HHG Order Form

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If you have any concerns about ordering online, please call toll-free 888-889-7882 to order.

Mailing Information:

HHG ID#: (If you don't have a HHG ID# yet, call the office at 888-889-7882 for one!)
Name:
Address:
City: State: Zip:
Phone Number: (Necessary in case of problems with order.)
E-mail: (Necessary in case of problems with order -will not be given out or sold!)
Credit month and year you wish this order be applied to:


Note: If this is your first order as a new distributor, there will be no CP shown on your first report.

Orders must be at least 50CP, and may not be over 200 CP!

CP – Commission Points        DC – Distributor Cost         S&H – Shipping and Handling

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Products
Order
Description
 CP DC Shipping
Noni Juice - Suggested Retail Price $45.00
1 Noni Juice 25 $42.50 $2.50
2 Noni Juice 50 $83.00 $4.00
3 Noni Juice 200 $113.50 $10.70
4 Noni Juice 200 $127.00 $14.95
5 Noni Juice 200 $133.00 $14.95
Noni Caps - Suggested Retail Price $35.00
1 Noni Caps 25 $35.00 $2.00
2 Noni Caps 50 $69.50 $2.00
3 Noni Caps 200 $104.00 $3.00
4 Noni Caps 200 $110.25 $3.00
5 Noni Caps 200 $115.50 $4.95
Haena - Suggested Retail Price $37.95
1 Haena 25 $36.50 $2.00
2 Haena 50 $72.00 $2.00
3 Haena 200 $108.00 $3.00
4 Haena 200 $115.00 $3.00
5 Haena 200 $122.00 $4.95
Noni Healing Roll On - Suggested Retail Price $22.00
1 Noni Healing Roll-On 12.5 $22.00 $3.00
4 Noni Roll-On 50 $68.50 $10.70
8 Noni Roll-On 200 $138.50 $10.70
Star Gold - Suggested Retail Price $45.00
1 Star Gold 25 $36.50 $3.00
6 Star Gold 200 $179.50 $14.50
Noni Seed Extract - Suggested Retail Price $39.95
1 Bottle Noni Seed Extract 12.50 $35.00 $5.55
2 Bottles Noni Seed Extract 25 $68.00 $5.55
8 Bottles Noni Seed Extract 200 $217.50 $10.70
Energessence - Suggested Retail Price $25.00
1 4oz Bottle Energessence 16.67 $23.00 $3.00
3 4oz Bottle Energessence 50 $55.00 $5.55
8 4oz Bottle Energessence 200 $115.00 $10.70
12 4oz Bottle Energessence 200 $130.00 $10.70
Stamina Plus - Suggested Retail Price $25.00
1 4oz Bottle Stamina Plus 16.67 $23.00 $3.00
3 4oz Bottle Stamina Plus 50 $55.00 $5.55
8 4oz Bottle Stamina Plus 200 $115.00 $10.70
12 4oz Bottle Stamina Plus 200 $130.00 $10.70
Digestzymes - Suggested Retail Price $25.00
1 4oz Bottle Digestzymes 16.67 $23.00 $3.00
3 4oz Bottle Digestzymes 50 $55.00 $5.55
8 4oz Bottle Digestzymes 200 $115.00 $10.70
12 4oz Bottle Digestzymes 200 $130.00 $10.70
PMS Relief - Suggested Retail Price $25.00
1 4oz Bottle PMS Relief 16.67 $23.00 $3.00
3 4oz Bottle PMS Relief 50 $55.00 $5.55
8 4oz Bottle PMS Relief 200 $115.00 $10.70
12 4oz Bottle PMS Relief 200 $130.00 $10.70
Aller-Free - Suggested Retail Price $25.00
1 4oz Bottle Aller-Free 16.67 $23.00 $3.00
3 4oz Bottle Aller-Free 50 $55.00 $5.55
8 4oz Bottle Aller-Free 200 $115.00 $10.70
12 4oz Bottle Aller-Free 200 $130.00 $10.70
Food Tolerance - Suggested Retail Price $25.00
1 4oz Bottle Food Tolerance 16.67 $23.00 $3.00
3 4oz Bottle Food Tolerance 50 $55.00 $5.55
8 4oz Bottle Food Tolerance 200 $115.00 $10.70
12 4oz Bottle Food Tolerance 200 $130.00 $10.70
Natural Resources A-Z - Suggested Retail Price $25.00
1 4oz Bottle Natural Resources A-Z 16.67 $23.00 $3.00
3 4oz Bottle Natural Resources A-Z 50 $55.00 $5.55
8 4oz Bottle Natural Resources A-Z 200 $115.00 $10.70
12 4oz Bottle Natural Resources A-Z 200 $130.00 $10.70
Shark Essence - Suggested Retail Price $25.00
1 4oz Bottle Shark Essence 16.67 $23.00 $3.00
3 4oz Bottle Shark Essence 50 $55.00 $5.55
8 4oz Bottle Shark Essence 200 $115.00 $10.70
12 4oz Bottle Shark Essence 200 $130.00 $10.70
Nature C Plus - Suggested Retail Price $18.95
1 Bottle Nature C Plus 90 V Caps 15 $16.95 $3.00
5 Bottle Nature C Plus 90 V Caps 50 $76.50 $10.70
12 Bottle Nature C Plus 90 V Caps 200 $167.25 $10.70
Chitosan - Suggested Retail Price $13.95
1 Bottle Chitosan 120Caps 10 $13.95 $3.00
15 Bottles Chitosan 120 Caps 200 $190.00 $10.70
Mild Silver Protein - Suggested Retail Price $35.00
1 4oz Bottle Mild Silver Protein 12.50 $32.50 $5.00
5 4 oz Bottle Mild Silver Protein 50 $156.50 $10.70
14 4oz Bottle Mild Silver Protein 200 $406.00 $10.70
Elation Pack - Suggested Retail Price $79.85
1 Elation Pack 50 $68.75 $11.00
2 Elation 200 $138.00 $11.00
3 Elation 200 $165.50 $11.00
Friendly Flora - Suggested Retail Price $18.50
1 Friendly Flora 10 $17.75 $5.00
6 Friendly Flora 50 $99.50 $11.00
16 Friendly Flora 200 $233.00 $11.00
Sterol-Max - Suggested Retail Price $49.95
1 Sterol-Max 25 $49.95 $0.00
2 Sterol-Max 50 $96.50 $2.00
3 Sterol-Max 200 $139.85 $6.00
5 Sterol-Max 200 $178.00 $10.50
Coral Calcum - Suggested Retail Price $29.00
1 Coral Calcium 10 $27.00 $2.00
4 Coral Calcium 50 $100.00 $7.50
8 Coral Calcium 200 $195.55 $11.00
MSM - Suggested Retail Price $18.00
1 MSM 15 $17.50 $2.00
5 MSM 50 $78.00 $10.50
12 MSM 200 $170.50 $10.50
MSM Orange Ylang-Ylang Lotion - Suggested Retail Price $18.50
1 MSM Orange/Ylang Lotion 15 $18.00 $3.00
5 MSM Orange/Ylang Lotion 50 $79.50 $10.50
12 MSM Orange/Ylang Lotion 200 $174.50 $10.50
MSM Berry Vanilla Lotion - Suggested Retail Price $18.50
1 MSM Berry Vanilla Lotion 15 $18.00 $3.00
5 MSM Berry Vanilla Lotion 50 $79.50 $10.50
12 MSM Berry Vanilla Lotion 200 $174.50 $10.50
MSM Lavendar Lotion - Suggested Retail Price $18.50
1 MSM Lavendar Lotion 15 $18.00 $3.00
5 MSM Lavendar Lotion 50 $79.50 $10.50
12 MSM Lavendar Lotion 200 $174.50 $10.50
MSM Unscented Lotion - Suggested Retail Price $18.50
1 MSM Unscented Lotion 15 $18.00 $3.00
5 MSM Unscented Lotion 50 $79.50 $10.50
12 MSM Unscented Lotion 200 $174.50 $10.50
Variety Packages
1 Each of HHG products 200 $330.00 $35.00
2 Noni Juice, 4 Haena 200 $132.00 $11.00
Biofield Balancing
Monthy Biofield Testing 200 $100.00 $FREE
Volume Discounts ONLY After 200 CP Order
1 Noni Juice 0 $25.50 FREE
