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INDEPENDENT DISTRIBUTOR PRODUCT ORDER FORM (MÉXICO)

NAME:

SERVICE CENTER ID / TELEPHONE:


MEMBER ID : E-MAIL:

FOR DELIVERY : PICK UP


**Delivery Service is subject to the area coverage of the courier company selected. If you will PICK UP in the courier office please especify the Office
DISTRIBUTOR
TOTAL
CODE DESCRIPTION VAT PRICE SV* PV** QTY
(VAT INCL.) AMOUNT MXN

 FB007 DXN Morinzhi (1 Bottle) 16% 230.00 102.00 5.50


 FB027 Morinzyme (1 Bottle) 16% 245.00 107.00 5.50
 FB034 DXN Zhi Mocha 0% 265.00 106.00 6.50
 FB097 DXN Lingzhi Tea Latte 16% 275.00 117.00 7.00
 FB121 DXN Spica Tea 16% 225.00 111.00 5.50
 FB146 Lingzhi Coffee 3in1 0% 185.00 74.00 4.60
 FB147 Lingzhi Black Coffee 2 in 1 0% 185.00 74.00 4.60
 FB148 Vita Café 16% 230.00 92.00 6.20
 FB149 Cocozhi 0% 245.00 121.00 6.00
 FB150 DXN Civattino Coffee 0% 1,200.00 480.00 38.40
 HF002 Reishi Gano (RG 30 capsules) 0% 195.00 85.00 5.80
 HF004 Ganocelium (GL 30 capsules) 0% 195.00 85.00 5.80
HF022 DXN Bee Pollen (120 Tablets) 16% 330.00 129.00 8.00
HF024 DXN Cordyceps (60 Capsules) 16% 880.00 342.00 25.00
 HF029 DXN Lion's Mane (120 Tablets) 16% 350.00 146.00 10.00
 HF031 Spirulina (120 Tablets) 16% 187.00 79.00 5.00
 HF049 DXN Black Cumin Plus (30 Capsules) 16% 260.00 120.00 7.70
HF053 DXN Monascus (30 Capsules) 16% 280.00 130.00 7.70
 MXKIT-2 Membership Kit (with Lingzhi Coffee 3 in 1) 16% 557.00 - -
 PC004 Ganozhi Shampoo 16% 211.00 93.00 5.00
 PC005 Ganozhi Body Foam 16% 211.00 93.00 5.00
 PC006 Ganozhi Toothpaste 16% 121.00 52.00 3.00
 PC007 Gano Massage Oil 16% 158.00 77.00 3.80
 PC036 Ganozhi Soap 16% 68.00 29.00 1.50
PC041 DXN Toothbrush (Adult) 16% 72.00 25.00 1.50
PC042 DXN Toothbrush (Children) 16% 72.00 25.00 1.50
 S2025 DXN Scarf Red 16% 175.00 - -
 S2026 DXN Necktie Red 16% 150.00 - -
 S2030 DXN T-Shirt "Un Mundo Un Mercado" 16% 250.00 - -
S2032 DXN Calendar 2018 16% 10.00 - -
 0134 DXN Corporate DVD 16% 20.00 - -
 0138 DXN Buenos Dias Magazine Third Edition 16% 32.00 - -

TOTAL AMOUNT ORDERED: (A)

PLSEASE SELECT YOUR PAYMENT METHOD SHIPPING & HANDLING: (B)


CANTIDAD (MXN $85.00 for all shipping and handling)

BANK DEPOSIT: $ TOTAL PAYMENT: (A + B)


ELECTRONIC TRANSFER: $
CREDIT / DEBIT CARD: $
PAYMENT WITH BONUSES: $

MONTO TOTAL: $
SIGNATURE DATE

Head Office Cuautitlan Outlet Bank Accounts:


DXN MEXICO S.A. de C.V. DXN MEXICO S.A. de C.V.
Londres No. 47 P.B., Piso 1 y Piso 4, Col. Juárez Tlatlaya Mz C-44-B, Lt 4, BANCOMER : 0 1 0 1 1 8 5 7 8 0
Del. Cuauhtémoc, C.P. 06600, Ciudad de México, Mexico Col. Centro Urbano, C.P. 54700
Tel: (55) 5207-6244 / (55) 5207-6228 Fax: (55) 5207-6229 Cuautitlán Izcalli, Estado de México. BANAMEX : 1 9 9 7 1 3 0 6 1 4
Email: sales_mx@dxn2u.com www.dxn2ulatam.com Tel: (55) 6823-0099 / (55) 6823-4086 REV 1803

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