Order Form Health & Beauty Liquids

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1 B I L L T O NAME ADDRESS ADDRESS CITY PERSON TO CONTACT STATE/ZIP S H I P T O NAME ADDRESS CITY STATE ZIP PHONE FAX PERSON TO CONTACT New Customer Existing Customer Customer # or Salesperson PURCHASE ORDER # ORDER DATE REQUESTED SHIP DATE SHIP VIA Fill in Quantities (by pieces) Your cost will be discounted off the catalog prices BABY & KIDS Baby bath 12 oz Kissable Baby creamy oil 12 oz Kissable Baby lotion - Sesame Street 10 oz Baby lotion 12 oz Kissable Baby lotion naturals 12 oz Kissable Baby lotion night time Sesame Street 10 oz Baby powder 24 oz Sofskin Baby shampoo & conditioner 15 oz Kissable Baby shampoo 15 oz Kissable Baby shampoo naturals 15 oz Kissable Baby shampoo Sesame Street 10 oz calming lavender scent Baby shampoo Sesame Street 10 oz Baby wash naturals 12 oz Kissable Baby wash Sesame Street 10 oz for hair and body Body wash kids 12 oz Strawberry Shortcake tutti frutti Body wash 12 oz berry blast Marvel Iron Man Shampoo 2 in 1 conditioning 12 oz Strawberry Shortcake Kids 2 in 1 shampoo 12 oz watermelon wonders Lucky Hair detangler spray 10 oz. Sesame Street Detangler spray 8.5 oz My Fair Baby Liquid soap 8 oz berry blast Marvel Iron Man Liquid hand soap Sesame Street 8 oz 2 asst. with dispenser Liquid hand soap Sesame street 8 oz Elmo cherry base with dispenser Hand soap liquid 8 oz Strawberry Shortcake very berry Bubble bath kids 25 oz watermelon wipeout Updated /Pg 1 of 8

2 0170 Bubble bath kids 25 oz bubble gum scented Bubble bath kids 25 oz grape surf Bubble bath kids 12 oz Strawberry Shortcake tutti frutti Petroleum jelly 6 oz baby scent Baby Days Petroleum jelly 6 oz regular Baby Days Baby wipes 2 pk - 25 ct each 5.9 x 7.1 spunlace peggable Baby wipes-80 sheets re-closeable soft pack made in USA Diaper sacks Sesame Street 75 ct baby powder scented Pocket tissues 10 pc 2 ply 6 pack Sesame Street BUBBLE BATH & FOAM BATH Bubble bath cherry blossom 20 oz Kissable Bubble bath cucumber melon 20 oz Kissable Bubble bath honey milk 20 oz Kissable Bubble bath strawberry 20 oz Kissable Bubble bath sweet pea 20 oz Kissable Bubble bath tropical coconut 20 oz Kissable Bubble bath adult 25 oz lavender scent Bubble bath adult 25 oz raspberry scented Foam bath aroma therapy 25 oz strawberry cream Foam bath aroma therapy 25 oz milk & honey Foam bath aroma therapy 25 oz tangerine dream Foam bath aroma therapy 25 oz aloe and cucumber BODY WASH & SHOWER GEL 399 Body wash 15.2 oz brown sugar Body wash 15.2 oz cherry blossom Body wash 15.2 oz coconut lime Body wash 15.2 oz fresh Body wash 15.2 oz lavender Body wash 15.2 oz rose Body wash 10.1 oz cool water Body wash 10.1 oz peak energy Body wash 12 oz green tea Body wash 12 oz lavender Body wash 12 oz mango madness Body wash 12 oz ocean fresh Body wash 12 oz tropical garden Shower gel 20 oz cherry blossom Kissable Shower gel 20 oz cucumber green tea Kissable Updated /Pg 2 of 8

