Delivery Request Form

DATE: 24 April 2017

In furtherance of our Marketing Services Agreement, particularly pertaining to the delivery of the Goods under Clau
accordance with the following information:

Expected Date of Delivery

Category
Merchant
Brand
Soul Skinfood and Nude Cosmetics
Soul Skinfood and Nude Cosmetics
Soul Skinfood and Nude Cosmetics
Soul Skinfood and Nude Cosmetics
Soul Skinfood and Nude Cosmetics
Soul Skinfood and Nude Cosmetics
Soul Skincare and Nude Cosmetics
Product Name
Fair Me Up! Cleansing Bar
Fair Me Up! Light Cream
Spot Me Clear! Cleansing Bar
Fair Me Up! Cleansing Toner
Spot Me Clear! Light Cream
Fair Me Up! Light Cream
Authorized Recipient Sophie Soliven
Warehouse G ,
#69 Rosario Bldg.,
Delivery Address C. Raymundo Avenue,
Rosario, Pasig City
**If Delivery is refused, please inform Jessa dela Soledad
by phone or email:

Check if the Purchaser accepts delivery

Conforme of Purchaser:

Received the abovementioned goods in proper order and condition, and in accordance with the technical specificati
in the website www.tastecentral.com

Signature above Printed name

PURCHASER or AUTHORIZED
RECIPIENT
Date:

OR

Check if delivery refused and Purchaser wishes to cancel purchase.

I hereby acknowledge and give my
consent to cancel this purchase
following todays delivery

Signature above Printed name

MERCHANT REPRESENTATIVE
Date:
very Request Form

elivery of the Goods under Clause 4(a), please deliver the Goods

Product Variant Quantity

30
25
30
10
10
25
 sophie@dealgrocer.com

jessa@dealgrocer.com / 0998 553 0814

nce with the technical specification of the Goods

Check if delivery refused and Purchaser wishes to replace delivery

I hereby acknowledge and give my consent to replace the

abovementioned goods delivered today

Signature above Printed name

PURCHASER or AUTHORIZED RECIPIENT
Date: