Client Order Form | Canada All Provinces except QC

Ordering is easy through your Arbonne Independent Consultant or

online at arbonne.ca.

Attn: Customer Service, 7135 Kennedy Road, Mississauga, ON L5S 0A6 | 1.888.272.6663 | cancare@arbonne.ca

ORDERED BY

Arbonne International Distribution, Inc., operating as Arbonne International

Distribution, offers a 45-day, money-back guarantee on all product to Clients not
completely satisfied. Clients can return the unused portion of the product to the
Arbonne Independent Consultant who sold it to the Client.

ARBONNE INDEPENDENT CONSULTANT INFORMATION

Name*

Arbonne ID

Name*

Billing Address
City

Province

Postal Code

Ship to Address*

Date of Sale ______________________________________________

Arbonne ID*

Address of Sale Location______________________________________

Address

Delivery Date______________________________________________

City* Province*

(If different from Billing)

City*

Province*

Daytime Phone*

Postal Code*

Postal Code*

Phone

Email

Evening Phone

*Necessary to complete an order

Email Date
Note: UPS does not deliver to P.O. Boxes

PAGE

ITEM

Sellers/Arbonne Independent Consultants Signature

_______________________________________________________
By completing this contract, you consent to the collection, use and disclosure of
the personal information contained herein for the purpose of fulfilling the terms
of this sales contract. This contract is not binding on the buyer unless the buyer
signs it and the buyer has received a copy of it.
Buyers Signature___________________________________________

PRODUCT

QTY

SUGGESTED
RETAIL PRICE (SRP)

TOTAL

METHOD OF PAYMENT
Credit Card Type (Check one) MasterCard

Visa

American Express

Credit Card No.

Card Expiry Date ________ / ________

CVV Code: ________

Billing Postal Code: __________________

Total amount applied to this card $
Cardholders Name
Cardholders Signature

LINE 1: TOTAL SRP

LINE 2: PREFERRED CLIENT DISCOUNT (LINE 1 x 20%)

ITEM
3463

PRODUCT SPECIALS
Ask your Arbonne Independent Consultant about specials and PwPs.

QTY

Preferred Client Registration Fee plus shipping and handling based on $24 SRP.

$30

New Preferred Client Free Product with 150 QV.

FREE

TOTAL PRODUCT SPECIALS

SHIPPING & HANDLING
UPS Ground

UPS Flat Rate*

$0$129.99
$130$269.99
$270$389.99
$390$519.99
$520$649.99
$650$1,299.99
$1,300+

$12.00
$17.00
$19.00
$22.00
$25.00
$27.00
$36.00

UPS Next Day

TOTAL

$24

$150 SRP for $30 $150 SRP of products for $30 with each 250 QV
increment. List items below or attach price list and add total here.

Product Order Total (SRP)

PRICE

$35.99

*This charge is per carton. Program details may be

revised at a later date.

LINE 3

TOTAL

Attached to this order, please find (Check all that apply):

Preferred Client Registration Form
Arbonne Price List
White = Registered Independent Consultants copy
Yellow = Clients copy

LINE 1

PRODUCT TOTAL

LINE 2

PREFERRED CLIENT 20% DISCOUNT

LINE 3

PRODUCT SPECIALS PRICE TOTAL

LINE 4

SUBTOTAL (LINE 1 - 2 + 3)

LINE 5

SHIPPING & HANDLING (BASED ON LINE 1)

LINE 6

HST (LINE 4 x TAX @ ___%)*

LINE 7

GST (LINE 4 + 5) x GST @ ___%)

LINE 8

PST (LINE 4 + 5) x PST @ ___%)**

LINE 9

ORDER TOTAL (LINE 4 + 5 + 6 + 7 + 8)***

*HST provinces exempt from tax on shipping

**P EI PST is applied on total selling price including shipping & handling plus GST (line 4+5+7) x
PST RATE
***HST or GST and PST to be applied as applicable by province

BUYERS RIGHT TO CANCEL (SEE NEXT PAGE).

DROIT DE RSILIATION DE LACHETEUR (VOIR PAGE SUIVANT).
6407R15 02
2015 ARBONNE INTERNATIONAL, LLC
ALL RIGHTS RESERVED. | ARBONNE.CA

REVISED 12/08/2015

STATEMENT OF CONSUMER CANCELLATION RIGHTS/BUYERS RIGHT TO CANCEL

other rights, duties and remedies at law. For more information, you may contact the Ministry of Consumer
and Business Services.

You may cancel this contract from the day you enter into the contract until 10 days after you receive a copy
of the contract. You do not need a reason to cancel.

To cancel this agreement, you must give notice of cancellation to the supplier, at the address set out in the
agreement, by any means that allows you to prove the date on which you gave notice. If no address is set
out in the agreement, use any address of the supplier that is on record with the Government of Ontario or the
Government of Canada or is known by you.

Manitoba, Saskatchewan, Alberta, Yukon, Nunavut, The Northwest Territories, Nova Scotia, Newfoundland,
New Brunswick and P.E.I.

