Reliv Distributor Order Form â Nutritional Products
Reliv Distributor Order Form — Nutritional Products Four Easy Ways to Order:
1. Call 800 RELIV US (735.4887) 2. Order online at reliv.com 3. Fax completed form to: 636.537.9753 4. Mail completed form to: Reliv Inc. P.O. Box 405 Chesterfield, MO 63006-0405
P
NAME (LAST)
R C HB AY
NAME (FIRST) RCN
S E
AREA CODE
D
(
PHONE NUMBER
)
NAME (FIRST)
T O
Month of
CITY
Profit Level
STATE
BV
350 350 37.5 75 50 50 22 22 45 25 25 60 38 38 32 75 50 – 40 30 8 70
PVQ Order (Y or N) (Direct Advantage Autoship orders not eligible for PVQ.)
PHONE NUMBER
)
SINGLE
Reliv Now Super Pack – Reliv Classic Super Pack – LunaRich X™ capsules (60 count) – Case of 6 LunaRich X™ capsules (120 count) – Case of 6 Reliv Now® – Case of 12 Reliv Classic® – Case of 12 Innergize!® Lemon – Case of 12 Innergize!® Orange – Case of 12 FibRestore® – Case of 6 Reliv Now® for Kids Vanilla – Case of 6 Reliv Now® for Kids Chocolate – Case of 6 Arthaffect® – Case of 6 ProVantage® – Case of 12 SoySentials® – Case of 6 Slimplicity® Vanilla – Case of 12 ReversAge® – Case of 6 Reliv 24K™ Bottle – Case of 12 Reliv 24K™ 2 oz. Double-Shot – Pack of 6 – CardioSentials® – GlucAffect® – Case of 6 Reliv Delight® – Case of 6 Cellebrate® – Case of 6
Would you like to make this a Direct Advantage Autoship order?
ZIP
AREA CODE
QUANTITY SINGLE CASE
TODAY’S DATE
ADDRESS (DO NOT USE P.O BOX)
(
ITEM CODE DESCRIPTION CAN CASE
92012 – 92022 – 92060 2060 92120 2120 91012 1012 91022 1022 91020 1050 91021 1051 91062 1062 91016 1016 91017 1017 91025 1025 91041 1041 91042 1042 91037 1037 91027 1027 91080 1080 – 1082 91110 – 91007 1007 91045 1045 91071 1071
NAME (LAST)
S H I P
U
CASE
BV TOTAL
– – 225 450 600 600 264 264 270 150 150 360 456 228 384 450 600 12 – 180 48 420
380 380 40 80 55 55 26 26 50 32 32 66 44 44 38 90 52 – 110 70 15 76
BV SUBTOTAL
Cardholder Signature
Please select a start date for your Direct Advantage Autoshipment to begin ____________ (mm/dd/yyyy). Actual delivery of your first shipment will be approximately 5-7 days following this date. Subsequent deliveries will arrive approximately the same day of the month as your 1st delivery.
RV/PV TOTAL
– – 240 480 660 660 312 312 300 192 192 396 528 264 456 540 624 24 – 420 90 456
RV/PV SUBTOTAL
– Discount (RV x Profit Level) + TAX
Yes No Monthly Quarterly
I hereby authorize Reliv International, Inc. to process a charge to my credit card every month or quarter as indicated above for my Direct Advantage Autoship order.
RV/PV SINGLE CASE
P A C K A G I N G
H A N D L I N A G N D
Choose method of P&H. Check box & multiply P&H % times RV subtotal.
Ground – $9 (All orders under $150) Ground – 6% (Orders $150 - $999.99) Ground – 5% (Orders $1,000 - $2,999.99) Ground – 3% (Orders $3,000 & over) 2nd Day – 15% (Minimum – $15.00) Next Day – 20% (Minimum – $20.00)
*A 15% packaging and handling fee combined with $20 surcharge will be assessed on all orders shipped to Bermuda.
P A Y M E N T
CREDIT CARD:
Visa
+ P&H
= TOTAL DUE
Mastercard
Discover
AMEX
Money Order/Cashier’s Check
Card Number _____________________________________________________________________________ Exp. Date _______ Name that appears on card______________________________________________ Cardholder’s Billing Address:_____________________________________________________________ 3200 8/16
7/16
Give your business a boost with Direct Advantage Autoship
*Please Note: Individual Autoship orders greater than $500 Retail Value will be assumed as purchased for resale and taxed accordingly at suggested retail pricing.
By Fax/Mail/Phone: 1. Fill out the order form on the reverse side of this flyer. Be sure to include your credit card information. 2. Choose a start date. 3. Fax your signed form to 636.537.9753 4. Mail it to: Reliv Distributor Services, P.O. Box 405, Chesterfield MO 63006-0405 5. Or call the Reliv Distributor Services Center at 800 RELIV US (735.4887)
Online: 1. Log into the Distributor Portal and click the Shopping tab. 2. Select the products you want to include in your autoship order. 3. Click yes to “Make this my autoship order” at check out.
Sign-Up Is Simple
Convenient. You’ll save time every month, which you can use to build your Reliv business. Accurate. Your personal order will always be automatic — and always be on time. Healthy. No need to worry about running out of product. Your next shipment is just a month away. New Quarterly option allows you to receive your preferred order once every three months. Smart. If you currently pay sales tax, you could save money. Most personal autoship orders will be taxed at wholesale (based on your Distributor profit level) rather than retail.* Consistent. Combined with customer autoship the program will help you create consistent monthly volume. Flexible. Adjust your order whenever you want. Orders may be changed, placed on “shipping hold” or cancelled online or by notifying Reliv at least 5 days prior to the next shipment.
