3
SELECT 1-3 OF THE FOLLOWING PACKAGES BUY 3 AND SHIP A 200 PSV ADR AND RECEIVE A FREE KIT ITEM # DESCRIPTION SUGGESTED RETAIL WHSL QTY TOTAL 01104010 reDESIGN Body Spa Package (Galvanic Body Spa, Dermatic Effects, Body Shaping Gel, Liquid Body Lufra, NaPCA & Materials) $450.00 $360.00 01104011 (white) 01104012 (black) reDESIGN Face Spa Package (ageLOC Galvanic Spa, 2 ageLOC Galvanic Facial Gels, Tru Face Line Corrector, Gentle Cleanse and Tone, NaPCA Moisture Mist & Materials) $450.00 $360.00 01104013 reDESIGN Nutrition Package (LifePak Nano, Vitality, g3 2pk, g3 Pouches, Tēgreen 120 ct, ReishiMax & Materials) $450.00 $360.00 01104014 reDESIGN Weight Management Package ( AC Shake Vanilla, AC Shake Chocolate, AC Complex, Vitality, Tēgreen 120 ct, Cortitrol, Shaker Cup & Materials) $450.00 $360.00 01104015 ageLOC Galvanic Demo Package (2 ageLOC Facial Gels, Dermatic Effects, Body Shaping Gel, Tru Face Line Corrector, Gentle Cleanse and Tone, Radiant Day, Future Serum & Materials) $450.00 $360.00 01104016 Nu Skin Experience Package (ageLOC Elements, Tru Face Essence Ultra, Perennial, Liquid Body Bar, Liquid Body Lufra, AP-24 Toothpaste, Polishing Peel, Moisture Restore, Balancing Shampoo, Renu Hair Mask, Hand Lotion, Epoch Sole Solution & Materials) $450.00 $360.00 SELECT YOUR ADR: THE FOLLOWING PACKAGES ARE ONLY AVAILABLE THROUGH OUR ADR PROGRAM. ITEM # DESCRIPTION SUGGESTED RETAIL ADR QTY TOTAL 01103793 ageLOC Treatment ADR (2 facial gels & Future Serum) Save $29 $256.30 $205.00 01000959 ADR (3 facial gels & ageLOC Tru Face Essence Ultra) Save $31 $256.30 $205.00 01103801 ageLOC Good ADR (3 facial gels & Elements) Save $27.50 $256.30 $205.00 01103802 ageLOC Better ADR (2 Facial Gels, Elements, Future Serum) Save $60.50 $382.50 $306.00 01103803 ageLOC Best ADR (2 Facial Gels, Elements, Futrure Serum & True Face Essence Ultra) Save $120.50 $531.30 $433.00 01103997 Body Spa Ultimate ADR (3 Body Shaping Gel, 2 Dermattic Effects, Liquid Body Lufra & Perennial) Save $18.75 $256.30 $205.00 01103986 (CH) 01103987 (V) reDESIGN Weight Management Good ADR (AC Shake, AC Complex & Vitality) Save $17.75 $256.30 $205.00 01103988 reDESIGN Weight Management Better ADR (AC Shake Van., AC Shake Choc., AC Complex, Cortitrol & Tēgreen 30ct) Save $27 $343.00 $275.00 01103991 reDESIGN Weight Management Best ADR (AC Shake Van., AC Shake Choc., AC Complex, Cortitrol, Tēgreen 120ct & Vitality) Save $38.25 $445.00 $356.00 01103891 Pharmanex Better ADR (LifePak Nano, Vitality & g3 2pk) Save $57.75 $256.30 $205.00 01103892 Pharmanex Best ADR (LifePak Nano, Vitality, Overdrive, Tēgreen 120ct & g3 2pk) Save $57.75 $318.80 $255.00 01104043 Pharmanex Ultimate ADR (LifePak Nano, Vitality, g3 2pk, g3 Pouches, Tēgreen 120 ct & ReishiMax) Save $78.75 $445.00 $356.00 Subtotal Shipping & Handling Taxes TOTAL NAME ADDRESS CITY STATE ZIP REFERRING DISTRIBUTOR NAME DATE PHONE EMAIL ID PHONE U.S. GALVANIC / ADR ORDER FORM FOR MORE INFORMATION CONTACT 12020017 1 of 3 Signature Date Pursuant to this agreement with Nu Skin Enterprises United States, Inc., I agree that I have authorized products to be delivered to me automatically every month pursuant to the dates, and in the quantities and payment method, selected above. I agree to be bound by the terms and conditions set forth on the following page. Nu Skin distributors are independent contractors and are free to sell the products at whatever retail price they desire. By signing up for ADR now, you will start earning 20-30% back in product points on every ADR order. * Available only on ADR orders. Please ship my order beginning on , and every month thereafter on the same day. Valid shipping dates are between the 1st–24th of the month. Method of Payment Visa Master Card American Express Discover Card Name on Card Credit Card Number Card Exp. CVV Billing Zip Code MONTH / DAY MONTH / YEAR SIGN UP & PURCHASE 3 KITS AUTO-DELIVERY FREE PACKAGE SHIP 200 PSV