3 80002 Shower gel 20 oz mango mandarin Kissable Shower gel 20 oz sweet pea Kissable Shower gel men s Xcess ripped high impact 12 oz bottle Shower gel men 40 oz fresh mountain w/pump Xcess brand Body scrub - olive nourishing oz Body scrub-lavender refreshing oz Body wash papaya & mandarin 12oz Exfoliating bath pad Exfoliating bath scrubber Body sponge mesh pumpkin green & beige Shower massage mitt assorted colors SHAMPOO & CONDITIONER Shampoo 12 oz pro-vitamin b Shampoo 13 oz hydrating daily care Shampoo classic clean 14.2 oz Shampoo dandruff 12 oz dry hair Shampoo dandruff 12 oz all hair types Shampoo no more flakes dandruff 32 oz made in USA Shampoo extra body 14.2 oz Shampoo soft and bright 14.2 oz Shampoo green tea 14.2 oz Shampoo herbal 12 oz healthy growth blue Shampoo herbal 12 oz no frizzies red Shampoo herbal 12 oz clean and beautiful green Shampoo herbal 12 oz color best pink Shampoo moisturizing 20 oz TR salon next gen Shampoo volumizing 20 oz TR salon next gen Shampoo nutrient - banana oz Shampoo nutrient - cherry oz Shampoo nutrient - peach oz Shampoo nutrient - watermelon oz Shampoo all in one plus conditioner 15 oz Shampoo and conditioner 2 in 1 12 oz dandruff Shampoo and conditioner 2in1 extra body 14.2 oz Shampoo and conditioner 2in1 classic clean 14.2 oz Shampoo herbal 12 oz more body - orange Shampoo olive oil 14.2 oz Conditioner 12 oz pro-vitamin B Updated /Pg 3 of 8

4 10281 Conditioner 13 oz hydrating daily care Conditioner - classic clean 14.2 oz Conditioner - extra body 14.2 oz Conditioner soft and bright 14.2 oz Conditioner green tea 14.2 oz Conditioner olive oil 14.2 oz Conditioner herbal 12 oz more body - orange Conditioner herbal 12 oz healthy growth blue Conditioner herbal 12 oz no frizzies red Conditioner herbal 12 oz clean and beautiful green Conditioner herbal 12 oz color best pink Conditioner moisturizing 20 oz TR salon next gen Conditioner volumizing 20 oz TR salon next gen Conditioner moisturizing banana oz Conditioner moisturizing cherry oz Conditioner moisturizing watermelon oz Conditioner moisturizing peach oz LIQUID & BAR SOAP Liquid soap 13.5 oz kitchen anti bacterial Lucky Liquid hand soap 7.5 oz pump cucumber & melon Liquid soap 13.5 oz aquarium clear Lucky Liquid soap 13.5 oz coconut ginger Lucky Liquid soap 13.5 oz apple & cinnamon Lucky Liquid soap 13.5 oz white pearls Lucky Hand soap 16 oz cherry blossom Kissable Hand soap 16 oz cucumber green tea Kissable Hand soap 16 oz mango mandarin Kissable Hand soap 16 oz sweet pea Kissable Liquid soap antibacterial 7.5 oz pump Liquid soap aloe vera and white tea 13.5 oz Dalan therapy Liquid soap antibacterial and odor neutralizer 13.5 oz Dalan therapy Liquid soap cocoa butter and chocolate milk 13.5 oz Dalan therapy Liquid soap coconut and vanilla 13.5 oz Dalan therapy Liquid soap lavender and thyme 13.5 oz Dalan therapy Liquid soap olive oil and rosemary 13.5 oz Dalan therapy Liquid soap peach and honey 13.5 oz Dalan therapy Liquid soap red fruits and ginger 13.5 oz Dalan therapy Liquid soap shea butter and silk protein 13.5 oz Dalan therapy Updated /Pg 4 of 8

