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 Form S H I P T O NAME ADDRESS CITY STATE ZIP PHONE PERSON TO CONTACT FAX 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 645 Reusable cold pack Spongebob peggable Hand wipes 20 ct Ninja Turtles 2-9 pc. tray packs Hand wipes 20 ct Paw Patrol 2-9 pc tray packs Baby wipes 80 sheets unscented w/aloe & vitamin E Care Bears Baby wipes-80 sheets re-closeable soft pack made in USA Baby wipes 80 ct blue My Fair Baby Baby oil 7oz bottle My Fair Baby Petroleum jelly 6 oz regular Petroleum jelly 6 oz cocoa butter Petroleum jelly 13 oz regular Baby powder 15 oz Xtra Care Baby lotion 10 oz Sesame Street Baby lotion night time 10 oz Sesame Street Baby lotion 12 oz silky soft Xtra Care Baby wash 12 oz head and body Xtra Care Baby shampoo 15 oz Xtra Care Baby 2-in-1 shampoo and conditioner 15 oz Xtra Care Baby wash Sesame Street 10 oz for hair and body Baby bath night time 10 oz calming lavender Sesame Street Baby shampoo Sesame Street 10 oz calming lavender scent Baby shampoo Sesame Street 10 oz Hair detangler spray 10 oz. Sesame Street Hand soap liquid 8 oz pump My Little Pony Hand soap liquid 8 oz with dispenser 2 asst Sesame Street Hand soap liquid 8 oz with dispenser cherry Sesame street Elmo *Availability is subject to change without notice Updated LL/Pg 1 of 11

2 Form 5005 Hand soap liquid 8 oz pump cherry blast Spiderman Hand soap liquid 8 oz pump melon splash Spongebob Hand soap liquid 8 oz very berry Strawberry Shortcake Hand soap liquid 8 oz pump raspberry Paw Patrol Hand soap liquid 8 oz Moji 3 asst - chocolate, berry, vanilla Body wash 12 oz My Little Pony Body wash 12 oz Sesame Street Cookie Monster Body wash 12 oz Sesame Street Elmo Body wash 12 oz Spongebob Body wash kids 12 oz berry Paw Patrol LV518 Shampoo & conditioner kids oz 2-in-1 orange Shampoo kids 2-in-1 10 oz with conditioner My Little Pony Shampoo kids 2-in-1 10 oz with conditioner Paw Patrol Tissue My Little Pony 6 pack BUBBLE BATH & FOAM BATH Bubble bath kids 25 oz bubble gum scent Bubble bath kids 20 oz strawberry Lucky Bubble bath kids 16 oz Paw Patrol Bubble bath lavender 20 oz Lucky Bubble bath milk & honey 20 oz Lucky Bubble bath cucumber melon 20 oz Lucky Bubble bath pomegranate & peach 20 oz Lucky Bubble bath melon medley 20 oz Lucky Bubble bath 25 oz lavender scent Bubble bath 25 oz milk n honey scent Foaming bath 16 oz nighttime w/ lavender Vapor bath 16 oz calming w/menthol & eucalyptus BODY WASH & SHOWER GEL Body wash 18 oz berry gelato in foil bag One Body wash 18 oz Ooh la licious in foil bag One Body wash 18 oz deodorant green Body wash 15 oz cherry blossom Revive Body wash 15 oz eucalyptus mint Revive Body wash 15 oz French lavender Revive Body wash 15 oz mango and papaya Revive Body wash 15 oz ocean fresh Revive Body wash 15 oz pomegranate/peach Revive Body wash 15 oz tropical water and acai Revive *Availability is subject to change without notice Updated LL/Pg 2 of 11

