際際滷

際際滷Share a Scribd company logo

Auto ship agreement & order form

Chance Freeman
Chance Freeman

The document appears to be an auto-ship agreement and order form for a company called Javita. It provides information on setting up automatic monthly shipments of products ordered from Javita. It outlines the terms and conditions of the auto-ship program, including that orders will be shipped within two days of payment, shipping and handling fees, how to revise or cancel an auto-ship agreement, and return policies requiring a return merchandise authorization number. Customers agree to let Javita automatically charge their payment method and ship orders each month according to the details provided in the agreement.

1 of 2
Download to read offline
Member / Customer Information Referred By Member # or Federal Tax ID # Name (Last, First, Middle Initial) Area Code Daytime Phone Number E-mail Address Applicant Signature Todays Date (MM/DD/YY) Order Information Street Address (Current Mailing Address) City Item # 11005 0611All faxed copies may be deemed as originals. Payment Information Mastercard速 Visa速 Discover速 American Express速 Credit Card Security Code (3 or 4 digits) Authorization Signature Item # Description Price Qty Total Cost * Total does not include applicable tax or shipping and handling. Total * AutoShip Program When selecting your product or pack, please refer to the product pricing online at www.javita.com. Be sure to check "New AutoShip" if you'd like to make this a recurring monthly order. AutoShip Agreement/Order Form To set-up an AutoShip Order or submit an order, fill out the form below and fax to our office. Send to: Javita International Ltd. at 7835 NW Beacon Square Blvd, Boca Raton, FL 33487. Phone: 1-855-JAVITA-1 (1-855-528-4821) Fax: 1-561-258-2341 Name (Last, First, Middle Initial) or Business Name Area Code Daytime Phone Number Cardholders Name (Last, First, Middle Initial) Expiration Date (MM/YY) State Zip Code E-mail Address Birth Date (MM/DD/YY) This convenient program allows you to receive an automatically generated order each month from Javita. Cancellation of an AutoShip Order must be done through Javita Member Services at least five business days prior to your scheduled ship date. By selecting AutoShip you authorize the company to automatically ship your monthly order and collect the appropriate funds each month. Please supply ALL required information. Orders are subject to the local sales tax of your region and will be added to your order total. Shipping & handling charges will also be added.AutoShip orders are billed each month coinciding with your monthly order date. Note: Your first order will be processed upon approval of this application, and subsequent orders will fall into the regular AutoShip billing & shipping schedule beginning the following month. New AutoShip Change my AutoShip This is NOT an AutoShip Please check which one of the following apply:
JAVITA AUTOSHIP AGREEMENT TERMS AND CONDITIONS. PLEASE READ THOROUGHLY. As a participant in the Javita AutoShip Program, I authorize Javita Inc. ("Javita") to ship my order to me monthly after processing the payment method that I have indicated. Javita is under no obligation to ship any products until full payment has been received. Shipment will take place approximately two days from payment confirmation. 1. AUTOSHIP: All new AutoShip Agreements received will generate an order to be shipped within two days of receipt. Each month thereafter, your AutoShip order will be sent on or about the same time each month. Orders received between the 16th and end of month will be sent on or about the 15th of each month. 2. SHIPPING AND HANDLING: All AutoShip orders are shipped via ground shipping. Shipping and handling charges applied to each AutoShip order are as follows: 5.75% of the order subtotal with a minimum of $7.50. 3. REVISION: You may revise your AutoShip Agreement monthly. To do so, submit a new AutoShip Agreement / Order Form and check the box labeled Change my AutoShip or modify your agreement online by visiting www.javita.com. Javita Member Services must have revisions no later than 5 business days prior to your next AutoShip shipment date. If the revision is received less than 5 business days prior to shipment, there will be no guarantee that the revision will be effective for that shipment. The revised application will be in effect for the next shipment date. 4. CANCELLATION: If a Member decides to cancel their AutoShip, a signed notification must be submitted to Javita Member Services. Member Services must have cancellation notice no later than 5 business days prior to your next AutoShip shipment date. If the cancellation is received less than 5 business days prior to shipment, there will be no guarantee that the order will not ship. 5. RETURNS: Prior to any product being returned to Javita, a Return Merchandise Authorization (RMA) Number must be issued. Please contact Javita Member Services to receive an RMAby calling 855-JAVITA-1 (1-855-528-4821).

