Euphoria Smoothies Nutritional Supplements Ltd Fax Order Form Special

Euphoria Smoothies & Nutritional Supplements, Ltd. Fax Order Form (Special Int. Area Dev. Pricing) – 24/7 Toll-Free Fax #: 1-866-302-7490 OR 1-705-494-6155 Please print, complete and fax to any of the above two numbers. Thank you! Order Date: Your Name & Phone: Shipping Address: Euphoria Customer ID # (if any): Visa/MasterCard # with name and expiry info Special Notes, Instructions or Product Suggestions: Euphoria Smoothie Mix – Original (Each case has 8 bottles of 46 oz. each) Code Name Unit Qty Price 25% SIADD Adjusted Price Total Strawberry Blueberry Banana Pineapple Four Berry Strawberry Banana Mango Peach, Pear, Apricot Passion Fruit Acai Lemonade Strawberry Case Case Blueberry Banana Case Case Pineapple Case Case Four Berry Case Strawberry Banana Case Mango Case Peach, Pear, Apricot Case Passion Fruit Case Acai Brazilian Berry (6 bottles) Lemonade Case Case Case Case Case Case Case $99.97 $99.97 $99.97 $99.97 $99.97 $99.97 $99.97 $99.97 $99.97 $99.97 24.9925 24.9925 24.9925 24.9925 24.9925 24.9925 24.9925 24.9925 24.9925 24.9925 74.98 74.98 74.98 74.98 74.98 74.98 74.98 74.98 74.98 74.98 Total Euphoria Smoothie Mix – Premium (Each case has 12 bottles of 28 oz. each) Code Name Qty Price 25% SIADD Adjusted Price Total 1000 kiwi case Kiwi - Premium Case Case $139.97 34.9925 104.98 1010 tang case 1020 rasp case Tangerine Premium Case Raspberry Premium Case Case Case $139.97 $139.97 34.9925 34.9925 104.98 104.98 Total Euphoria Smoothie Add-Ins Supplements (For Power Smoothies & Power Shots) Code Whey Protein Isolate Whey Protein Isolate NLarge for Gainer Antioxidant Max Power Power Boost Stress Buster Wheat Grass Immune Builder Fiber Fix Slim Power Mind Power Passion Boost Name Vanilla - 5 lbs Jar Vanilla - 2 lbs Jar Vanillla - 3.8 lbs Antioxidant Blend 1 lb Jar Max Power Blend 1 lb Jar Power Boost 1 lb Jar Stress Buster Blend 1 lb Jar Wheat Grass Blend 1 lb Jar Immune Builder Blend 1 lb jar Fiber Fix Blend 1 lb Jar Slim Power 1 Lb Jar Mind Power 1 lb Jar Passion boost Blend 1 lb Jar Jar Jar Jar Jar Jar Jar Jar Jar Jar Jar Jar Jar Jar Qty Price $54.74 $29.75 $39.95 $21.95 $44.78 $21.95 $21.95 $56.64 $21.95 $21.95 $21.95 $21.95 $21.95 N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 Adjusted Price 54.74 $29.75 $39.95 21.95 44.78 21.95 21.95 56.64 21.95 21.95 $21.95 21.95 21.95 Total Total Euphoria Gourmet Premium Loose Tea Code Sencha Japanese Blue Mango Mim Darjeeling Egyptian Chamomile Kyoto Cherry Rose Name Sencha Japanese Green Tea 500g Blue Mango Herbal Fruit Tea Mim Darjeeling Black Tea Egyptian Chamomile Kyoto Cherry Bag Bag Bag Bag Bag Qty Price $13.98 $13.98 $13.98 $10.05 $13.98 N/A 0 0 0 0 0 Adjusted Price 13.98 13.98 13.98 10.05 13.98 Total Bella Coola Tea Borengajuli Jasmine Flower Rose Green Tea Bella Coola Herbal Fruit Tea Borengajuli Estate Black Tea Jasmine Flower Green Tea Bag Bag Bag $13.98 $13.98 $13.98 0 0 0 13.98 13.98 13.98 Total Euphoria Premium Bubble Tea & Supplies Code Green Apple Papaya Cool Blue Honey Dew Coconut Knockout Jack Fruit Green Tea Taro Tea Pina Colada Mango Fandango Lavender Blossom Rose Petal - Infusion African Violet - Infusion Cool Cubes Raw Tapioca Name Green Apple 1 lb bag Papaya 1 lb Bag Cool Blue Razmataz 1 lb Honey Dew Heaven 1 lb Coconut Knockout 1 Lb Jack Fruit Splash 1 Lb Green Tea Bliss 1 lb Bag Taro Tea Teazer 1 lb Bag Pina Colada Paradise 1 lb Mango Fandango 