Initial Order Form - Team Transformers Training

ADVERTISEMENT

Isagenix Initial Order Form
General Information:
Date: ____________ Referred by:
First Name: _________________________ Last Name: ________________________________
E-mail Address: __________________________________________________________________
Home Phone: __________________________ Cell Phone: _________________________________
Shipping Address: _______________________________________________________
City: ________________________________ State: _________________ Zip: _______________
Billing Address: ___________________________________________________________________
City: _________________________________ State: _________________ Zip: _______________
Name on Credit Card: ____________________________________________________________
Credit Card #: _____________________________ Expiration Date: ________ Security Code: _____
Check box to accept $29 enrollment fee which entitles you to best pricing for 12 months
Birth date: ________________________SS#:___________________________________________
User Name: __________________________ (First and last name recommended)
Password: __________________________ (Must be at least 6 characters)
Initial Order:
please note that YOU control future shipments~
Quantity
Description
Price
The Business Builder/Family Pak
$1,099
(membership fee waived)
Replaces 134 meals @ $40/day
Weight Loss Presidents Pak
$559
(includes above plus
Best***
Ageless Essentials w/ Product B mega vitamins)
(mem. fee waived)
Replaces 82 meals @ $20/day
Weight Loss Pacesetter Pak
(includes blender/bars/e+ shots
Better**
$399
& Isadelight chocolates!)
(membership fee waived)
Replaces 82 meals @ $15/day
Weight Loss Fat Burning Pak
Choc/Straw/Van options
Replaces 72 meals @ $10/day
Good*
$272
($269 + $3 for sampler pack)
Dairy Free
30 Day Weight Loss Pak
$289
(berry)
(vegan
also available)
Energy & Performance Pak
$272
Athletes Pak
$189
Healthy Lifestyle Pak
$175
Shake & Cleanse Pak
$156
**30 Day Money Back Guarantee**
Prices do not include shipping or tax

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Legal
Go