Name: Date: / / Address: City: State: ZIP: Signature: Juice Plus+ Orchard, Garden & Vineyard Blends. Juice Plus+ Orchard & Garden Blends

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Rudolph Fox
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ORDER FORM Fax your order to 901-850-3061.

1 ORDER FORM Fax your order to Juice Plus+ Representative: FIN: Name: Date: / / Address: City: State: ZIP: Method of Payment (circle one): VISA MC AMEX DISCOVER BANK DRAFT** (Debit or Credit) Credit Card #: Exp. Date: / Name on Card: Signature: **Bank Draft Checking Acct #: Routing #: Quantity Juice Plus+ Products 4-Month Installment Price Juice Plus+ Orchard, Garden & Vineyard Blends Juice Plus+ Orchard & Garden Blends Juice Plus+ Vineyard Blend $71.25/month ($2.38/day) $44.50/month ($1.49/day) $28.25/month ($0.95/day) Juice Plus+ Orchard, Garden & Vineyard Blend Chewables $76.75/month ($2.56/day) Juice Plus+ Chewables Adult Serving ($1.59/day) Child Serving ($0.82/day) Adult: $47.50/month Child: $24.50/month Juice Plus+ Vineyard Blend Chewables $30.75/month ($1.03/day) Juice Plus+ Omega Blend Capsules Juice Plus+ Complete Shake Mix Vanilla Chocolate Variety (2 of each) $33.25/month ($1.10/day) Taxed as a supplement not food $30.75/month ($2.05/shake) Juice Plus+ Complete Single Serve Sachets (60 sachets per box) Vanilla Chocolate Variety (30 of each) $33.25/month ($2.22/shake) Juice Plus+ Complete Nutrition Bar (15 bars per box) mtart Spiced Cherry Apple/Raisins + Honey mdark Wholesome Chocolate Grains/Cranberries + Fig mvariety (box Variety of each) (box of each) 30 bars / 2 monthly installments 60 bars / 4 monthly installments $32.50/month ($2.17/bar) Merchandise Total (Applicable Taxes Apply; Prices Subject to Change) Shipping & Handling (AK, HI, PR, GU, US Virgin Islands: $8.50 for first carton, $7.00 per additional carton) Order Total Sponsoring Adult s Name: Child s Name: Child s Birthdate: / / College Attending (full-time undergrad): I understand that my child will receive free Juice Plus+ product (capsules or chewables) for the period of one year. I agree to be a Juice Plus+ Orchard and Garden Blend capsule or chewable customer during this period. I agree to pay shipping/handling for my product and my child s free product: 1 box of capsules or chewables ($1.75 monthly) or 2 boxes of chewables ($3.50 monthly). Desired Juice Plus+ product for child: Capsules Chewables Student s Item # Revised 04/15

2 UNITED STATES ORDER FORM Fax your order ORDER to FORM Juice Plus + Representative: FIN: Name: Date: / / Address: City: State: Zip: Method of Payment (circle one): VISA MC AMEX DISCOVER BANK DRAFT** Credit Card #: Exp. Date: / Name on Card: Signature: **Bank Draft Checking Acct #: Routing #: Quantity + + Juice Plus+ Products Shred10 TM Package (2 shakes/day + Juice Plus+ Trio) Preferred 4-Month Installment Price $194.25/month ($6.50/day) + Premium Package (1 shake/day + Juice Plus+ Trio) $132.75/month ($4.40/day) Basic Package (1 shake/day) $61.50/month ($2.05/day) Juice Plus+ Orchard, Garden & Vineyard Blend Capsules $71.25/month ($2.38/day) Juice Plus+ Orchard, Garden & Vineyard Blend Chewables $76.75/month ($2.56/day) Complete by Juice Plus+ Nutrition Bars (60 bars) Tart Cherry + Honey Dark Chocolate + Fig Variety (30 of each) $32.50/month ($2.16/bar) Merchandise Total (Applicable Taxes Apply; Prices Subject to Change) Shipping & Handling (AK,HI, PR, GU, US Virgin Islands: $8.50 for first carton, $7.00 / additional carton) ORDER TOTAL This order qualifies you for enrollment in the Children s Health Study. I understand that the child listed below will receive free Juice Plus+ product (capsules or chewables) for the period of one year. I agree to be a Juice Plus+ Orchard and Garden Blend capsule customer during this period. I agree to pay shipping/handling for my product and my child s free product. Sponsoring Adult s Name: Child s Name: Child s Birthdate: / / College Attending (full-time undergrad): Student s Desired Juice Plus+ product for child: Capsules Chewables

