Distributor Name
Distributor
Customer Order Form Shaklee ID # Phone #
Date of In-Home Retail Customer Customer’s Member ID #
Customer Name
Customer Ship-To Address
City State
Phone E-mail
Case
Product Name Size Item # Lot PV MN SRP QTY TOTAL
Get Clean Starter Kit with Fresh Laundry
HE Compatible (Liquid) n/a 50444 1 81.85 149.60 170.40
Get Clean Starter Kit with Fresh Laundry
Fragrance Free HE Compatible (Liquid) n/a 50426 1 81.85 149.60 170.40
Healthy Home Pack with Fresh Laundry
HE Compatible (Liquid) n/a 50446 1 31.28 73.95 86.90
Healthy Home Pack with Fresh Laundry
Fragrance Free HE Compatible (Liquid) n/a 50442 1 31.28 73.95 86.90
Household
Basic H2 ® Organic Super Cleaning 16 oz. 00015 1 5.17 10.35 12.15
Concentrate 12 62.04 124.20 145.80
Basic H2 ® Organic Super Cleaning 64 oz. 00029 1 18.62 37.25 43.80
Concentrate 4 74.48 149.00 175.20
Basic H2 ® Organic Super Cleaning 35 wipes 00302 1 3.87 7.75 9.10
Wipes 12 46.44 93.00 109.20
Germ Off Disinfecting Wipes 35 wipes 00322 1 3.87 7.75 9.10
12 46.44 93.00 109.20
Nature Bright ® Laundry Booster 2 lb. 00305 1 4.65 9.30 10.95
and Stain Remover 6 27.90 55.80 65.70
Scour Off™ Heavy-Duty Paste 9 oz. 00430 1 3.61 7.25 8.50
6 21.66 43.50 51.00
Kitchen
Dish Wash Concentrate (Liquid) 16 oz. 00255 1 3.45 6.90 8.10
12 41.40 12.00 97.20
Dish Wash Automatic 2 lb. 00295 1 4.75 9.50 11.20
Concentrate (Powder) 6 28.50 57.00 67.20
Hand Wash
Hand Wash Concentrate 32 oz. 00304 1 12.02 17.35 20.40
6 72.12 104.10 122.40
Laundry Cleaners
Fresh Laundry Concentrate 32 oz. 00066 1 6.47 12.95 15.25
HE Compatible (Liquid) 6 38.82 77.70 91.50
Fresh Laundry Concentrate 64 oz. 00114 1 12.55 25.10 29.55
HE Compatible (Liquid) 4 50.20 100.40 118.20
Fresh Laundry Concentrate Fragrance 32 oz. 00300 1 6.47 12.95 15.25
Free HE Compatible (Liquid) 6 38.82 77.70 91.50
Fresh Laundry Concentrate 64 oz. 00129 1 12.55 25.10 29.55
(Liquid) 4 50.20 100.40 118.20
Fresh Laundry Concentrate (Powder) 14 lb. 00160 1 20.12 40.25 47.35
Fresh Laundry Concentrate Free 5.5 lb. 00161 1 9.04 18.10 21.30
Fragrance Free (Powder) 4 36.16 72.40 85.20
Fresh Laundry Concentrate 5.5 lb. 00159 1 9.04 18.10 21.30
(Powder) 4 36.16 72.40 85.20
Column 1 Subtotal
ORDERING INFORMATION
If ordering at an In-Home: Provide a copy of your completed order form to your Hostess or Distributor.
If ordering outside an In-Home: Fill out form COMPLETELY. Indicate whether you are a member or a retail customer
and note your Shaklee ID # if you have one. Include your Distributor ID # and name on the form.
Web: Visit Shaklee.com or your Shaklee Distributor’s Personal Web site. Members need their Shaklee ID # and
password. For assistance with online ordering, call 1.800.SHAKLEE (1.800.742.5533).
Call: Toll-free 1.800.SHAKLEE (1.800.742.5533) Monday through Friday 6 a.m.–7 p.m. Pacific Time.
