Amway India Enterprises Pvt. Ltd.

Ground & Ist floor, Elegance Tower, Plot# 8

Non Hierarchical Commercial centre, Jasola, New Delhi- 110025

DISTRIBUTOR ORDER FORM

Updated as on 05-04-12

DISTRIBUTOR NUMBER :

PICK UP ORDER :

DATE :

DISTRIBUTOR NAME :

HOME DELIVERY ORDER :

LOCATION :

SKU NO.

Qty.

Description

PV

DAP
Value

SKU NO.

Qty.

Description

PV

DAP
Value

248391 ID

BUSINESS START. GUIDE

0.00

0.00

248392 ID

NUMBERLESS APPL.PAD

0.00

100.00

2183IDI

G&H LOTION 250 ML

PERSONAL CARE
4.39

329.00

248390 ID

CUSTOMER RECEIPT PAD

0.00

25.00

2184IDI

NATURE SHOWER. H. SOAP 250ML

4.39

329.00

NUTRITION & WELLNESS

89 IDM
102992 IDI

5030IDI

SAT 2IN1 SHAMPOO & COND. 250 ML

4.39

329.00

5050IDI

SAT ADV MOIST DET COND. 250 ML

4.39

329.00

NUT. BONE HEALTH WITH IPV -60 Tabs

25.80

1933.00

5060IDI

NUT. CONC. FRUITS & VEG.LM

18.12

1358.00

5070 IDN

SAT ADV DC SHAMPOO 250 ML

4.39

329.00

SAT. HAIR REJUV. MASQUE 150 ML

4.85

363.00

G & H BODY SHAMPOO 250 ML

4.39

329.00

PERSONA TALC POWDER 350 Gms.

2.11

158.00

5985 IDI

SIBERIAN GINSENG 100 Tabs

30.70

2299.00

6826 IDI

8086 IDI

GLUCOSAMINE HCL 120 Tabs

30.70

2299.00

215358IDI

NUTRILITE SALMON OMEGA 60 Tab

13.90

1041.00

216916IDI

PERSONA TALC POWDER 200 Gms.

1.42

107.00

NUT.GARLIC HEART CARE LM 60 Tab

7.56

566.00

212738 IDI

DYNAMITE SHAVING FOAM 200 Gm

3.21

241.00

100066 IDM
100076 IDI
242462 IDI

NUT. KIDS CHOC. DRINK 500 Gms

10.77

808.00

212739IDI

DYNAMITE AFTER SHAVE MOIS. 100 ML

1.89

142.00

242464IDI

NUT.KIDS DRINK MANGO

10.77

808.00

212740IDI

DYNAMITE AFTER SHAVE SPLASH 100 ML

3.88

291.00

102578 IDI

NUT. PROTEIN WITH GREEN TEA

22.83

1710.00

246173ID

PERSONA SOAP PREMIUM PACK OF 3 (75 Gms)

1.44

108.00

107766 IDI

NUT.PROTEIN FAMILY PK 1KG

34.70

2599.00

246220 IDI

EXTRA ADV. SR. TOOTHBRUSH ( 4 IN 1)

1.47

110.00

100141 IDI

NUT.PROTEIN POWDER 500 Gms

20.59

1543.00

241041IDI

PERSONA JUNIOR TOOTHBRUSH (4 IN 1)

1.06

80.00

100142IDI

NUT.PROTEIN POWDER 200 Gms

9.79

733.00

215434 ID

SAT. ADVANCED 2IN1 SACHET 4 MLX20

1.20

100.00

102745 IDI

NUT. DAILY 120 TABS (LM)

23.12

1733.00

215435 ID

SAT. ADVANCED DC SACHET 4 MLX20

1.20

100.00

100260IDI

NUT. DAILY 60 Tabs (LM)

13.67

1024.00

215436 ID

SAT. DETANGLER SACHET 4 MLX20

1.20

100.00
104.00

100309 IDI

TRIPLE GUARD ECHINACEA.60 Tabs

16.68

1250.00

100660 IDI

G&H BODY SHAMPOO 60ML

1.39

242461 IDI

NUTRILITE KIDS CHEWABLE 60 Tabs

13.12

983.00

200760IDI

GLISTER MULTI-ACTION TP 100 Gms (PASTE)

1.52

113.00

100997 IDI

NUTRILITE IRON FOLIC 90 Tabs

8.67

649.00

100661 IDI

G&H LOTION 60ML.

