BSM ORDER FORM - Excel

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					                      NETWORK TWENTYONE INDIA PRIVATE LIMITED
N21 Customer Code.                                                                                                                                                                                               Shipping Address:
Distributor Name
Upline Key Leader
Upline Direct Distributor
Upline Emerald
Upline Diamond                                                                                                                                                                                                  Cell:                                      Tel:



Code            Product                                                         Author                                           Rate           Qty.                  Amount
                                  AUDIO CD                                                                                                                                                                                                    VIDEO CD
A0013           More Than You Think                       Jim Dornan                                                              100                                                      V0004                Dr. Ross Walker                                                                                      Dr.Ross Walker                      150
A0013H          More Than You Think                       Jim Dornan                                                              100                                                      V0005                Pablo & Bruno                                                                                                    -                       150
A0015           Goals & Expectancy                        Jim & Nancy Dornan                                                      100                                                      V0005H               Pablo & Bruno                                                                                                    -                       150
A0019           Prespective From A Professional           Stuart Menn                                                             100                                                      V0007                Success Story (Staffan Ohlson)                                                                       Staffan Ohlson                      100
A0019H          Prespective From A Professional           Stuart Menn                                                             100                                                      V0015                A Man With A Dream Will Not Be Denied                                                                Louie Carrillo                      100
A0028           Breaking Through                          Jim Dornan                                                              100                                                      V0015H               A Man With A Dream Will Not Be Denied                                                                Louie Carrillo                      100
A0028H          Breaking Through                          Jim Dornan                                                              100
A0029H          Expert kahata hai                         John Sestina                                                            100                                                                                                         PACKS AUDIO
A0030           A Man With A Dream Will Not Be Denied     Louie Carrillo                                                          100                                                      P0087                Starter Kit                                                                                                     -             250
A0030H          A Man With A Dream Will Not Be Denied     Louie Carrillo                                                          100                                                      P0087H               Starter Kit                                                                                                     -             250
A0031           Financial Options                         Contact Tpae                                                            100                                                      P0038H               Business Ki Neev ( 7 CD)                                                                             Jim Dornan               700
A0033H          Agar Chahiya MORE To Ban ….               Tony Henderson                                                          100                                                      P0068                Your Key To The World (4 CD s)                                                                       -                        400
A0035H          Sabse Aagey Hongey Hindustani - Part1     Sushil & Rashmi Pachnanda                                               100                                                      P0068H               Your Key To The World (4 CD s)                                                                       -                        400
A0036H          Sabse Aagey Hongey Hindustani - Part2     Sushil & Rashmi Pachnanda                                               100                                                      P0072                Depth Pack (4 CD s)                                                                                  -                        400
A0037           More Than A Business                      Jim Dornan                                                              100                                                      P0072H               Depth Pack (4 CD s)                                                                                  -                        400
A0037H          More Than A Business                      Jim Dornan                                                              100                                                      P0073                Networking 101 (6 CD s)                                                                              Mitch Sala               600
A0038           Now There Is A Way                        Contact CD                                                              100                                                      P0074                The Dynamic Living Seminar (6 CD s)                                                                  Skip Ross                600
A0038H          Now There Is A Way                        Contact CD                                                              100                                                      P0074H               The Dynamic Living Seminar (6 CD s)                                                                  Skip Ross                600
A0060           Five Point Path                           Dr. Ross Walker                                                         125                                                      P0079                Starting Point                                                                                       Jim Dornan               210
A0061           Path To Wellness                          Dr. Ross Walker                                                         125                                                      P0079H               Starting Point                                                                                       Jim Dornan               210
A0062           Weight Loss                               Dr. Ross Walker                                                         125                                                      P0084                Follow Up Pack                                                                                       Jim Dornan, Cale Andrews 200
                                                                                                                                                                                                                                                                                                                                              & David Dornan
A0064           Healthy Decision                          Contact CD                                                               80                                                      P0084H               Follow Up Pack                                                                                       Jim Dornan, Cale Andrews 200
                                                                                                                                                                                                                                                                                                                                              & David Dornan
A0065           The Indian Way To Optimum Health Part - Dr. Ross Walker                                                           125                                                      P0086                Made Easy - Invitation & Activity Loop                                                                                        200
                                                                                                                                                                                                                                                                                                                     Cale Andrews & David Dornan
A0066           I
                The Indian Way To Optimum Health Part - Dr. Ross Walker                                                           125                                                      P0086H               Made Easy - Invitation & Activity Loop                                                                                        200