More Related Content

Auto ship agreement & order form

  • 1. Member / Customer Information Referred By Member # or Federal Tax ID # Name (Last, First, Middle Initial) Area Code Daytime Phone Number E-mail Address Applicant Signature Todays Date (MM/DD/YY) Order Information Street Address (Current Mailing Address) City Item # 11005 0611All faxed copies may be deemed as originals. Payment Information Mastercard速 Visa速 Discover速 American Express速 Credit Card Security Code (3 or 4 digits) Authorization Signature Item # Description Price Qty Total Cost * Total does not include applicable tax or shipping and handling. Total * AutoShip Program When selecting your product or pack, please refer to the product pricing online at www.javita.com. Be sure to check "New AutoShip" if you'd like to make this a recurring monthly order. AutoShip Agreement/Order Form To set-up an AutoShip Order or submit an order, fill out the form below and fax to our office. Send to: Javita International Ltd. at 7835 NW Beacon Square Blvd, Boca Raton, FL 33487. Phone: 1-855-JAVITA-1 (1-855-528-4821) Fax: 1-561-258-2341 Name (Last, First, Middle Initial) or Business Name Area Code Daytime Phone Number Cardholders Name (Last, First, Middle Initial) Expiration Date (MM/YY) State Zip Code E-mail Address Birth Date (MM/DD/YY) This convenient program allows you to receive an automatically generated order each month from Javita. Cancellation of an AutoShip Order must be done through Javita Member Services at least five business days prior to your scheduled ship date. By selecting AutoShip you authorize the company to automatically ship your monthly order and collect the appropriate funds each month. Please supply ALL required information. Orders are subject to the local sales tax of your region and will be added to your order total. Shipping & handling charges will also be added.AutoShip orders are billed each month coinciding with your monthly order date. Note: Your first order will be processed upon approval of this application, and subsequent orders will fall into the regular AutoShip billing & shipping schedule beginning the following month. New AutoShip Change my AutoShip This is NOT an AutoShip Please check which one of the following apply:
  • 2. JAVITA AUTOSHIP AGREEMENT TERMS AND CONDITIONS. PLEASE READ THOROUGHLY. As a participant in the Javita AutoShip Program, I authorize Javita Inc. ("Javita") to ship my order to me monthly after processing the payment method that I have indicated. Javita is under no obligation to ship any products until full payment has been received. Shipment will take place approximately two days from payment confirmation. 1. AUTOSHIP: All new AutoShip Agreements received will generate an order to be shipped within two days of receipt. Each month thereafter, your AutoShip order will be sent on or about the same time each month. Orders received between the 16th and end of month will be sent on or about the 15th of each month. 2. SHIPPING AND HANDLING: All AutoShip orders are shipped via ground shipping. Shipping and handling charges applied to each AutoShip order are as follows: 5.75% of the order subtotal with a minimum of $7.50. 3. REVISION: You may revise your AutoShip Agreement monthly. To do so, submit a new AutoShip Agreement / Order Form and check the box labeled Change my AutoShip or modify your agreement online by visiting www.javita.com. Javita Member Services must have revisions no later than 5 business days prior to your next AutoShip shipment date. If the revision is received less than 5 business days prior to shipment, there will be no guarantee that the revision will be effective for that shipment. The revised application will be in effect for the next shipment date. 4. CANCELLATION: If a Member decides to cancel their AutoShip, a signed notification must be submitted to Javita Member Services. Member Services must have cancellation notice no later than 5 business days prior to your next AutoShip shipment date. If the cancellation is received less than 5 business days prior to shipment, there will be no guarantee that the order will not ship. 5. RETURNS: Prior to any product being returned to Javita, a Return Merchandise Authorization (RMA) Number must be issued. Please contact Javita Member Services to receive an RMAby calling 855-JAVITA-1 (1-855-528-4821).