order form juice plus+® representative: fin form.pdfjuice plus+® fruit and vegetable blend capsule...

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Quantity Juice Plus+® Products *$71.25/month ($2.38/day) *$24.50/month Shipping & Handling (AK, HI, PR, GU, US Virgin Islands: $8.50 for rst carton, $7.00 per additional carton) Order Total Juice Plus+® Fruit, Vegetable & Berry Blends ORDER FORM Signature: Credit Card #: Exp. Date: / MC AMEX DISCOVER BANK DRAFT** (Debit or Credit) Date: / / City: State: ZIP: E-Mail: Name on Card: Sponsoring Adult’s Name: Child’s Name: Child’s Birthdate: / / College Attending (full-time undergrad): Student’s Email: Desired Juice Plus+® product for child: Capsules Chewables I understand that my child will receive free Juice Plus+® product (capsules or chewables) for the period of one year. I agree to be a Juice Plus+® Fruit and Vegetable Blend capsule or chewable customer during this period. I agree to pay shipping/handling for my product and my child’s free product: 1 box of capsules or chewables ($1.75 monthly) or 2 boxes of chewables ($3.50 monthly). ($2.05/shake) Merchandise Total (Applicable Taxes Apply; Prices Subject to Change) Juice Plus+ Complete® Vanilla Chocolate Variety (half and half of each) Name: Address: Phone: Method of Payment (circle one): VISA FIN: **Bank Draft Routing #: Checking Acct #: *$76.75/month ($2.56/day) Juice Plus+® Fruit, Vegetable & Berry Blend ($2.17/bar) Juice Plus+ Complete® Nutrition Bar Tart Cherry/Honey Dark Chocolate/Fig Variety ( of each ) Juice Plus+® Chewable ($. /day) * * ($2. /shake) Vanilla Chocolate Variety (half and half of each) Juice Plus+ Complete® * * Juice Plus+® Omega Blend Capsules *$33.25/month ($1.11/day) Fruit & Vegetable *$17.00/month ($.56/day) *Free with FHS Family Health Study This order qualifies you for enrollment in the Family Health Study. Berry Blend Juice Plus+® Representative: *$44.50/month ($1.48/day) Juice Plus+® Fruit & Vegetable Blends *This order ships in a 4-month supply.

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Page 1: ORDER FORM Juice Plus+® Representative: FIN Form.pdfJuice Plus+® Fruit and Vegetable Blend capsule or chewable customer during this period. I agree to pay shipping/handling for my

Quantity Juice Plus+® Products

*$71.25/month ($2.38/day)

*$24.50/month

Shipping & Handling (AK, HI, PR, GU, US Virgin Islands: $8.50 for first carton, $7.00 per additional carton)

Order Total

Juice Plus+® Fruit, Vegetable & Berry Blends

ORDER FORM

Signature:

Credit Card #: Exp. Date: /

MC AMEX DISCOVER BANK DRAFT**(Debit or Credit)

Date: / /

City: State: ZIP:

E-Mail:

Name on Card:

– – –

Sponsoring Adult’s Name:

Child’s Name: Child’s Birthdate: / /

College Attending (full-time undergrad): Student’s Email:

Desired Juice Plus+® product for child: Capsules Chewables

I understand that my child will receive free Juice Plus+® product (capsules or chewables) for the period of one year. I agree to be a Juice Plus+® Fruit and Vegetable Blend capsule or chewable customer during this period. I agree to pay shipping/handling

for my product and my child’s free product: 1 box of capsules or chewables ($1.75 monthly) or 2 boxes of chewables ($3.50 monthly).

