)
45,50 €
14,56 €
42
333
Advanced Ambrotose® powder (75 g.)
74,95 €
19,22 €
72
332
Advanced Ambrotose® powder (150 g.)
135,15 €
38,02 €
132
127
Ambrotose AO® (60 cap.)
45,50 €
14,56 €
42
561
Ambrotose AO® (4 x 60 cap.)
147,40 €
46,75 €
135
353
Ambrotose® Bulk (75 g.)
93,35 €
25,75 €
88
122
Omega-3 with vitamin D3(60 cap.)
30,65 €
8,50 €
28
135
MannaBears® Supplement (300 g.)
26,85 €
8,39 €
26
343
NutriVerus powder (150 g.)
63,96 €
16,38 €
60
151
Phyt•Aloe® (60 cap.)
39,35 €
12,23 €
34
112
PhytoMatrix® (120 tab.)
45,50 €
14,56 €
42
107
PLUSTM (90 tab.)
39,35 €
12,23 €
34
619
Optimal System Support Bundle
129.77 €
29.11 €
122
234
Ūth Advanced Skin Matrix Rejuvenation Crème
99.14 €
22.23 €
100
236
Ū Advanced Skin Matrix Rejuvenation Crème Samples (3 boxes of 15 samples)
97.17 €
18.55 €
90
TM
th
Pricing is VAT inclusive.
MOD1990831.300513 – Page 1 of 2
qty
TOTAL
order value
Mannatech SM
Associate Product Order Form METHOD OF PAYMENT ❏ visa®
Live for Real
SM
in Europe
AUTHORISATION
PLEASE COMPLETE & SIGN
❏ mastercard®
YOUR SIGNATURE IS REQUIRED
TOTAL
Pricing is VAT inclusive.
credit/debit card no.
SHIPPING OPTIONS
-
exp. date
X_________________________________________________
________________
card holder’s signature
date
o Standard 2–5 days – 7,00 € o Track and Trace – 22,50 €
SHIPPING
+
ASSOCIATE AMOUNT DUE
=
____________________________________________________________________ card holder’s name printed
MOD1990831.300513 – Page 2 of 2
®
Associate Product Order Form ASSOCIATE INFORMATION (PLEASE PRINT) o ACCOUNT NO. OR o APPLICATION ID NO.
DATE
Live for Real
®
SM
in Europe
SHIP TO INFORMATION (PLEASE PRINT) SURNAME
FIRST NAME
SURNAME
BUSINESS NAME
FIRST NAME
ADDRESS EMAIL ADDRESS (PLEASE PRINT): ADDRESS
HOW TO ORDER
ADDRESS
BY TELEPHONE: Simply call Mannatech on 1800 936 367 with your order. Have your debit/ credit card number ready. If ordering by telephone, do not mail, or fax original hard copy of order to Mannatech. BY FAX: Fax this completed form to 1800 936 368. Include debit/credit card information with your order. If ordering by fax, do not fax twice or mail hard copy of order or cheque to Mannatech. BY MAIL: Send this completed form with debit/credit card information to: Mannatech Swiss International GmbH, c/o 2 MANNATECH LIMITED, 85A PARK DRIVE, MILTON PARK, ABINGDON, OXFORDSHIRE, OX14 4RY ENGLAND
POST CODE
MOBILE TELEPHONE
HOME TELEPHONE
BY EMAIL: Scan your Associate Product Order form and email to [email protected].
code
single product description
associate cost
apo
pv
370
Advanced Ambrotose® (120 cap.)
45,50 €
14,56 €
42
333
Advanced Ambrotose® powder (75 g.)
74,95 €
19,22 €
72
332
Advanced Ambrotose® powder (150 g.)
135,15 €
38,02 €
132
127
Ambrotose AO® (60 cap.)
45,50 €
14,56 €
42
561
Ambrotose AO® (4 x 60 cap.)
147,40 €
46,75 €
135
353
Ambrotose® Bulk (75 g.)
93,35 €
25,75 €
88
122
Omega-3 with vitamin D3(60 cap.)
30,65 €
8,50 €
28
135
MannaBears® Supplement (300 g.)
26,85 €
8,39 €
26
343
NutriVerus powder (150 g.)
63,96 €
16,38 €
60
151
Phyt•Aloe® (60 cap.)
39,35 €
12,23 €
34
112
PhytoMatrix® (120 tab.)
45,50 €
14,56 €
42
107
PLUSTM (90 tab.)
39,35 €
12,23 €
34
619
Optimal System Support Bundle
129.77 €
29.11 €
122
234
Ūth Advanced Skin Matrix Rejuvenation Crème
99.14 €
22.23 €
100
236
Ū Advanced Skin Matrix Rejuvenation Crème Samples (3 boxes of 15 samples)
97.17 €
18.55 €
90
TM
th
Pricing is VAT inclusive.
MOD1990831.300513 – Page 1 of 2
qty
TOTAL
order value
Mannatech SM
Associate Product Order Form METHOD OF PAYMENT ❏ visa®
Live for Real
SM
in Europe
AUTHORISATION
PLEASE COMPLETE & SIGN
❏ mastercard®
YOUR SIGNATURE IS REQUIRED
TOTAL
Pricing is VAT inclusive.
credit/debit card no.
SHIPPING OPTIONS
-
exp. date
X_________________________________________________
________________
card holder’s signature
date
o Standard 2–5 days – 7,00 € o Track and Trace – 22,50 €
SHIPPING
+
ASSOCIATE AMOUNT DUE
=
____________________________________________________________________ card holder’s name printed
MOD1990831.300513 – Page 2 of 2
®
