order form juice plus+® representative: fin form.pdfjuice plus+® fruit and vegetable blend capsule...
TRANSCRIPT
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.
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.
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UNITED STATESORDER FORM
$33.25/monthJuice Plus+® Omega Blend($1.11/day)
FamilyHealthStudy
“Basic Package”(1 shake/day + Juice Plus+® Trio)
❍ Vanilla ❍Chocolate ❍Variety+
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❤
/ /
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
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