($2.05/shake)

Merchandise Total (Applicable Taxes Apply; Prices Subject to Change)

Juice Plus+ Complete®

Vanilla Chocolate Variety (half and half of each)

Name:

Address:

Phone:

Method of Payment (circle one): VISA

FIN:

**Bank Draft Routing #:Checking Acct #:

*$76.75/month ($2.56/day)Juice Plus+® Fruit, Vegetable & Berry Blend

($2.17/bar)Juice Plus+ Complete® Nutrition Bar Tart Cherry/Honey Dark Chocolate/Fig Variety ( of each )

Juice Plus+® Chewable ($. /day)

*

*

($2. /shake)

Vanilla Chocolate Variety (half and half of each)

Juice Plus+ Complete®

*

*

Juice Plus+® Omega Blend Capsules *$33.25/month ($1.11/day)

Fruit & Vegetable *$17.00/month($.56/day)

*Free with FHS

FamilyHealthStudy

❤ This order qualifies you for enrollment in the Family Health Study.

Berry Blend

Juice Plus+® Representative:

*$44.50/month ($1.48/day)

Juice Plus+® Fruit & Vegetable Blends ❤

*This order ships in a 4-month supply.

Page 2: ORDER FORM Juice Plus+® Representative: FIN Form.pdfJuice Plus+® Fruit and Vegetable Blend capsule or chewable customer during this period. I agree to pay shipping/handling for my

ORDER FORM Fax your order to 901-850-3061

Juice Plus®+ Representative: ____________________________________________ FIN: ________________________________

Name: ______________________________________________________________________________ Date:_____/_____/______

Address:___________________________________________City:___________________________State:_____Zip:____________

Phone:________________________________________E-Mail:_______________________________________________________

Method of Payment (circle one): VISA MC AMEX DISCOVER BANK DRAFT**

Credit Card #:__________ - __________ - __________ - __________ Exp. Date:____ / ____

Name on Card:_______________________________________Signature:_____________________________________________

**Bank Draft Checking Acct #:_________________________________Routing #:____________________________________

Quantity Juice Plus+® Products Preferred 4-Month Installment Price

I understand that the child listed below will receive free Juice Plus+® product (capsules or chewables) for the period of one year. I agree to be a Juice Plus+® Fruit and Vegetable Blend capsule customer during this period. I agree to pay shipping/handling for my product and my child’s free product.

Sponsoring Adult’s Name: ________________________________________________________________________________

Child’s Name: _______________________________________________ Child’s Birthdate:________ / ________ / ________

College Attending (full-time undergrad): _____________________ Student’s Email: __________________________________

Desired Juice Plus+® product for child: ❍Capsules ❍Chewables

“Shred10TM Package” (2 shakes/day + Juice Plus+® Trio + Omega

❍ Vanilla ❍Chocolate ❍Variety

“Premium Package” (1 shake/day + Juice Plus+® Trio + Omega❍ Vanilla ❍Chocolate ❍Variety

$71.25/month Juice Plus+® Fruit, Vegetable &Berry Blend Capsules ($2.38/day)

$76.75/month Juice Plus+® Fruit, Vegetable &Berry Blend Chewables ($2.56/day)

Complete by Juice Plus+® Nutrition Bars (60 bars) $32.50/month ❍ Tart Cherry + Honey ❍Dark Chocolate + Fig ❍Variety (30 of each) ($2.17/bar)

Merchandise Total (Applicable Taxes Apply; Prices Subject to Change)

Shipping & Handling (AK,HI, PR, GU, US Virgin Islands: $8.50 for first carton, $7.00 / additional carton)

ORDER TOTAL

$237.50/month($7.90/day)

$171.00/month($5.70/day)

$137.75/month($4.60/day)

❤This order qualifies you for enrollment in the Family Health Study.