1 lb Lavender Infusion Infusion for Bubble Tea Infusion for Bubble Tea Cool Cubes 4.5 lb jar Raw Tapioca Pearls 500 g bag Bag Bag Bag Bag Bag Bag Bag Bag Bag Bag Bag Bag Bag Jar Bag Qty Price $10.80 $10.80 $10.80 $10.80 $10.80 $10.80 $10.80 $10.80 $10.80 $10.80 $10.80 $10.80 $10.80 $23.50 $3.20 N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Adjusted Price 10.8 10.8 10.8 10.8 10.8 10.8 10.8 10.8 10.8 10.8 10.8 10.8 10.8 23.5 3.2 Total Total Café Euphoria - Some Like It Hot Code Chai Tea Name Chai Tea Case (Powder Blends) Qty Price Case $149.97 25% SIADD Adjusted Price 112.48 Total 37.4925 Chai Sprinkles Mocha Mochaccino Latte Mix Vanilla Yogurt Vanilla Crème Chai Tea Sprinkles 250g Bag Mocha Mix Case Mochaccino Mix Case Café Latte Mix Case Non-Fat Vanilla Yogurt Case Low-Fat Vanilla Yogurt Bag Case Case Case Case Case $15.45 $149.97 $149.97 $149.97 $149.97 $149.97 3.8625 37.4925 37.4925 37.4925 37.4925 37.4925 11.59 112.48 112.48 112.48 112.48 112.48 Total Euphoria Branded Cups, Lids & Straws Code 12j12 16j16 20J16 24J24 Dome Lids 16/20 Dome Lids 24 Wrapped Straws Name 12 oz. Euphoria Foam Cups 1000 16 oz. Euphoria Foam Cups 1000 20 oz. Euphoria Foam Cups 1000 24 oz. Euphoria Foam Cups 1000 Dome Lids Clear 16/20 oz. Case Dome Lids Clear 24 oz. Case Jumbo Green (3600) Straws case case case case case case case Qty Price TBD TBD TBD TBD TBD TBD $128.69 N/A 0 0 0 0 0 0 0 Adjusted Price TBD TBD TBD TBD TBD TBD 128.69 Total Total Euphoria Point of Sale Materials Code Euphoria T-shirts For Great Branding & Promoting Name Qty Price $77.04 $19.95 $19.95 $19.95 N/A 0 0 0 0 Adjusted Price 77.04 19.95 19.95 19.95 Total Euphoria T-Shirts 6 pk 6-pack (M, L, XL) Frequent Buyer Frequent Buyer Smoothies box Cards - 250 Frequent Buyer Coffee Coffee Club box Club Cards 250 Customer Comment Cards Customer Pack Nutritional Info Brochures Euphoria Bike Bottles Euphoria Pens Comment 100 100 Brochures Euphoria Bike Bottles 12 Euphoria Pens 100 Pack case box $19.95 $31.96 $78.45 $42.95 $89.79 0 0 0 19.95 31.96 78.45 $42.95 89.79 Euphoria Color Menu Gold Stickers Euphoria Printed Color Menus 100 Euphoria Gold Stickers 1000 Pack Roll 0 0 Total Terms and Conditions: All prices are in USD and are FOB North Bay, ON. Please note that we require a minimum order of 40 cases (you can mix smoothie and powder blends cases to make the minimum of 40 per order), however, it is to your advantage to place larger orders to minimize your shipping costs. You will save more money on freight when you place larger orders thereby lowering your overall per case delivered costs. You can have the products shipped through your own airfreight forwarder, shipping broker or we can assist you in getting the best pricing via our airfreight forwarder or shipping broker. Please be assured that we absolutely do not make money on shipping, brokerage or freight charges. We quote you exactly the same charges as provided to us by our airfreight forwarders or shipping brokers. We make every effort to ship via the lowest cost carrier to save you money on shipping. Thank you for your order. We sincerely appreciate your business, goodwill and friendship. We will acknowledge your order details as soon as we have processed your order. Have a Euphoric day! Toll-Free 1-866-GET-EUPHORIC Positive Thinking. Positive Drinking. http://www.euphoriasmoothies.com Order Form Last Updated: March 10, 2006

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