NEUMI

ATTENTION:
BELGIUM, NETHERLANDS, AND SPAIN

THIS FORM WILL BE PROCESSED AS SOON AS THE NEUMI SHOP OPENS IN YOUR COUNTRY (APPROXIMATELY 4-6 WEEKS).
CUSTOMER (pay full price $65 USD on single bottle purchases, no autoship option)CUSTOMER WITH AUTOSHIP (pay full price $65 USD on single bottle purchases, automatic autoship scheduled - monthly or quarterly, cannot earn commissions)MEMBER (pay reduced price $50 USD on single bottle purchases, build a Neumi business, and earn commissions, will require autoship of monthly or quarterly)
COUNTRY:
WHO IS YOUR SPONSOR?*

First NameLast Name
FULL NAME:*

First NameLast Name
ADDRESS:*
EMAIL:*
example@example.com
PHONE NUMBER:*
BIRTHDATE:*

MonthDayYear
REQUESTED USERNAME (FOR LOGIN AND MEMBER WEBSITES):*
ORDER OPTIONS - MEMBERS MUST CHOOSE A WELCOME PACK. MULTIPLE WELCOME PACKS WILL SHIP SEPARATELY 2-DAYS APART - IMPORTANT (THE TOTAL AMOUNT SHOWN DOES NOT INCLUDE SHIPPING COSTS!):*
prevnext( X )
MEMBER - WELCOME PACK 1
1 Nutriswish and 1 Neumi Skin

$100.00 Quantity



MEMBER - WELCOME PACK 2
4 Nutriswish and 2 Neumi Skin plus 1 additional free Nutriswish

$300.00 Quantity



MEMBER - WELCOME PACK 3
6 Nutriswish and 4 Neumi Skin plus 1 additional free Nutriswish. VIP Membership

$500.00 Quantity



MEMBER - WELCOME PACK 4
16 Nutriswish and 8 Neumi Skin plus 1 additional free Nutriswish. VIP Neumi Membership

$1,000.00 Quantity



MEMBER - WELCOME PACK 5
12 Nutriswish and 12 Neumi Skin plus 1 additional free Nutriswish. VIP Membership

$1,000.00 Quantity



MEMBER - NUTRISWISH
$50.00 Quantity



MEMBER - NEUMI SKIN
$50.00 Quantity



PREFERRED CUSTOMER - NUTRISWISH
$50.00 Quantity



PREFERRED CUSTOMER - NEUMI SKIN
$50.00 Quantity



PREFERRED CUSTOMER - QUARTERLY COMBO
4 Nutriswish and 2 Neumi Skin plus 1 additional FREE Nutriswish

$300.00



PREFERRED CUSTOMER - QUARTERLY PACK ALL NUTRISWISH
6 Nutriswish plus 1 additional FREE Nutriswish

$300.00



PREFERRED CUSTOMER - QUARTERLY PACK ALL NEUMI SKIN
6 Neumi Skin plus 1 additional FREE Neumi Skin

$300.00



RETAIL CUSTOMER - NUTRISWISH
$65.00 Quantity



RETAIL CUSTOMER - NEUMI SKIN
$65.00 Quantity



RETAIL CUSTOMER - QUARTERLY COMBO
4 Nutriswish and 2 Neumi Skin plus 1 additional FREE Nutriswish

$390.00



RETAIL CUSTOMER - QUARTERLY PACK ALL NUTRISWISH
6 Nutriswish plus 1 additional FREE Nutriswish

$390.00



RETAIL CUSTOMER - QUARTERLY PACK ALL NEUMI SKIN
6 Neumi Skin plus 1 additional FREE Neumi Skin

$390.00



AVAILABLE TO ALL - NUTRISWISH SAMPLE PACK
Includes (4) mini Nutriswish bottles (each bottle is 1 week of use) and is travel size for carry-on baggage

$60.00 Quantity



Total

$0.00
AUTOSHIP INFORMATION:

The QUARTERLY PACK option is the best choice because you receive a free bottle of Neumi (pay for 6 bottles and the 7th bottle free). If you are a Neumi Member, this is especially wonderful because the company takes the points from this purchase and spreads it over 3 months so you are always qualified for 3 months of commission payments. Then, set the shipping frequency to TRI-MONTHLY (every 3 months)!

RETAIL CUSTOMERS are not eligible for autoship.
$300 QUARTERLY PACK - COMBO (5 Nutriswish and 2 Neumi Skin)$300 QUARTERLY PACK - NUTRISWISH (7 Nutriswish)$300 QUARTERLY PACK - NEUMI SKIN (7 Neumi Skin)$100 ESSENTIAL PACK (1 Nutriswish and 1 Neumi Skin)
CHOOSE YOUR NEXT AUTOSHIP DATE (IF YOU ARE A MEMBER, PLEASE SELECT A DATE FOR NEXT MONTH PREFERABLY THE BEGINNING OR MIDDLE OF THE MONTH. IF YOU ARE A PREFERRED CUSTOMER PLEASE SELECT ANY DATE THAT YOU WANT YOUR NEXT ORDER TO PROCESS)*

MonthDayYear
Date
AUTOSHIP SHIPPING FREQUENCY:*
NOTES FOR YOUR ORDER:
STEP 1: YOUR NEUMI ACCOUNT WILL BE CREATED AND YOUR LOGIN INFORMATION WILL BE SENT TO YOU

STEP 2: LOG INTO YOUR NEUMI ACCOUNT AND ENTER YOUR BILLING INFORMATION AND CREDIT CARD

STEP 3: CONTACT YOUR SPONSOR AND LET THEM KNOW YOU HAVE COMPLETED STEP 2

STEP 4: YOUR ORDER WILL BE PLACED

PLEASE DO NOT PLACE YOUR OWN ORDER.

ALL ORDERS FOR BELGIUM, NETHERLANDS, AND SPAIN WILL BE PROCESSED IN APPROXIMATELY 4 TO 6 WEEKS.

THANK YOU, AND WELCOME TO THE NEUMI FAMILY!
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