Jessica J BioSkin Customer Order Form

Customer Name

First NameLast Name

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Street Address

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CityState / Province

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Billing Address - Please fill out your billing address if it is different than your shipping address

Street Address

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ORDER:

Starter Kits

Premium Kit - Blue, Gold, Back Bar Finishing Products & Retail After Care

Box of BioRePeel Blue, Box of BioRePeel Gold, 8 x Retail BioReLift 1.01 fl oz, 8 x Retail BioReHydra 1.01 fl oz, 1 x Backbar BioReLift 6.76 fl oz 1 x Backbar BioReHydra 6.76 fl oz, 1 x BioCleanser 6.76 fl oz, 10 BioHydra masks x 0.74 fl oz (10 x 22 mL)

$2,096.00 Quantity

Blue Starter Kit A

Box of BioRePeel Blue, 6 x Retail BioReLift 1.01 fl oz, 6 x Retail BioReHydra 1.01 fl oz, 1 x BioCleanser 6.76 fl oz, 10 BioHydra masks x 0.74 fl oz (10 x 22 mL)

$1,117.00 Quantity

Blue Starter Kit B

Box of BioRePeel Blue, 6 x Retail BioReLift 1.01 fl oz, 6 x Retail BioReHydra 1.01 fl oz, 1 x Backbar BioReLift 6.76 fl oz 1 x Backbar BioReHydra 6.76 fl oz, 1 x BioCleanser 6.76 fl oz, 10 BioHydra masks x 0.74 fl oz (10 x 22 mL)

$1,377.00 Quantity

Blue Starter Kit C

Box of BioRePeel Blue, 1 x Backbar BioReLift 6.76 fl oz 1 x Backbar BioReHydra 6.76 fl oz, 1 x BioCleanser 6.76 fl oz, 10 BioHydra masks x 0.74 fl oz (10 x 22 mL)

$945.00 Quantity

Gold Starter Kit A

Box of BioRePeel Gold, 4 x Retail BioReLift, 4 x Retail BioReHydra, 1 x BioCleanser 6.76 fl oz

$995.00 Quantity

Gold Starter Kit B

Box of BioRePeel Gold, 6 x Retail BioReLift 1.01 fl oz, 6 x Retail BioReHydra 1.01 fl oz, 1 x Backbar BioReLift 6.76 fl oz 1 x Backbar BioReHydra 6.76 fl oz, 1 x BioCleanser 6.76 fl oz

$1,327.00 Quantity

Gold Starter Kit C

Box of BioRePeel Gold, 1 x Backbar BioReLift 6.76 fl oz 1 x Backbar BioReHydra 6.76 fl oz, 1 x BioCleanser 6.76 fl oz

$789.00 Quantity

Lucente

3 MONTH PROGRAM

Includes: 2 x 2.4mL vials of Lucente Serum, 3 Lucente home care cream

$540.00 Quantity

4 MONTH PROGRAM

Includes: 2 x 2.4mL vials of Lucente Serum, 4 Lucente home care cream

$650.00 Quantity

5 MONTH PROGRAM

Includes: 4 x 2.4mL vials of Lucente Serum, 5 Lucente home care cream

$870.00 Quantity

6 MONTH PROGRAM

Includes: 4 x 2.4mL vials of Lucente Serum, 6 Lucente home care cream

$990.00 Quantity

Peels

BioRePeelC13 Gold

0.41 fl. Oz per vial x 3 Vials

$575.00 Quantity

BioRePeelC13 Blue

(0.21 Fl. Oz x 5 Vials-Face)

$525.00 Quantity

BioRePeelCl3 Rose

0.14 fl oz per vial x 3 vials

$240.00 Quantity

Professional Size Products

BioReLift

200 ml

$130.00 Quantity

BioReHydra

200 ml

$130.00 Quantity

BioCleanser

6.76 fl oz (200mL)

$60.00 Quantity

BioHydra Masks

10 packs x 0.74 fl oz (10 x 22 mL)

$100.00 Quantity

Retail Size Products

BioReLift

Quantity Discounts 3 sets, 6 sets + *Adjust quantity to see discount.

$50.00 Quantity

BioReHydra

Quantity Discounts 3 sets, 6 sets + *Adjust quantity to see discount.

$50.00 Quantity

PDRN

NexGen PDRN+

10 x 3ml vials

$599.00 Quantity

Mesotherapy Serums

AK- Firming Serum

(5 vials x 5ml)

$349.00 Quantity

HY- Hydrating Serum

(5 vials x 5ml)

$349.00 Quantity

RD- Radiance Serum

(5 vials x 5ml)

$349.00 Quantity

HB- Hair Booster Serum

(5 vials x 5ml)

$349.00 Quantity

BioTouch Precision

BioTouch Precision Starter Package

Microneedling Device + 1 x Cartridge Box (8 x cartridges)

$3,599.99 Quantity

BioTouch Precision Professional Packages

Microneedling Device + 2 x Cartridge Boxes (16 x cartridges) + 2 x SERA Mesotherapy Boxes of Choice (RD, AK, HY, or HB) + 1 x BioCleanser (200ml)

$3,999.99 Quantity

BioTouch Precision Elite Growth Package

Microneedling Device + 2 x Cartridge Boxes (16 x cartridges) + 2 x Serum of Choice (NexGen PDRN+RD, AK, HY, or HB) + 1 x BioCleanser (200ml) + 1 BioRePeelCl3 Blue ( 5 x 6ml) + 1 x BioHydra Masks Box ( 10 x Individual Sheet Masks)

$4,399.99 Quantity

BioTouch Precision Cartridges

8 Cartridges

$290.00 Quantity

Brochures/Extras

BioRePeelcl3 Brochure Pack 25

$4.99 Quantity

BioRePeelcl3 Spanish Brochure Pack 25

$4.99 Quantity

Mesotherapy Brochure pack 25

$4.99 Quantity

Lucente Brochure pack 25

$4.99 Quantity

BioRePeelcl3 Rose Brochure Pack 25

$4.99 Quantity

NexGen PDRN+ Brochure Pack 25

$4.99 Quantity

Subtotal

Shipping

Total

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US customers ONLY MUST present Tax Resale certificate to have tax WAIVED on order. IF YOU ARE NOT IN AN APPLICABLE STATE, *DISREGARD*

If you need to submit a resale tax document to be saved on your account, please email it to orders@bioskinaesthetics.com and copy your representative. Please use your business name as the subject line.

ORDER additional request and or notes:

I, First Name* Last Name* hereby acknowledge my understanding that there are no refunds, returns, or exchanges on any Bioskin Aesthetics product, unless otherwise authorized by the Bioskin Aesthetics management, in writing.

I am authorizing this purchase with full knowledge of this policy.

Signature

Jessica J's Online Order Form

ORDER:

Additional shipping fees may apply to certain states/countries. Please ask your representative for details.