3 Form Body wash 12 oz refreshing mountain breeze Personal Care Body wash 12 oz invigorating spring rain Personal Care Body wash 12 oz silky smooth compare to Caress Personal Care Body wash 12 oz spring fresh odor fighting wash Personal Care Body wash 12 oz shea butter total moisture compare to Olay LV610 Body wash 12 oz uplift endless sunshine Levital LV611 Body wash 12 oz hydrating wild cherry blossom Levital LV612 Body wash 12 oz recharge mango mandarin sunrise Levital LV613 Body wash 12 oz relax cool coconut Levital LV615 Body wash 12 oz restore cocoa & shea butter Levital Body wash 10 oz midnight Tag Body wash 10 oz wild card Tag Body wash 10 oz after hours Tag Body wash 10 oz spin it Tag Shower gel men s Xcess ripped high impact 12 oz bottle Body wash men s 14 oz power Body wash men s 14 oz action Hair & body wash 2 in 1 men s 14 oz force Hair & body wash 2 in 1 men s 14 oz energy NET Bath faux sea sponge in net bag Bath faux sea sponge with hangtag SHAMPOO & CONDITIONER 5945 Shampoo anti-dandruff 13.5 oz sensitive hair Shampoo anti-dandruff 13.5 oz normal hair Shampoo 2 -in-1 anti-dandruff 13.5 oz coconut water Shampoo 2-in-1 anti-dandruff 13.5 oz green apple Shampoo cleanse & replenish 14 oz Professional Xtra Care Shampoo body & volume 14 oz Professional Xtra Care Shampoo moisture rich 14 oz Professional Xtra Care Shampoo 14 oz pomegranate kiss Herbal Therapy Shampoo 14 oz tropical coconut Herbal Therapy Shampoo 14 oz apple blossom Herbal Therapy Shampoo 14 oz passion flower Herbal Therapy LV616 Shampoo 12 oz uplift sunshine surprise Levital LV617 Shampoo 12 oz hydrating fresh strawberry Levital LV618 Shampoo 12 oz soothing freesia escape Levital LV619 Shampoo 12 oz relax coconut beach Levital LV620 Shampoo 12 oz revive kiwi lime splash Levital *Availability is subject to change without notice Updated LL/Pg 3 of 11

4 Form LV621 Shampoo 12 oz restore shea cashmere Levital Shampoo all in one plus conditioner 15 oz Conditioner intensive moisture 14 oz Professional Xtra Care (temp s/o) Conditioner 14 oz pomegranate kiss Herbal Therapy Conditioner 14 oz tropical coconut Herbal Therapy Conditioner 14 oz apple blossom Herbal Therapy Conditioner 14 oz passion flower Herbal Therapy LV622 Conditioner 12 oz uplift sunshine surprise Levital LV623 Conditioner 12 oz hydrating fresh strawberry Levital LV624 Conditioner 12 oz soothing freesia escape Levital LV625 Conditioner 12 oz relax coconut beach Levital LV626 Conditioner 12 oz revive kiwi lime splash Levital LV627 Conditioner 12 oz restore shea cashmere Levital HAIR CARE 5019 Hair spray non-aerosol super hold 7 oz curl care xtra Hair spray aerosol strong hold 5.5 oz freeze and control Styling mousse ultra hold 7 oz volume and body xtra care Hair brush shower detangling wet/dry flexible pins 3 asst colors BAR & LIQUID SOAP 2621 Bar soaps 2 pk 3.5 oz bars classic fresh deodorant Bar soap 2 pk 3.5 oz bars gold anti bacterial deodorant Bar soap 3 pk 3.2 oz bars cherry blossom boxed Bar soap 3 pk 3.2 oz bars aloe vera boxed Bar soap 3 pk 3.2 oz bars ocean fresh boxed Bar soap 3 pk 3.2 oz bars cocoa butter boxed Liquid soap shimmer & shine strawberry sparkle 8 oz Liquid soap 7.5 oz antibacterial pump 3 asst scents in floor display Soap liquid herbal 13.5 oz Dalan Therapy Soap liquid natural 13.5 oz Dalan Therapy Liquid soap peach and honey 13.5 oz. Dalan Therapy Liquid soap lavender and thyme 13.5 oz Dalan Therapy Liquid soap wild roses and almond 13.5 oz Dalan Therapy Liquid soap antibacterial and odor neutralizing 13.5 oz Dalan Therapy Liquid soap cocoa butter and chocolate milk 13.5 oz Dalan Therapy LV549 Liquid soap pink grapefruit 13.5 oz LV550 Liquid soap rose & lavender 13.5 oz LV551 Liquid soap orange blossom & vanilla 13.5 oz LV552 Liquid soap avocado & sesame oil 13.5 oz *Availability is subject to change without notice Updated LL/Pg 4 of 11

