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ORDER FORM www.youngliving.com Live Order Operator 1-800-371-2928 Automated Ordering System 1-888-880-1549 ITEM NO. DESCRIPTION QUANTITY PRICE TOTAL METHOD OF SHIPPING FED EX Ground (Delivery in 5-6 business days) - $7.99 for 1 lb. - $8.99 for 2 lbs. - $9.49 for 3 lbs. FED EX 3-5 Day Service - $10.83 for 1 lb. - $11.72 for 2 lbs. - $13.49 for 3 lbs. FED EX 2-Day Service - $13.88 for 1 lb. - $15.28 for 2 lbs. - $17.29 for 3 lbs. USPS Parcel Post - $8.35 for first lb. - Rates vary after first lb. Hawaii and Alaska orders add an additional day. Domes- tic orders are generally shipped within 2 business days (excluding weekends & holidays). METHOD OF PAYMENT Personal check no. Certified check or Money Order Use credit card on file Use ACH on file Card No. Expiration Date Signature Please keep my card on file *You will be charged sales tax based on location. Shipping & Handling fees may be taxable depending on location. **Add applicable customs fees and federal and provincial taxes. ***(For international shipping rates, call Order Entry at: 1-800-371-2928.) Subtotal Sales Tax* Canadian Residents** Shipping + Handling*** Total Member No. Name (Please print clearly) Phone SHIP TO Ship to the address on file PERSONAL INFORMATION Name (Please print clearly) Street Address (Please provide a physical address for FedEx shipping option) City State/Province Zip/Postal Code Phone Country

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METHOD OF SHIPPING ❑ Personal check no. ❑ Certified check or Money Order ❑ Use credit card on file ❑ Use ACH on file www.youngliving.com Live Order Operator 1-800-371-2928 Automated Ordering System 1-888-880-1549 Street Address (Please provide a physical address for FedEx shipping option) Name (Please print clearly) Name (Please print clearly) Expiration Date Card No. Signature ❑ FED EX 2-Day Service ❑ FED EX 3-5 Day Service ❑ Please keep my card on file ❑ USPS Parcel Post

TRANSCRIPT

ORDER FORMwww.youngliving.com

Live Order Operator 1-800-371-2928Automated Ordering System 1-888-880-1549

ITEM NO. DESCRIPTION QUANTITY PRICE TOTAL

METHOD OF SHIPPING

❑ FED EX Ground (Delivery in 5-6 business days) - $7.99 for 1 lb. - $8.99 for 2 lbs. - $9.49 for 3 lbs.

❑ FED EX 3-5 Day Service - $10.83 for 1 lb. - $11.72 for 2 lbs. - $13.49 for 3 lbs.

❑ FED EX 2-Day Service - $13.88 for 1 lb. - $15.28 for 2 lbs. - $17.29 for 3 lbs.

❑ USPS Parcel Post - $8.35 for first lb. - Rates vary after first lb.

Hawaii and Alaska orders add an additional day. Domes-tic orders are generally shipped within 2 business days (excluding weekends & holidays).

METHOD OF PAYMENT

❑ Personal check no.

❑ Certified check or Money Order

❑ Use credit card on file

❑ Use ACH on file

Card No.

Expiration Date

Signature

❑ Please keep my card on file

*You will be charged sales tax based on location. Shipping & Handling fees may be taxable

depending on location. **Add applicable customs fees and federal and

provincial taxes.***(For international shipping rates, call Order Entry

at: 1-800-371-2928.)

Subtotal

Sales Tax*

Canadian Residents**

Shipping + Handling***

Total

Member No.

Name (Please print clearly)

Phone

SHIP TO❑ Ship to the address on file

PERSONAL INFORMATION

Name (Please print clearly)

Street Address (Please provide a physical address for FedEx shipping option)

City State/Province Zip/Postal Code

Phone Country

ACCOUNT INFORMATION CHANGES(IF NO CHANGES, PLEASE LEAVE BLANK)

3125 We st E xe cutiv e Parkway L ehi , U T 84043

USA + CANADA CONTACT INFORMATION+ Customer Service: 1-800-371-3515+ Order Entry (Live Order Operator): 1-800-371-2928+ Fax: 1-866-203-5666+ E-mail: [email protected]

For additional changes or information, please contact Customer Service at 1-800-371-3515.

Member No.

Name* (Please print clearly)

Phone

SHIPPING INFORMATIONPERSONAL INFORMATION

Name* (Please print clearly)

Street Address (Please provide a physical address for FedEx shipping option)

City State/Province Zip/Postal Code

Phone Country

*For a full name change, please submit a W-9 form with this document.