Order Form.cdr - Nutri Wealth

PRODUCT ORDER FORM
503, Sai Home Apartments, 6-1-68/1, Saifabad, Lakdi Ka Pul, Hyderabad - 500 004.
Tel: 040-64101263, E-Mail: [email protected], Website: www.nutriwealth.in
Wealth Through Wellness
N.W. I.B.O ID
N.W. I.B.O. Name
Shipment Details:
Address
By Hand
Preferred Courier
By courier
(Only required for shipment orders)
City
Pin code
State
Phone No. with code
Sl No.
Mobile No.
PC
DESCRIPTION
MRP
DP
NP
1
PC053
Nutriwealth Noni Aloe Vera Soap 90 GM
75
60
0.75
2
PC060
Nutri Osto Power Plus 30 Veg Tablets
300
200
5
3
PC061
Nutri Piles Power Relief 30 Veg Tablets
300
200
5
4
PC057
Nutri Constipation Relief Power 30 Capsules
300
200
5
5
PC046
Ultimate Power 20 Capsules for Men
300
200
5
6
PC047
Nutriwealth Diabo Power 30 Capsules
300
200
5
7
PC048
Nutriwealth Cardio Care 30 Capsules
300
200
5
8
PC049
Nutri Livo Care Power 30 Tablets
300
200
5
9
PC050
Nutri BP Control Power 30 Capsules
300
200
5
10
PC051
Nutri Cholesterol Power 30 Capsules
300
200
5
11
PC052
Nutri Respiration Power 30 Capsules
300
200
5
12
PC008
Nutri Wealth Flax Power 30 Softgels
600
400
10
13
PC041
Nutriwealth Ganoderma Power 30 Capsules
600
400
10
14
PC042
Nutriwealth B-Colustrum 30 Capsules
600
400
10
15
PC043
Nutriwealth Ortho Power 30 Tablets
600
400
10
16
PC045
ACI-UL-BAN 45 Tablets
600
400
10
17
PC054
Nutri Moringa Power Plus 60 Capsules
600
400
10
18
PC056
Nutri Constipation Relief Power 60 Capsules
600
400
10
19
PC058
Nutri Daily Power Plus 60 Tablets
600
400
10
20
PC059
Nutri Osto Power Plus 60 Veg Tablets
600
400
10
21
PC003
Nutriwealth Memory Power 60 Capsules
1200
800
20
22
PC005
Nutriwealth Moringa Power 60 Capsules
1200
800
20
23
PC006
Nutriwealth Slim Tea 250 grms
1200
800
20
24
PC007
Nutri Wealth Ding Ding 30 Capsules
1200
800
20
25
PC009
Nutri Wealth Diabo Power 60 Capsules
1200
800
20
26
PC011
Nutriwealth Power Ancient Mineral Drops 50ML
1200
800
20
27
PC035
Nutriwealth Co-enzyme Power 60 Capsules
1200
800
20
28
PC036
Nutriwealth Red Ginseng 60 Capsules
1200
800
20
29
PC044
Nutriwealth Noni Power Plus 50 ML
1200
800
20
30
PC055
Nutri Quick Weight Loss Powder 100 GM
1200
800
20
QTY
TOTAL NP
AMOUNT
(Advance Detox Formula)
PAYMENT DETAILS:
(Please tick the appropriate mode of payment)
Sate Bank of India
Total
ICICI
Cash Cash Amount
Bank & Branch Details
Banking Date
Fund Transfer / NEFT
Amount
N.W. I.B.O Signature
Transferred From(Bank Name)
Transaction No / NEFT Reference No
Invoice No / Order No
Date
Date
Note: (A) Our Order processing timing is from Monday - Friday from 10.30 am - 5.00 pm, Saturday from 10.30 am - 2.00pm. (B) Bank in the order amount in 1. State Bank of India, A/c No: 34205522525, Branch: Saifabad, IFSC Code: SBIN0007315
2. ICICI, A/c No: 110905500122, Branch:Saifabad, IFSC Code: ICIC0001109. (C) All Prices are inclusive of taxes (D) Shipping Charges are applicable as per the courier policy.