<p> HTE International Group Hsin Ten Enterprise (Aust) Pty Ltd ABN 30 068 318 178 Suite 503, Level 5, 46-56 Kippax Street Surry Hills NSW 2010, Tel 0061-2-9281-5699, Fax: 0061-2-9212-1866 E-Mail: [email protected] Website: http: www.hsintenaust.com.au PURCHASE ORDER Please fill in this form by BLOCK LETTERS: Date:</p><p>DISTRIBUTOR’S DETAILS ID No: ______Name: ______Tel: Address.______Fax:______</p><p>BILL TO (Tax Invoice Receiver) Name: ______Tel: ______Address: City: State: Country: _____ Post Code: </p><p>QTY PRICE AMOUNT PRICEAMOUNT DESCRIPTION BVP DESCRIPTION BVP AMOUNT **A$ QTY **A$ Product November Promotion 1 Sun Ancon® Chi Machine® 45 $693 16 New Grande SOQI BED + Footrest cover 205 $5058.9 2 HotHouse® - Regular 80 $1538.9 17 8 Chi Value Pack (8+2 Chi) 300 $5544 3 Grande FIR HotHouse® 90 $1868.9 18 Chi Machine + Footrest cover + Carrying Bag 34 $658.9 4 E-power 56 $1098.9 19 Chi Machine + Footrest cover 34 $627 5 E-power Belt 5 $184.8 20 HotHouse 48 $1153.9 6 FIR TO GO 28 $649 21 Grande HotHouse 52 $1252.9 7 FIR Waist Support (M,L,XL) 9 $165 22 E-Power 40 $768.90 8 Palm massager 2 $53.9 23 Membership (business kit included) $50 9 Chi Machine Carrying Bag 1 $64.9 24 10 HotHouse Carrying Bag 2 $97.9 11 Chi Machine Footrest Cover 0 $3,30 12 Grande SOQI BED 377 $7920 13 New Grande SOQI BED 380 $7920 GST included 14 FREIGHT 15 TOTAL</p><p>PRODUCT GUARANTEE: If for any reason you are not completely satisfied with this product purchased by you, you may return it in original condition within 14 days after purchase for a full refund (excl. Freight) from your independent Hsin Ten Distributor. All prices are GST – inclusive and subject to change. *Different freights, VAT and taxes apply to overseas customers. Membership Fee for overseas customers = A$38 +(19% VAT) + business kit freight. .</p><p>PAYMENT OPTIONS (1) By Cash CANCELLATION NOTICE (3) By Bank Deposit ACCOUNT NAME Hsin Ten Enterprise (Aust.) P/L You may cancel this transaction (4) Details of BANK NAME Commonwealth Bank of Australia at any time during the next ten days. Simply call, fax, or write (5) Account Into BRANCH NAME 62 Walker St., North Sydney 2060 Which Deposit BRANCH BSB NO. 062-438 to the authorized distributor shown above. Should Be Made ACCOUNT NO. 28020964 SWIFT CODE: CTBAAU2S Please attach the bank deposit BSB No. of the branch at which deposit was made Details Of slip here and complete the Date that deposit was made (as on the bank’s stamp) Deposit Slip details in the blanks provided on Location of the branch at which deposit was made the table on the left. (4) By Credit Card Mastercard Visa</p><p>Cardholder’s Name...... Cardholder’s Address...... Card Number </p><p>Expiry Date / Cardholder’s Signature...... DELIVERY OPTIONS To be picked up by: Name:.... ……………………….Date:...... Tel:...... </p><p>To be shipped to: Name: ______Date: ______Tel: ______</p><p>Address: ______City: State: Post Code: </p><p>Distributor’s Signature:...... Date:...... Distributor’s Email:...... </p><p>Customer’s Name:...... Customer’s Signature:...... Date:...... </p><p>Customer’s Email: ………………………………………….To be signed by the Company:...... </p><p>Multiple Energy Approach to your Health & Wellbeing</p>