This document appears to be an order form listing various USANA nutrition and beauty products along with their item numbers, descriptions, wholesale prices, retail prices, and quantities. It also includes several business builder packs that bundle various starter products and provide discounts. The form collects the customer's contact information, payment details, and allows them to apply product sales volumes to their business center.

1. Item # Description
Autoship
Price
Wholesale
Price
Retail
Price Qty
Total
PHP (P)
Sales
Volume
Points (SVP)
Total
SVP
USANA® Nutritionals
101 EssentialsTM
P 2,500.00 P 2,800.00 P 3,350.00 34
110 Proflavanol C100 P 2,000.00 P 2,222.00 P 2,620.00 25
120 Active CalciumTM
P 1,150.00 P 1,300.00 P 1,550.00 32
122 BiOmegaTM
P 1,250.00 P 1,400.00 P 1,650.00 14
123 CoQuinoneTM
30 P 2,250.00 P 2,500.00 P 3,000.00 24
131 Procosa IITM
P 1,950.00 P 2,200.00 P 2,600.00 15
133 Proflavanol®
P 1,680.00 P 1,900.00 P 2,250.00 25
134 VisionexTM
P 1,850.00 P 2,100.00 P 2,500.00 25
135 Hepasil DTXTM
P 1,850.00 P 2,100.00 P 2,500.00 24
USANA®
Foods
210 NutrimealTM
Dutch Chocolate P 1,450.00 P 1,650.00 P 1,950.00 16
211 NutrimealTM
French Vanilla P 1,450.00 P 1,650.00 P 1,950.00 16
212 NutrimealTM
Wild Strawberry P 1,450.00 P 1,650.00 P 1,950.00 16
Sensé Beautiful Science®
300 Gentle Daily Cleanser P 940.00 P 1,050.00 P 1,250.00 11
301 Hydrating Toner P 820.00 P 950.00 P 1,100.00 9
302 Daytime Protective Emulsion P 1,650.00 P 1,850.00 P 2,200.00 25
303 Night Renewal Creme P 1,420.00 P 1,600.00 P 1,900.00 20
305 Perfecting Essence P 1,750.00 P 1,950.00 P 2,350.00 25
306 Eye Nourisher P 990.00 P 1,100.00 P 1,295.00 16
321 Sensé Facial Care Sample Pack P 2,100.00 P 2,330.00 P 2,800.00 13
USANA®
Business Builder Packs
400.320101 The Basic Nutritionals Enrollment Pack (1Business Center) P 15,300.00 — 200
2 Essentials; 1 Proflavanol C100; 1 CoQuinone 30; 1 BiOmega; 1 Active Calcium; 1 ProcosaII; 1 Visonex; 1 Hepasil DTX;
1 Health & Freedom Flipchart, 5 Cycles of of Free Downline Management Access
Save P 2,250
400.320110 Starter Pack (1Business Center Active for 8 weeks) P 22,200.00 — 300
2 Essentials; 1 Active Calcium; 1 BiOmega; 1 Proflavanol C100; 1 CoQuinone 30; 1 Hepasil DTX; 1 Visionex; 1 Nutrimeal
Strawberry; 1 Nutrimeal French Vanilla; 1 Gentle Daily Cleanser; 1 Hydrating Toner, 1 DPE w/Sunscreen; 1 Night
Renewal Cream; 1 Perfecting Essence; 1 Blender Bottle; 5 Cyles of Free Downline Management Access
Save P 2,880
401.320101 The 3-Business-Center Nutritionals Pack P 29,900.00 — 400
4 Essentials; 3 BiOmega; 2 CoQuinone30; 3 Proflavanol C100; 3 Active Calcium; 1 ProcosaII; 1 Visionex; 1 Hepasil;
1 H&F Flipchart; 10 Cycles of Downline Management System
Save P 3,700
403.320111 The 3-Business-Center “RESET” Pack Only BC 001 is active for 8 weeks P 38, 300.00 — 500
6 Essentials; 4 Nutrimeal Dutch Chocolate; 4 Nutrimeal Strawberry; 3 Nutrimeal Vanilla; 6 Proflavanol C100;
1 Blender Bottle; 10 cycles of Downline Management System
Save P 4,900
403.320101 Professional Pack (3 Business Center) Only BC 001 is active for 8 weeks P 36, 500.00 — 500
4 Essentials; 2 BiOmega; 2 CoQuinone30; 3 Proflavanol C100; 2 Active Calcium; 1 Visionex; 1 Hepasil DTX; 1 Nutrimeal
Dutch Chocolate; 1 Nutrimeal French Vanilla; 1 Nutrimeal Wild Strawberry; 1 Gentle Daily Cleanser; 1 Hydrating
Toner, 1 DPE w/Sunscreen; 1 Night Renewal Cream; 1 Perfecting Essence; 1 Blender Bottle; 10 Cyles of Free Downline
Management Access
Save P 3,680
USANA®
Autoship Pack/Starter Kit
160 The “Take-One, Sell-One” Pack (limit two(2) packs per person) P 7,200.00 — 100
