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Arbonne Europe Srl (Arbonne) of Bundesstrasse 3, Postfach 4028, 6304 Zug, Switzerland, is the promoter of this direct selling opportunity in the United Kingdom. The goods which are sold under this opportunity are skin care and colour cosmetics produced or supplied by Arbonne and such other goods or services as Arbonne may market from time to time. Information (Must be completed in full. Please print.) Name ________________________________________________________ Arbonne ID _____________________________ Date_______/_____ /______ Daytime Phone _________________________________________________ Evening Phone _________________________________________________ E-mail Address_________________________________________________
q Tick this box if the order is to be shipped to above Arbonne Independent Consultant
delivery Information (Complete if delivery is to other than Consultants address. Can only deliver to a street address or deliverable PO Box.) Deliver To__________________________ C/O_______________________ Address_______________________________________________________ Town__________________________________ County_________________ Postcode______________________________________________________ Daytime Phone_________________________________________________ Evening Phone__________________________________________________
Choose which day of the month (between the 1st and the 25th)
This and any other Arbonne Special Delivery-related documents must be received by Arbonne at least 14 days prior to the processing date chosen above. Any Arbonne Special Delivery-related documents received after the cut-off date will be implemented the following month.
item QTY Product Total SRP Frequency 30, 45, 60 or 90 DAYS
Method of Payment
Credit Card No. Credit Card Type (Check one)
q MasterCard q Visa q American Express I authorise Arbonne to charge the Total Payable for this order. If there are any miscalculations Arbonne will contact me to arrange a revised authority. Cardholders Name (Printed) Expiry Date Start Date Issue No. Cardholders Signature Cardholders Phone My signature below indicates that I have read and accepted all the Terms and Conditions included in the Arbonne Special Delivery Programme Agreement overleaf, the terms of which, by this reference, are fully incorporated herein. I wish to order the products set out above and I agree to pay the total price due. I understand that my credit card may be processed up to seven business days prior to the posting date. (MM / YY) (MM / YY)
(VAT inclusive)
Total sRp Discount (Line 1 x 20% or 35%) Subtotal Override Volume (Line 12)
arbonne independent consultant price (arbonne independent consultant price x qty)
total
Signature Date You, the buyer, may CANCEL this transaction. See the reverse side of this form for an explanation of this right.
UK ORDERS (placed through internet) 074.99 6.50 (incl. VAT) 7.50 (incl. VAT) 8.50 (incl. VAT) 10.00 (incl. VAT)
ITEM
SPECIAL PRODUCTS: Arbonne Special Delivery ONLy pwp Arbonne Essentials Daily Power Packs for Women A 74 value for 37 with the purchase of Arbonne Essentials Daily Power Packs for Women
QTY
SRP
SRP Total
2053P
74.00
37.00
150 SRP Order Special 65 SRP of product for 20 with each 150 SRP increment (See Line 1 List items below or attach Retail Price List and add total here)
20.00
UK ORDERS (post, fax, email or phone) 074.99 75149.99 150299.99 300 + 7.50 (incl. VAT) 8.50 (incl. VAT) 9.50 (incl. VAT) 11.00 (incl. VAT)
Total special products: Arbonne Special Delivery-only PwP Subtotal (Line 1+4+5) Shipping & Handling Based on Line 6, see Shipping Rate Chart Taxable retail value (Line 1+4+7) VAT (Line 8 x Tax @_______%) Subtotal (Line 1+5+7+9) Amount enclosed (Line 10 ________ minus discount from Line 2 ________ ) =
2011R01 04 2011 arbonne international, llc All rights reserved. arbonne.com
Arbonne Europe Srl, a company registered in Switzerland at registered office: Bundesstrasse 3, Postfach 4028, 6304 Zug, Switzerland. VAT number 894 5181 85.
Please send completed form and payment to: Arbonne Europe Srl c/o Arbonne UK LTD 16 Basset Court, Loake Close Grange Park, Northampton, NN4 5EZ Tel 0800 977 5721 Fax 0844 463 8042
2. Payment
a. b. c. d. e. f. a. b.
3. Shipments
c.
4. Modifications
a. b.
c. d.
5.
Price Changes
a. b.
6.
d.
7.
8.
Privacy Policy
a.
9.
NOTICE OF RIGHT TO CANCEL For New Arbonne Independent Consultants placing an Arbonne Special Delivery order at the time of initial registration with Arbonne. All other Participants see Section 7(a) above. You, the buyer, may CANCEL this Arbonne Special Delivery order along with your Arbonne Independent Consultant Application & Agreement without penalty within 14 days of entering into your Arbonne Independent Consultant Application & Agreement by giving written notice of cancellation to Arbonne at its address and:
(i) (ii) The Consultant may require Arbonne to repay the Consultant within 14 days any monies which the Consultant has paid to or for the benefit of Arbonne or any of its other Consultants in connection with the Consultants participation in the Arbonne trading scheme or paid to any other Consultant in accordance with the provisions of the Arbonne trading scheme; and The Consultant may return to Arbonnes address set out above any goods which the Consultant has purchased under the trading scheme within 21 days of the date of cancellation and which remain unsold, provided that such unsold goods remain in the condition in which they were in at the time of purchase, whether or not their external wrappings have been broken, and may recover any monies paid in respect of such goods; and The Consultant may cancel any services which the Consultant has ordered under the Arbonne trading scheme, including this Arbonne Special Delivery order, within such 14-day period and may recover any monies paid in respect of such services, provided that such services have not yet been supplied to the Consultant.
(iii)