U.S. GALVANIC / ADR ORDER FORM - …files.oneteamglobal.com/files/en-US/forms/2012ADR.pdf01104015 ageLOC Galvanic Demo Package (2 ageLOC Facial Gels, Dermatic Effects, Body Shaping

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Page 1: U.S. GALVANIC / ADR ORDER FORM - …files.oneteamglobal.com/files/en-US/forms/2012ADR.pdf01104015 ageLOC Galvanic Demo Package (2 ageLOC Facial Gels, Dermatic Effects, Body Shaping

SELECT 1-3 OF THE FOLLOWING PACKAGESBUY 3 AND SHIP A 200 PSV ADR AND RECEIVE A FREE KIT

ITEM # DESCRIPTION SUGGESTED RETAIL WHSL QTY TOTAL

01104010 reDESIGN Body Spa Package (Galvanic Body Spa, Dermatic Effects, Body Shaping Gel, Liquid Body Lufra, NaPCA & Materials)

$450.00 $360.00

01104011 (white)01104012 (black)

reDESIGN Face Spa Package (ageLOC Galvanic Spa, 2 ageLOC Galvanic Facial Gels, Tru Face Line Corrector, Gentle Cleanse and Tone, NaPCA Moisture Mist & Materials)

$450.00 $360.00

01104013 reDESIGN Nutrition Package (LifePak Nano, Vitality, g3 2pk, g3 Pouches, Tēgreen 120 ct, ReishiMax & Materials)

$450.00 $360.00

01104014 reDESIGN Weight Management Package ( AC Shake Vanilla, AC Shake Chocolate, AC Complex, Vitality, Tēgreen 120 ct, Cortitrol, Shaker Cup & Materials)

$450.00 $360.00

01104015 ageLOC Galvanic Demo Package (2 ageLOC Facial Gels, Dermatic Effects, Body Shaping Gel, Tru Face Line Corrector, Gentle Cleanse and Tone, Radiant Day, Future Serum & Materials)

$450.00 $360.00

01104016 Nu Skin Experience Package (ageLOC Elements, Tru Face Essence Ultra, Perennial, Liquid Body Bar, Liquid Body Lufra, AP-24 Toothpaste, Polishing Peel, Moisture Restore, Balancing Shampoo, Renu Hair Mask, Hand Lotion, Epoch Sole Solution & Materials)

$450.00 $360.00

SELECT YOUR ADR: THE FOLLOWING PACKAGES ARE ONLY AVAILABLE THROUGH OUR ADR PROGRAM.

ITEM # DESCRIPTION SUGGESTED RETAIL ADR QTY TOTAL

01103793 ageLOC Treatment ADR (2 facial gels & Future Serum) Save $29 $256.30 $205.0001000959 ADR (3 facial gels & ageLOC Tru Face Essence Ultra) Save $31 $256.30 $205.00 01103801 ageLOC Good ADR (3 facial gels & Elements) Save $27.50 $256.30 $205.00 01103802 ageLOC Better ADR (2 Facial Gels, Elements, Future Serum) Save $60.50 $382.50 $306.0001103803 ageLOC Best ADR (2 Facial Gels, Elements, Futrure Serum & True Face Essence Ultra) Save $120.50 $531.30 $433.00 01103997 Body Spa Ultimate ADR (3 Body Shaping Gel, 2 Dermattic Effects, Liquid Body Lufra &

