Rejuvi

Order Form
$50.00 minimum order required

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#

PRODUCT

SIZE

$/UNIT

QTY.

AMOUNT

1

Rejuvi "a" Night Gel

1.5 oz.

2

Rejuvi "a" Renewal Complex

1 oz.

68

Rejuvi "a" Retinyl Serum

1 oz.

3

Rejuvi "b" Skin Moisturizer *(N/S)

1.76 oz.

4

Rejuvi "b" Moisturizer Lotion

3.4 oz.

5

Rejuvi "c" Skin Care Formula

1 oz.

6

Rejuvi "d" Bleach Gel

10 ml.

7

Rejuvi "e" Eyebrow Revitalizer

10 ml.

8

Rejvui "e" Eyelash Revitalizer

10 ml.

9

Rejuvi "f" Facial Wash

7.04 oz.

10

Rejuvi "g" AHA Cream *(N/S)

1.76 oz.

11

Rejuvi "g" AHA Serum

1 oz.

12

Rejuvi "h" Super Soothing Cream

0.3 oz.

13

Rejuvi "h" Skin Healing Gel

8 oz.

14

Rejuvi "i" Eye Repair Gel

1 oz.

15

Rejuvi "i" Eye Repair Cream

1 oz.

16

Rejuvi "j" Shower Cream

12 oz.

17

Rejuvi "k" Facial Cleanser

7.04 oz.

18

Rejuvi "L" Body Lotion

12 oz.

19

Rejuvi "m" Massage Cream

2.3 oz.

20

RJ "m" Massage Crm. with Scrubbing & Whitening

2.3 oz.

21

Rejuvi "m" Massage Oil

4 oz.

22

Rejuvi "m" Massage Oil

8 oz.

23

Rejuvi "n" Night Cream *(N/D)

1.76 oz.

24

Rejuvi "o" Cleansing Milk

7.04 oz.

25

Rejuvi "p" Normalizing Cream

1 oz.

26

Rejuvi "p" Normalizing Cream ( for open acne skin)

1 oz.

27

Rejuvi "p" Solution for Acne Skin

10 ml.

28

Rejuvi "p" Skin Conditioner

1 oz.

29

Rejuvi "q" Flavonoid Complex

1 oz.

30

Rejuvi "r" Skin Refreshener

7.04 oz.

31

Rejuvi "s" Sunscreen (SPF #15, 20)

4 oz.

32

Rejuvi "s" Facial Sun Block (SPF 20)

2 oz.

76

Rejuvi "s" Facial Sun Block (SPF 20) Tinted (skin color)

2 oz.

69

Rejuvi "s" Tanning Lotion

4.5 oz.

74

Rejuvi Clearing Toner

8 oz.

33

Rejuvi "t" Bio-Firming Gel

1 oz.

34

Rejuvi "u" Wild Yam Cream

2 oz.

35

Rejuvi "u" Breast Firming Complex

3.4 oz.

37

Rejuvi "v" Nourishing Cream

1.76 oz.

38

Rejuvi "w" Skin Whitening Cream

1 oz.

39

Rejuvi "w" Whitening Toner

3.4 oz.

40

Rejuvi "x" -Cell Vitamin C Complex

1 oz.

41

Rejuvi "y" Light Moisturizer

1.76 oz.

42

Rejuvi "z" Intensive Contour Gel

1 oz.

43

Rejuvi "z" Intensive Contour Gel

4 oz.

44

Rejuvi "z" Contour Cream

4 oz.

70

Rejuvi "z" facial Contour Serum

1 oz.

71

Rejuvi "z" facial Contour Cream

1.76 oz.

45

Rejuvi Mini Collection

9 items

46

Rejuvi Purifying Mask

2 oz.

47

Rejuvi Herbal Mask

2 oz.

48

Rejuvi Bio Mask

2 oz.

49

Rejuvi Hydrating Mask

2 oz.

50

Rejuvi Exfoliating Mask

2.2 oz.

51

Rejuvi Eye Makeup Remover

4 oz.

           
  HAIR CARE PRODUCT        

52

Rejuville Hair Tonic

2 oz.

53

Rejuville Maintenance

4 oz.

54

Rejuville Shampoo

12 oz.

55

Rejuville Anti-Dandruff Shampoo

12 oz.

56

Rejuville Hair Conditioner

12 oz.

56

Rejuville Solution for Ingrown Hair

1.76 oz.

57

Rejuville Hair Revitalizer

1 oz.

           
  REJUVI PLUS        

58

Rejuvi + Bio Refining Complex

1 oz.

59

Rejuvi + Vital Protection Day Cream

1 oz.

60

Rejuvi + Nightly Renewal Cream

1 oz.

61

Rejuvi + Firming Eye Complex

0.5 oz.

62

Rejuvi + Essential Serum

1 oz.

63

Rejuvi + Gentle Purifying Emulsion

6.7 oz.

64

Rejuvi + Essential Cleansing Gel

6.7 oz.

65

Rejuvi + Activated Facial Wash

6.7 oz.

66

Rejuvi + Revitalizing Tonic

6.7 oz.

67

Rejuvi + Natural Soothing Gel

6.7 oz.

 

MERCHANDISE TOTAL:

California sales tax (9.75%) if applicable

Grand Total

 
Add 9.25% sale tax for California orders and the shipping cost depending upon the geographic location. We use Express Airmail for overseas and UPS Ground for U.S.A., unless otherwise specified.

$50.00 minimum order required if using a credit card

Payment option:

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Expiration Date

Cardholder name

CVV Number (3 or 4 digit number on back of your card)

You may print this form and mail to: Rejuvi Laboratory Inc.
360 Swift Avenue Suite 38, South San Francisco, CA 94080, USA

Or, fax to (650)588-7796

Or, hit the Send button to send info directly to Rejuvi Lab! (not encrypted).


THANK YOU FOR YOUR ORDER