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INTERNATIONAL   

RETAIL ORDER FORM  
Date
 
Name 
Address Postcode
 PhoneNumber 
E-mail

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Distributor's Name    S T A J I C    E L I Z A B E T A_______   Number_____55000681_____
FREEPHONE NUMBER 0800 454715
ORDERS ONLY

CODE

PRODUCT

PRICE

QTY

TOTAL

LUV200

*LIGHTEN - UP!- Vanilla, 200 g, 10 day supply

£ 17.65

SEP001

START EASY PROGRAME - Veg. caps 

£ 49.65

ALC060

AQUASOURCE  ALGAE - 60 Veg. caps (400mg)

£ 15.80

ALC120

AQUASOURCE  ALGAE - 120 Veg. caps (400mg)

£ 29.80

ALP050

AQUASOURCE  ALGAE  POWDER - 50 g

£ 25.95

ALL060

AQUASOURCE  ALGAE  LIQUID - 60 ml  

£ 25.00

COQ030

CoQ10/CHROM  PIC/ALGAE - 30 Veg. caps

£ 24.95

SAC060

SUPER ANTI-OX WITH PYCNOGENOL-60 Veg caps

£ 24.95

ENZ060

ENZIMES + ALGAE - 60 Veg. caps

£ 19.50

ACD090

ACIDOPHILUS + ALGAE - 50 Veg. caps

£ 13.75

BIF090

BIFIDUS + ALGAE - 50 Veg. caps

£ 13.75

GEC120

GREEN ENERGY -120 Veg. caps

£ 26.79

GEL050

*FATTY ACID COMPLEX - 50 ml

£ 16.50

MRC050

MOON RISE - 50 g

£ 16.79

COL120

COLACTIVE Colostrum - 120 caps

£ 28.55
CAL120  ColActive3, 120 Capsules £ 28.55
FLC060 Flexibility - 60 Capsules £ 26.95
AFE300 Super Energy Food - 300 g £ 37.85
Items Marked with * are VAT zero rated              
                      
Postage & Packing within the UK
Orders under £50.00 = £___ Orders over £50.00 = £
____
Please phone for delivery charges outside the UK
Goods Total

Postage & Packing   ____ £ or ___ £

TOTAL

Please make Cheques payable to AquaSource

 Cheque   Postal Order    VISA   MASTERCARD    DELTA    SWITCH   SOLO    Switch/Solo Issue No.

Card Number                                                                                                                      
                                       
Expiry Date /

NOTE  THAT  LARGE  ORDERS  ARE  SENT  BY  COURIER  SERVISE.  ALLOW  5  WORKING  DAYS  FOR  DELIVERY  OF  ALL ORDERS

INFORMATION FOR ORDERING

Please complete the order form using CAPITAL letters.

By post:
AquaSource
12 Oaktree Place, Exeter EX2 8WA, UK  

By fax:
++ 44 (0) 1392 822 151    

By phone:
Freephone 0800 454 715
or +44 (0) 1392 822 150  
 

E-mail: Orders@aquasource.co.uk

If phoning please have the following information available:

     1.  Distributor's number 55000681 )
2.  Distributor's name      STAJIC ELIZABETA )
3.   Product stock code and quantity required
4.  Address where credit card is registered and telephone number
5. 
Credit / Debit  card
6.  Credit expiry date and Switch/Solo issue number if applicable

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                                                                    Last update june 2008
 Web designed by E.S. ©
 Copyright 2003- 2008. Elizabeta Stajic,  AquaSource - independent distributor.                     
                                                                     All rights reserved.