Euphoria Smoothie Mix Original (Each case has 8 bottles of 46 oz. each) Strawberry Strawberry Case Case $

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1 Euphoria Smoothies & Nutritional Supplements, Ltd. Fax Order Form (Special Int. Area Dev. Pricing) 24/7 Toll-Free Fax #: OR Please print, complete and fax to any of the above two numbers. Thank you! Order Date: Your Name & Phone: Shipping Address: Euphoria Customer ID # (if any): Visa/MasterCard # with name and expiry info Special Notes, Instructions or Product Suggestions: Euphoria Smoothie Mix Original (Each case has 8 bottles of 46 oz. each) Code Name Unit Qty Price Adjusted Price Strawberry Strawberry $ Blueberry Banana Blueberry Banana $ Pineapple Pineapple $ Four Berry Four Berry $ Strawberry Banana Strawberry Banana $ Mango Mango $ Peach, Pear, Apricot Peach, Pear, Apricot $ Passion Fruit Passion Fruit $ Acai Acai Brazilian Berry (6 bottles) $ Lemonade Lemonade $ Euphoria Smoothie Mix Premium (Each case has 12 bottles of 28 oz. each) Code Name Qty Price 1000 kiwi case Kiwi - Premium Adjusted Price $

2 1010 tang case 1020 rasp case Tangerine Premium Raspberry Premium $ $ Euphoria Smoothie Add-Ins Supplements (For Power Smoothies & Power Shots) Code Name Qty Price N/A Adjusted Price Whey Protein Isolate Vanilla - 5 lbs $ Whey Protein Isolate Vanilla - 2 lbs $ $29.75 NLarge for Gainer Vanillla lbs $ $39.95 Antioxidant Antioxidant Blend 1 lb Max Power Max Power Blend 1 lb $ Power Boost Power Boost 1 lb Stress Buster Stress Buster Blend 1 lb Wheat Grass Wheat Grass Blend 1 lb $ Immune Builder Immune Builder Blend 1 lb jar Fiber Fix Fiber Fix Blend 1 lb Slim Power Slim Power 1 Lb $ $21.95 Mind Power Mind Power 1 lb Passion Boost Passion boost Blend 1 lb Euphoria Gourmet Premium Loose Tea Code Name Qty Price N/A Adjusted Price Sencha Japanese Sencha Japanese Green Tea 500g Blue Mango Blue Mango Herbal Fruit Tea Mim Darjeeling Mim Darjeeling Black Tea Egyptian Chamomile Egyptian Chamomile Bag $ Kyoto Cherry Rose Kyoto Cherry

3 Bella Coola Tea Borengajuli Jasmine Flower Rose Green Tea Bella Coola Herbal Fruit Tea Borengajuli Estate Black Tea Jasmine Flower Green Tea Euphoria Premium Bubble Tea & Supplies Code Name Qty Price N/A Adjusted Price Green Apple Green Apple 1 lb bag Papaya Papaya 1 lb Bag Cool Blue Cool Blue Razmataz 1 lb Honey Dew Honey Dew Heaven 1 lb Coconut Knockout Coconut Knockout 1 Lb Jack Fruit Jack Fruit Splash 1 Lb Green Tea Green Tea Bliss 1 lb Bag Taro Tea Taro Tea Teazer 1 lb Bag Pina Colada Pina Colada Paradise 1 lb Mango Fandango Mango Fandango 1 lb Lavender Blossom Lavender Infusion Rose Petal - Infusion Infusion for Bubble Tea African Violet - Infusion Infusion for Bubble Tea Cool Cubes Cool Cubes 4.5 lb jar $ Raw Tapioca Raw Tapioca Pearls 500 g bag Bag $ Café Euphoria - Some Like It Hot (Powder Blends) Code Name Qty Price Adjusted Price Chai Tea Chai Tea $

4 Chai Sprinkles Chai Tea Sprinkles 250g Bag Bag $ Mocha Mocha Mix $ Mochaccino Mochaccino Mix $ Latte Mix Café Latte Mix $ Vanilla Yogurt Non-Fat Vanilla Yogurt $ Vanilla Crème Low-Fat Vanilla Yogurt $ Euphoria Branded Cups, Lids & Straws Code Name Qty Price N/A Adjusted Price 12j12 16j16 20J16 24J24 Dome Lids 16/20 Dome Lids 24 Wrapped Straws 12 oz. Euphoria 16 oz. Euphoria 20 oz. Euphoria 24 oz. Euphoria Dome Lids Clear 16/20 oz. Dome Lids Clear 24 oz. Jumbo Green (3600) Straws case $ Euphoria Point of Sale Materials For Great Branding & Promoting Code Name Qty Price N/A Adjusted Price Euphoria T-shirts Euphoria T-Shirts 6-pack (M, L, XL) 6 pk $ Frequent Buyer Frequent Buyer Smoothies Cards box $ Frequent Buyer Coffee Coffee Club Club Cards 250 box $ Customer Comment Cards Customer Pack $

5 Comment 100 Nutritional Info Brochures 100 Brochures Pack $ Euphoria Bike Bottles Euphoria Bike Bottles 12 case $ Euphoria Pens Euphoria Pens 100 box $ Euphoria Color Menu Euphoria Printed Color Pack $ $42.95 Menus 100 Gold Stickers Euphoria Gold Stickers 1000 Roll $ Terms and Conditions: All prices are in USD and are FOB North Bay, ON. Please note that we require a minimum order of 40 cases (you can mix smoothie and powder blends cases to make the minimum of 40 per order), however, it is to your advantage to place larger orders to minimize your shipping costs. You will save more money on freight when you place larger orders thereby lowering your overall per case delivered costs. You can have the products shipped through your own airfreight forwarder, shipping broker or we can assist you in getting the best pricing via our airfreight forwarder or shipping broker. Please be assured that we absolutely do not make money on shipping, brokerage or freight charges. We quote you exactly the same charges as provided to us by our airfreight forwarders or shipping brokers. We make every effort to ship via the lowest cost carrier to save you money on shipping. Thank you for your order. We sincerely appreciate your business, goodwill and friendship. We will acknowledge your order details as soon as we have processed your order. Have a Euphoric day! Toll-Free GET-EUPHORIC Positive Thinking. Positive Drinking. Order Form Last Updated: March 10, 2006