                                                                                                                                                                                                                                                                                                                     Cale Andrews & David Dornan
A0069           II
                Financial Intelligence                    Robert T Kiyosaki                                                       125                                                      P0090                Your Question Answered                                                                               Jim Dornan               200
A0070           Mind Your Business                        Robert T Kiyosaki                                                       125                                                      P0090H               Your Question Answered                                                                               Jim Dornan               200
A0082           Your Past Is Not Your Future              Angie Somers                                                            100                                                      P0097                N21 Essentials (4 ACD)                                                                                                         Mike
                                                                                                                                                                                                                                                                                                                     Jim Dornan, Bob Andrews, 400 Wilson, Ray Keller
A0083           Just One Decission                        Angie Somers                                                            100                                                      P0097H               N21 Essentials (4 ACD)                                                                                                         Mike
                                                                                                                                                                                                                                                                                                                     Jim Dornan, Bob Andrews, 400 Wilson, Ray Keller
A0084           Why Weekends                              Contact CD                                                              100                                                      P0099                In case Of Emergency                                                                                 Nancy Dornan, Bob Andrews200
A0085           A unique Business                         Prem & Geeta Pillay                                                     100                                                      P0099H               In case Of Emergency                                                                                 Nancy Dornan, Bob Andrews200
A0086           Bus Ride of a LifeTime                    Ray Keller                                                              100
A0088           Live To A Hundred                         Dr. Ross Walker                                                         125                                                                                                        PACKS VIDEO
A0089           it’s A perfect Business                   Jim Dornan                                                              100                                                      P0033                Supplements - Facts Or Fictions ? Part I & II (VCD)                                                  Dr. Ross Walker         300
A0101H          Business Aapka Shishu                     Rajeev Gupta                                                            100                                                      P0034                Making Sense Of Childhood Nutrition - Part I & II (VCD)                                              Dr. Ross Walker         300
A0123           Starting Point                            Jim Dornan                                                              100                                                      P0091                Success & Joy With Dornans (4VCD)                                                                    Jim & Nancy Dornan      400
A0136           One Basic Step At A Time                  Angie Somers                                                            100                                                      P0092                Leadership Lessons (4VCD)                                                                                                    400
                                                                                                                                                                                                                                                                                                                     Sushil & Rashmi Pachnanda, Pram Pillay
A0137           Hundred Percent Predicatable              Mitch Sala                                                              100
A0138                                                     Mitch Sala & Frank Tennant
                Using Starting Point At The Business Preview                                                                      100
                                                                                                                                                                                                                                                      MISCELLANOUS
                      AUDIO CD SUCCESS STORIES                                                                                                                                             M0001                Executive Leaders Club Pin                                                                                           -                   100
AS001           Peter Cox                                                       Peter Cox                                         100                                                      M0002                Leaders Club Pin                                                                                                     -                   100
AS002           Jim Dornan                                                      Jim Dornan                                        100                                                      M0003                Eagle Pin - Gold                                                                                                     -                   100
AS002H          Jim Dornan                                                      Jim Dornan                                        100                                                      M0004                Eagel Pin - Silver                                                                                                   -                   100
AS003           Amgad Ghabriel                                                  Amgad Ghabriel                                    100                                                      M0012                Web Subcription Card                                                                                                 -                   500
AS003H          Amgad Ghabriel                                                  Amgad Ghabriel                                    100
AS004           Basil Harris                                                    Basil Harris                                      100                                                                                                          BOOKS
AS004H          Basil Harris                                                    Basil Harris                                      100                                                      B0001                The Magic Of Thinking Big                                                                            David J. Schwartz                    350
AS005           Glenda Leonard                                                  Glenda Leonard                                    100                                                      B0001H               The Magic Of Thinking Big                                                                            David J. Schwartz                    175
AS006           Mitch Sala                                                      Mitch Sala                                        100                                                      B0002H               The Path Of Optimum Nutrition                                                                        Dr. Ross Walker                      175
AS007           Beverly Sallee                                                  Beverly Sallee                                    100                                                      B0003                Promises To Keep                                                                                     Charles Paul Conn                    60
AS007H          Beverly Sallee                                                  Beverly Sallee                                    100                                                      B0003H               Promises To Keep                                                                                     Charles Paul Conn                    75
AS008           Jake & Helene Funk                                              Jake & Helene Funk                                100                                                      B0005H               Parable of the Pipeline                                                                              Burke Hedges                         250
