Associate Automatic Monthly Order Form AWS

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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

370

Advanced Ambrotose® (120 cap.)

45,50 €

42

333

Advanced Ambrotose® powder (75 g.)

74,95 €

72

332

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

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

619

Optimal System Support Bundle

129.77 €

122

234

Ūth Advanced Skin Matrix Rejuvenation Crème

99.14 €

100

236

Ūth Advanced Skin Matrix Rejuvenation Crème Samples (3 boxes of 15 samples)

97.17 €

90

Please indicate your choice of date for your Automatic order BEGIN AUTOMATIC ORDER

MOD1801631.190213 – Page 1 of 2

These products give a donation through consumption.

QTY

ORDER VALUE

SUBTOTAL SHIPPING & HANDLING + AUTOMATIC ORDER TOTAL =

7,00 €

Mannatech SM

Associate Automatic Monthly Order Form METHOD OF PAYMENT ❏ visa®

in Europe

YOUR SIGNATURE IS REQUIRED

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.

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

AUTHORISATION

PLEASE COMPLETE & SIGN

❏ mastercard®

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.