5 Form LV553 Liquid soap peaches & flowers 13.5 oz LV554 Liquid soap jasmine & melon 13.5 oz Liquid hand soap 14 oz 4 asst in floor display Liquid soap moisturizing 15 oz lavender & chamomile Liquid soap moisturizing 15 oz sweet pea blossom Liquid soap moisturizing 15 oz cucumber melon Liquid soap moisturizing 15 oz warm vanilla Liquid soap moisturizing 15 oz ocean mist Liquid soap moisturizing 15 oz anti-bacterial Liquid soap moisturizing 15 oz anti-bacterial triclosan free Liquid soap moisturizing 15 oz cherry berry CHRISTMAS LIQUID SOAP *RESERVE YOUR QUANTITY NOW FOR CHRISTMAS 2018* VL751 Liquid soap holiday apple cinnamon oz pump VL752 Liquid soap holiday snowberry oz pump VL753 Liquid soap holiday gingerbread oz pump VL754 Liquid soap holiday vanilla bean oz pump HAND & BODY LOTION, AFTER SUN CARE (ALOE) LV242 Body butter 6.7 oz strawberry delight Petroleum jelly creamy 7 oz tube Vitamin E Xtra Care Petroleum jelly creamy 7 oz tube cocoa butter Xtra Care Lotion oatmeal 12 oz skin relief pump Lotion oatmeal 12 oz daily moisturizing pump LV650 Lotion oatmeal 12 oz daily moisturizing LV654 Lotion 16 oz pump 3-in-1 men s lubricating Lotion boo-boo bar 2.5 oz lavender rash remedy boxed Aloe Vera gel 16 oz - made in USA Vitamin E gel 16 oz DEODORANT, BODY SPRAY, FRAGRANCES, POWDER Deodorant stick 2.25 oz max endurance clean fresh Deodorant stick 2.25 oz ultra protection clean fresh Deodorant stick 2.25 oz active sport fresh scent Xtra Care Deodorant stick for men 2.75 oz Xcess defense Deodorant stick women s ultra protection 2.25 oz fresh scent Deodorant stick women s ultra protection 2.25 oz powder scent Body spray 2 oz midnight Tag Body spray 2 oz step out Tag Body spray 2 oz wild card Tag Body spray deodorant Xcess ripped 3 oz aerosol *Availability is subject to change without notice Updated LL/Pg 5 of 11