450 Business Development System (BDS)
1 Binder; 1 Text Pack; 1 Health & Freedom Newspaper (4-pack); 1 Distributor
Application Form (4-pack);1 Get Started Today workbook; 1 receipt Pad (10-pack)
1 Health & Freedom DVD Solutions
P 990.00
SVP =SUBTOTAL (A) P
Philippine Product Order/
Autoship Form
Go to Page 2
224 Tablets
90 Tablets
56 Tablets
56 Capsules
84 Tablets
112 Tablets
120 Tablets
56 Tablets
56 Tablets
531 grams
531 grams
531 grams
120 ml
120 ml
38 ml
38 ml
30 ml
12ml
28pcs/per pack
Page 1 of 2

2. rev 28/11/2008
Information
Distributor / Preferred Customer ID Distributor / Preferred Customer Name * Shipping fee is 3% of the total order or a minimum of P250
whichever is greater. For orders totaling more than P30,000,
shipping is free.
Please apply the Sales Volume to my Business Center (BC) (Distributor Only)
ccc BC c Left c Personal c Right
Is this a c One-time order or
c Autoship Order (recurs every 4 weeks)
This order is for
c Self Collection (Makati City Office)
c Home Delivery
Delivery Address (If order is for Home Delivery) If Autoship, is this a c new Autoship or
c Change an existing Autoship
Method of Payment c VISA c MasterCard c PPS c Cash (office only) Card Number cccc cccc cccc cccc
Autoship Agreement:
I authorize UHS Essential Health Philippines, Inc. (USANA) to receive payment for my Autoship order(s) from my credit card or bank account identified in
this agreement. USANA is authorized to withdraw payment equal only to the amount of the products that I order, plus applicable sales taxes and shipping or
for the amount of the Autoship Order I have established (plus additional amounts for substitute products if my regular products are unavailable) and sales
taxes and shipping. Prices and fees are subject to change without prior notice. In the event a check or charge is dishonored for any reason, I agree to pay
a service fee. I certify that I have sold at least 70% of USANA products previously purchased by me. Further, I understand and acknowledge that product
previously certified as sold, including such product from Autoship orders, cannot be returned to the company upon termination or resignation.
Card Holder Name Card Expiry Date (mm/yy)
cc / cc
Signature
© USANA Health Sciences, Inc. rev. 0812
distserv@ph.usana.com Customer Service
(632) 858-4500 Phone Order Line
(632) 858-4599 Fax Order Line
You may also order online:
www.usana.com
UHS Essential Health Philippines, Inc.
24th Floor, Tower 1, The Enterprise Center,
6766 Ayala Avenue corner Paseo de Roxas,
Makati City, Philippines 1200
TOTAL (A+B) P
All prices are in PHP (P) and inclusive of VAT.
Page 2 of 2
USANA Sales Aids
500 Health & Freedom Newspaper 4-pack P 250.00
28-pack P 1,400.00
56-pack P 2,200.00
509 Distributor Application 4-pack P 50.00
511 Sales Receipt Pad 10-pack P 50.00
580 Get Started Today Workbook single P 35.00
800 Downline Management System 4 week cycle P 750.00
824 Income Maximizer 4 week cycle P 990.00
Downline Management System, web hosting and web email
502 Product Accordion Brochure 6-pack P 90.00
501 Health & Freedom Flipchart single P 250.00
752 Nutrimeal Blender Bottle single P 250.00
501 Health & Freedom Flipchart
581.010000
581.070300
The Healthy Home Book English Version
Chinese Version
P 999.00
563.320100
563.320106
Philippine Health and Freedom DVD Solutions Packs of 6
Single
P 350.00
P70.00
Shipping Fee*
SUBTOTAL (B) P
SAVE P100 when you place orders ONLINE! Online discount applies to self-collection orders above P 7,000 and all home delivered orders.
Item # Description Distributor Price Qty Total P