Invoice Date: Invoice #:
Phone #: Fax #:
Send Payment To:
Customer Loyalty Program:
Shipping & Handling:
I understand that this order may be considered as an invitation to call upon me from time to time, with the understanding that I will be under no obligation to buy.
Important Notice: You, the buyer, may cancel this transaction at any time prior to midnight of the third business day after the date of this transaction. See the Notice of Cancellation on the reverse of this form for an explanation of this right. After the three-day cancellation period provided above, you are still protected by the HERBALIFE REFUND POLICY as set forth.
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Herbalife Refund Policy
Herbalife offers an exchange or a full refund. Simply request a refund from your Distributor within thirty (30) days from receipt of your product, and return the unused portion with the product containers to the Distributor named on the front side.
Notice of Cancellation
Date of Transaction: _______ / _______ /_______
You may CANCEL this transaction, without any penalty or obligation, within THREE (3) BUSINESS DAYS from the above date.
If you cancel, any property traded in, any payments made by you under the contract or sale, and any negotiable instrument executed by you, will be returned within TEN (10) BUSINESS DAYS, following the receipt of the seller of your cancellation notice, and any security interest arising out of the transaction will be cancelled.
If you cancel, you must make the goods available to the seller at your residence, in substantially as good condition as when received, any goods delivered to you under this contract or sale; or you may, if you wish, comply with the instructions of the seller regarding the return shipment of the goods at the seller's expense and risk.
If you do make the goods available to the seller and the seller does not pick them up within twenty (20) days of the date of your Notice of Cancellation , you may retain or dispose of the goods without any further obligation. If you fail to make the goods available to the seller, or if you agree to return the goods to the seller and fail to do so, then you remain liable for performance of all obligations under the contract.
To cancel this transaction, mail or deliver a signed copy of this Notice of Cancellation or any other written notice, or send a telegram to:
City: State:Zip Code:
NO LATER THAN MIDNIGHT OF: _______ / _______ /_______
(Date: Three days after date of order)
I HEREBY CANCEL THIS TRANSACTION:
FEDERAL AND STATE LAW: Regulations require that we print the following NOTICE OF
The Herbalife Refund Policy offers and provides you greater protection than the law requires.
Distribution: Distributor - 1 copy / Customer - 2 copies
© 2011 Herbalife International of America, Inc. All rights reserved. USA #WW5258 02/11
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