Member Order Form
Member Order Form 6er 81 Memb2 Pric $
Basic Cellular Support • 34301
NutriVerus™ Powder—Nutrition Nutrition the way your body wants it!* It all starts here.
#3430 e 1
Turn your next meal into one of the most nourishing meals you’ll ever eat! NutriVerus powder: • Helps you maintain your energy* • Bolsters your immune system* • Provides core nutrition from real-food sources (no synthetics)
130 1
$
Optimal System
0 Membe rP #6190 rice 1
Support Bundle • 61901 Real-food nutrition for your body’s core systems.
Basic Ū
Skin Rejuvenation Crème • 23401 Release your body’s natural ability to support beautiful, healthy skin. th
1 bottle of Ūth Skin Rejuvenation Crème
Has all the benefits of NutriVerus powder, plus it... • Provides ultra-pure omega-3 fatty acids • Supports cardiovascular and brain health*† • Supports bone health*†
NutriVerus Integrative Health Support Bundle–Ambrotose® Complex• 63501 NutriVerus Integrative Health Support Bundle–Advanced Ambrotose® • 63601 Our top-selling products at our best value.
2 0 99 Membe 9 r $
Price
5 Membe rP #2340 rice 1
• Helps reduce the appearance of wrinkles • Increases moisture and hydration • Gives the skin greater luminosity • Evens skin’s tone • Improves the elasticity of the skin • Refines pore size
Ū
Skin Rejuvenation Crème with LIFT™ Cleanser Bundle • 76301 Release your body’s natural ability to support beautiful, healthy skin.
125
$
th
1 bottle of Ūth Skin Rejuvenation Crème and 1 LIFT Cleanser
Glyconutrients, foodsourced vitamins, minerals, antioxidants...
105 9
$
• • • • • • •
Membe rP #76301 rice
Helps reduce the appearance of wrinkles Increases moisture and hydration Gives the skin greater luminosity Evens skin’s tone Improves the elasticity of the skin Refines pore size Formulated with finely milled grape seeds, LIFT Exfoliating Facial Cleanser cleanses to help your skin feel smooth
Ū
Skin Rejuvenation Crème Bundle • 76401 Release your body’s natural ability to support beautiful, healthy skin. th
210 9
$
9 Membe r Price #7640 1
2 bottles of Ūth Skin Rejuvenation Crème and 1 box of Ūth Skin Rejuvenation Crème samples (15 packets)
Provides all the benefits of NutriVerus powder, plus it... • Supplies increased immune system support*† • Supports digestive function*† • Improves memory and cognitive function*† • Offers support for breast, prostate, colon and bone health*† • Provides ultra-pure omega-3 fatty acids
• Helps reduce the appearance of wrinkles • Increases moisture and hydration • Gives the skin greater luminosity • Evens skin’s tone • Improves the elasticity of the skin • Refines pore size
Don’t Forget the Probiotics! Add GI-ProBalance® Slimsticks to your order. †
Results vary by product. §NutriVerus Integrative Health bundles are available via Auto Order only
*These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure or prevent any disease.
I choose to be a part of the Mannatech Automatic Order program, and have my product(s) shipped automatically each month.
Additional product orders will be processed and shipped with your enrollment package. See Product Guide for item numbers and pricing information. See below for Member Terms & Conditions. QTY
ITEM#
34301 23401 61901 76301 63501 63601 76401 36201
DESCRIPTION
MEMBER
Basic Cellular Support: NutriVerus powder Basic Ūth Skin Rejuvenation Crème Optimal System Support Bundle Ūth Skin Rejuvenation Crème with Lift Cleanser Bundle NutriVerus Integrative Health Support Bundle - Ambrotose Complex NutriVerus Integrative Health Support Bundle - Advanced Ambrotose Ūth Skin Rejuvenation Crème Bundle GI-ProBalance Slimsticks
AMOUNT
$62.81 $105.95 $130.10 $125.00 $209.99 $209.99 $210.99 $27.18 Total
BILLING INFORMATION First Name
SHIPPING INFORMATION SAME AS BILLING INFORMATION First Name
Last Name
Street Address
Street Address
Apt/Suite
Apt/Suite
City
State
City
ZIP
State
ZIP
Daytime Phone #
Daytime Phone # Card Number Card Type: Visa
Last Name
MasterCard
Discover
Exp. American Express
By choosing a Member Automatic Order option, I understand that the Member Automatic Order is optional and my credit or debit card will be charged monthly and will continue until the Mannatech Corporate Office receives either my written notification or my verbal notification by calling (800) 281-4469, showing either termination or a change in the order. By signing below, I apply to become a Member with Mannatech, Incorporated, and agree to abide by the Terms and Conditions as stated below.
X __________________________________________________ CARDHOLDER/MEMBER SIGNATURE DATE
Email Address
Fill in the name and account number of the Mannatech Sponsor/Enroller referring you today.
First Name
Last Name
Account #
NOTE: If using a check, Mannatech must have a Direct Debit Form; which can be found at Library.Mannatech.com/53, on file with your appropriate information. This authorization form must be submitted by mail. Faxes cannot be accepted.