+ +

+

UNITED STATESORDER FORM

$33.25/monthJuice Plus+® Omega Blend($1.11/day)

FamilyHealthStudy

“Basic Package”(1 shake/day + Juice Plus+® Trio)

❍ Vanilla ❍Chocolate ❍Variety+

Page 3: ORDER FORM Juice Plus+® Representative: FIN Form.pdfJuice Plus+® Fruit and Vegetable Blend capsule or chewable customer during this period. I agree to pay shipping/handling for my

/ /

Fax:

FIN:

Today’s Date:

Representative Name:

Phone:

E-mail:

Website: ORDER FORM

Same as shipping

/ /

Fax:

FIN:

Today’s Date:

Representative Name:

Phone:

E-mail:

Website: ORDER FORM

BILLING ADDRESS

Name on Account:

Billing Address:

City:

State: Zip Code:

Phone:

Same as shipping

METHOD OF PAYMENT (circle one):

VISA MC AMEX DISCOVER BANK DRAFT* (Debit or Credit)

*Checking Acct #:

Credit Card #:

Exp. Date: /

Routing #:

I understand that I will be billed according to the payment plan selected above.

Signature:

QTY Tower Garden® Products Pay in Full

Tax Any applicable tax is based on city, county, and state taxes.

Freight Total

Tower Garden® Growing System $525.00

PAYMENT OPTIONSPAY IN FULL

PAY IN 12 PAYMENTS Order must include a Tower Garden® Growing System. Installment fee of $18 will be added to your order. The first installment will include thetotal freight.

Serious Gardener Bundle $784.90

Green Thumb Bundle $644.95

Tower Garden® Accessories

Support Cage $60.00

Family Garden Bundle $1690.00

Rockwool Cubes (98) $11.95

Tower Garden® Mineral Blend $40.00

Extension Kit $70.00

SHIPPING ADDRESSShipping is not available to P.O. boxes. Only available in the Continental United States. We cannot process any orders for AK, HI, GU, PR, US Virgin Islands, AS, FPOs or APOs.

Customer Name:

Address:

City:

State: Zip Code:

Daytime Phone:

E-mail Address:

Order Total

12-month Installments

Tower Garden® Dolly

Freight A 30% freight discount is applied on accessories if three or more are ordered at the same time. Discount already applied to bundle pricing.

Discount does not apply to freight on Tower Garden® Growing System.

$69.95

$45.25

$66.23

$54.57

$142.33

$50.00

$108.10

$81.50

$19.00

$160.00

$7.00

$19.00

$19.00

$19.00

Seedling Starter Kit $19.95

pH Kit (pH+, pH-, Test Kit) $19.95

Net Pot (30) $11.95

Weather Protection Blanket* $49.95

$9.00

$9.00

$7.00

$19.00

Tower Garden® Grow Lights (requires tomato cage , not included)

$219.00 $20.00

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Page 4: ORDER FORM Juice Plus+® Representative: FIN Form.pdfJuice Plus+® Fruit and Vegetable Blend capsule or chewable customer during this period. I agree to pay shipping/handling for my

PRICING GUIDE

Tower Garden® Growing SystemIncludes everything needed to start growing. Tower Garden®, starter supply of Tower Garden® Mineral Blend, pH Test Kit, Seedling Starter Kit for 20 plants

Support CageProvides support for tomatoes, cucumbers, watermelon, and other climbing plants

Tower Garden® Mineral BlendOne gallon each of A and B

Rockwool Cubes98 cubes used to start your own seedlings

Extension KitAdds two more levels to the top of the Tower Garden®, allowing space for 8 more plants. Additional net pots and rockwool are included.

Tower Garden® DollySpecially designed industrial strength dolly used for easily moving your Tower Garden®

Monthly Installment Price12 month interest-free payment plan (Taxes not included)

Freight FeeCollected with first installment

Tower Garden® Growing System

Green Thumb Bundle

Serious Gardener

Bundle

Family Garden

3 Towers(Includes 3 pumps, 2 timers, 84 rockwool cubes, seedling starter kit, 2 pH test kits, 2 bottles each of pH+ and pH-, drainage hose)

1 gallon + 3 quarts of both A and B

$50.00 $81.50 $108.108.10 160.00

$45.25 $54.57 $66.23 $142.33

3 Extension Kits