5 793 Liquid soap strawberry and cream 13.5 oz Dalan therapy Liquid soap watermelon and bamboo 13.5 oz Dalan therapy Liquid soap wild roses and almond 13.5 oz Dalan therapy Bar soap 2pk x 3.5 oz bars gold anti bacterial deodorant Bar soaps 2pk x 3.5 oz bars classic fresh deodorant Bar soaps 2pk x 3.5oz bars cocoa butter tropical breeze Bar soaps 2pk x 3.5oz bars skin cleansing beauty bar ORAL CARE 087 Mouthwash antiseptic 16.7 oz Mouthwash citrus 16.7 oz sweet talk" Mouthwash mint 16.7 oz Mouthwash peppermint 16.7 oz Mouthwash cinnamon 16.7 anti-plaque Oral pain relief.33 oz tube in PDQ Dr. Sheffields HAND & BODY LOTION, AFTER SUN CARE (ALOE) Body lotion 20 oz cherry blossom Kissable Body lotion 20 oz cucumber green tea Kissable Body lotion 20 oz mango mandarin Kissable Body lotion 20 oz sweet pea Kissable Lotion 20 oz advanced lubricating Kissable Lotion 20 oz cocoa butter Kissable Lotion 20 oz daily moisture lubricating Kissable Lotion 20 oz extra dry skin Kissable Lotion 20 oz fresh aloe Kissable Aloe Vera after sun 12 oz. Lucky Aloe Vera gel 16 oz. made in USA Vitamin E gel 16 oz DEODORANT, BODY SPRAY, FRAGRANCES 00004N Deodorant ladies scent 2 oz stick powder fresh Deodorant men s stick 2.25 oz regular Deodorant stick for men 2.75 oz Xcess defense Powder medicated 10 oz bonded for purity made in USA Body spray deodorant Xcess ripped 3 oz aerosol Body splash 8 oz pump sweet pea Kissable Body splash 8 oz pump mango mandarin Kissable Body splash 8 oz pump cherry blossom Kissable Body splash 8 oz pump cucumber green tea Kissable Fragrance Jordache men s EDP 3 oz 6 asst boxed Updated /Pg 5 of 8

6 18020 Fragrance Jordache men s EDP 3 oz 6 asst boxed Fragrance Jordache women s EDP 3oz 6 asst boxed Fragrance Jordache women s EDP 3 oz 6asst boxed AFTER SHAVE, SHAVE CREAMS, FACIAL NEEDS 0012 Razor disposable sensitive skin single blade 10 ct Personna Razor double edge 5ct Personna Razor disposable men s twin blade 10 ct made in USA Razor women s light weight twin blade 10ct Personna made in USA Razor blades long handle twin blades disposable 5 ct men s Razor women's long handle twin blade 5 ct Personna made in USA After shave spice scent 7 oz made in USA After shave-aqua blue 5 oz made in USA Shave cream ocean fresh 10 oz men s aerosol Shave cream original 10 oz men s aerosol Shave cream original 14 oz men s areosol Shave cream berry medley 9.5 oz women s aerosol Shave cream 9.5 oz papaya and mango women s aerosol Facial mask aloe & cucumber 2 pk. Nu-Pore Eye mask anti-puff & dark circle 2 treatments Nu-Pore Facial brush NAIL CARE, NAIL POLISH, NAIL POLISH REMOVER Nail polish 288 pc display 8 ml 6 pc of 48 colors Bonita DSPLY Emery boards pack Nail polish remover 8 oz lemon scent Nail polish remover 8 oz regular Nail polish remover 8 oz nourishing and strengthening CREAMS & OINTMENTS Anti-itch cream 1.25 oz tube Dr. Sheffield s in counter display Bacitracin zinc ointment.5 oz tube Dr. Sheffield s Hemorrhoid ointment 2 oz Shopko exp. 12/ Scar gel 1 oz tube Dr. Sheffield s FEMININE NEEDS Maxi pad w/wings super absorb 12 ct Julie brand Maxi pads straight regular absorbancy 16 ct Julie brand Maxi pads straight super absorbancy 14 ct Julie brand Maxi pads w/wings overnight absorbancy 10 ct Julie brand Pregnancy test Updated /Pg 6 of 8