Mannatech reserves the right to hold orders for verification of payment. Declined credit card orders will be held for authorization 10 business days. Mannatech will charge a $20 fee for insufficient checking account balances.
**Mannatech guarantees your full satisfaction. If not completely satisfied, contact Customer Care and return the product within 180 days for a full refund. See Mannatech.com for details.
Preferred Pricing Member Agreement: I understand: 1. Sponsorship, Fees and Obligations. I understand that I must have a Sponsor to have a membership with Mannatech. I have no obligation to purchase products or fulfill annual renewal requirements to order products. I understand that as a Member I am subject to Mannatech’s Member Policies & Procedures, which may be found at Library.Mannatech.com/1267. 2. Personal Use Only. Products purchased through a Member account are for personal (including family) consumption only and are not intended for resale. As such, I understand all product orders I place will be subject to sales tax, including taxation on shipping charges if applicable by law. 3. Exchange and Return Policy. Mannatech will exchange for equal value any product that is returned in marketable condition within 180 days of the purchase date, and will issue a refund for any products purchased within the last 180 days. To initiate an exchange or refund, I must contact Mannatech's Customer Care at [email protected] to obtain a Return Merchandise Authorization number and follow the instructions provided in Section 10 of the Member Policies & Procedures. 4. Cancellation of Agreement. I understand I can cancel my membership at any time by submitting a termination letter. Upon termination, I can receive a full refund of any good, resaleable product ordered under my Member account within 180 days, and I understand I am responsible for the return of the product to the company. Once my account is terminated, I am not eligible for a new Membership account for six months. However, I may continue to order products at full retail price during the six-month re-application waiting period. IMPORTANT INFORMATION ABOUT AUTOMATIC ORDERS: Mannatech reserves the right to hold orders for verification of payment. Declined credit card orders will be held for authorization a total of ten (10) business days. Mannatech will charge a $20 fee for each check returned for insufficient funds. Changes can be made to your Automatic Order on the Mannatech website, Mannatech.com, or by contacting the Mannatech Order Line, 1.800.281.4469. For the complete Member Policies & Procedures, go to Library.Mannatech.com/1267. BY FAX: Fax this completed form to (800) 825-6584. Include payment information with your order. If ordering by fax, do not fax twice or mail hard copy of order to Mannatech. BY MAIL: Send this completed form with payment information to: MANNATECH, INCORPORATED, 600 S. ROYAL LANE, STE. 200, COPPELL, TX 75019. PHONE: (972) 471-7400. Item Number: 1213401
17140 0414
Basic Cellular Support • 34301
NutriVerus™ Powder—Nutrition Nutrition the way your body wants it!* It all starts here.
#3430 e 1
Turn your next meal into one of the most nourishing meals you’ll ever eat! NutriVerus powder: • Helps you maintain your energy* • Bolsters your immune system* • Provides core nutrition from real-food sources (no synthetics)
130 1
$
Optimal System
0 Membe rP #6190 rice 1
Support Bundle • 61901 Real-food nutrition for your body’s core systems.
Basic Ū
Skin Rejuvenation Crème • 23401 Release your body’s natural ability to support beautiful, healthy skin. th
1 bottle of Ūth Skin Rejuvenation Crème
Has all the benefits of NutriVerus powder, plus it... • Provides ultra-pure omega-3 fatty acids • Supports cardiovascular and brain health*† • Supports bone health*†
NutriVerus Integrative Health Support Bundle–Ambrotose® Complex• 63501 NutriVerus Integrative Health Support Bundle–Advanced Ambrotose® • 63601 Our top-selling products at our best value.
2 0 99 Membe 9 r $
Price
5 Membe rP #2340 rice 1
• Helps reduce the appearance of wrinkles • Increases moisture and hydration • Gives the skin greater luminosity • Evens skin’s tone • Improves the elasticity of the skin • Refines pore size
Ū
Skin Rejuvenation Crème with LIFT™ Cleanser Bundle • 76301 Release your body’s natural ability to support beautiful, healthy skin.
125
$
th
1 bottle of Ūth Skin Rejuvenation Crème and 1 LIFT Cleanser
Glyconutrients, foodsourced vitamins, minerals, antioxidants...
105 9
$
• • • • • • •
Membe rP #76301 rice
Helps reduce the appearance of wrinkles Increases moisture and hydration Gives the skin greater luminosity Evens skin’s tone Improves the elasticity of the skin Refines pore size Formulated with finely milled grape seeds, LIFT Exfoliating Facial Cleanser cleanses to help your skin feel smooth
Ū
Skin Rejuvenation Crème Bundle • 76401 Release your body’s natural ability to support beautiful, healthy skin. th
210 9
$
9 Membe r Price #7640 1
2 bottles of Ūth Skin Rejuvenation Crème and 1 box of Ūth Skin Rejuvenation Crème samples (15 packets)
Provides all the benefits of NutriVerus powder, plus it... • Supplies increased immune system support*† • Supports digestive function*† • Improves memory and cognitive function*† • Offers support for breast, prostate, colon and bone health*† • Provides ultra-pure omega-3 fatty acids
• Helps reduce the appearance of wrinkles • Increases moisture and hydration • Gives the skin greater luminosity • Evens skin’s tone • Improves the elasticity of the skin • Refines pore size
Don’t Forget the Probiotics! Add GI-ProBalance® Slimsticks to your order. †
Results vary by product. §NutriVerus Integrative Health bundles are available via Auto Order only
*These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure or prevent any disease.