If a Member, be sure to give your Shaklee ID #; if a retail customer, give your Distributor’s ID # FOLLOWED by “DS.”
Make sure to identify yourself as a retail customer.
Fax: Toll-free at 1.888.SHK4FAX (1.888.745.4329)
Mail: Shaklee Corporation, 4747 Willow Road, Pleasanton, CA 94588-2763
Membership Application Interested in Shaklee Membership Interested in learning more about Shaklee Interested in hosting an In-Home
METHOD OF PAYMENT (*Applicable shipping and handling charges and sales taxes will be added to your order.)
Charge to my: MasterCard® VISA® Discover® Check Check #________________
l l l l l l l l l l l l l l l l l l l l l l
Card Number (Exp. Date: MM/YY)
Name as it Appears on the Card Signature of Cardholder (IN INK)
Important: Personal checks cannot be submitted with orders sent directly to Shaklee. To use a cashier’s check, please call 1.800.SHAKLEE to place your order.
©2008 Shaklee Corporation. Distributed by Shaklee Corporation, Pleasanton, CA 94588 08-255 (Rev 5/08)
Case
Product Name Size Item # Lot PV MN SRP QTY TOTAL
Laundry Softeners
Soft Fabric Concentrate 32 oz. 00075 1 4.39 8.80 10.35
6 26.34 52.80 62.10
Soft Fabric Fragrance Free 80 shts. 00306 1 4.32 8.65 10.15
Dryer Sheets 12 51.84 103.80 121.80
Get Clean Accessories
Get Clean Caddy Organizer Kit 50447 1 0.00 30.75 36.15
Get Clean Wow Demo Kit 50420 1 0.00 10.20 10.20
Basic H2 ® Sample 60062 50-Pk 0.00 30.60 30.60
Get Clean Spray Bottle 16 oz. 50443 3-Pk 0.00 6.90 8.10
Super Microfiber Cleaning Cloth 50409 1 0.00 3.90 4.60
12 0.00 46.80 55.20
Super Microfiber Window Cloth 50410 1 0.00 3.90 4.60
12 0.00 46.80 55.20
Super Microfiber Dish Sponge 50411 1 0.00 2.65 3.10
12 0.00 31.80 37.20
Dispenser for Dish Wash 50407 1 0.00 2.90 3.40
Automatic Powder (use with #00295) 24 0.00 69.60 81.60
Dispenser for Nature Bright 50413 1 0.00 2.90 3.40
(use with #00305) 24 0.00 69.60 81.60
Decorator Dispenser for Hand Wash 50408 1 0.00 2.65 3.10
(use with #00304) 4 0.00 10.60 12.40
Measuring Cup 50077 1 0.00 12.50 15.00
25 0.00 312.50 375.00
Dual Measuring Spoon 50416 25-Pk 0.00 10.00 11.25
Miracle Scrubber Pad 50510 1 0.00 0.60 0.70
10 0.00 6.00 7.00
Squeeze Bottle with Dropper Tip 50419 1 0.00 1.00 1.15
75 0.00 75.00 86.25
1/4 oz. Pump Dispenser 50414 1 0.00 1.90 2.25
(for 32 oz. bottle) 10 0.00 19.00 22.50
1/2 oz. Pump Dispenser 50415 1 0.00 1.90 2.25
(for 64 oz. bottle) 10 0.00 19.00 22.50
Green Shopper Bag 50452 1 0.00 9.50 9.50
Column 2 Subtotal
COLUMN 1 SUBTOTAL
COLUMN 2 SUBTOTAL
TAX
SHIPPING AND HANDLING
MERCHANDISE TOTAL*
*Applicable shipping and handling charges and sales taxes will be added to your order.
STATE AND LOCAL TAXES
Sales/Use taxable items automatically added to all orders. The tax amount
is based on tax rates and product exemptions applicable in the state to
which the products are shipped.
SHIPPING AND HANDLING CHARGES
Current shipping and handling charges will apply.
We stand behind each and every one of our products. The ingredients,
purity, safety, and performance of all our Nutrition, Healthy Home, and
Personal Care products are 100% guaranteed.
Date