1 Noni Caps 0 $14.50 FREE
1 Haena 0 $15.65 FREE
1 Noni Joint Roll-On 0 $14.50 FREE
1 Noni Seed Extract 0 $24.50 FREE
1 Star Gold 0 $26.50 FREE
1 Energessence 0 $10.00 FREE
1 Stamina Plus 0 $10.00 FREE
1 Digestzymes 0 $10.00 FREE
1 PMS Relief 0 $10.00 FREE
1 Aller-Free 0 $10.00 FREE
1 Food Tolerance 0 $10.00 FREE
1 Natural Resouces A-Z 0 $10.00 FREE
1 Shark Essence 0 $10.00 FREE
1 Nature C Plus 0 $12.50 FREE
1 Chitosan 0 $12.25 FREE
1 Mild Silver Protein 0 $28.75 FREE
1 Elation 0 $36.00 FREE
2 Friendly Flora 0 $29.00 FREE
1 Sterol-Max 0 $25.00 FREE
1 Coral Calcium 0 $20.00 FREE
1 MSM 0 $12.50 FREE
1 Orange/Ylang MSM Lotion 0 $14.00 FREE
1 Berry/Vanilla MSM Lotion 0 $14.00 FREE
1 Lavendar MSM Lotion 0 $14.00 FREE
1 Unscented MSM Lotion 0 $14.00 FREE
1 I'iwi card pack 0 $10.50 FREE
Sales Tools
1 Distributor Kit $27.00 FREE
Noni Juice Brochure (Pack of 25) $20.00 FREE
Compensation Plan (Pack of 25) $20.00 FREE
Company Manuals (Pack of 5) $15.00 FREE
Agreement Forms (Pack of 25) $20.00 FREE
Purchase Order Forms (Pack of 25) $20.00 FREE
Haena Write Ups (Pack of 25) $20.00 FREE
Noni Healing Write Ups (Pack of 25) $20.00 FREE
Star Gold Write Ups (Pack of 25) $20.00 FREE
Noni Health Newsletters (Pack of 10) $10.00 FREE
Noni Seed Write Ups (Pack of 25) $20.00 FREE
Energessence Write Ups (Pack of 25) $20.00 FREE
Stamina Plus Write Ups (Pack of 25) $20.00 FREE
AllerFree/Food Tolerance Write (Pack 25) $20.00 FREE
Nature C Plus Write Ups (Pack 25) $20.00 FREE
Chitosan Write Ups (Pack 25) $20.00 FREE
Mild Silver Protein Write Ups (Pack 25) $20.00 FREE
Elation Pack Write Ups (Pack 25) $20.00 FREE
Friendly Flora Write Ups (Pack 25) $20.00 FREE
Sterol-Max (Pack 20) $20.00 FREE
Coral Calcium Write Ups (Pack 20) $20.00 FREE
MSM Write Ups (Pack 20) $20.00 FREE
Biofield Balancing Write Ups(Pack 20) $20.00 FREE

Grand Total (including HI Res. .05 Product Tax + .04 Sales Lit Tax.)
$


Yes, Sign Me Up For Autoship to Qualify Me For The Gold Fast Cash Program!
Sign up for the Autoship Program and we will mail your package as marked on this form by the 5th to the 15th of every month.
Clicking on the above box authorizes HHG to enroll me in the Autoship Program and to send me this order on a monthly basis. I authorize HHG to withdraw funds from my credit card or from my checking account as stated on this form to cover the cost of the Autoship orders. I understand that if I want any changes to be made to my order I will call them in by the 1st of the month. I understand that to cancel the program, I will have to send notice in writing by the 1st of the month.

Payment Options

Pay by Credit Card

    Credit Card: Card Number:
    Expiration Date:

Pay by Check

Please send the total amount to:

Hawaii's House of Gold
P.O. Box 4991-0991
Hilo, HI 96720

If you have any additional information, notes or questions for us, please feel free to leave them here.


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