I choose to be a part of the Mannatech Automatic Order program, and have my product(s) shipped automatically each month.
Additional product orders will be processed and shipped with your enrollment package. See Product Guide for item numbers and pricing information. See below for Member Terms & Conditions. QTY
ITEM#
34301 23401 61901 76301 63501 63601 76401 36201
DESCRIPTION
MEMBER
Basic Cellular Support: NutriVerus powder Basic Ūth Skin Rejuvenation Crème Optimal System Support Bundle Ūth Skin Rejuvenation Crème with Lift Cleanser Bundle NutriVerus Integrative Health Support Bundle - Ambrotose Complex NutriVerus Integrative Health Support Bundle - Advanced Ambrotose Ūth Skin Rejuvenation Crème Bundle GI-ProBalance Slimsticks
AMOUNT
$62.81 $105.95 $130.10 $125.00 $209.99 $209.99 $210.99 $27.18 Total
BILLING INFORMATION First Name
SHIPPING INFORMATION SAME AS BILLING INFORMATION First Name
Last Name
Street Address
Street Address
Apt/Suite
Apt/Suite
City
State
City
ZIP
State
ZIP
Daytime Phone #
Daytime Phone # Card Number Card Type: Visa
Last Name
MasterCard
Discover
Exp. American Express
By choosing a Member Automatic Order option, I understand that the Member Automatic Order is optional and my credit or debit card will be charged monthly and will continue until the Mannatech Corporate Office receives either my written notification or my verbal notification by calling (800) 281-4469, showing either termination or a change in the order. By signing below, I apply to become a Member with Mannatech, Incorporated, and agree to abide by the Terms and Conditions as stated below.
X __________________________________________________ CARDHOLDER/MEMBER SIGNATURE DATE
Email Address
Fill in the name and account number of the Mannatech Sponsor/Enroller referring you today.
First Name
Last Name
Account #
NOTE: If using a check, Mannatech must have a Direct Debit Form; which can be found at Library.Mannatech.com/53, on file with your appropriate information. This authorization form must be submitted by mail. Faxes cannot be accepted.
Mannatech reserves the right to hold orders for verification of payment. Declined credit card orders will be held for authorization 10 business days. Mannatech will charge a $20 fee for insufficient checking account balances.
**Mannatech guarantees your full satisfaction. If not completely satisfied, contact Customer Care and return the product within 180 days for a full refund. See Mannatech.com for details.
Preferred Pricing Member Agreement: I understand: 1. Sponsorship, Fees and Obligations. I understand that I must have a Sponsor to have a membership with Mannatech. I have no obligation to purchase products or fulfill annual renewal requirements to order products. I understand that as a Member I am subject to Mannatech’s Member Policies & Procedures, which may be found at Library.Mannatech.com/1267. 2. Personal Use Only. Products purchased through a Member account are for personal (including family) consumption only and are not intended for resale. As such, I understand all product orders I place will be subject to sales tax, including taxation on shipping charges if applicable by law. 3. Exchange and Return Policy. Mannatech will exchange for equal value any product that is returned in marketable condition within 180 days of the purchase date, and will issue a refund for any products purchased within the last 180 days. To initiate an exchange or refund, I must contact Mannatech's Customer Care at [email protected] to obtain a Return Merchandise Authorization number and follow the instructions provided in Section 10 of the Member Policies & Procedures. 4. Cancellation of Agreement. I understand I can cancel my membership at any time by submitting a termination letter. Upon termination, I can receive a full refund of any good, resaleable product ordered under my Member account within 180 days, and I understand I am responsible for the return of the product to the company. Once my account is terminated, I am not eligible for a new Membership account for six months. However, I may continue to order products at full retail price during the six-month re-application waiting period. IMPORTANT INFORMATION ABOUT AUTOMATIC ORDERS: Mannatech reserves the right to hold orders for verification of payment. Declined credit card orders will be held for authorization a total of ten (10) business days. Mannatech will charge a $20 fee for each check returned for insufficient funds. Changes can be made to your Automatic Order on the Mannatech website, Mannatech.com, or by contacting the Mannatech Order Line, 1.800.281.4469. For the complete Member Policies & Procedures, go to Library.Mannatech.com/1267. BY FAX: Fax this completed form to (800) 825-6584. Include payment information with your order. If ordering by fax, do not fax twice or mail hard copy of order to Mannatech. BY MAIL: Send this completed form with payment information to: MANNATECH, INCORPORATED, 600 S. ROYAL LANE, STE. 200, COPPELL, TX 75019. PHONE: (972) 471-7400. Item Number: 1213401
17140 0414
