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/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/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 Oil

4 oz.

23

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

2 oz.

24

Rejuvi "n" Bio Rejuvenating Complex

1 oz.

25

Rejuvi "o" Cleansing Milk

7.04 oz.

26

Rejuvi "p" Normalizing Cream

0.5 oz.

27

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

0.5 oz.

28

Rejuvi "p" Solution for Acne Skin

10 ml.

29

Rejuvi "p" Skin Conditioner

1 oz.

30

Rejuvi "q" Flavonoid Complex

1 oz.

31

Rejuvi "r" Skin Refreshener

7.04 oz.

32

Rejuvi "r" Clearing Toner

3.4 oz.

33

Rejuvi "s" Sunscreen (SPF 40)

4 oz.

34

Rejuvi "s" Facial Sun Block (SPF40)

2 oz.

35

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

2 oz.

36

Rejuvi "s" Tanning Lotion

4.5 oz.

37

Rejuvi "t" Bio -Firming Gel

1 oz.

38

Rejuvi "u" Wild Yam Cream

2 oz.

39

Rejuvi "u" Breast Firming Complex

3.4 oz.

40

Rejuvi "u" Breast Firming Cream

2 oz.

41

Rejuvi "v" Nourishing Cream

1.76 oz.

42

Rejuvi "w" Skin Whitening Cream

1 oz.

43

Rejuvi "w" Whitening Toner

3.4 oz.

44

Rejuvi "w" Lightening Serum

1 oz.

45

Rejuvi "x" -Cell Vitamin C Complex

1 oz.

46

Rejuvi "y" Light Moisturizer

1.76 oz.

47

Rejuvi "y" Renewal Gel (with EGF)

1 oz.

48

Rejuvi "z" Intensive Contour Gel

4 oz.

49

Rejuvi "z" Contour Cream

4 oz.

50

Rejuvi "z" Facial Contour Serum

1 oz.

51

Rejuvi "z" Facial Contour Cream

1.76 oz.

52

Rejuvi Purifying Mask

2 oz.

53

Rejuvi Herbal Mask

2 oz.

54

Rejuvi Bio Mask

2 oz.

55

Rejuvi Hydrating Mask

2 oz

56

Rejuvi Exfoliating Mask

2.2 oz

57

Rejuvi Eye Makeup Remover

4 oz.

58

Rejuvi Sani-clean

8 oz.

59

Rejuvi Feminine Wash

7.04 oz.

60

Rejuvi Scarcare Gel

0.5 oz.

61

Rejuvi Foot Repair Cream

2 oz.

62

Rejuvi Neck Rejuventaion Set

2x1.76 oz

63

Rejuvi Retardant Gel for unwanted femal facial hair

1 oz.

64

Rejuvi Conditioing Oil

1 fl oz.

65

Rejuvi Scar Aftercare Kit

3 items

           
  HAIR CARE PRODUCT        

66

Rejuville Hair Tonic

2 oz.

67

Rejuville Solution for Ingrown Hair

1.76 oz.

68

Rejuville Maintenance

3 oz.

69

Rejuville Shampoo

12 oz

70

Rejuville Anti-Dandruff Shampoo

12 oz

71

Rejuville Hair Conditioner

12 oz.

72

Rejuville Hair Revitalizer

1 oz.

73

Rejuville Eyelash Revitalizer

3.5 ml

           
  REJUVI PLUS        

74

Rejuvi + Bio Refining Complex

1 oz.

75

Rejuvi + Vital Protection Day Cream

1 oz.

76

Rejuvi + Nightly Renewal Cream *(N/D)

1 oz.

77

Rejuvi + Firming Eye Complex *(N/D)

0.5 oz.

78

Rejuvi + Essential Serum

1 oz.

79

Rejuvi + Gentle Purifying Emulsion

6.7 oz.

80

Rejuvi + Essential Cleansing Gel

6.7 oz.

81

Rejuvi + Activated Facial Wash

6.7 oz.

82

Rejuvi + Revitalizing Tonic

6.7 oz.

83

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 S= for sensitive skin
Please mark the appropriate number with an N, D or S, if applicable:

5 12 23 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