BiON 6020 South 58th Street Lincoln, Nebraska 68516 Toll Free (877) 715-BION (2466) Phone (402)438-5929 Fax: (402)438-5930 Order Form Effective 2/15/2016 Business Name Name of Owner or Contact ( ) Street Address Telephone City State Zip Code Email Address Charge Card Number Expiration Date CVV Signature, as on Credit card RETAIL PRODUCTS BACK BAR PRODUCTS QTY PRODUCT NAME SIZE PRICE TOTAL QTY PRODUCT NAME SIZE PRICE TOTAL B10 Glycolic Cleanser 4 oz $12.00 BP110 Glycolic Cleanser 12 oz $23.00 B12 Antibacterial Cleanser 4 oz $9.75 BP112 Antibacterial Cleanser 12 oz $19.00 B13 Bacteriostat Cleanser 4 oz $9.75 BP113 Bacteriostat Cleanser 12 oz $19.00 B14 Mineral Cream Exfoliating Cleanser 4 oz $14.00 BP114 Mineral Cream Exfoliating Cleanser 8 oz $21.00 B15 Naturally Clean Body Wash 12 oz $13.50 BP116 Cleanser for Normal Skin 12 oz $17.00 B16 Cleanser for Normal Skin 4 oz $9.00 BP117 Enzyme Scrub 8 oz $16.50 B17 Fruit Enzyme Scrub 4.2 oz $9.25 BP118 Cucumber Scrub 8 oz $15.50 B18 Cucumber Scrub 4.2 oz $8.25 BP122 Salicylic-Glycolic Gel 4 oz $16.50 B22 Salicylic-Glycolic Gel 2 oz $12.00 BP123 Follicle Clearing Lotion 4 oz $16.50 B23 Follicle Clearing Lotion 2 oz $11.50 BP125 Green Tea/Clay Poultice 8 oz $32.00 B25 Green Tea/Clay Poultice 2.2 oz $13.50 BP126 Inhibiting Gel 4 oz $19.00 B26 Inhibiting Gel 2 oz $11.25 BP134 Post Waxing Lotion 4 oz $18.00 B28 Blackhead/Whitehead Controller 1 oz $11.25 BP136 Refreshing Toner 8 oz $16.50 B32 Dermatitis Cream 2.2 oz $13.50 BP140 Moisture Complex 8 oz $23.50 B34 Post Waxing Lotion 2 oz $9.75 BP142 Ultra Moisture Renewal 4 oz $26.00 B36 Refreshing Toner 4 oz $10.00 BP143 Intense Eye Moisturizing Cream 4 oz $25.00 B40 Moisture Complex 2.2 oz $12.50 BP144 Glycolic 20% Skin Cream 8 oz $17.00 B41 Naturally Soft Body Lotion 12 oz $14.25 BP150 Titanium Dioxide Suncream 8 oz $28.00 B42 Ultra Moisture Renewal 1 oz $12.50 BP158 CoCo~Licious Lip Balm.5 oz $3.75 B43 Intense Eye Moisturizing Cream 1oz $12.00 BP160 Softening Repair Mask 8 oz $29.00 B44 Glycolic 20% Skin Cream 4.2 oz $10.00 BP161 Mint Mask 8 oz $38.00 B48 Restorative Balm 2 oz $18.00 BP162 Hydrating Massage Mask 8 oz $22.00 B49 Cocoa Mango Body Butter 8 oz $17.00 BP163 Seaweed Mask 8 oz $38.00 B50 Titanium Dioxide Suncream 2.2 oz $12.00 BP164 Pumpkin Enzyme Mask 8 oz $40.00 B51 Tinted Mineral SPF 35 (Light) 1.7 oz $18.75 BP166 Nutrient Essentials Mask 8 oz $30.00 B52 Tinted Mineral SPF 35 (Medium) 1.7 oz $18.75 BP168 Youthful Eyes Peptide Cream 8 oz $34.00 1
B53 Tinted Mineral SPF 35 (Dark) 1.7oz $18.75 BP170 Vitamin A + Antioxidant Complex 8 oz $27.00 B58 CoCo~Licious Lip Balm set 12 $21.50 BP172 Pure Hydration (Hyaluronic) Serum 4 oz $47.00 B62 Hydrating Gelee Mask 4.2 oz $12.00 BP174 Collagen Revival Serum 4 oz $72.00 B66 Nutrient Essentials Mask 2 oz $12.00 BP176 Bio-Replenish A-C-E 4 oz $62.00 B68 Youthful Eyes Peptide Cream 1 oz $14.50 BP182 Bio-Essence Calcium Complex 4 oz $26.00 B70 Vitamin A + Antioxidant Complex 1 oz $11.00 BP184 Topical Calcium Capsules 4 oz $8.00 B72 Pure Hydration (Hyaluronic) Serum 1 oz $18.00 BP186 Line Reducing Complex 4 oz $39.00 B74 Collagen Revival Serum 1 oz $28.25 BP190 Glycolic Acid Exfoliator-30 4 oz $39.00 B76 Bio-Replenish A-C-E 1 oz $24.75 BP194 Lactic Acid Exfoliator-35 4 oz $37.00 B80 Vitamin C + Calcium Complex 1 oz $20.50 MR3 Derm Roller - home care 0.3mm 4 oz $60.00 B82 Bio-Essence Nighttime Calcium Complex 1 oz $10.50 MR5 Derm Roller - professional 0.5mm 4 oz. $60.00 B86 Line Reducing Complex 1 oz $15.50 MTS Sterilizing Solution $11.00 K212 Acne Kit Oil, Normal 4.8 oz $19.75 First Page Sub-Total K213 Acne Kit Dry, Sensitive 4.8 oz $19.75 Continue to Second Page Yes No K214 Dramatic Differences Kit 2.0 oz $24.75 ITEM PRICE ITEM OTY PRICE TOTAL Specialty Items SIZE QTY NEW Rack Cards (Brochures) QTY Skin Blemish/Acne Kits 10 $2.00 BiON Product Catalog $1.00 Reversing/Preventing Sun Damage 10 $2.00 BiON Treatment Protocol Booklet $10.00 Collagen Revival/Youthful Eyes 10 $2.00 BiON Retail Bag 11" x 15" (set of 20 ) $8.00 Line Reducing/Post Waxing 10 $2.00 BiON Logo Pen (set of 10) $4.00 Reduce Aging/Dramatic Difference 10 $2.00 Acne Pictures of Girl - small nc Full Pack - 10 of each Rack Card 50 $7.50 Before and after acne/anti-aging 10 $2.00 Rack Card Holder - clear plastic 1 $2.00 Trial and Holiday Size Controlling Rosacea Brochure 1 n.c. B10H Glycolic Cleanser 2 oz $6.50 Dermatitis Cream Brochure 1 n.c. B15H Naturally Clean Body Wash 2 oz $3.25 Posters 12" x 16" B16H Cleanser for Normal Skin 2 oz $4.75 The Choice is Clear - Acne 1 $6.00 B17H Fruit Enzyme Scrub 1 oz $2.75 Control of Acne 1-2-3 1 $6.00 B18H Cucumber Scrub 1 oz $2.75 Bio-Replenish A-C-E 1 $6.00 B40H Moisture Complex 1 oz $5.75 Acne Control Kit 1 $6.00 B41H Naturally Moist Body Lotion 2 oz $3.25 Ageless Beauty 1 $6.00 B44H Glycolic 20% Skin Cream 1 oz $3.50 Titanium Dioxide Sun Protection 1 $6.00 B50H Titanium Dioxide Suncream 1 oz $6.00 Before and After - Acne 1 $6.00 Before and After - Rejuvenation 1 $6.00 Second Page Sub-Total Posters may be viewed on the BiON 2
website, "Professional Login" section. Total Order SHIPPING - All orders will be shipped via UPS or USPS at BiON's discretion. Actual shipping cost will be added to your invoice. C.O.D. - All C.O.D. orders will be charged the UPS $12.00 C.O.D. processing fee. C.O.D. orders may be subject to a four week waiting period between orders to allow for check receipt and bank processing. This condition will be waived after the second ord INSUFFICIENT FUNDS CHECKS The fee for checks returned from the bank is $35.00. SALES TAX - Law requires that a resale tax card must be completed and in our file for NEBRASKA businesses only. LACTIC ACID EXFOLIATOR-35 (Item #P194) - Orders for this product require we have a certificate of liability insurance GLYCOLIC ACID EXFOLIATOR-30 (Item #P190) - Orders for this product require we have a certificate of liability insurance ALL PROFESSIONAL PRODUCTS - Professional products are a courtesy to our clients and are only available to clients that carry the BiON home care products, REFUNDS and RETURNS - BiON products are fully guaranteed. Prior to returning merchandise for any reason you must telephone BiON so we can complete a return authorization. Damaged or deffective goods as a result of shipping or manufacturing must be returned within 30 days to receive a full refund. Good returned to you for refund from your customers must be returned to BiON within 30 days of your receipt of such goods to receive a full refund. Refunds for merchandise you elect to return to correct inventory imbalances are subject to a 15% restocking fee and cost of return shipping. BiON does not issue cash refunds. MINIMUM ORDER. All orders must contain a minimum of 10 products/bottles. Orders may contain a mixture of Retail and Professional sizes, but the majority of the order must be Retail size. 3
QTY ITEM PRICE TOTAL QTY ITEM SIZE PRICE TOTAL Therapy Brochures Specialty Items Controlling Skin Blemishes nc BiON Product Catalog $ 1.00 Reducing Skin Aging nc BiON Treatment Protocol Booklet $ 2.00 Preventing Sun Damage and Aging nc BiON Retail Bag (set of 20 with logo) $ 6.00 Reversing Sun Damage nc BiON Logo Pen (set of 10) $ 2.00 Line Reducing Complex nc Controlling Rosacea nc Trial and Holiday Size Dermatitis Cream nc B10H Glycolic Cleanser 1 oz $ 3.00 B12H Antibacterial Cleanser 1 oz $ 2.00 Brochure Holder - clear plastic $ 1.00 B13H Bacteriostat Cleanser 1oz $ 2.00 B15H Naturally Clean Body Wash 2 oz $ 3.00 B16H Cleanser for Normal Skin 1 oz $ 2.25 Posters 8.5" x 11" B17H Fruit Enzyme Scrub 1 oz $ 2.50 Control of Acne 1-2-3 $ 3.00 B18H Cucumber Scrub 1 oz $ 2.50 Bio-Replenish A-C-E $ 3.00 B40H Moisture Complex 1 oz $ 5.00 Acne Kit $ 3.00 B41H Naturally Moist Body Lotion 2 oz $ 3.00 Acne Pictures of Girl $ 3.00 B44H Glycolic 20% Skin Cream 1 oz $ 3.50 Titanium Dioxide Sun Protection $ 3.00 B46H White Chocolage Body Cream 1 oz $ 3.25 B50H Titanium Dioxide Sunscreen 1 oz $ 5.00 1
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