Impact Pickup

INSTRUCTIONS / ANNOUNCEMENTS*

All orders for the upcoming pickup are due SUNDAY, April 6th by 9pm ~ Select DALLAS PICKUP > Copy/Paste the names and phone number exactly - Josh Howard/Kacy Swires - 8066625682

Herbalife Order Number*

Enter your Herbalife order number. Online orders start with a "Y", phone orders start with "10" NOTE: Only ONE order number per submission

Your Name ( NOT THE PICK UP NAMES)*

Full customer name on the Herbalife order listed above. If you made an order on someone else's behalf, use their name here.

Phone*

Phone number where you can be texted for corrections

Volume Points DON'T FORGET THE DECIMAL*

Use numbers only. Enter the Volume Points for this order from the Herbalife checkout. It is IMPORTANT you put the decimal point or you may be charged extra. example: 50.35 not 5035

Please enter a value between 0 and 100000.

SELECT ONE CLUB BELOW FOR YOUR DELIVERY LOCATION

Pickup Location*

Refer to the club's Impact Pickup cover sheet for individual order pricing.

Pickup Location - TUESDAY deliveries only - Orders must be submitted by Sunday at 9pm

These locations only receive deliveries on Tuesdays. Refer to the club's Impact Pickup cover sheet for individual order pricing.

Pickup Location - WEDNESDAY deliveries only - Orders must be submitted by Sunday at 9pm

These locations only receive deliveries on Wednesdays. Refer to the club's Impact Pickup cover sheet for individual order pricing.

Pickup Location - THURSDAY deliveries only - Orders must be submitted by Wednesday at 9pm

These locations only receive deliveries on Thursdays. Refer to the club's Impact Pickup cover sheet for individual order pricing.

Email*

Enter an email address for submission confirmation. *gmail accounts work best*

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SELECT ONE CLUB BELOW FOR YOUR DELIVERY LOCATION

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