Visalus Product Order and Price Form

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    Product Order Form1607 e Big Bavr Rd Sui #110, tr, m

    Cusr Srvic 1.877.V

    Fax Form To: 877.547

    2012 ViSalus All Righs Rsrvd. Rvisd D1001US

    Item No. PRoDUCt DeSCRIPtIoN WHoLeSALe RetAIL qty totAL AUto-SHIP

    K0020 Body by Vi Balance Kit $49 $61 5TH 12TH 1

    K0021 Body by Vi Shape Kit $99 $124 5TH 12TH 1

    K0019 Body by Vi Core Kit $199 $249 5TH 12TH 1

    K0015 Body by Vi Transormation Kit $249 $311 5TH 12TH 1

    K0048 Body by Vi Fit Kit $299 $374 5TH 12TH 1

    Add Vi-pak to your Challenge Kit (Auto-Ship only) $99 n/a 5TH 12TH 1

    N1210 Vi-Shape Nutritional Shake Mix (30 Serving Pouch) $45 $59 5TH 12TH 1

    N1211 Vi-Shape Nutritional Shake Mix (15 Individual Packets) $28 $36 5TH 12TH 1

    N1227 Nutra-Cookie Chocolate Chip (14 Individually Wrapped Cookies) $34 $40 5TH 12TH 1

    N1228 Nutra-Cookie Oatmeal Raisin (14 Individually Wrapped Cookies) $34 $40 5TH 12TH 1

    N1229 Nutra-Cookie Peanut Butter (14 Individually Wrapped Cookies) $34 $40 5TH 12TH 1

    K0029 Nutra-Cookie Chocolate Chip 4-Pack (4 boxes) $125 $150 5TH 12TH 1

    K0030 Nutra-Cookie Oatmeal Raisin 4-Pack (4 boxes) $125 $150 5TH 12TH 1

    K0028 Nutra-Cookie Variety 4-Pack (2 boxes each Chocolate Chip and Oatmeal Raisin) $125 $150 5TH 12TH 1

    N1212 Vi-Slim Metab-Awake! Tablets (60 Tablets per Bottle) $40 $50 5TH 12TH 1

    N1213 Vi-Trim Clear Control Drink Mix (30 Individual Packets) $40 $50 5TH 12TH 1

    N1214 Shape-Up Health Flavor Mix-In Strawberry (15 Individual Packets) $10 $12.50 5TH 12TH 1

    N1215 Shape-Up Health Flavor Mix-In Chocolate (15 Individual Packets) $10 $12.50 5TH 12TH 1

    N1216 Shape-Up Health Flavor Mix-In Banana (15 Individual Packets) $12 $15 5TH

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    N1217 Shape-Up Health Flavor Mix-In Peach (15 Individual Packets) $12 $15 5TH 12TH 1

    N1218 Shape-Up Health Flavor Mix-In Orange (15 Individual Packets) $12 $15 5TH 12TH 1

    K0010 Health Flavor Mix-In Variety 5Pack (1 box o each favor) $50 $63 5TH 12TH 1

    N1002 Vi-pak(30 Daily AM/PM Packets) $125 $150 5TH 12TH 1

    N1225 ViSalus Pro Prolonged Energy Drink Mix Passionruit (15 packets) $32 $40 5TH 12TH 1

    N1226 ViSalus Go Instant Energy 2 oz. Shot Grape (15 ready-to-drink bottles) $48 $60 5TH 12TH 1

    N1070 ViSalus NEURO Raspberry Boost Drink Mix (15 Packets) $24 $30 5TH 12TH 1

    N1071 ViSalus NEURO Lemon Lit Drink Mix (15 Packets) $24 $30 5TH 12TH 1

    Side 1 Sub-Total

    orm continues on reverse

    Balance Kit $49Save $19 o retail prices

    1 Pouch Vi-Shape

    Nutritional Shake Mix

    5 Packets Shape-Up

    Health Flavor Mix-Ins

    Core Kit $1Save $79 o retail prices

    1 Vi-pak (30 daily AM/PM pac

    1 Pouch Vi-Shape

    Nutritional Shake Mix

    5 Packets Shape-Up

    Health Flavor Mix Ins

    2 Boxes ViSalus NEURO: 1 eacRaspberry Boost & Lemon Lit

    Fit Kit $29Save $110 o retail prices

    2 Pouches Vi-Shape Nutritional Shake Mix

    5 Packets Shape-Up Health Flavor Mix-Ins

    2 Boxes ViSalus PRO Prolonged Energy Drink Mix

    2 Boxes ViSalus GO Instant Energy Drink

    30 ViSalus Nutra-Cookies: 10 each favor

    Chocolate Chip, Oatmeal Raisin, and Peanut Butte

    Transformation Kit $249Save $90 o retail prices

    2 Pouches Vi-Shape Nutritional Shake Mix

    10 Packets Shape-Up Health Flavor Mix-Ins

    1 Bottle Vi-Slim Metab-Awake! Tablets

    1 Box Vi-Trim Clear Control Drink Mix

    1 Bottle Omega Vitals Supplement

    2 Boxes ViSalus NEURO: 1 each Raspberry Boost & Lemon Lit

    Auto-Ship Price

    Auto-Ship Auto-Ship Price

    Add the full Vi-pakto your Challenge Kit(Auto-Ship Only)

    Shape Kit $99Save $37 o retail prices

    2 Pouches Vi-Shape

    Nutritional Shake Mix

    10 Packets Shape-Up

    Health Flavor Mix-Ins

    Auto-Ship Price Auto-Ship

    Only $99

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