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U.S. Client Order Form

U.S. Client Order Form

U.S. Client Order Form

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U.S. <strong>Client</strong> <strong>Order</strong> <strong>Form</strong><strong>Order</strong>ing is easy through your Arbonne IndependentConsultant or online at arbonne.com.ordered byNameBilling AddressArbonne ID*Arbonne Independent Consultant InformationName**Arbonne ID**method of paymentCredit Card Type (Check one)q MasterCard q Visa q Discover q American ExpressCredit Card No.City State ZIPShip to Address (If different from Billing)City State ZIPDaytime PhoneEvening PhoneEmailDate*If <strong>Client</strong> has an Arbonne ID. Existing <strong>Client</strong>s registering as a Preferred <strong>Client</strong> my retain the sameArbonne ID. Note: UPS and FedEx do not deliver to PO Boxes.AddressState ZIP PhoneEmail**Arbonne Independent Consultant information is necessary to complete an order.Page item product qty SRP TOTALLine 1 TOTALLine 2 Preferred <strong>Client</strong> 20% DiscountitemPRODUCT SPECIALSAsk your Arbonne Independent Consultant about special promotions and PwPs.qtyprice3477 Preferred <strong>Client</strong> Registration Fee $20$125 SRP for $25 — $125 SRP of products for $25 with each 250 RV increment. Listitems below or attach price list and add total here.$25CitytotalCard Expiration Date __ ____ / __ ____Total amount applied to this card $Cardholder’s NameCardholder’s SignatureMoney Back GuaranteeArbonne offers a 45-day Money Back Guarantee on all products for <strong>Client</strong>s who arenot completely satisfied. Product orders may be cancelled, without any penalty orobligation, within three (3) business days from the date of purchase. See reverseside for more information.shipping & handlingProduct <strong>Order</strong> Total (SRP) UPS Ground UPS 3 rd Day Air$0–$99.99 $7.95 $14.95$100–$199.99 $9.75 $21.95$200–$299.99 $12.95 $28.95$300–$399.99 $14.95 $30.95$400–$499.99 $16.95 $32.95$500–$999.99 $22.45 $35.95$1,000+ $29.95 $49.95UPS Flat Rates* UPS 2 Day UPS Next Day$19.99 $29.99*UPS 2nd Day and Next Day Air: This charge is per carton. Program details may be revisedat a later date.Surcharge to Alaska, Hawaii,Puerto Rico and U.S. Territories:Up to $249.99 order = $2.00$250+ order = $5.00Shipping fee waived with supplied FedEx Account #.$5 Handling fee on FedEx orders. FedEx Account #:Circle one: 2nd Day Air, Overnight, Standard or PriorityLINE 1 Product TOTAL $LINE 2 PREFERRED CLIENT 20% DISCOUNT $LINE 3 Product Specials PRICE TOTAL $LINE 4 SUBTOTAL (Line 1-2+3) $LINE 5 shipping & handling (Based on Full SRP) $New Preferred <strong>Client</strong> Free Product with $150 SRPUltimate Value Pack (UVP) — New Preferred <strong>Client</strong>s can select $325 worth of products for$200. Please attach Arbonne Price List and add total here.Attached to this order, please find (Check all that apply): q Preferred <strong>Client</strong> Registration <strong>Form</strong>**Must be attached if order includes a Preferred <strong>Client</strong> Registration FeeFREE$200lineLine 3 TOTALq Arbonne Price ListLINE 6 taxable Subtotal (Line 4+5) $LINE 7 Sales Tax (Line 6 x Tax @____%) $LINE 8 <strong>Order</strong> Total (Line 4+5+7) $6366R09 01©2012 ARBONNE INTERNATIONAL, LLCALL RIGHTS RESERVED. | ARBONNE.COM


NOTICE OF RIGHT TO CANCELDate of Transaction _____________________________You may CANCEL this transaction, without any penalty or obligation, within THREE BUSINESS DAYS from the date it was executed (FIVE DAYS for Alaska residents; 15 DAYS forMontana residents). If you cancel, any payments made by you under the contract or sale, and any negotiable instrument executed by you, will be returned within 10 BUSINESS DAYSfollowing receipt by Arbonne of your Cancellation Notice. If you cancel, you must make available to the seller at your residence, in substantially as good condition as when received,any goods delivered to you under this contract or sale, or you may, if you wish, comply with the instructions of the seller regarding the return shipment of the goods at the seller’sexpense and risk. If you do make the goods available to the seller and the seller does not pick them up within 20 days of the date of your Cancellation Notice, you may retain ordispose of the goods without any further obligation. If you fail to make the goods available to the seller, or if you agree to return the goods to the seller and fail to do so, then youremain liable for performance of all obligations under the contract. To cancel this transaction, mail or deliver a signed and dated copy of this Cancellation Notice, or any other writtennotice, to Arbonne, Attn: Customer Service, 4550 Excel Pkwy, Ste. 600, Addison, TX 75001 or send a fax to Arbonne at 1.866.634.1151 NO LATER THAN MIDNIGHT of the third businessday following the date you executed the Agreement.Arbonne Independent Consultant__________________________________________________________________ Arbonne ID_________________________________________I HEREBY CANCEL THIS TRANSACTION.<strong>Client</strong>/Buyer’s Name______________________________________________________________________________________________________________________________<strong>Client</strong>/Buyer’s Signature_______________________________________________________________________________________________Date ________________________Money Back Guarantee:Arbonne offers a 45-day Money Back Guarantee on all Arbonne ® products. <strong>Client</strong>s not completely satisfied may return the purchased products to their Arbonne Independent Consultant for areplacement or full refund within 45 days of the <strong>Client</strong> purchase date. A signed and fully completed Product Return <strong>Form</strong> must accompany a product return. Shipping fees are non-refundable.Please allow four to six weeks for processing. Promotional products and gift items may not be available for replacement, and may, at Arbonne’s discretion, be exchanged for an item of equal value.The Money Back Guarantee applies only to <strong>Client</strong>s and Preferred <strong>Client</strong>s who order directly from an Arbonne Independent Consultant or directly from the Company. This Money BackGuarantee does not apply to products purchased through non-approved methods of sale.

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