1.39

104.00

100950 IDI

SWEETSHOT MINT 8 ML (MOUTH FRESHENER)

2.32

174.00

101153 IDI

NUTRILITE BIO C 100 Tabs

13.12

983.00

101154 IDI

NUT. PARSELENIUM E 30 Tabs

13.12

983.00

101419 IDI

NUTRILITE NATURAL B 100 Tabs

8.89

666.00

105074 IDI

NUTRILITE FIBER

9.89

741.00

NUTRILITE CH BALANCE

30.24

2266.00

A4871IDM

LOOSE POWDER FAIR

21.12

1583.00

POSITRIM LOW FAT DRINK (CHOC.)

21.12

1583.00

A4872IDM

LOOSE POWDER MEDIUM

21.12

1583.00

217040 IDI

POSITRIM LOW FAT DRINK (VANILA)

21.12

1583.00

104126IDN

ESS HYDRATIN CLEANSER ( Pink )

13.12

983.00

109960IDI

NUTRILITE CALMAG - D

7.11

533.00

104127IDN

ESS HYDRATIN TONER (Pink)

13.12

983.00
1158.00

100070 IDO
212132 IDI

COSMETICS

A4302 IDI

NUT. KIDS CHEWABLE CALMAG

8.89

665.00

104128IDN

ESS HYDRATIN LOTION ( Pink)

15.45

A8617 ID

NUR KIDS CHEWABLE VITAMIN C

16.68

1249.00

104129IDN

ESS BALANCING CLEANSER (GREEN )

13.12

983.00

A8669 IDI

NUT. KIDS CHEWABLE IRON

7.33

549.00

104130IDN

ESS BALANCING TONER (GREEN )

13.12

983.00

100346 IDI

NUT. KIDS CHEWABLE CFV

16.89

1266.00

104131IDN

242259 IDI

NUT KIDS DRINK MIXED FRUIT

10.77

808.00

107992 IDM

A8600ID

ESS BALANCING LOTION (GREEN )

15.45

1158.00

ALPHA HYDROXY SERUM PLUS

25.58

1916.00
1324.00

NUT GLUCOSE HEALTH

16.68

1249.00

100183 IDN

ARTISTRY CREAMY MASSAGE

17.68

100352ID

NIT MILK THISTLE

17.79

1333.00

106399IDN

POLISHING SCRUB - A8 ESS

13.12

983.00

116347ID

NUT.KIDS DRINK STRAWBERRY

10.77

808.00

106401 IDN

MOISTURE INTENSE MASQUE

13.12

983.00

HOME CARE
33 IDI
239815IDI
137 IDD
138 IDD
228 IDI

105531IDN

REPLENISHING EYE CRME

8.62

646.00

100240 IDN

SKIN REFINISHING LOTION

26.24

1966.00

104020 IDN

PURE WHITE ESSENCE

23.35

1749.00

101821IDN

TIME DEFIANCE DAY TIME CRME

25.68

1924.00

SA8 GELZYME 1LITRE

7.95

596.00

PURSUE 5 LITRE

18.35

1375.00

101822IDN

TIME DEFIANCE DAY TIME LOTION

25.68

1924.00

LOC SACHET 8 ML

0.06

5.00

101823IDN

TIME DEFIANCE NIGHT TIME CREME

25.68

1924.00

DISH DROP SACHET 8ML.

0.06

5.00

101824IDN

DISH DROPS 1 LITRE

6.23

467.00

106136 ID

TIME DEFIANCE NIGHT TIME LOTION

25.68

1924.00

SDS FOUNDATION CAMEO

22.24

1666.00

3417 IDI

APSA-80 1 LITRE

8.35

625.00

106147 ID

SDS FOUNDATION SOLEIL

22.24

1666.00

3941 IDI

SEE SPRAY CONC 500 ML

2.79

209.00

106150 ID

SDS FOUNDATION GOLDEN

22.24

1666.00

4110 IDI

SA8 DELICATE 500 ML.

