Hong Kong Associate Product Order Form
Hong Kong Associate Product Order Form SHIP TO INFORMATION (PLEASE PRINT)
aSSOCIATE information (PLEASE PRINT) account no. oR application id no.
in HK
sUrNAME
DAte
FIRST NAME
sUrNAME
BUSINESS NAME FIRST NAME ADDRESS email address (please print): ADDRESS
address
How to order BY TELEPHONE: Simply call Mannatech on +852 3678-9836 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 +852 5808-3220. 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, cheque or money order to: Mannatech Taiwan, Unit B, 10F, No. 333, Sec.2 Dunhua S. Rd., Taipei 106, Taiwan (ROC).
PRODUCT code
Product name
post code
DAY TELEPHONE
EVENING TELEPHONE
mobile TELEPHONE
中 文 品 名
Automatic order options Associate AMO Price
PV
33206
New Advanced Ambrotose 120g
(新)多醣複方營養素120g
1,220
132
33306
New Advanced Ambrotose 60g
(新)多醣複方營養素60g
670
72
37706
New Advanced Ambrotose Capsules
(新)多醣複方營養膠囊
390
42
12706
Ambrotose AO
多醣草本營養補充膠囊
390
42
11206
PhytoMatrix
天然植物礦物質維生素營養補充錠
390
42
11106
PLUS
草本營養補充錠
315
34
16606
Omega-3 with Vitamin D3
精粹魚油膠囊
255
28
34306
NutriVerus
多醣蔬果營養補充粉
550
60
13506
MannaBears
兒童果膠軟糖
240
26
*The shipping fee is HK$100. Every order will include the shipping fee.
SUBTOTAL
*The total order value of each order shall not exceed to HK$13,000, or it will generate customs taxes.
SHIPPING
Hong Kong – Page 1 of 2
TOTAL AUTOMATIC order value**
QTY
ORDER Value
100
Hong Kong Associate Product Order Form Method of Payment ❏ cash
❏ visa®
authoriSation
please Complete & sign
❏ mastercard®
in HK
your signature is required
Total
Pricing is VAT inclusive.
credit/debit card no.
Shipping
Standard 2–3 days – HK $100
-
exp. date
X_________________________________________________
________________
card holder ’s signature
date
____________________________________________________________________ card holder ’s name printed
Hong Kong – Page 2 of 2
shipping
+
Associate Amount Due
=
HK $100
aSSOCIATE information (PLEASE PRINT) account no. oR application id no.
in HK
sUrNAME
DAte
FIRST NAME
sUrNAME
BUSINESS NAME FIRST NAME ADDRESS email address (please print): ADDRESS
address
How to order BY TELEPHONE: Simply call Mannatech on +852 3678-9836 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 +852 5808-3220. 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, cheque or money order to: Mannatech Taiwan, Unit B, 10F, No. 333, Sec.2 Dunhua S. Rd., Taipei 106, Taiwan (ROC).
PRODUCT code
Product name
post code
DAY TELEPHONE
EVENING TELEPHONE
mobile TELEPHONE
中 文 品 名
Automatic order options Associate AMO Price
PV
33206
New Advanced Ambrotose 120g
(新)多醣複方營養素120g
1,220
132
33306
New Advanced Ambrotose 60g
(新)多醣複方營養素60g
670
72
37706
New Advanced Ambrotose Capsules
(新)多醣複方營養膠囊
390
42
12706
Ambrotose AO
多醣草本營養補充膠囊
390
42
11206
PhytoMatrix
天然植物礦物質維生素營養補充錠
390
42
11106
PLUS
草本營養補充錠
315
34
16606
Omega-3 with Vitamin D3
精粹魚油膠囊
255
28
34306
NutriVerus
多醣蔬果營養補充粉
550
60
13506
MannaBears
兒童果膠軟糖
240
26
*The shipping fee is HK$100. Every order will include the shipping fee.
SUBTOTAL
*The total order value of each order shall not exceed to HK$13,000, or it will generate customs taxes.
SHIPPING
Hong Kong – Page 1 of 2
TOTAL AUTOMATIC order value**
QTY
ORDER Value
100
Hong Kong Associate Product Order Form Method of Payment ❏ cash
❏ visa®
authoriSation
please Complete & sign
❏ mastercard®
in HK
your signature is required
Total
Pricing is VAT inclusive.
credit/debit card no.
Shipping
Standard 2–3 days – HK $100
-
exp. date
X_________________________________________________
________________
card holder ’s signature
date
____________________________________________________________________ card holder ’s name printed
Hong Kong – Page 2 of 2
shipping
+
Associate Amount Due
=
HK $100
