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UNDERSINK SD501Please use this as a reference for choosing which forms to fill out.

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1.Single Payment require:(Distributor)

  • Distributor Agreement & Product Order Form
  • Return policy
  • W-9 Form
  •   

    2.Single Payment require (User)

  • Product Order Form (User Only)
  • Return policy


  • 3.Using Enagic Payment financing options require:

  • Distributor Agreement & Product Order Form
  • Automatic Payment Application for an Individual Accout
  • Automatic Payment Application for a Corporate Accout
  • W-9 Form
  • Return policy


  • pdf_icon.gifFax Cover Sheet
  • pdf_icon.gifDistributor Agreement & Product Order Form
  • pdf_icon.gifReturn policy
  • pdf_icon.gifW9 Form
  • pdf_icon.gifCredit Card Change and Update Form
  • pdf_icon.gifPrice List
  • pdf_icon.gifPrice List(NY)
  • pdf_icon.gifPrice List(HAWAII)
  • pdf_icon.gifPrice List(CHICAGO)
  • pdf_icon.gifOperational chart
  • pdf_icon.gifSpecial Payment Form
  • pdf_icon.gifAlternate Payer Form
  • pdf_icon.gifAutomatic Payment Application for an Individual Accout
  • pdf_icon.gifAutomatic Payment Application for a Corporate Accout
  • pdf_icon.gifSuper 501 & Anespa Sale Application
  • pdf_icon.gifHong Kong Distributor Agreement and Product Order Form
  • pdf_icon.gifChange of Address / Name Application
  • pdf_icon.gifGenealogy Request Form
  • pdf_icon.gifFilter Sale Order Fom–Canada
  • pdf_icon.gifAlternate Pick Up Form
  • pdf_icon.gifProduct Order Form (User Only)

  • BC Payment Chart

  • pdf_icon.gifBC Anespa
  • pdf_icon.gifBC DXII
  • pdf_icon.gifBC JrII.
  • pdf_icon.gifBC SD501
  • pdf_icon.gifBC SunUs
  • pdf_icon.gifBC Super501
  • CA Payment Chart

  • pdf_icon.gifCA ANESPA
  • pdf_icon.gifCA DXII
  • pdf_icon.gifCA JRII
  • pdf_icon.gifCA SD501
  • pdf_icon.gifCA SUNUS
  • pdf_icon.gifCA SUPER 501
  • pdf_icon.gifCA ANESPA MEMBER
  • pdf_icon.gifCA SUPER 501 MEMBER
  •   

    HI Payment Chart

  • pdf_icon.gifHI Anespa
  • pdf_icon.gifHI DXII
  • pdf_icon.gifHI Jr II
  • pdf_icon.gifHI SD 501
  • pdf_icon.gifHI SunUs
  • pdf_icon.gifHI Super 501
  • pdf_icon.gifMember’s Anespa P. Plan
  • pdf_icon.gifMember’s Super501 P. Plan
  •   

    IL Payment Chart

  • pdf_icon.gifIL ANESPA
  • pdf_icon.gifIL DXII
  • pdf_icon.gifIL JRII
  • pdf_icon.gifIL SD501
  • pdf_icon.gifIL SUNUS
  • pdf_icon.gifIL SUPER 501
  • pdf_icon.gifIL ANESPA MEMBER
  • pdf_icon.gifIL SUPER501 MEMBER
  •   

    NY Payment Chart

  • pdf_icon.gifNY ANESPA
  • pdf_icon.gifNY DXII
  • pdf_icon.gifNY JR II
  • pdf_icon.gifNY SD 501
  • pdf_icon.gifNY SUNUS
  • pdf_icon.gifNY Super 501
  • pdf_icon.gifNY ANESPA MEMBER
  • pdf_icon.gifNY SUPER 501 MEMBER
  •      

    STATES WITHOUT BRANCHES

  • pdf_icon.gifANESPA MEMBER
  • pdf_icon.gifSUPER 501 MEMBER
  • pdf_icon.gifANESPA
  • pdf_icon.gifENAGIC DXII
  • pdf_icon.gifENAGIC JRII
  • pdf_icon.gifENAGIC SD 501
  • pdf_icon.gifENAGIC SUNUS
  • pdf_icon.gifENAGIC SUPER 501
  • Supplies Order Form

    To place an order simply fill out the �gPromotional Items Order Form�h and then fax the form to the plaza indicated below.

    Los Angeles Branch4115 Spencer St
    Torrance, CA 90503

    TEL: 310-542-7700
    FAX: 310-542-1700
    Chicago
    1148 S. Elmhurst Road
    Mt. Prospect, IL 60056
    TEL: 847-437-8200
    FAX: 847-437-8201
    New York
    780 Third Avenue, 7th Fl.
    New York, NY 10017
    TEL: 212-888-8816
    FAX: 212-888-8819
    Hawaii Branch
    Ala Moana Pacific Center, Suite 1535
    Honolulu, Hawaii 96814
    TEL: 808-949-5300
    FAX: 808-949-5336
    * Payment can be made by check or credit card.
    * The Order Form is a PDF file so it cannot be filled out on your computer. Please print out this form for your use.
    * You will need Acrobat Reader (free) to view this PDF data. If you have not already installed Acrobat Reader, the software can be downloaded here.
    Supplies Order Forms : (click to open and print)
    Page1 Page2

    Seminars

    Certificate

    1.jpg 2.jpg
    Certificate of Medical Device Marketing Authorization by Ministry of Health, Labour and Welfare, Government of Japan.
    License Number: 27B2X00070
    Manufacturing license of
    Medical Device by Osaka
    Prefecture.
    License Number: 27BZ006010
    PDF Download PDF Download
    3.jpg 4.jpg
    Registration certificate of Kangen Water by United States
    Patent and Trademark Office.
    Registration Number: 2990706
    PDF Download
    5.jpg 6.jpg
    Recognized as a member in
    good standing for the year 2007
    by Direct Selling Association.
    Certificate of Registration of Copyright.
    The information on this certificate has been made a part of the Copyright Office
    records.
    PDF Download PDF Download
    7.jpg 8.jpg
    Proof of Product Recognition
    by Geriatric Disease Prevention
    Association.
    Recognition Number: 1120
    Proof of Endorsement Recognition
    by Geriatric Disease Prevention
    Association.
    Recognition Number: 1138
    PDF Download PDF Download
    9.jpg 10.jpg
    IEEU Environment Award by International Earth Environment
    University for the year 2004.
    PDF Download
    111.jpg 12.jpg
    Certificate of ISO 9001: 2000. Certificate of ISO 14001: 2004.
    PDF Download PDF Download
    13.jpg
    Certificate of FAD Food Facility
    Registration for Kangen Ukon.
    Registration Number: 18161996856
    PDF Download
    15.jpg
    Certificate by Det Norske Veritas
    Management.
    Certificate Number: 3821-2007-AQ-NOR
    ISO 13485: 2003
    PDF Download

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