Perennial) Save $18.75$256.30 $205.00

01103986 (CH)01103987 (V)

reDESIGN Weight Management Good ADR (AC Shake, AC Complex & Vitality) Save $17.75 $256.30 $205.00

01103988 reDESIGN Weight Management Better ADR (AC Shake Van., AC Shake Choc., AC Complex, Cortitrol & Tēgreen 30ct) Save $27

$343.00 $275.00

01103991 reDESIGN Weight Management Best ADR (AC Shake Van., AC Shake Choc., AC Complex, Cortitrol, Tēgreen 120ct & Vitality) Save $38.25

$445.00 $356.00

01103891 Pharmanex Better ADR (LifePak Nano, Vitality & g3 2pk) Save $57.75 $256.30 $205.00 01103892 Pharmanex Best ADR (LifePak Nano, Vitality, Overdrive, Tēgreen 120ct & g3 2pk) Save $57.75 $318.80 $255.00 01104043 Pharmanex Ultimate ADR (LifePak Nano, Vitality, g3 2pk, g3 Pouches, Tēgreen 120 ct &

ReishiMax) Save $78.75$445.00 $356.00

Subtotal

Shipping & Handling

Taxes

TOTAL

NAME

ADDRESS

CITY STATE ZIP

REFERRING DISTRIBUTOR NAME

DATE

PHONE

EMAIL

ID

PHONE

U.S. GALVANIC / ADR ORDER FORM

FOR MORE INFORMATION CONTACT

12020017 1 of 3

Signature Date

Pursuant to this agreement with Nu Skin Enterprises United States, Inc., I agree that I have authorized products to be delivered to me automatically every month pursuant to the dates, and in the quantities and payment method, selected above. I agree to be bound by the terms and conditions set forth on the following page.Nu Skin distributors are independent contractors and are free to sell the products at whatever retail price they desire.

By signing up for ADR now, you will start earning 20-30% back in product points on every ADR order.* Available only on ADR orders.

Please ship my order beginning on , and every month thereafter on the same day. Valid shipping dates are between the 1st–24th of the month.

Method of Payment Visa Master Card American Express Discover Card

Name on Card

Credit Card Number Card Exp. CVV Billing Zip Code

MONTH / DAY

MONTH / YEAR

SIGN UP & PURCHASE

3 KITS

AUTO-DELIVERY

FREE PACKAGE

SHIP 200 PSV

Page 2: U.S. GALVANIC / ADR ORDER FORM - …files.oneteamglobal.com/files/en-US/forms/2012ADR.pdf01104015 ageLOC Galvanic Demo Package (2 ageLOC Facial Gels, Dermatic Effects, Body Shaping

This ADR Agreement is between you, as an independent Distributor (“I” or “me” or “you” or “your”) and Nu Skin Enterprises United States, Inc., a Delaware corporation, 75 West Center Street, Provo, Utah 84601 (“Company”). I understand that the Automatic Delivery Rewards Program (“ADR Program”) is an optional program that allows me to place a standing order with the Company that will be conveniently shipped to me on a monthly basis and charged to my credit card, savings account, or checking account on a recurring, monthly basis (unless I have selected the option of shipments every other month). By signing this ADR Agreement, I agree that:

A. General Terms and Conditions:1. Sign-up Procedures:I may submit this ADR Agreement online, by facsimile, by mail, or by delivering a hard copy to the Company’s walk-in center. If I sign up by telephone, I must submit a hard copy of the ADR Agreement to the Company online, by facsimile, by mail, or by delivering a hard copy to the Company’s walk-in center within 30 days of my sign up or the Company will terminate my ADR orders. 2. Additional Benefits. Whether a Distributor or a customer, I understand that no minimum product purchases are required to participate in the ADR Program:If my monthly ADR order totals 50 personal sales volume or greater, then I will be entitled to the following benefits: (a) I will get a discount off the wholesale prices of products in my ADR order; (b) discounted shipping; and (c) I will earn product points that may be redeemed for additional products. If I manage my ADR account by telephone or through a walk-in center, then I will not receive a shipping discount. 3. Shipping Rates, ADR Points; and other Terms:THE TERMS AND CONDITIONS GOVERNING THE DISCOUNTED SHIPPING RATES, THE ACTUAL SHIPPING DISCOUNTS, THE REQUIREMENTS GOVERNING PRODUCT POINTS, HOW THEY ARE EARNED, THEIR REDEMPTION AND EXPIRATION, MAY BE FOUND AT WWW.NUSKIN.COM. SELECT YOUR MARKET AND CLICK ON THE ADR SECTION, WHICH TERMS AND CONDITIONS ARE INCORPORATED BY REFERENCE INTO THIS ADR AGREEMENT.4. Payment:(a) I have specified on this ADR Agreement the quantity of each product that I desire

to receive every month and provided the Company with a valid Visa, MasterCard, American Express, or Discover Card number along with the card’s expiration date, and other information necessary to set up a direct debit arrangement on my personal savings or checking account. All products ordered by me must be paid in full before the products are shipped.

(b) If I have selected a credit card as the method of payment, then I authorize the Company or its affiliated company to charge my credit card each month for the products specified above.

(c) If I have selected a debit arrangement, I authorize the Company, either by paper or electronic means, to debit and, if appropriate, credit to my savings or checking account. I authorize the depository I have indicated, hereinafter called the “Bank,” to debit or credit the same to such account. This authority shall remain in force and effect until both the Company and the Bank have received written notice from me of its termination. I must provide an appropriate period of time for the Bank and the Company to act on my notice of termination. The Company will make no other charge to my account except those that I have authorized (sales tax charges may fluctuate in accordance with changes in applicable sales tax rates). The Company and the Bank will be fully protected in honoring this authorization. If any check or charge is dishonored, with or without cause and whether intentionally or inadvertently, then the Company and the Bank will have no liability to any party. I further authorize the Company to release this pre-authorization to the Bank in establishing and maintaining my direct debit account. It may take up to five business days for the Bank to verify funds.

5. Change of Address or Orders:Unless I notify the Company in writing by mail, facsimile, online, or via telephone of a change in my address or any changes to my order at least 30 days prior to my designated shipment date, the products I have selected will be sent to me each month at the address I have provided. The Company will make the adjustments specified in my written notice no later than 30 days after receiving such notice.

6. Discontinued Products:The specific products I selected may be discontinued by the Company. If discontinued, the Company will provide me with written notice at least 30 days prior to the discontinuance of the products, and will continue to send me the remaining items selected on my ADR Agreement. I may select other products to replace the discontinued products. Purchase price and shipping fees will be automatically changed to reflect the change in my order.7. Price Increases:The Company may change the price of the products that I have selected. If the price of a specific product is increased, then the Company will provide me with written notice at least 30 days prior to the price increase, and unless I direct them to do otherwise, will continue to send me the selected products at the increased price.8. Refunds:Except for products purchased with ADR points, all products ordered under the ADR Program may be returned to the Company pursuant to the Company’s regular product return policy. The refund policy for products purchased with ADR points is described at www.nuskin.com. Select your market and click on the ADR section.9. Termination of ADR Program or Orders:(a) Upon 30 days prior written notice, the Company may terminate the ADR Program.

The Company may also immediately terminate my right to participate in the ADR Program and this ADR Agreement and notify me of the termination if (i) the credit card or bank authorization provided in this ADR Agreement expires, is cancelled or otherwise terminated, (ii) I violate the terms and conditions of this ADR Agreement, or (iii) if I am a Distributor, if I have violated the terms and conditions of my Distributor Agreement.

(b) I may cancel my ADR order in writing at any time. The Company will cancel my ADR Agreement within 30 days after it receives my written notice.

(c) Upon 30 days prior written notice, the Company may, in its sole discretion, modify the terms and conditions of this ADR Program, including but not limited to, the expiration of the product points for Distributors.

