MEMBER ORDER FORM
Item Number 1381211 16788.0613
MEMBER ORDER FORM Choose the Real Food Technology® solution that’s right for you. Start with NutriVerus™ powder, and then customize your order to fit your goals.
NutriVerus Powder—Nutrition the way your body wants it
Lean Body Bundle The Xtreme Food Makeover for enhanced fat loss.*
Your Xtreme Food Makeover starts here. Turn your next meal into one of the most nourishing meals you’ll ever eat! NutriVerus: • Helps you maintain your energy • Bolsters your immune system • Provides core nutrition from realfood sources (no synthetics)
$62.81 #34311
Offers all the benefits of NutriVerus powder, plus it... • Helps you lose the fat, keep the lean* • Enhances fat loss* • Helps support lean muscle* • Helps you feel full*
180-Day Satisfaction Guaranteed **
Optimal System Support Bundle
$173.81 #71711
*When combined with proper diet and exercise.
Save
over
$65 Plus, fr shipp ee ing
Real-food nutrition for your body’s core systems. Enjoy all the benefits of NutriVerus powder, plus it...
NutriVerus Integrative Health Combos
• Provides ultra-pure omega-3 fatty acids • Supports cardiovascular and brain health† • Supports bone health†
The ultimate integrative health support. Provides all the benefits of NutriVerus powder, plus it... • Supplies increased immune system support† • Supports digestive function† • Improves memory and cognitive function† • Provides ultra-pure omega-3 fatty acids
$130.10 #61911 All amounts are in US dollars.
Help us in the fight against global malnutrition. Through our Give for Real program, your order of one of the product combinations above helps nourish an at-risk child. Learn more at GiveForReal.com.
With Ambrotose® Complex $209.99 #63511 With Advanced Ambrotose® $209.99 #63611
SM
† Results vary by product. Additional product orders will be processed and shipped with your enrollment package. See Product Guide for item numbers and pricing information. See reverse side for Member Terms & Conditions.
QTY
ITEM#
B First Name I L L I N G
DESCRIPTION
Last Name
Street Address Apt/Suite City
Province
Postal Code
Daytime Phone #
S H I P P I N G
AUTO ORDER
ONE-TIME ORDER
AMOUNT
Tax Shipping & Handling Total First Name
Last Name
Street Address Apt/Suite City
Province
Postal Code
Daytime Phone # Card Number Exp. MasterCard Discover American Express Card Type: Visa E-mail Address 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 Fill in the name and account number of the Mannatech Sponsor/Enroller referring you today. Mannatech Corporate Office receives either my written notification or my verbal notification by First Name Last Name calling (866) 717-2175, showing either termination or a change in the order. By signing below, I apply to become a Member with Mannatech, Incorporated, and agree to Account# abide by the Terms and Conditions as stated on page 2 of this document. NOTE: If using a cheque, Mannatech must have a Chequing/Savings Account Form; which can be found at Library.Mannatech.com/190, on file with your appropriate information. This authorization form must be submitted by mail. Faxes cannot be accepted. X___________________________________________________ cardholder/member signature
date
Mannatech reserves the right to hold orders for verification of payment. Declined credit card orders will be held for authorization 28 business days. Mannatech will charge a $20 fee for insufficient chequing 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.
MEMBER TERMS AND C O N D I T I O N S
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/1268. 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 28 business days. Mannatech will charge a $20 fee for each cheque 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, 1.866.717.2175. For the complete Member Policies & Procedures, go to Library.Mannatech.com/1268. Fax/Mail 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.
Advanced Ambrotose, Ambrotose, Give for Real and Design, Mannatech, NutriVerus, OsoLean, PLUS, Real Food Technology and Stylized M Design are trademarks of Mannatech, Incorporated. FRENCH
©2013 Mannatech, Incorporated All rights reserved. For distribution in Canada only.
MEMBER ORDER FORM Choose the Real Food Technology® solution that’s right for you. Start with NutriVerus™ powder, and then customize your order to fit your goals.
NutriVerus Powder—Nutrition the way your body wants it
Lean Body Bundle The Xtreme Food Makeover for enhanced fat loss.*
Your Xtreme Food Makeover starts here. Turn your next meal into one of the most nourishing meals you’ll ever eat! NutriVerus: • Helps you maintain your energy • Bolsters your immune system • Provides core nutrition from realfood sources (no synthetics)
$62.81 #34311
Offers all the benefits of NutriVerus powder, plus it... • Helps you lose the fat, keep the lean* • Enhances fat loss* • Helps support lean muscle* • Helps you feel full*
180-Day Satisfaction Guaranteed **
Optimal System Support Bundle
$173.81 #71711
*When combined with proper diet and exercise.
Save
over
$65 Plus, fr shipp ee ing
Real-food nutrition for your body’s core systems. Enjoy all the benefits of NutriVerus powder, plus it...
NutriVerus Integrative Health Combos
• Provides ultra-pure omega-3 fatty acids • Supports cardiovascular and brain health† • Supports bone health†
The ultimate integrative health support. Provides all the benefits of NutriVerus powder, plus it... • Supplies increased immune system support† • Supports digestive function† • Improves memory and cognitive function† • Provides ultra-pure omega-3 fatty acids
$130.10 #61911 All amounts are in US dollars.
Help us in the fight against global malnutrition. Through our Give for Real program, your order of one of the product combinations above helps nourish an at-risk child. Learn more at GiveForReal.com.
With Ambrotose® Complex $209.99 #63511 With Advanced Ambrotose® $209.99 #63611
SM
† Results vary by product. Additional product orders will be processed and shipped with your enrollment package. See Product Guide for item numbers and pricing information. See reverse side for Member Terms & Conditions.
QTY
ITEM#
B First Name I L L I N G
DESCRIPTION
Last Name
Street Address Apt/Suite City
Province
Postal Code
Daytime Phone #
S H I P P I N G
AUTO ORDER
ONE-TIME ORDER
AMOUNT
Tax Shipping & Handling Total First Name
Last Name
Street Address Apt/Suite City
Province
Postal Code
Daytime Phone # Card Number Exp. MasterCard Discover American Express Card Type: Visa E-mail Address 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 Fill in the name and account number of the Mannatech Sponsor/Enroller referring you today. Mannatech Corporate Office receives either my written notification or my verbal notification by First Name Last Name calling (866) 717-2175, showing either termination or a change in the order. By signing below, I apply to become a Member with Mannatech, Incorporated, and agree to Account# abide by the Terms and Conditions as stated on page 2 of this document. NOTE: If using a cheque, Mannatech must have a Chequing/Savings Account Form; which can be found at Library.Mannatech.com/190, on file with your appropriate information. This authorization form must be submitted by mail. Faxes cannot be accepted. X___________________________________________________ cardholder/member signature
date
Mannatech reserves the right to hold orders for verification of payment. Declined credit card orders will be held for authorization 28 business days. Mannatech will charge a $20 fee for insufficient chequing 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.
MEMBER TERMS AND C O N D I T I O N S
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/1268. 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 28 business days. Mannatech will charge a $20 fee for each cheque 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, 1.866.717.2175. For the complete Member Policies & Procedures, go to Library.Mannatech.com/1268. Fax/Mail 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.
Advanced Ambrotose, Ambrotose, Give for Real and Design, Mannatech, NutriVerus, OsoLean, PLUS, Real Food Technology and Stylized M Design are trademarks of Mannatech, Incorporated. FRENCH
©2013 Mannatech, Incorporated All rights reserved. For distribution in Canada only.
