UHS Essential Health Philippines, Inc. UHS Essential Health Philippines, Inc.

Philippines Philippines
Makati Office Makati Office
24th Floor, Tower 1, The Enterprise Center, 24th Floor, Tower 1, The Enterprise Center,
6766 Ayala Avenue corner Paseo De Roxas 6766 Ayala Avenue corner Paseo De Roxas

Independent Associate Makati City, 1223

Davao Office
7th Floor, Abreeza Corporate Center
Retail Sales Receipt JP Laurel Ave., Davao City, 8000
Cebu Office
5th Floor, Tech Tower, Cebu Business Park,
Cebu City, Cebu, 6000
Phone Order Line: (632) 8858-4500
1-800-108726200 PDLT Toll Free
CustomerServicePH@usanainc.com
11128396
ASSOCIATE NUMBER _______________________________ www.usana.com
Independent Associate Makati City, 1223
Davao Office
7th Floor, Abreeza Corporate Center
Retail Sales Receipt JP Laurel Ave., Davao City, 8000
Cebu Office
5th Floor, Tech Tower, Cebu Business Park,
Cebu City, Cebu, 6000
Phone Order Line: (632) 8858-4500
1-800-108726200 PDLT Toll Free
CustomerServicePH@usanainc.com
ASSOCIATE NUMBER _______________________________ www.usana.com

Angelinel Aquino
ASSOCIATE NAME ___________________________________________________________________ ASSOCIATE NAME ___________________________________________________________________

Aquino Compound Sitio, Taghangin, Brgy. San Juan, Morong Rizal

ADDRESS ___________________________________________________________________________ ADDRESS ___________________________________________________________________________

angelinelaquino2@gmail.com
EMAIL ____________________________________ 09168430744
TELEPHONE NUMBER _____________________ EMAIL ____________________________________ TELEPHONE NUMBER _____________________

METHOD OF PAYMENT METHOD OF PAYMENT

Check Enclosed Check/Money Order Visa MasterCard American Express Check Enclosed Check/Money Order Visa MasterCard American Express
SOLD TO

CUSTOMER NAME Jerome A. Galicia

SOLD TO
CUSTOMER NAME
ADDRESS ADDRESS

EMAIL 1121 Corregidor, Tondo, Manila TELEPHONE NUMBER 099950269462 EMAIL TELEPHONE NUMBER
SHIPPING ADDRESS (if different from above) SHIPPING ADDRESS (if different from above)

ITEM # DESCRIPTION QTY UNIT PRICE TOTAL ITEM # DESCRIPTION QTY UNIT PRICE TOTAL
1 Cellsentials 2 3,500.00 7,000.00

Shipping Fees 0.00 Shipping Fees

Order Total Price Order Total Price

*All prices are in Php (P) and inclusive of VAT. 7,000.00 *All prices are in Php (P) and inclusive of VAT.

I want to order the goods indicated above from my USANA Associate, and I agree to pay the total I want to order the goods indicated above from my USANA Associate, and I agree to pay the total
price due. price due.

Order Date (must be handwritten by customer) Order Date (must be handwritten by customer)

Customer’s Signature Associate’s Signature Customer’s Signature Associate’s Signature

USANA Retail Customer Guarantee & Return Policy
If, for any reason, a USANA product is not satisfactory, return the unused portion within 30 days of
the original purchase to your USANA Associate, with a written explanation of your dissatisfaction
of such products, along with proof of purchase, for either a one-time exchange OR for a full refund.
A repurchase of a USANA product will establish your satisfation with previous purchases of that
product.
USANA Retail Customer Guarantee & Return Policy
If, for any reason, a USANA product is not satisfactory, return the unused portion within 30 days of
the original purchase to your USANA Associate, with a written explanation of your dissatisfaction
of such products, along with proof of purchase, for either a one-time exchange OR for a full refund.
A repurchase of a USANA product will establish your satisfation with previous purchases of that
product.

USANA Health Sciences, Inc. CCR-017048 PH EN 0721 USANA Health Sciences, Inc. CCR-017048 PH EN 0721