4.55

341.00

239111IDA

ATT. EYE PENCIL-COBALT BLUE EYEPENCIL

3.12

233.00

4111 IDI

CAR WASH 500 ML.

2.86

214.00

239112IDA

ATT. EYE PENCIL-DEEP PURPLE EYEPENCIL

3.12

233.00

7506 IDI

PURSUE DISINFECTANT 500 ML

2.97

223.00

239113IDA

ATT. EYE PENCIL-DARK BROWN EYEPENCIL

3.12

233.00

8095 IDI

LEATHER & VINYL CLEANER 500ML

3.44

258.00

233889IDB

ATT. EYE PENCIL-KAJAL COAL

3.12

233.00

8156 IDI

LOC HIGH SUDS 1LITRE

4.73

354.00

250038ID

ATT. LIPSTICK PINK DIAMOND

2.21

166.00

8391 IDI

DISH DROP 500ML..

3.64

272.00

250039ID

ATT. LIPSTICK SHINY COPPER

2.21

166.00

8392 IDI

LOC HIGH SUDS 500 ML.

2.86

214.00

250040ID

ATT. LIPSTICK WALNUT BROWN

2.21

166.00

8393 IDI

ZOOM 500 ML

2.79

209.00

250041ID

ATT. LIPSTICK RED WINE

2.21

166.00

8945 IDI

PREWASH LIQUID 500ML

4.44

332.00

244654 ID

ATT. LIPSTICK CHOCO TEMPTATION

2.88

216.00

8967 IDI

SILICONE GLAZE 500ML

5.44

408.00

244655 ID

ATT. LIPSTIK MARRON MAGIC

2.88

216.00

100949 IDI

APSA-80 500ML.

5.11

383.00

244656 ID

ATT. LIPSTICK NATURAL BROWN

2.88

216.00

101158 IDI

SA8 GELZYME 500ML.

4.68

351.00

244657 ID

ATT. LIPSTICK BROWN DAZZLE

2.88

216.00

239814IDI

APSA - 80 5 LTR

35.48

2658.00

244658 ID

ATT.LIPSTICK SASSY PINK

2.88

216.00

244659 ID

ATT.LIPSTICK PLUM SHINE

2.88

216.00

244660 ID

NAIL CRIMSON STORM

1.5

113.00

(PTO)

*The above prices are subject to change. Please Check the actual price before placing the order.
PAYMENT MODE: CASH

CR. CARD

DD

A/R

BONUS CHEQUE

ITZ CARD

Distributors Signature

TEAR OFF

RECEIPT (To be filled in by Cashier)

ORDER NO.

DATE

AMOUNT

CASH / CC / DD / BC / ITZ / A/R

Signature

SKU NO.

Qty.

Description

PV

DAP
Value

SKU NO.

Qty.

Description

PV

DAP
Value

244661 ID

NAIL PAINTS PINK SLUSH

1.5

113.00

244662 ID

NAIL PAINTS HONEY GLAZE

1.5

113.00

235227ID

NUT. CFV LAUNCH BROC-ENG

BSM-ENGLISH
0.00

50.00

244663 ID

NAIL PAINTS NUTTY BROWN

1.5

113.00

232124ID

EAT HARD OR SMART 2008

0.00

50.00

244664 ID

ATTITUDE TESTER PACK

0.00

119.00

WHU9668IDF

234193IDI

ATTITUDE CLEANSER- OILY

3.95

296.00

241029ID

HOME CARE BROC. -ENGLISH

0.00

40.00

ARTISTRY BEAUTY BOOK(2)