With Direct Advantage Distributor Autoship Why Direct Advantage Autoship?
Get Started Now
1. Call 800 RELIV US (735.4887) 2. Order online at reliv.com 3. Fax completed form to: 636.537.9753 4. Mail completed form to: Reliv Inc. P.O. Box 405 Chesterfield, MO 63006-0405
P
NAME (LAST)
R C HB AY
NAME (FIRST) RCN
S E
AREA CODE
D
(
PHONE NUMBER
)
NAME (FIRST)
T O
Month of
CITY
Profit Level
STATE
BV
350 350 37.5 75 50 50 22 22 45 25 25 60 38 38 32 75 50 – 40 30 8 70
PVQ Order (Y or N) (Direct Advantage Autoship orders not eligible for PVQ.)
PHONE NUMBER
)
SINGLE
Reliv Now Super Pack – Reliv Classic Super Pack – LunaRich X™ capsules (60 count) – Case of 6 LunaRich X™ capsules (120 count) – Case of 6 Reliv Now® – Case of 12 Reliv Classic® – Case of 12 Innergize!® Lemon – Case of 12 Innergize!® Orange – Case of 12 FibRestore® – Case of 6 Reliv Now® for Kids Vanilla – Case of 6 Reliv Now® for Kids Chocolate – Case of 6 Arthaffect® – Case of 6 ProVantage® – Case of 12 SoySentials® – Case of 6 Slimplicity® Vanilla – Case of 12 ReversAge® – Case of 6 Reliv 24K™ Bottle – Case of 12 Reliv 24K™ 2 oz. Double-Shot – Pack of 6 – CardioSentials® – GlucAffect® – Case of 6 Reliv Delight® – Case of 6 Cellebrate® – Case of 6
Would you like to make this a Direct Advantage Autoship order?
ZIP
AREA CODE
QUANTITY SINGLE CASE
TODAY’S DATE
ADDRESS (DO NOT USE P.O BOX)
(
ITEM CODE DESCRIPTION CAN CASE
92012 – 92022 – 92060 2060 92120 2120 91012 1012 91022 1022 91020 1050 91021 1051 91062 1062 91016 1016 91017 1017 91025 1025 91041 1041 91042 1042 91037 1037 91027 1027 91080 1080 – 1082 91110 – 91007 1007 91045 1045 91071 1071
NAME (LAST)
S H I P
U
CASE
BV TOTAL
– – 225 450 600 600 264 264 270 150 150 360 456 228 384 450 600 12 – 180 48 420
380 380 40 80 55 55 26 26 50 32 32 66 44 44 38 90 52 – 110 70 15 76
BV SUBTOTAL
Cardholder Signature
Please select a start date for your Direct Advantage Autoshipment to begin ____________ (mm/dd/yyyy). Actual delivery of your first shipment will be approximately 5-7 days following this date. Subsequent deliveries will arrive approximately the same day of the month as your 1st delivery.
RV/PV TOTAL
– – 240 480 660 660 312 312 300 192 192 396 528 264 456 540 624 24 – 420 90 456
RV/PV SUBTOTAL
– Discount (RV x Profit Level) + TAX
Yes No Monthly Quarterly
I hereby authorize Reliv International, Inc. to process a charge to my credit card every month or quarter as indicated above for my Direct Advantage Autoship order.
RV/PV SINGLE CASE
P A C K A G I N G
H A N D L I N A G N D
Choose method of P&H. Check box & multiply P&H % times RV subtotal.
Ground – $9 (All orders under $150) Ground – 6% (Orders $150 - $999.99) Ground – 5% (Orders $1,000 - $2,999.99) Ground – 3% (Orders $3,000 & over) 2nd Day – 15% (Minimum – $15.00) Next Day – 20% (Minimum – $20.00)
*A 15% packaging and handling fee combined with $20 surcharge will be assessed on all orders shipped to Bermuda.
P A Y M E N T
CREDIT CARD:
Visa
+ P&H
= TOTAL DUE
Mastercard
Discover
AMEX
Money Order/Cashier’s Check
Card Number _____________________________________________________________________________ Exp. Date _______ Name that appears on card______________________________________________ Cardholder’s Billing Address:_____________________________________________________________ 3200 8/16
7/16
Give your business a boost with Direct Advantage Autoship
*Please Note: Individual Autoship orders greater than $500 Retail Value will be assumed as purchased for resale and taxed accordingly at suggested retail pricing.
By Fax/Mail/Phone: 1. Fill out the order form on the reverse side of this flyer. Be sure to include your credit card information. 2. Choose a start date. 3. Fax your signed form to 636.537.9753 4. Mail it to: Reliv Distributor Services, P.O. Box 405, Chesterfield MO 63006-0405 5. Or call the Reliv Distributor Services Center at 800 RELIV US (735.4887)
Online: 1. Log into the Distributor Portal and click the Shopping tab. 2. Select the products you want to include in your autoship order. 3. Click yes to “Make this my autoship order” at check out.
Sign-Up Is Simple
Convenient. You’ll save time every month, which you can use to build your Reliv business. Accurate. Your personal order will always be automatic — and always be on time. Healthy. No need to worry about running out of product. Your next shipment is just a month away. New Quarterly option allows you to receive your preferred order once every three months. Smart. If you currently pay sales tax, you could save money. Most personal autoship orders will be taxed at wholesale (based on your Distributor profit level) rather than retail.* Consistent. Combined with customer autoship the program will help you create consistent monthly volume. Flexible. Adjust your order whenever you want. Orders may be changed, placed on “shipping hold” or cancelled online or by notifying Reliv at least 5 days prior to the next shipment.
With Direct Advantage Distributor Autoship Why Direct Advantage Autoship?
Get Started Now
