Order.form.08 08 Master

ORDER FORM All of the Good, None of the Bad & The Measureable Difference

Date:___________________________________

NAME:_____________________________________________________________

Distributor ID#: ___________________________________________

ADDRESS: _________________________________________________________

SS#:____________________________________________

____________________________________, _______________ CITY

____________

STATE

Birth date: ___________________________________________

Nu Skin Enterprises 75 West Center Provo, UT 84601

ZIP

Phone:___________________________________________________________

1-800-487-1000

E-Mail: ___________________________________________________________

Fax 1-800-487-8000 Referring:_____________________________________________________

Sponsor:_____________________________________________________________ Qt y

Item #

Description

Retail Price

Wholesale/ADR

01 103600

Galvanic Business Builder Combo Pac (5 Spa Beauty at Home Pkgs – (5) NaPCA Mist, Certificates: (1) Marriott and (1) Millionaire Training

01 103433

Spa Beauty at Home Package - White (3477 Black)

$350.00

$265.00

01 103449

Spa Beauty at Home Facial Gels-ADR (Facial Gels =8 treatments – 1 month supply)

$70.00

$50.00

01 101226

NaPCA Moisture Mist

$10.93

$7.60

01 102782

Tru Face Essence Ultra ADR

$171.00

$138.00/$128. 25

01 103460

NuSkin 180º with Galvanic Gels ADR

$199.00

$153.00

01 004046

NuSkin 180 Skin care System ADR

$143.00

$107.00

01 102704

TruFace Line Corrector

$78.00

$34.00/$32.30

01 101241

Tru Face “Ideal Eyes”

$46.00

$32.00/$30.40

01 110270

Dermatic Effects Body Contouring Lotion

$44.00

$31.00/$29.45

01 102725

Galvanic Spa Body Shaping Gel

$44.00

$31.00/$29.45

01 103603

Ultra Anti-Aging Collection ADR – TruFace Essence Ultra, Facial gels, 180 Face Wash

$243.00

$180.00

01 103466

Spa Body Collection ADR– Body Shaping Gel, Dermatic Effects, liquid Lufra

$97.00

$67.00

01 012482

Science of Youth Package -Tru Face Essence ADR

$143.00

$107.00

01 101218

Nutriol Hair Fitness Treatment

$63.00

$44.00/$41.80

01 101219

Nutriol Shampoo

$33.00

$23.00/$21.85

01 131809

Celltrex CoQ10 Complete

$51.00

$36.00/$34.20

01 102728

Moisture Restore Day SPF 15 (normal to dry skin) (702 – normal to oily skin)

$34.00

$24.00/$22.80

N/A

Ext. Price

Line Total

$1325.00

BIOSCAN CERTIFICATE NUMBER: __________________________________________ Estimated Shipping Retail Sales Tax Estimated Total

Credit Card information: Type of Card:

MC VISA AMEX

DISC

CREDIT CARD NUMBER:_________________________________________________Exp__________ CARDHOLDER’S PRINTED NAME:________________________________________ CARDHOLDER’S SIGNATURE:___________________________________________ CC BILLING ADDRESS ZIP CODE:_________________________________________

SIGNATURE

I would like to receive my products automatically every month. I have indicated the quantities, processing date, and payment method above.

DATE

ORDER FORM The Difference Demonstrated Qty

Item #

01 004064

Description

Retail price

Wholesale/ADR

Tri-Phasic White System ADR

$143.00

$107.00

Tri-Phasic White Essence

$63.00

$44.00/$41.8 0

01 003648

G3 Juice ADR (2-Pack)

$89.50

$63.65

01 103107

G3 Juice ADR (4-Pack)

$167.00

$107.00

01 003610

LifePak Nano ADR (30 Day Supply)

$167.00

$107.00

01 102730

Ext. Price

Line Total

Estimated Shipping Sale Tax (on Retail for Dist.) Es timated Total

Nu Skin Enterprises 75 West Center Provo, Utah 84606 Phone 1-800-487-1000 Fax 1-800-487-8000

Rev: 08/08