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USANA Health Sciences Europe 118 Avenue des Champs Elysées – 75008 Paris Europe Customer Service : +33 1 42 99 76 50 Customer Service from Belgium (Toll free) : 0800 14 432
[email protected] Fax : +33 1 42 99 76 53 www.facebook.com/USANAFrance www.facebook.com/USANABelgium
Contract and Order Form Preferred Customer Europe TO PLACE AN ORDER, PLEASE EMAIL OR CALL OUR CUSTOMER SERVICE
ABOUT YOU
Phone (mobile) USANA ID NUMBER (Do not fill you’re not registered) LAST NAME ______________________________ FIRST NAME __________________________ Phone (Home) Delivery Address __________________________________________________________________________________________ Email : ___________________________________ Date of birth : _________________
ITEM 100 101 102 103 104 108 110 120 122 131 165 165 166 205 206 207 210 211 280 282 283 288 208 236 237 239 238 251 251 463 752 300 301 302 303 305 306 307 350
Product Name
Unit Price
Healthpak (56 packets) (Each packet includes CellSentials: 1 Vita Antioxidant, 1 Core Mineral, 2 CellSentials Booster, 1 Magnecal) CellSentials (1 Vita Antioxidant, 1 Core Minerals) Core Minerals (112 tablets) Vita Antioxidant (112 tablets) Body Rox (56 tablets) USANA Probiotic (14 packets) Proflavanol C100 (56 tablets) Active Calcium (112 tablets) USANA BiOmega (56 capsules) Procosa (84 tablets) 100 % Health pack + Active Calcium (Essentials, Proflavanol C100, USANA BiOmega, Active Calcium) 100 % Health pack + Procosa (Essentials, Proflavanol C100, USANA BiOmega, Procosa) 100 % Beauty Pack (Gentle Daily Cleanser, Hydrating Toner, Daytime Protective Emulsion, Night Renewal Crème, Perfecting Essence) MySmartShake Soy (14 servings) MySmartShake Plant (14 servings) MySmartShake Whey (14 servings) Nutrimeal, Dutch Chocolate (9 servings) – Available soon Nutrimeal, French Vanilla (9 servings) – Available soon MySmartShake Optimiser Dark Chocolate (7 sticks) MySmartShake Optimiser Banana (7 sticks) MySmart Shake Optimizer Strawberry (7 sticks) MySmartShake Optimiser Cappuccino (7 sticks) MySmart Protein+ Booster (28 servings) MySmartBar Peanut Butter (14 servings) MySmartBar Dark Chocolate (14 servings) MySmartBar Coconut Cashew (14 servings) MySmartBar Berry Nutty (14 servings) USANA MySmart Start 7 day kit Plant (14 servings of USANA MySmart Shake Plant Protein Base, 7 stick-packs MySmart Shake Dark Chocolate Optimizer, 14 Coconut Cashew MySmart Bars) USANA MySmart Start 7-day kit Whey (14 servings of USANA MySmart Shake Whey Protein Base, 7 stick-packs MySmart Shake Dark Chocolate Flavour Optimizer,14 Coconut Cashew MySmart Bars) USANA MySmart Start 28-day kit (56 servings of USANA MySmart Shake Protein Base, 28 bars MySmart Bars, 28 stick-packs MySmart Shake Optimizers, 1 CellSentials Pack of Vita Antioxidant/Core Minerals, 1 Transform kit programme guide) Blender Bottle Gentle Daily Cleanser Hydrating Toner Daytime Protective Emulsion Night Renewal Crème Perfecting Essence Eye Nourisher Rice Bran Polisher Deluxe Pack w/ Perfecting Essence (Gentle Daily Cleanser, Hydrating Toner, Daytime Protective Emulsion, Night Renewal Crème, Perfecting Essence, Eye Nourisher, Rice Bran Polisher, Nutritious Crème Masque)
Qty
Total Price (Taxe included)
119,90 € 54,90 € 19,90 € 37,90 € 27,90 € 27,90 € 39,90 € 25,50 € 29,90 € 34,90 € 142,50 € 150,00 € 156,50 € 36,90 € 41,90 € 36,90 € 26,90 € 26,90 € 8,90 € 8,90 € 8.90 € 8,90 € 25,90 € 33,90 € 33,90 € 33,90 € 33,90 € 83,90 € 77,90 € From 294,90 € 6,90 € 22,50 € 22,50 € 36,00 € 35,00 € 49,00 € 24,00 € 20,50 € 192,00 €
PAYMENT METHOD Please choose a payment method for this order
Visa
EFT
MasterCard
Amex
Cash Name on card : __________________________________________________________
Card number : __________________________________________________________________________
Pick Up at Paris office
GLS
Post Office
Expiration Date : ________ / ________
Mondial Relay
Total Cost of products
USANA Health Sciences Europe 118 Avenue des Champs Elysées – 75008 Paris Europe Customer Service : +33 1 42 99 76 50 Customer Service from Belgium (Toll free) : 0800 14 432
[email protected] Fax : +33 1 42 99 76 53 www.facebook.com/USANAFrance www.facebook.com/USANABelgium
PRODUCT CHOICE FOR AUTO ORDER Please enroll me to the Auto Order Program to receive a 10% discount on the preferred prices. I understand that I will receive the ordered products every 4 weeks and that I can modify the content of the Auto Order by contacting the Customer Service or by logging into my USANA/Hub account.
