Retail Customer Product Order Form by agu19334

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									                                          Retail Customer Product Order Form
Qty.                   CANDLES                   Retail   Total   Qty.                       COSMETICS                              Retail       Total
                                                 Price                                                                              Price
               Cinnamon Apple #701110            $21.38                                 Mascara #701610                             $11.25

                 Dreamsicle #701120              $21.38                          Lipstick (Sugarplum) #701620                       $13.25

                Sugar Cookie #701130             $21.38                           Lipstick (Ravishing) #701630                      $13.25

               Outdoor Garden #701140            $21.38                              Lipstick (Rave) #701640                        $13.25

Qty.                  HAIR CARE                  Retail   Total                  Lipstick (New Penny) #701650                       $13.25
                                                 Price
        Brilliance Restoring Shampoo #701210     $12.85                        Lipstick (Vitamin E Stick) #701660                   $13.25

          Time Release Conditioner #701220       $18.77                          Deluxe Powder Brush #701680                        $14.25

           Mint Fortifier Conditioner #701230    $13.55

       Hair Care Sampler (0.5oz bottles) #701231 $1.00            Qty.                  GIFT CERTIFICATES                           Retail       Total
                                                                                                                                    Price
Qty.             BATH & FACIAL BARS              Retail   Total                       Gift Certificate #60540                       $25.00
                                                 Price
             Bath and Body Bar #701310           $3.85                               Gift Certificate #605540                       $45.00

          Glycerin Facial Bar (Rose) #701320     $5.39                            Travel Wallet (Black) #50200                      $29.95

          Glycerin Facial Bar (Citrus) #701330   $5.39                            Travel Wallet (Brown) #50200                      $29.95

Qty.                  SKIN CARE                  Retail   Total
                                                 Price             PRODUCT
                 Liquid Gold #701410             $35.35             TOTAL          $
                                                                  SHIPPING &                                                S&H charges are to be 4%

                 Perfect Skin #701420            $31.00           HANDLING         $                                        of the product total + $3.90

                                                                     FINAL
            Fine Polishing Beads #701430         $18.75              TOTAL         $
               Firming Eye Gel #701440           $30.75               NAME

Qty.                NUTRITIONALS                 Retail   Total    ADDRESS
                                                 Price
                  MemBrain #601306               $23.60               CITY                                                          ZIP

                  ColonAid #601406               $15.20           PAYMENT OPTIONS:                    CHECK*         VISA      MC      AMEX        DISC
                                                                  *(Make check payable to Allegre)                   (Circle one)
                 Virility Plus #601506           $25.30
                                                                  CARD #
                 Reflex Plus #601606             $23.60
                                                                  EXP DATE
Qty.                  ANTI-AGING                 Retail   Total
                                                 Price
                    HgH #602104                  $69.95

                                                                  Authorized Signature
                    IGF-1 #602204                $69.95

Qty.               PERSONAL CARE                 Retail   Total                            Mail or fax your order to:
                                                 Price
                Sugar Butter #701510             $20.75                                            Allegre
                                                                                          5204 South Procyon Avenue
                                                                                             Las Vegas, NV 89118
             Sugar Butter Sample #701511          $.50                                        702.597.5094 FAX

            Avocado Body Lotion #701520          $13.75           Orders must be received by midnight on the last day of each month in
                                                                  order to be counted for your monthly preferred customer requirement.

                 Foot Scrub #701530              $16.25                                          Allegre 2006                           rev. date 04/2006
                                                                                                     Retail Customer Prices subject to change without notice

								
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