6 Form 10035N Body spray 4.2 oz cool water Lucky N Body spray 4.2 oz peak energy Lucky Body spray peak energy 5 oz N Fragrance Jordache men s EDP 3 oz 6 asst boxed N Fragrance Jordache men s EDP 3 oz 6 asst boxed N Fragrance Jordache women s EDP 3 oz 6asst boxed N Fragrance Jordache women s EDP 3oz 6 asst boxed Powder medicated 10 oz bonded for purity - Made in USA AFTER SHAVE, SHAVE CREAMS, RAZORS Razor twin blade 2 pk with rubber grip Personna Razors men s twin blade 10 pk peggable Xtra Care Razors men s triple blade 4 pk carded Xtra Care Razors men s pivot head 4 pk triple blade Xtra Care Razors women s twin blade 10 pk peggable Xtra Care Razors women s triple blade 4 pk carded Xtra Care Razors women s pivot head 4 pk triple blade Xtra Care Shave cream 12 oz sensitive aerosol Xtra Care Shave cream 12 oz regular aerosol Xtra Care Shave cream men s 12 oz regular Chase Smooth Track Shave cream men s 12 oz sensitive Chase Smooth Track Shave gel for men 6 oz sensitive skin tube Shave cream women s 12 oz raspberry Chase Smooth Track Shave cream women s 12 oz sensitive Chase Smooth Track Hair remover kit 5.2 oz cream sweet pea bliss blade free Hair remover kit 5.2 oz cream cherry blossom blade free After shave spice scent 7 oz made in USA After shave-aqua blue 5 oz made in USA After shave - brisk 5 oz made in USA ORAL CARE 087 Mouthwash antiseptic 16.7 oz Mouthwash mint 16.7 oz Mouthwash peppermint 16.7 oz Mouthwash original flavor 16.9 oz Lucky Mouthwash wintergreen flavor 16.9 oz Lucky Toothpaste sensitive 4 oz fresh mint boxes Toothpaste sensitive 4 oz extra whitening boxed Toothpaste with brush 6.4 oz mint flavor Toothpaste fluoride with brush 6.4 oz regular flavor *Availability is subject to change without notice Updated LL/Pg 6 of 11

7 Form Toothpaste with brush 3 oz bubblegum animal kingdom Toothpaste with brush 3 oz fruity animal kingdom Toothbrush kids 2 pk Shopkins Toothbrush kids 2 pk Peppa Pig Toothbrush kids 2 pk Emoji Shopkins 4pc gift set with 16.9 oz mouthwash, 2 brushes & toothpaste Oral gel pain relief.5 oz 5 panel color boxed budpak LIP BALM 283 Lip gloss duo 4 asst on 12 pc mdsg strip Lip balm Pepsi products flavored 7 asst on half power panel display Lip balm candy flavored 15 asst in power panel display Lip balm cereal flavored 8 asst in power panel display Lip balm 6 pack p asst flavors in half power panel display Lip balm 2 pk taste pops 3 asst on 12 pc mdsg strip Lip balm mason jar 5 asst flavors half power panel display FD Lip care center 8 asst 1 or 2 pk in floor display Chap Ice carded Lip butter balm.36 oz tin berry delicious shea butter One NAIL CARE, NAIL POLISH, NAIL POLISH REMOVER Nail polish remover 8 oz spa and gel Nail polish remover 8 oz regular Nail polish remover 8 oz non-acetone Lucky Nail polish remover 8 oz lemon scent Nail polish remover 8 oz nourishing & strengthening Nail polish remover non-acetone nourishing 8 oz Xtra Care Nail polish remover acetone strengthening 8 oz Xtra Care CS Nail hardener miracle nail.47 oz on 12 pc mdsg strip No more wraps nail laminate.50 fl oz carded Nail scissors elite stainless steel 144/12.87 CREAMS & OINTMENTS A & D cream inc 1 oz 5 panel color boxed budpak Analgesic gel arctic ice 8 oz jar Anti fungal cream.5 oz 5 panel color boxed Antifungal cream.5 oz 5 panel color boxed budpak Bacitracin ointment.5 oz first aid antibiotic ointment boxed Baby teething gel.5 oz 5 panel color boxed Cocoa butter cream 1 oz 5 panel color boxed budpak Diaper rash ointment 1 oz zinc oxide with aloe boxed First aid cream 1 oz anti-bacterial 5 panel *Availability is subject to change without notice Updated LL/Pg 7 of 11