AS011           Simon Thompson & Diana Choo                                     Simon Thompson & Diana Choo                       100                                                      B0006                Rich Dad Poor Dad                                                                                    Robert T. Kiyosaki                   275
AS012           Tony Henderson                                                  Tony Henderson                                    100                                                      B0006H               Rich Dad Poor Dad                                                                                    Robert T. Kiyosaki                   195
AS022           Robert Angkasa                                                  Robert Angkasa                                    100                                                      B0007                Skill with People                                                                                    Les Giblin                           50
AS022H          Robert Angkasa                                                  Robert Angkasa                                    100                                                      B0007H               Skill with People                                                                                    Les Giblin                           50
AS024           Kevin Harris                                                    Kevin Harris                                      100                                                      B0008                Five Love Languages                                                                                  Gary Chapman                         225
AS025           Kamaljiet Singh & Jasmin Kaur                                   Kamaljiet Singh & Jasmin Kaur                     100                                                      B0008H               Five Love Languages                                                                                  Gary Chapman                         195
AS026           Khushrow & Micky Patel                                          Khushrow & Micky Patel                            100                                                      B0009                CopyCat Marketing 101                                                                                Burke Hedges                         95
AS027           Pallavur & Janaky Venunathan                                    Pallavur & Janaky Venunathan                      100                                                      B0009H               CopyCat Marketing 101                                                                                Burke Hedges                         95
AS027H          Pallavur & Janaky Venunathan                                    Pallavur & Janaky Venunathan                      100                                                      B0010                Personality Plus                                                                                     Florence Littauer                    175
AS028           Prem & Geeta Pillay                                             Prem & Geeta Pillay                               100                                                      B0010H               Personality Plus                                                                                     Florence Littauer                    175
AS028H          Prem & Geeta Pillay                                             Prem & Geeta Pillay                               100                                                      B0011                Questions Are the Answers                                                                            Allan Pease                          125
AS029           Rajan & Malini Sachdev                                          Rajan & Malini Sachdev                            100                                                      B0011H               Questions Are the Answers                                                                            Allan Pease                          75
AS030           Rajan & Prabha Warrier                                          Rajan & Prabha Warrier                            100                                                      B0012                Become the Person you Dream of Being                                                                 Wes Beavis                           150
AS032           Sushil & Rashmi Pachnanda                                       Sushil & Rashmi Pachnanda                         100                                                      B0012H               Become the Person you Dream of Being                                                                 Wes Beavis                           150
AS032H          Sushil & Rashmi Pachnanda                                       Sushil & Rashmi Pachnanda                         100                                                      B0013                Piano On The Beach                                                                                   Jim Dornan                           175
AS033           Vikram & Shikha Bhargava                                        Vikram & Shikha Bhargava                          100                                                      B0013H               Piano On The Beach                                                                                   Jim Dornan                           175
AS033H          Vikram & Shikha Bhargava                                        Vikram & Shikha Bhargava                          100                                                      B0014H               Lok Vyavhar - Prabhavshali Vyaktitva Ki Kala                                                         Dale Carnegie                        85
AS036H          Amit & Arti Sondhi                                              Amit & Arti Sondhi                                100                                                      B0015H               Duniya Ka Sabse Mahaan Salesman                                                                      Ogh Mendino                          75
AS037H          Atul & Anjali Sondhi                                            Atul & Anjali Sondhi                              100                                                      B0016H               Logon Ko Sarvashrestha Kaise Banaye                                                                  Dr.Alan Loy Mcginnis                 175
AS038H          Dr. Rajvir Singh                                                Dr. Rajvir Singh                                  100                                                      B0017                The Perfect Business School                                                                          Robert T. Kiyosaki                   150
AS039H          Dushyant & Sudha Chaudhary                                      Dushyant & Sudha Chaudhary                        100                                                      B0017H               The Perfect Business School                                                                          Robert T. Kiyosaki                   150
AS040H          Jaisingh & Neelam Chauhan                                       Jaisingh & Neelam Chauhan                         100                                                      RBP-04/10            Fighting Body Pollution                                                                              Paul Kramer R.N.C.                   300
AS041H          Prabhu & Sujata Hiremath                                        Prabhu Hiremath                                   100
AS042H          Rahul & Rashmi Shringarpure                                     Rahul & Rashmi Shringarpure                       100
AS043H          Rajeev & Sharmila Gupta                                         Rajeev & Sharmila Gupta                           100
AS044H          Rajesh Kumar & Snehlata Rathore                                 Rajesh Kumar & Snehlata Rathore                   100
AS045H          Sandeep & Shailaja Mittal                                       Sandeep & Shailaja Mittal                         100
AS046H          K. Leelanand                                                    K. Leelanand                                      100
AS047H          Abhay & Pooja Awasthy                                           Abhay & Pooja Awasthy                             100
AS049H          Rajan & Sunila Chadha                                           Rajan & Sunila Chadha                             100
AS050H          Vinod & Neeta Bhasin                                            Vinod & Neeta Bhasin                              100
AS051H          Virendra & Renu Solanki                                         Virendra & Renu Solanki                           100
AS052           Anurag & Namita Tripathi                                        Anurag & Namita Tripathi                          100
AS054H          Pummy Sachdeva                                                  Pummy Sachdeva                                    100
AS055           Guruprakash & Fatima Iyer                                       Guruprakash & Fatima Iyer                         100
AS056H          Rajkumar & Padma Bhandari                                       Rajkumar & Padma Bhandari                         100
AS057H          Keshav & Nandita Pandit                                         Keshav & Nandita Pandit                           100
AS058H          Vinay Bajpai                                                    Vinay Bajpai                                      100
AS059H          Vinay & Vibha Chopra                                            Vinay & Vibha Chopra                              100
AS060H          Pradeep & Seema Jain                                            Pradeep & Seema Jain                              100
AS061H          Dhawal & Chitra Shringarputale                                  Dhawal & Chitra Shringarputale                    100