7 ADULT INCONTINENCE Adult disposable underwear XL waist in 24 pc counter display Adult disposable underwear LG waist in 24 pc counter display Adult disposable underwear med waist in 24 pc counter display Adult under pads 2 ct. xlrg 24 pcs in PDQ - 5 layers protection FIRST AID Cold-wrap elastic bandage with clips Family Care First aid kit 35 pc in plastic case Sterile gauze rolls 3 pack 2, 3 & 4 wide Bandages 20ct super strip Todays Health Bandages mixed sizes 70 ct in floor display Bandages kids animal kingdom 50 ct in floor display Bandages fabric knuckle/finger 2 asst. in floor display Sterile pads 2x2 25ct non-adherent Todays Health Tape waterproof multi-purpose ½ x 10 yds Finger secure cot splint large Coralite Instant cold pack 5 x Instant hot pack 5 x 6 single use Epsom salt 16 oz green tea & chamomile scented Relief MD Epsom salt foot soak spearmint and menthol scented Relief MD Epsom salt magnesium sulfate 16 oz re-sealable bag Relief MD Epsom salt muscle & back soak eucalyptus scented Relief MD Hydrogen peroxide 16 oz Isopropyl alcohol 50 % 12 oz wintergreen Isopropyl alcohol 50 % 12 oz ALLERGY, ASPIRIN, PAIN RELIEF, ANALGESICS, COLD & COUGH 4893 Allergy relief 24 caplets diphenhydramine boxed compare Benadryl Allergy relief 24 tablets 4 hour boxed compare to Chlor-Trimeton Aspirin 36 ct chewable tablets orange boxed compare to Bayer Aspirin enteric coated 50 ct tablets 81 mg boxed compare to Bayer Headache relief 24 tablets boxed compare to Excedrin Tension headache relief 24 caplets boxed compare to Excedrin Pain relief acetaminophen 40 ct caplets boxed compare to Tylenol Pain relief acetaminophen 50 ct tablets boxed compare to Tylenol Pain relief/sleep aid 24 ct caplets boxed compare to Tylenol PM Mucus relief 15 tablets guaifenesin boxed compare to Mucinex Nasal decongestant PE non drowsy 24 tablets boxed compare to Sudaphen PE Updated /Pg 7 of 8

8 34809 Heartburn relief 10 tablets famotidine 10 mg box compare to Pepcid AC Vaporizing colds rub 4 oz EYE DROPS, NASAL SPRAY, COUGH DROPS Eye drops lubricant 5 single use containers.02 fl oz Nasal spray 1 oz boxed moisturizing Nasal spray 1 oz boxed sinus congestion Nasal spray 1 oz boxed original formula Nasal spray saline 1.5 oz compare to Ocean Cough drops black cherry sugar- free 25 ct bag - Best Health Cough drops honey lemon 30 ct re-sealable bag - Best Health Cough drops honey lemon sugar- free 25 ct bag - Best Health Cough drops menthol 30 ct re-sealable bag - Best Health Vitamin C drops-30 ct bag assorted citrus flavors Exact (exp. 1/2014) Vitamin C lozenges 30 ct bag asst. citrus flavors Best Health HAND SANITIZER & WET WIPES G14421N Hand sanitizer 2 pk 2 oz each lemon, strawberry, green apple 48/ Hand sanitizer 8 oz aloe & vitamin E with pump Anti bacterial wet wipes 30 ct REDIW100 Sanitizing wipes 30 ct singles moisturizing hand and face Hand sanitizer with clip 1.8 oz. in 24 pc. PDQ FOOT CARE Foot powder aerosol spray 4.8 oz Powder foot 6oz moisture absorb in foot-shaped bottle Powder foot aerosol 4.4 oz made in USA THANK YOU FOR YOUR ORDER WE APPRECIATE YOUR BUSINESS Updated /Pg 8 of 8

Order Form Health & Beauty Liquids

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