Phyto-nutraceuticals cc. Unit 3A Heron Park, Wildevoelvlei Rd., Kommetjie P.O. Box 48126, Kommetjie, 7976 Email info@phyto.co.za Telephone 021 783 5738 Fax 021 783 5739 Cell 082 491 2220 VAT Number 4440154286 CK1995/053614/23 Fax to Email 086 774 3708 Web site www.phyto.co.za PRODUCT ORDER FORM (January 2016) NEW CUSTOMER PERMISSION TO RECEIVE INFO & SPECIALS VIA SMS”s FROM PHYTO NAME: CELL NUMBER: FAX NUMBER: POSTAL ADDRESS: CUSTOMER CODE: DATE: TEL NUMBER: E-MAIL ADDRESS: DELIVERY ADDRESS: CREDIT CARD NUMBER: EXPIRY DATE: CVC: SIGNATURE: DIRECT DEPOSIT: Phyto-nutraceuticals, Standard Bank, Fish Hoek, Branch code 036009, Account No. 072124024 PLEASE NOTE THAT GOODS WILL NOT BE DISPATCHED UNLESS PAYMENT IS RECEIVED NUTRITIONAL PRODUCTS ORIGINAL VANILLA CHOCOLATE EXOTIC FRUIT WILDBERRY Xcell Mind Boost 400g UNIT PRICE AMOUNT 57.00 57.00 62.00 57.00 62.00 62.00 88.00 42.00 47.00 130.00 Xcell Slim Down 400g Xcell Re Build Formula 400g Xcell Junior 1-10years 400g Xcell Carbo Active 600g Xcell Woman HST 400g Phyto Gastro 300g Phyto Sweetener Powder 500g Phyto Hot Chocolate 500g Phyto Soy Protein Isolate 1kg SPECIALS – While stocks last QUANTITY SUBTOTAL 10x500g R450.00 20x500g R900.00 made to order 20x450g R770.00 1x450g R40.00 20kg bulk bag R1330.00 20x500g R770.00 10x 1kg R720.00 made to order 10x500g R390.00 5x 1kg R370.00 (2 single sachets – 1 unit) 1x 1kg R75.00 MILKS 1x500g R40.00 Soy Milk Plus Endorsed by GI Foundation & Diabetes SA Rice Milk Plus 20kg bulk bag R1600.00 10x450g R390.00 Milk Plus Casein Free 1x500g R48.00 Soy Milk Soy Milk Strawberry Soy Milk Chocolate Soy Milk Vanilla Low Fat Soy Milk Rice Milk COSMETICS SUBTOTAL Xcell Remedy Rub – 150ml Xcell Remedy Rub – 250ml Pain Relieving Cream Pain Relieving Cream 60.00 85.00 SUBTOTAL *** R140 delivery charge for the first two (2) boxes or 1 bulk bag thereafter R70.00 per Box & R140 per bulk bag *** For quantities less than 5 – Postage Rates Apply Redeem Customer Loyalty Voucher Y / N Voucher Number…………………. Delivery less Voucher AmountV TOTAL ( ) Phyto-nutraceuticals cc. Unit 3A Heron Park, Wildevoelvlei Rd., Kommetjie P.O. Box 48126, Kommetjie, 7976 Email info@phyto.co.za Telephone 021 783 5738 Fax 021 783 5739 Cell 082 491 2220 VAT Number 4440154286 CK1995/053614/23 Fax to Email 086 774 3708 Web site www.phyto.co.za South African Post Office DOMESTIC PARCEL SERVICE Ordinary parcel An Ordinary parcel is any postal item that is bigger than 353 x 250 x 30mm and/or weighs more than 1kg. The maximum length is 1m and the length plus girth may not be more than 2m. The domestic counter-to-counter parcel service (ordinary parcel) is the most economical way to send a parcel. Customers can send parcels from any Post Office counter to any other Post Office counter in the country. 15 Value-added parcel service Insurance Insurance is available at a rate of 3% of the declared value to a maximum of R5 000 with a minimum of R3,30 per parcel. DOMESTIC PARCEL RATES Product Rate Ordinary parcel (counter to counter) bigger than 353 x 250 x 30mm and/or weighs more than 1kg. R40.90for the first kg R 5.50 for each additional kg or part of a kg Insurance is charged at a rate of 3% of the value of the parcel No Of Sachets Box size Weight Insurance Handling Cost Total 1 16.5cm X 23cm X 16cm 0.6kg R 3.30 R 5.80 R 40.90 R 50.00 2 16.5cm X 23cm X 16cm 1.14kg R 4.00 R 6.60 R 46.40 R 57.00 3 16.5cm X 23cm X 16cm 1.66kg R 6.00 R 7.60 R 46.40 R 60.00 4 16.5cm X 23.5cm X 20cm 2.22kg R 8.00 R 8.10 R 51.90 R68.00 5 16.5cm X 23.5cm X 20cm 2.7kg R 10.00 R 8.10 R 51.90 R70.00 6 Refer to Product Order Form for Delivery Charges