PRODUCT NAME
ITEM
Pick Up at Paris office
QTY
GLS
UNIT PRICE
La Poste
TOTAL PRICE (tax included)
Total Cost of products
PAYMENT METHOD PLEASE CHOOSE A PAYMENT METHOD FOR YOUR AUTO ORDER. THIS INFORMATION WILL BE RECORDED ON YOUR USANA ACCOUNT FOR YOUR FUTURE AUTOORDER PAYMENT.
Visa
EFT
Mastercard
Amex
Name on card : ______________________________________________________
Card number : ________________________________________________________________________
Expiration Date : __________ / __________
Handling and shipping VAT is included in our prices for Metropolitan France. If you have any question, please call or email our customer service. PREFERRED CUSTOMER’S SIGNATURE
Date ASSOCIATE ONLY Afilliation
Associate’s Name : __________________________________________ R
ASSOCIATE’S ID NUMBER
BUSINESS CENTER Left or Right
ASSOCIATE’S PHONE NUMBER
USANA offers Preferred Customers and retail customers who order directly from an official USANA website, a 100 per cent money back guarantee on their initial purchase order. If for any reason a Preferred Customer is dissatisfied with any USANA product, he/she may return that product to the company within thirty (30) days of the date of the order for replacement, exchange, or full refund of the purchase price. This guarantee is in addition to your rights of cancellati on and your statutory rights. Your statutory rights require us to supply products which comply with their description and any sampl e by reference to which they were ordered and which are of satisfactory quality and fit for the purposes for which such goods are normally used or for which you inform ed us that you wanted them. The information that you provide will be processed by USANA Health Sciences, Inc., (“the Company”) to process your orders and for general administration, marketing, statistical, and management purposes. To do this, we will pass your details to agents and third parties who perfor m functions on our behalf, some of whom will be located outside the France, in particular, in the United States. You are thus aware that the Company will transfer the data outside the EEA and understand that countries outside the EEA may not offer the same level of protection for such data as the France. You can request details of these agents and third parties by contacting us. You can obtain from us a copy of the information that we hold about you which is subject to the French Informatic Law (N°78-17 passed on January, 6th, 1978) and contact us to correct any inaccuracies in your information. You may cancel your order any time up to 14 days after delivery of the goods (or, if you have initiated an Auto Order, up to 14 days after delivery of your first shipment). To do so, you must make a clear statement of your wish to cancel. That statement should be communicated (e.g. by letter or e-mail) to USANA at the address set out below. If posted or e-mailed, notice of cancellation takes effect when posted or sent. You may use the cancellation form below but you do not have to. Provided that any goods which you have received under the cancelled contract have been returned to USANA (at your own expense) complete and in good condition within 14 days of your cancellation, you will be entitled to receive a full refund using the same means of payment as you used for your payment. You will incur no fees for that reimbursement. [For details of how to terminate an Auto Order programed after the first 14 days, see the USANA Purchase Terms and Conditions.]
