Member Product Order Form AWS

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Mannatech SM

Member Product Order Form DATE

SM

in Europe

SHIP TO INFORMATION (PLEASE PRINT)

ASSOCIATE INFORMATION (PLEASE PRINT) o ACCOUNT NO. OR o APPLICATION ID NO.

Live for Real

SURNAME

FIRST NAME

SURNAME

BUSINESS NAME FIRST NAME ADDRESS EMAIL ADDRESS (PLEASE PRINT): ADDRESS

ADDRESS

HOW TO ORDER BY TELEPHONE: Simply call Mannatech on 0800 028 6071 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 0800 028 6072. 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 Swiss International GmbH, Mannatech Limited, 85a Park Drive, Milton Park, Abingdon, Oxfordshire, OX14 4RY

CODE

SINGLE PRODUCT DESCRIPTION

POST CODE

DAY TELEPHONE

EVENING TELEPHONE

MOBILE TELEPHONE

MEMBER PRICE

PV 42

370

Advanced Ambrotose® (120 cap.)

£31.97

333

Advanced Ambrotose® powder (60 g.)

£52.54

72

322

Advanced Ambrotose® powder (120 g.)

£95.69

132

127

Ambrotose AO® (60 cap.)

£31.97

42

130

Ambrotose AO® (240 cap.)

£102.94

135

353

Ambrotose® Bulk (75 g.)

£66.18

88

132

GI-Zyme® (90 cap.)

£30.03

37

123

ImmunoSTART® (60 tab.)

£29.11

37

135

MannaBears® supplement (300 g.)

£19.05

26

343

NutriVerus® powder (150 g.)

£44.97

60

166

Omega-3 with Vitamin D3 (60 cap.)

£22.11

28

220

OsoLean® powder (366 g.)

£40.54

50

107

PLUSTM (90 tab.)

£27.17

34

112

PhytoMatrix® (120 tab.)

£31.97

42

151

Phyt•Aloe® (60 cap.)

£27.17

34

121

SPORT (60 cap.)

£25.84

30

619

Optimal System Support Bundle

£91.84

122

234

Ūth Advanced Skin Matrix Rejuvenation Crème

£85.00

100

qty

TOTAL Pricing is VAT inclusive.

You may not spend or agree to spend more than £200 in the first 7 days of your joining Mannatech.

MOD1990904.300414 – Page 1 of 2

order value

®

Mannatech SM

Member Product Order Form METHOD OF PAYMENT

AUTHORISATION

PLEASE COMPLETE & SIGN

❏ cash ❏ visa® ❏ mastercard® ❏ cheque (please attach separately) ❏ switch/maestro (issue no. or start date ___________ ) credit/debit card no.

Live for Real

SM

in Europe

YOUR SIGNATURE IS REQUIRED

SHIPPING OPTIONS

-

exp. date

________________

card holder’s signature

date

____________________________________________________________________ card holder’s name printed

MOD1990904.300414 – Page 2 of 2

o Standard 2–5 days – £3.25 o Next Day – £8.85

If your order is placed over the website, your shipping costs will be: Standard – £3.05 and Next Day – £8.45

X_________________________________________________

TOTAL

Pricing is VAT inclusive.

SHIPPING

+

ASSOCIATE AMOUNT DUE

=

®