                          Regional Languanges                                                                                                                                                                   CEPs for the month of_____________
                            KANNADA BSM                                                                                                                                                                         Will be supplied if available in stocks
A0028K          Breaking Through - Cd Kannada                                   Allan Pease                                       100
                                                                                                                                                                                           ACD                  English CEP on CD                                                                                                                          550
                             BENGALI BSM                                                                                                                                                   AACD                 English ACEP on CD                                                                                                                         850
A0028B          Breaking Through - Cd -Bengali                                  Allan Pease                                       100                                                      HACD                 Hindi CEP on CD                                                                                                                            550
                                                                                                                                                                                           HAACD                Hindi ACEP on CD                                                                                                                           850
                              TAMIL BSM
A0028T          Breaking Through - Cd                                           Allan Pease                                       100                                                                           RB for the month of_____________                                                                                                           300
A0056T          Why Network 21 Education ?                                      Venu & Janaky                                     100

                             MARATHI BSM
A0028M          Breaking Through - Cd -Marathi                                  Allan Pease                                       100


                            GUJARATI BSM
A0028G          Breaking Through - CD                                           Allan Pease                                       100

                             TELUGU BSM
A0028TL         Breaking Through Telugu CD                                      Jim Dornan                                        100



                                                   Shipping Charges
                                      Mumbai : 5% of Invoice Value (Min.Rs. 50)
                                      Outstation:10% of Invoice Value (Min.Rs.100)
                                       Free Delivery for Orders above Rs. 10,000/-

                                                    GRAND TOTAL
                 Bank Information for direct Deposit: Standard Chartered Bank A/C : 22305223727 IndusInd Bank A/C: 0018276201060
(DD should be made favouring Network TwentyOne India Private Limited , payable at Mumbai )
Credit Card : Master/Visa Cards Only
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Credit card number :
Card Holder's Name : ____________________________                                                                              Card Holder's Sign ______________
Card Holder's Date Of Birth :
                                                                                                                               Card's Expiry Date
                                                                                                                                                                  MM      YY


I understand that the purchase of Business Support Materials such as tapes, books or seminar tickets from Network TwentyOne India is strictly optional and the purchase of such materials should relate to the size of my busibess. The above list of items has not been reviewed by Amway Corporation. These items are intended to deal with the general subject matter referred to in my
Amway Business Guide unuder Code of Ethics and rules of Conduct. BSM can be returned within 30 days of purchase, with proof of purchase and if unopened, unused and in re-sellable condition for 90% of purchase price. Returns may be made to Network TwentyOne India Pvt. Ltd., Mumbai by the original purchase


                                                                                     Note:- An Amway distributor prior to or at the time of joining and for a period of 30 days thereafter cannot be signed up for a standing order BSM programme.
                                                                                   Network TwentyOne India Private Limited. # 309, Dattani Plaza, East West industrial Estate, Andheri Kurla Road, Saki Naka, Andheri (East), Mumbai - 400072. Tel : 40072121 Fax: 40072100

				
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