PRODUCT OFFLINE ORDER FORM (“Order Form”)

Effective March 2021

Brand Affiliate’s ID Number: Brand Affiliate’s Full Name: Date:

□Pick-up
Please state your preferred pick-up location (Experience Center): _______________________

□ Delivery
Recipient’s Name: Phone Number:

Delivery Address:

Cardholder’s Name: Expiry Date: Cardholder’s NRIC No: Cardholder’s Contact Number:

Credit Card Number: Cardholder’s Signature:

If I have chosen to pay for my purchases using a credit card not issued to me, I confirm that the holder to whom such credit card has been issued
(the “Cardholder”) has consented to such use of the credit card and that the Cardholder has signified such consent by signing in the space marked
“Cardholder’s Signature” above. I also confirm that the Cardholder has agreed that Nu Skin (Malaysia) Sdn Bhd (the “Company”) may collect, use,
process and disclose his/her personal information in this Form for the purpose of the administration in relation to the matters referred to herein. I
hereby agree and undertake to comply with the Personal Data Protection Act 2010 (the “PDPA”) with respect to the treatment of such personal data
of the Cardholder and shall comply with such reasonable directives and/or requests of the Company for the purposes of complying with the PDPA.

Code Product Description Quantity Price (RM) PSV

Deduct Enjoy Point (Maximum of 60% of total order amount):

Authorized amount:

Please fill-in below column if you are placing this order on behalf of your downlines/customers.
Order Placer ID: Order Placer Full Name: Order Placer Phone No:

NOTE:
*Please complete ALL details to avoid process delay.
*This order will not be processed without the cardholder’s signature and authorization approval.

By signing this Order Form, I agree that the Company may collect, use, process and disclose my personal data given in this Order Form for the
purpose of administration in relation to the matters referred to herein. I also confirm that the Recipient and the Order Placer have agreed that Nu Skin
may collect, use, process and disclose their personal data given in this Order Form for the purpose of administration in relation to the matters referred
to herein. I further confirm that I have read and fully understand the provisions regarding the collection, use, processing and disclosure of personal
data set out in the Company’s Personal Data Protection Notice and Chapter 1, Section 2 of the Company’s Policies and
Procedures and agree to abide by them.

______________________________
Brand Affiliate’s Signature