8 Form Hemorrhoid ointment 1 oz 5 panel color boxed budpak Hydrocortisone 1% anti itch cream.5 oz panel color Medicated anti-itch cream 1 oz 5 panel color boxed budpak Muscle rub extra strength 1.25 oz 5 panel color boxed Oral gel pain relief.5 oz 5 panel color boxed Budpak Personal lubricant gel 2 oz 5 panel color boxed budpak Triple antibiotic pain relief ointment.5 oz 5 panel Vaporizing cold rub 4 oz FEMININE NEEDS Panty liners 30 ct Coralite Maxi pad w/wings super absorb 12 ct Julie brand Maxi pads w/wings overnight absorbancy 10 ct Julie brand Maxi pads straight regular absorbancy 16 ct Julie brand Maxi pads straight super absorbancy 14 ct Julie brand Maxi pads regular w/wings 12 ct Coralite Maxi pads regular 14 ct Coralite FACIAL NEEDS, MAKE-UP 5190 Acne wash oil free foaming facial scrub 5.3 oz pink grapefruit Acne wash oil free foaming facial scrub 5.3 oz tea tree Acne treatment wipes 35 ct moderate - plastic closure footed box Astringent 8 oz deep cleaning Facial scrub 8 oz tube apricot XtraCare Facial scrub 8 oz tube avocado XtraCare Facial cleansing wipes 35 ct cool cucumber - plastic closure footed box Facial wipes 30 ct brightening makeup cleansing Spa Scriptions Facial wipes 30 ct pore refining makeup cleansing Spa Scriptions Facial wipes 30 ct hydrating makeup cleansing Spa Scriptions Facial wipes 30 ct moisturizing makeup cleansing Spa Scriptions Facial wipes 30 ct anti aging makeup cleansing Spa Scriptions Make-up remover towelettes 24 ct pre-moistened aloe in PDQ Make up remover tissues 30 ct. cleansing & moisturizing Nu-Pore Make up cleansing wipes 30 ct cucumber in 12 pc. PDQ display Make up cleansing wipes 30 ct aloe vera in 12 pc PDQ Make up cleansing wipes 30 ct Vitamin C in 12 pc PDQ display Make up cleansing wipes 30 ct green tea in 12 pc PDQ display Facial mask 5 ct brightening Spa Script boxed Facial mask 5 ct platinum boxed Facial mask 2 ct aloe vera Spa Treatment boxed *Availability is subject to change without notice Updated LL/Pg 8 of 11

9 Form 2064 Facial masks 2 ct coconut spa treatment boxed Facial masque glacial clay spa in 12 pc counter display Facial masque red earth clay spa in 12 pc counter display Facial masque super fruit mud.5 oz in 12 pc counter display Facial masque mint chocolate chip.5 oz in 12 pc counter display Facial mask 2 ct cucumber under eye boxed Facial mask retinol under eye pads 2 ct anti wrinkle serum boxed Eye mask large with gel beads for hot or cold relief green & blue Eye mask small with multicolor gel beads for hot or cold relief Eye mask large with multicolor gel beads for hot or cold relief Eyeliner pencils 2 pk 4 asst colors COUGH DROPS, EYE DROPS, NASAL SPRAY Cough drops cherry 30 ct re-sealable bag Cough drops honey lemon 30 ct re-sealable bag Best Health Cough drops menthol 30 ct re-sealable bag Best Health FIRST AID First aid kit 35 pc in plastic case Bandages mixed sizes 70 ct in floor display Bandages kids 20 ct 4 asst designs boxed in counter display Curad Bandages kids 20 ct Shopkins plastic strips boxed Bandages kids 20 ct Batman plastic strips boxed Bandages kids 25 ct Sesame Street plastic strips boxed Bandages 30 ct anti-bacterial boxed Bandages 100 ct mixed boxed Bandages flex-fabric 30 ct.75 x3 Curad boxed Bandages clear plastic 30 ct..75 x3 Curad boxed Bandages sheet XL 2 x4 10 ct Curad boxed Bandages 20 ct box San Francisco Giants Home Run Brands Bandages 20 ct box St. Louis Cardinals Home Run Brands Bandages 20 ct box Los Angeles Angels Home Run Brands Bandages 20 ct box Los Angeles Dodgers Home Run Brands Bandages 20 ct box Arizona Diamondbacks Home Run Brands Bandages 20 ct box Colorado Rockies Home Run Brands Bandages 20 ct box Kansas City Royals Home Run Brands Bandages 20 ct box Texas Rangers Home Run Brands Bandages 20 ct box Seattle Mariners Home Run Brands Bandages 20 ct box Chicago White Sox Home Run Brands Sterile gauze rolls 3 pack 2, 3 & 4 wide *Availability is subject to change without notice Updated LL/Pg 9 of 11