10. No Modification of Distributor Agreement:The terms and conditions contained in this ADR Agreement do not supersede or modify in any way the terms and conditions of my Distributor Agreement. I will assist my retail customers in obtaining any requested refunds under the ADR Program. If I am a Distributor, I acknowledge that I have sold or personally consumed at least 80% of my last month’s purchase of products.

B. Privacy Policy1. Collection of Personal InformationThe Company, its parent, affiliates and subsidiaries (“Nu Skin”) are aware of and responsive to your concerns regarding how information about you is collected, used and shared as a result of your participation in the ADR Program. Nu Skin respects your privacy and is committed to protecting the privacy of consumers of Nu Skin’s products and services. Nu Skin collects from you and holds certain personal information about you in order to provide you with the benefits of being a Distributor and communicating with you regarding (a) promotional offers and products, (b) Distributor/customer relationships, (c) customer referrals, and (d) other relevant business issues. All information submitted by you will be held by Nu Skin at its corporate headquarters in the United States, its regional headquarters, and/or its local affiliated companies in the country of your residence. You have the right to access and correct personal information held by Nu Skin by contacting the call center for your country of residence. 2. Disclosure of Personal InformationNu Skin may disclose your personal information to contracted vendors. Any vendor would only have access to your personal information for limited purposes regarding marketing communication with Distributors. Except as set forth above and in Nu Skin’s Privacy Policy, Nu Skin will not disclose, sell, transfer, or assign your personal information to any third party without your permission unless required by law. If you do not wish to provide the mandatory information requested, you will not be able to participate in the ADR Program. You may view the Privacy Policy on Nu Skin’s web sites at: www.nuskin.com. Select your market and click on the ADR section.

12020017 2 of 3

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NOTICE OF CANCELLATION

Date of Transaction __________________

You may CANCEL this transaction, without penalty or obligation, within THREE BUSINESS DAYS from the above date.

If you cancel, any property traded in, any payments made by you under the contract or sale, and any negotiable instrument executed by you will be returned within TEN BUSINESS DAYS following receipt by the seller of your cancellation notice, and any security interest arising out of the transaction will be cancelled.

If you cancel, you must make available to the seller at your residence, in substantially as good condition as when received, any goods delivered to you under this contract or sale, or you may, if you wish, comply with the instructions of the seller regarding the return shipment of goods at the seller’s expense and risk.

If you do make the goods available to the seller and the seller does not pick them up within 20 days of the date of your Notice of Cancellation, you may retain or dispose of the goods without any further obligation. If you fail to make the goods available to the seller, or if you agree to return the goods to seller and fail to do so, then you remain liable for performance for all obligations under the contract.

To cancel this transaction, mail or deliver a signed and dated copy of this Notice of Cancellation, or any other written notice, to the seller at his/her address, NO LATER THAN MIDNIGHT of the date of this transaction.

I HEREBY CANCEL THIS TRANSACTION

BUYER’S SIGNATURE DATE

In connection with any door-to-door sales, it constitutes an unfair and deceptive act or practice for any seller to fail to inform each buyer orally, at the time the buyer signs the contract or purchases the goods or services, of the buyer’s right to cancel.

CUSTOMER 100% RETAIL MONEY BACK GUARANTEEFederal law provides you with the following cancellation guarantee: AS THE BUYER YOU MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION. SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. DATE OF THIRD BUSINESS DAY: However, at Nu Skin we pride ourselves on providing you with only the best quality products. If you are not entirely satisfied with your purchase we will gladly refund your money. In addition to any of your statutory rights as a retail customer you may, for any reason, WITHIN THIRTY (30) DAYS OF PURCHASING THE PRODUCT LISTED ABOVE, REQUEST FROM YOUR NU SKIN DISTRIBUTOR, A 100% REFUND OF THE PURCHASE PRICE. Please provide the retail receipt with the returned products. Thank you!

RECEIPT INSTRUCTIONS FOR THE DISTRIBUTOR Please provide the customer with a fully completed (1) Retail Sales Receipt and (2) Notice of Cancellation in duplicate. Inform the customer of the (i) federal cancellation guarantee, and that the customer may cancel the transaction without penalty or obligation within three business days from the date of the sale, and (ii) Nu Skin’s 100% money back guarantee.

12020017 3 of 3