LONGRICH PHILIPPINES MARKETING INC.

PRODUCT ORDER FORM

Unit 708 7th Floor BTTC Center 288 Ortigas Ave. Cor Roosevelt St. ver (3) 2017
Greenhillls, San Juan City 1600
Tel: (02) 477-0492 Website: www.longrichofficial.ph

New Order Upgrade Order Repeat/Retail Order Current Cycle x Cycle

NAME: MEMBER ID
CONTACT NO: AREA/SERVICE CENTER:

PRODUCT TOTAL AMOUNT

PRODUCT DESCRIPTION CONTENT RP (PHP) DP (PHP) PV QTY
CODE (PV) (PHP)
FIRST PURCHASE AND UPGRADE ORDER
tzz0158 RICH PACK A NAPKIN & LINER 10,700.00 7,600.00 60
tzz0159 RICH PACK B PCUP & LINER 10,250.00 7,600.00 60 .
tzz0160 RICH PACK C PCUP & NAPKIN 10,250.00 7,600.00 60
tzz0161 RICH PACK D MIXED RETAIL 9,440.00 7,600.00 60
PACK
FAMILY CARE SERIES
wc008 ALL PURPOSE CLEANSER 1KG 1,125.00 900.00 10
hbcc205f ANTIPERSPIRANT (DEODORANT) 50ML 250.00 150.00 1
hbea151b Aloe Vera Facial Cleanser 100G 600.00 290.00 2.5
hbca155c BABY POWDER 180G 220.00 180.00 1
hbhh064d Baby Shampoo & Body Wash 260ML 580.00 470.00 5
hcbd008dxa BATHROOM CLEANSER 1L 360.00 260.00 2
hbbd080e CLEANSING AND TREATMENT 300ML 395.00 335.00 4
2IN1 SHAMPOO
hcbb002dxa CONCENTRATED DETERGENT 1KG 580.00 440.00 5
POWDER
hbca156e Corn Prickly Hear Powder 160G 600.00 490.00 5
hcba005e Dishwashing Liquid 1.1L 680.00 600.00 5
hbcc071g Fruit Oil Moisturizing Baby Cream 100ML 320.00 250.00 2
hbbb120d HAIR CONDITIONER 200ML 415.00 335.00 4
hbhh038e HERBAL BODY WASH 300ML 320.00 270.00 2
hbec006e NATURAL ESSENCE BAMBOO 100G 620.00 480.00 6
CARBON WHITENING SOAP
hbga029ben MOSQUITO REPELLANT 195ML 250.00 180.00 1
hbdb003e MOUTH SPRAY 15G 160.00 120.00 1
hbcc406a SOD CREAM 200ML 370.00 300.00 4
hczz037a TOOTHBRUSH (COUPLE) 2IN1 345.00 275.00 3
hbda001e TOOTHPASTE 200G 330.00 260.00 3
hbda120a WHITE - TEA TOOTHPASTE 100G 185.00 150.00 1.2
hbec005d WHITE TEA NOURISHING SOAP 100G 260.00 220.00 2.5
hbcc408a WHITENING HAND CREAM 100G 180.00 150.00 1
HYGIENE SERIES
jcac019c ONE PACK DAY USED NAPKIN 10/PACK 270.00 240.00 2.5
jcac018ac ONE PACK NIGHT USE NAPKIN 8/PACK 270.00 240.00 2.5
jcac015c ONE PACK PANTY LINER 30/PACK 325.00 270.00 2.5
jcac015a PANTY LINER 16 PACK 5,350.00 3,850.00 50
jcac019a PVC (DAY USE) 10PCS 1,060.00 860.00 10
jcac0018ae PVC (NIGHT USE) 10PCS 1,060.00 860.00 10
jcac015e PVC (LINER) 30PCS 1,150.00 950.00 10
jcac018a SUPERBKLEAN MAGNETIC 18 PACK 5,350.00 3,850.00 50
SANITARY NAPKIN (NIGHT USE)

jcac008a SUPERBKLEAN MAGNETIC 19 PACK 5,350.00 3,850.00 50

SANITARY NAPKIN (MIXED)
HEALTH CARE SERIES
aeae0 APLUS ENERGY SHOES 43,550.00 34,050.00 300
wc001 BONE M 15 SACHETS 4,660.00 3,850.00 50
hazz016a CLASSY STYLE PI CUP FILTER 1 PC 1,942.00 1,440.00 15
hazz052a CLASSY STYPE PICUP 1 PC 5,200.00 4,050.00 50
haaa69a Longrich Coffee 360G 1,200.00 900.00 5
Longrich Coffee Sachet 18G 160.00 130.00 1
daaa001dkr NUTRIVRICH NUTRITIOUS 30 SACHETS 7,910.00 5,300.00 60
PREPARED CEREAL FOOD
wcus001a Seabuckthorn 120 SOFTGELS 7,500.00 6,300.00 60
haad062a Vitamin C 160 TABLETS 1,650.00 1,350.00 10
PV - Point Value RP - Retail Price DP - Distributor Price SUBTOTAL (PHP)

FOR DELIVERY PURPOSES FOR OUTLET/OFFICE USE ONLY

Signature: Date:
Name Received by:
Courier Address:
Contact No: LONGRICH BANK ACCOUNT NO:
LONGRICH PHILIPPINES MARKETING INC.
METROBANK: 514-7-51402634-0
BDO: 2890173573
RCBC: 296809934