10 Form Taper waterproof multi-purpose 1/2 x 10 yds Sports tape performance series 1 ct black 1.5 x10yd black boxed Cold wrap elastic bandage with clips Family Care Instant cold pack 5 x Instant hot pack 5 x 6 single use Pain relief patch 2 ct Coralite boxed Pain relief patch 2 ct muscle and joint boxed Pain relief patch 2 ct boxed Coralite Epsom salt magnesium sulfate 16 oz resealable bag Epsom salt foot soak spearmint and menthol scented Relief MD Epsom salt bath soak lavender 16 oz Epsom salt muscle & back soak eucalyptus scented Relief MD Epsom salt 16 oz green tea & chamomile scented Relief MD Rubbing alcohol 12 oz regular 50% isopropyl Rubbing alcohol 12 oz wintergreen 50% isopropyl Hydrogen peroxide 16 oz FOOT CARE 3595 Foot cleansing wipes 25 ct menthol Clean Feet Powder foot aerosol 4.4 oz - made in USA Powder foot 6oz moisture absorb in foot-shaped bottle Insoles silky foam for women sizes 6-10 on pair Premier HAND SANITIZER & WET WIPES Hand sanitizer with clip 1.8 fl oz in 24 pc PDQ Hand sanitizer 2 pk 2 oz aloe vera carded Xtra Care Hand sanitizer 2 pk 2 oz original carded Xtra Care Hand sanitizer 8 oz pump original Hand sanitizer 8 oz pump aloe vera Hand sanitizer 8 oz pump original Wet wipes antibacterial 30 ct travel pack in floor display Wet wipes antibacterial 30 ct travel pack alcohol/paraben free Wet wipes antibacterial 30 ct 3 asst in 24 pc PDQ display Wet wipes antibacterial 30 ct 3 asst in 24 pc PDQ display BATH TISSUE & FACIAL TISSUE Bath tissue 4 rolls 2 ply 150 sheets per roll sq ft Clear Value F Bath tissue 4 rolls 2 ply 150 sheet per roll Valu Time Brand A1 Bath tissue 4 rolls 2 ply 150 sheets per roll sq ft Walmart Brand A1 Bath tissue 4 rolls 2 ply 150 sheets per roll sq ft Cha Ching Brand Bath tissue 4 rolls 2 ply Soft Brand *Availability is subject to change without notice Updated LL/Pg 10 of 11

11 Form Bath tissue 4 pk 2 ply double roll Simply Done Brand Bath tissue 4 pk 2 ply double roll Great Value Brand Bath tissue 4 pk 2 ply double roll Ahold Brand Bath tissue 4 pk 2 ply double roll Valu Time Brand (blue pack) Bath tissue 4 pk 2 ply double roll Valu Time Brand (red pack) Bath tissue 4 pk 2 ply double roll Capri Brand Bath tissue 4 pk 2 ply double roll Best Value Brand Facial tissue 85 ct 2 ply Emoji white boxed Facial tissue 85 ct 2 ply Shopkins white boxed Facial tissue 85 ct 2 ply Thomas the Train white boxed Facial tissue 160 ct white 4 asst color flat boxes per case Facial tissue 80 ct white 3 asst color cube box Facial tissue 86 ct 2 ply cube box abstract designs Facial tissue 86 ct 2 ply cube box floral designs THANK YOU FOR YOUR ORDER WE APPRECIATE YOUR BUSINESS *Availability is subject to change without notice Updated LL/Pg 11 of 11

Order Form Health & Beauty Liquids

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