If you do not receive the goods or services within 30 days of the date stated in the contract, you may cancel
this contract within one year of the contract date. You lose that right if you accept delivery after the 30 days.
There are other grounds for extended cancellation. For more information, you may contact your provincial/
territorial consumer affairs office.
If you cancel this contract, the seller has 15 days to refund your money and any trade-in, or the cash value of
the trade-in. You must then return the goods.
To cancel, you must give notice of cancellation at the address in this contract. You must give notice of
cancellation by a method that will allow you to prove that you gave notice, including registered mail, fax or by
personal delivery.
Manitoba Residents Only: You may give notice of cancellation to Mr. Robert Hucal c/o Monk Goodwin,
Barristers and Solicitors, 800 Centra Gas Building, 444 St. Mary Avenue, Winnipeg, Manitoba, R3C 3T1 or
you may deliver it there yourself.
Nova Scotia Residents Only: You may give notice of cancellation via fax, mail or personal delivery to: Arbonne
International Distribution, Inc., 1959 Upper Water St., Suite 1700, Halifax, NS B3J 3N2, Tel. 902.482.7085.

LA PROVINCE DU NOUVEAU-BRUNSWICKDROIT DE RSILIATION DE LACHETEUR

Vous pouvez rsilier le prsent contrat compter de la date de conclusion du contrat, et ce, pendant une
priode de 10 jours aprs la rception dune copie du contrat. Vous navez pas besoin de donner une raison
pour rsilier le contrat.
Si vous ne recevez pas le bien ou le service au cours des 30 jours qui suivent la date indique dans le
contrat, vous avez un an, compter de la date du contrat, pour rsilier le contrat. Toutefois, vous perdez
ce droit de rsiliation si vous acceptez la livraison aprs la priode de 30 jours. Le droit de rsiliation peut
tre prolong pour dautres raisons. Pour de plus amples renseignements, communiquez avec votre bureau
provincial/territorial de la consommation.
Si vous rsiliez le prsent contrat, le vendeur doit, dans les 15 jours qui suivent, vous rembourser
toute somme que vous lui avez verse et vous remettre tout bien quil a pris en change ou la somme
correspondant la valeur de ce dernier. Vous devez alors retourner le bien achet.
Pour rsilier le prsent contrat, il vous suffit de donner un avis de rsiliation ladresse mentionne dans ce
contrat. Lavis doit tre donn par un moyen qui vous permet de prouver que lavis a rellement t donn, y
compris par courrier recommand, tlcopieur ou remise en personne.

FOR ONTARIO CONTRACTS ONLY: YOUR RIGHTS UNDER THE CONSUMER

PROTECTION ACT, 2002

You may cancel this agreement at any time during the period that ends ten (10) days after the day you
receive a written copy of the agreement. You do not need to give the supplier a reason for cancelling during
this 10-day period.
If the supplier does not make delivery within 30 days after the delivery date specified in this agreement
or if the supplier does not begin performance of his, her or its obligations within 30 days after the
commencement date specified in this agreement, you may cancel this agreement at any time before delivery
or commencement of performance. You lose the right to cancel if, after the 30-day period has expired, you
agree to accept delivery or authorize commencement of performance.
If the delivery date or commencement date is not specified in this agreement and the supplier does not
deliver or commence performance within 30 days after the date this agreement is entered into, you may
cancel this agreement at any time before delivery or commencement of performance. You lose the right to
cancel if, after the 30-day period has expired, you agree to accept delivery or authorize commencement of
performance. In addition, there are other grounds that allow you to cancel this agreement. You may also have

If you cancel this agreement, the supplier has fifteen (15) days to refund any payment you have made
and return to you all goods delivered under a trade-in arrangement (or refund an amount equal to the
trade-in allowance).
However, if you cancel this agreement after having solicited the goods or services from the supplier and
having requested that delivery be made or performance be commenced within ten (10) days after the date
this agreement is entered into, the supplier is entitled to reasonable compensation for the goods and services
that you received before the earlier of the 11th day after the date this agreement was entered into and the
date on which you gave notice of cancellation to the supplier, except goods that can be repossessed by or
returned to the supplier.
If the supplier requests in writing repossession of any goods that came into your possession under the
agreement, you must return the goods to the suppliers address, or allow one of the following persons to
repossess the goods at your address: the supplier, a person designated in writing by the supplier.
If you cancel this agreement, you must take reasonable care of any goods that came into your possession
under the agreement until one of the following happens:
The supplier repossesses the goods.

The supplier has been given a reasonable opportunity to repossess the goods and twenty-one (21) days
have passed since the agreement was cancelled.

You return the goods

The supplier directs you in writing to destroy the goods and you do so in accordance with the
suppliers instructions.

FOR BRITISH COLUMBIA CONTRACTS ONLY: CONSUMERS RIGHT TO CANCEL

This is a contract to which the Business Practices and Consumer Protection Act applies.

You may cancel this contract from the day you enter the contract until 10 days after you receive a copy of the
contract. You do not need a reason to cancel.
If you do not receive the goods or services within 30 days of the date stated in the contract, you may cancel
this contract within one year of the contract date. You lose that right if you accept delivery after the 30 days.
There are other grounds for extended cancellation.
If you cancel this contract, the seller has 15 days to refund your money and any trade-in, or the cash value of
the trade-in. You must then return the goods.
To cancel, you must give notice of cancellation at the address in this contract. You must give notice of
cancellation by a method that will allow you to prove that you gave notice, including registered mail,
facsimile, or by personal delivery.
If you send the notice of cancellation by mail, facsimile or electronic mail, it doesnt matter if the seller
receives the notice within the required period as long as you sent it within the required period.