3 WHERE DO YOU SEE YOURSELF GETTING STARTED? BASIC PACKAGE PREMIUM PACKAGE* SHRED10 PACKAGE* One shake per day Juice Plus+ capsules and one shake per day Juice Plus+ capsules and two shakes per day United Includes States free Pricing children s product * Kids eat free!

4 Today s Date: / / Representative Name: Fax: ORDER FORM Website: FIN: SHIPPING ADDRESS Shipping is not available to P.O. boxes. Only available in the Continental United States. We cannot process any orders for AK, HI, GU, PR, US Virgin Islands, AS, FPOs or APOs. Customer Name: Address: BILLING ADDRESS Name on Account: Billing Address: Same as shipping City: City: State: Zip Code: State: Zip Code: Daytime Address: QTY Products Pay in Full Growing System $ month Installments $45.25 Freight $50.00 Total Green Thumb Bundle $ $54.57 $81.50 Serious Gardener Bundle $ $66.23 $ PAYMENT OPTIONS PAY IN FULL PAY IN 12 PAYMENTS Order must include a Growing System. Installment fee of $18 will be added to your order. The first installment will include the total freight. METHOD OF PAYMENT (circle one): VISA MC AMEX DISCOVER BANK DRAFT* (Debit or Credit) Credit Card #: Exp. Date: / *Checking Acct #: Routing #: Family Garden Bundle $ Accessories Support Cage $60.00 Mineral Blend $40.00 Rockwool Cubes (98) $11.95 Extension Kit $70.00 Dolly $69.95 ph Kit (ph+, ph-, Test Kit) $19.95 Seedling Starter Kit $19.95 Net Pot (30) $11.95 Weather Protection Blanket* $49.95 $ $ $7.00 $9.00 $9.00 $7.00 I understand that I will be billed according to the payment plan selected above. Signature: Grow Lights (requires tomato cage, not included) $ $20.00 Tax Any applicable tax is based on city, county, and state taxes. Freight A 30% freight discount is applied on accessories if three or more are ordered at the same time. Discount already applied to bundle pricing. Discount does not apply to freight on Growing System. Order Total

PRICING GUIDE Growing System Green Thumb Bundle Serious Gardener Bundle Family Garden Growing System Includes everything needed to start growing.

5 PRICING GUIDE Growing System Green Thumb Bundle Serious Gardener Bundle Family Garden Growing System Includes everything needed to start growing., starter supply of Mineral Blend, ph Test Kit, Seedling Starter Kit for 20 plants 3 Towers (Includes 3 pumps, 2 timers, 84 rockwool cubes, seedling starter kit, 2 ph test kits, 2 bottles each of ph+ and ph-, drainage hose) Support Cage Provides support for tomatoes, cucumbers, watermelon, and other climbing plants Mineral Blend One gallon each of A and B 1 gallon + 3 quarts of both A and B Rockwool Cubes 98 cubes used to start your own seedlings Extension Kit Adds two more levels to the top of the, allowing space for 8 more plants. Additional net pots and rockwool are included. 3 Extension Kits Dolly Specially designed industrial strength dolly used for easily moving your Monthly Installment Price 12 month interest-free payment plan (Taxes not included) $45.25 $54.57 $66.23 $ Freight Fee Collected with first installment $50.00 $81.50 $

Name: Date: / / Address: City: State: ZIP: Signature: Juice Plus+ Orchard, Garden & Vineyard Blends. Juice Plus+ Orchard & Garden Blends

ORDER FORM Fax your order to 901-850-3061. Juice Plus+ Representative: FIN: Name: Date: / / Address: City: State: ZIP: E-Mail: Method of Payment (circle one): VISA MC AMEX DISCOVER BANK DRAFT** (Debit