Rejuvi

Order Form
$50.00 minimum order required if using a credit card

* = Required info
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PRODUCT

SIZE

$/UNIT

QTY.

AMOUNT

1

Rejuvi "a" Night Gel

1.5 oz.

2

Rejuvi "a" Renewal Complex

1 oz.

3

Rejuvi "a" Retinyl Serum

1 oz.

4

Rejuvi "a" Asta Enhancing Serum

0.5 oz.

5

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

1.76 oz

6

Rejuvi "b" Moisturizer Lotion

3.4 oz.

7

Rejuvi "c" Skin Care Formula

1 oz.

8

Rejuvi "d" Clearing Gel

10 ml.

9

Rejuvi "e" Eyebrow Revitalizer

10 ml.

10

Rejvui "e" Eyelash Revitalizer

10 ml.

11

Rejuvi "f" Facial Wash

7.04 oz.

12

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

1.76 oz.

13

Rejuvi "g" AHA Serum

1 oz.

14

Rejuvi "h" Super Soothing Cream

0.35 oz.

15

Rejuvi "h" Super Soothing Lotion

3.4 oz.

16

Rejuvi "h" Skin Healing Gel

5.2 oz.

17

Rejuvi "i" Eye Repair Gel

1 oz.

18

Rejuvi "i" Eye Repair Cream

1 oz.

19

Rejvui "j" Shower Cream

12 oz

20

Rejuvi "k" Facial Cleanser

7.04 oz

21

Rejuvi "L" Body Lotion

12 oz

22

Rejuvi "m" Massage Cream

2.3 oz.

23

RJ "m" Massage Crm. with Scrubbing & Whitening

2.3 oz.

24

Rejuvi "m" Massage Oil

4 oz.

25

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

2 oz.

26

Rejuvi "n" Bio Rejuvenating Complex

1 oz.

27

Rejuvi "o" Cleansing Milk

7.04 oz.

28

Rejuvi "p" Normalizing Cream

0.5 oz.

29

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

0.5 oz.

30

Rejuvi "p" Solution for Acne Skin

10 ml.

31

Rejuvi "p" Skin Conditioner

1 oz.

32

Rejuvi "q" Flavonoid Complex

1 oz.

33

Rejuvi "r" Skin Refreshener

7.04 oz.

34

Rejuvi "r" Clearing Toner

3.4 oz.

35

Rejuvi "s" Sunscreen (SPF 40)

4 oz.

36

Rejuvi "s" Facial Sun Block (SPF40)

2 oz.

37

Rejuvi "s" Facial Sun Block (SPF 40) Tinted (skin color)

2 oz.

38

Rejuvi "s" Tanning Lotion

4.5 oz.

39

Rejuvi "t" Bio -Firming Gel

1 oz.

40

Rejuvi "u" Wild Yam Cream

2 oz.

41

Rejuvi "u" Breast Firming Complex

3.4 oz.

42

Rejuvi "u" Breast Firming Cream

2 oz.

43

Rejuvi "v" Nourishing Cream

1.76 oz.

44

Rejuvi "w" Skin Whitening Cream

1 oz.

45

Rejuvi "w" Whitening Toner

3.4 oz.

46

Rejuvi "w" Lightening Serum

1 oz.

47

Rejuvi "x" -Cell Vitamin C Complex

1 oz.

48

Rejuvi "y" Light Moisturizer

1.76 oz.

49

Rejuvi "y" Renewal Gel (with EGF)

1 oz.

50

Rejuvi "z" Intensive Contour Gel

4 oz.

51

Rejuvi "z" Contour Cream

4 oz.

52

Rejuvi "z" Facial Contour Cream

1.76 oz.

53

Rejuvi Purifying Mask

2 oz.

54

Rejuvi Herbal Mask

2 oz.

55

Rejuvi Bio Mask

2 oz.

56

Rejuvi Hydrating Mask

2 oz

57

Rejuvi Exfoliating Mask

2.2 oz

58

Rejuvi Eye Makeup Remover

4 oz.

59

Rejuvi Sani-clean

8 oz.

60

Rejuvi Feminine Wash

7.04 oz.

61

Rejuvi Scarcare Gel

0.5 oz.

62

Rejuvi Foot Repair Cream

2 oz.

63

Rejuvi Neck Rejuventaion Set

2x1.76 oz

64

Rejuvi Retardant Gel for unwanted femal facial hair

1 oz.

           
  HAIR CARE PRODUCT        

65

Rejuville Hair Tonic

2 oz.

66

Rejuville Solution for Ingrown Hair

1.76 oz.

67

Rejuville Maintenance

3 oz.

68

Rejuville Shampoo

12 oz

69

Rejuville Anti-Dandruff Shampoo

12 oz

70

Rejuville Hair Conditioner

12 oz.

71

Rejuville Hair Revitalizer

1 oz.

72

Rejuville Eyelash Revitalizer

3.5 ml

           
  REJUVI PLUS        

73

Rejuvi + Bio Refining Complex

1 oz.

74

Rejuvi + Vital Protection Day Cream

1 oz.

75

Rejuvi + Nightly Renewal Cream *(N/D)

1 oz.

76

Rejuvi + Firming Eye Complex *(N/D)

0.5 oz.

77

Rejuvi + Essential Serum

1 oz.

78

Rejuvi + Gentle Purifying Emulsion

6.7 oz.

79

Rejuvi + Essential Cleansing Gel

6.7 oz.

80

Rejuvi + Activated Facial Wash

6.7 oz.

81

Rejuvi + Revitalizing Tonic

6.7 oz.

82

Rejuvi + Natural Soothing Gel

6.7 oz.

 

MERCHANDISE TOTAL:

California sales tax (9.5%) if applicable

Grand Total

* Note: N= for normal skin D= for dry skin O= for oily skin S= for sensitive skin
Please mark the appropriate number with an N, D or S, if applicable:

5 26 76 77
Normal will be chosen if there is no any indication made.
 
Add 9.5% sale tax for California orders and the shipping cost depending upon the geographic location. We use regular airmail for overseas and UPS for U.S.A., unless otherwise specified.

$50.00 minimum order required if using a credit card

Payment option:

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Card Number

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