0.00

80.00
225.00

234209IDI

ATTITUDE TONER- OILY

3.95

296.00

WHU9942ID

THE MAGIC OF THINKING BIG

0.00

234210IDI

ATTITUDE MOSITURIZER- OILY

6.18

463.00

WHU9956ID

PROTEIN 4 EVERY

0.00

75.00

234214IDI

ATTITUDE CLEANSER- DRY

3.95

296.00

230684IDC

ALL PRODUCT BROCHURE -ENG

0.00

75.00
100.00

234215IDI

ATTITUDE TONER- DRY

3.95

296.00

233306IDA

234245IDI

ATTITUDE MOSITURIZER- DRY

6.18

463.00

236932ID

234246IDI

ATTITUDE FACE WASH

2.77

208.00

WHU9668IDF

N & W PRODUCT HANDBOOK (2) ENG

0.00

ART. CTM BAL&HYD SYS. GUIDE-EG

0.00

25.00

HOME CARE BRO-ENG

0.00

40.00
300.00

234248IDI

ATTITUDE SUNSCREEN

4.32

324.00

246226 ID

NUTRILITE BUSINES BOOSTER

0.00

234249IDI

ATTITUDE FACE MASQUE

3.32

249.00

231991ID

BEHIND BROCH. FOR ALL ABOS

0.00

12.00

234250IDI

ATTITUDE HAND& BODY CREAM

3.32

249.00

243289ID

COLOUR YOUR DIET BROCHURE

0.00

35.00

234293IDI
234294IDA

ATTITUDE FOOT CREAM

3.32

249.00

242264ID

NUT. BONE HEALTH BSM

0.00

50.00

EYE LINER

4.39

329.00

249689ID

NUT. HEALTHY AGEING BOOK

0.00

20.00

241030ID

ART. LEARN GUIDE & BEUT BK-H

0.00

80.00

238845ID

ART. CTM BAL&HYD SYS. GUIDE-HINDI

0.00

25.00

230396IDI

ATTITUDE DEO FOR WOMEN

2.55

191.00

241701 ID

ATTITUDE EYE SHADOWS

5.00

375.00

241702 ID

ATTITUDE BLUSHERS

5.00

375.00

GREAT VALUE PRODUCT

212737IDI

DYNAMITE SHAVING CREAM 70 gm (PK OF 2)

BSM-HINDI

230684IDD
0.56

82.00

236224ID

230295 IDI

PERSONA CLASSIC TOOTHBRUSH (PK OF 4)

0.96

72.00

WHU9390IDF

230415IDI

PERSONA AMLA OIL 200 ml

0.42

64.00

239187ID

231227 IDI

DYNAMITE HAIR CREAM 150 gm

0.52

77.00

234191IDA

DYNAMITE RAZOR ( PK OF 10 )

1.47

147.00

WHU9390IDF

230414IDI

DYNAMITE DEO FOR MEN

2.55

191.00

246174IDA

PERSONA COCONUT OIL

0.73

109.00

250 ML PERSONAL CARE PUMP

0.00

21.00

1404

TURRET TOP CLOSURE

0.00

9.00

1065

PISTOL GRIP SPRAYER

0.00

27.00

231244 IDH

ALL PRODUCT BROCHURE -HINDI

0.00

75.00

APSA ADV. BROCHURE HINDI

0.00

30.00

HOME CARE BRO-HINDI

0.00

40.00

EAT HARD OR SMART HINDI

0.00

50.00
100.00

N & W PRODUCT HANDBOOK (2) HINDI

0.00

HOME CARE BRO-HINDI

0.00

40.00

247351 ID

ADHIKTAM SAFALTA

0.00

175.00

249690ID

NUT. HEALTHY AGEING BOOK

0.00

20.00

SALES AID
868

1075

SQUEEZE BOTTLE

0.00

18.00

1605

1L HOME CARE PUMP

0.00

46.00

9061IDA
9137
9198
204239

500ML HOME CARE PUMP

0.00

46.00

BODY SPONGE IVORY COLOUR

0.00

36.00

BODY SPONGE PEACH COLOUR

0.00

36.00

P & M CAP LOCAL MFG.

0.00

45.00

0.00

50.00

C.D.
236230ID

APSA ADV. VIDEO-H-G-B-M

241263ID

ARTISTRY BEAUTY FILM

0.00

50.00

246170ID

OPT. HEALTH CHILD-DR. DUKE

0.00

50.00

249691ID

NUT. HEALTHY AGEING DVD

0.00

60.00

DENOMINATION
1000
500
100
50
20
10
5
COINS
TOTAL

x
x
x
x
x
x
x

If you are paying by Cash and of Rs. 500 & Rs. 1000 Denomination, Please fill below the Serial Number of Notes.

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website : www.amway.in / Regional Call Centre - North: 011 - 39416600 / Toll Free : 1800 1800 789 / Mobile website - http://m.amway.in