For internal use only (IP Coach total check)
NAME:
POS Invoice #
DATE:
Enter quantity in GRAY boxes.
PRODUCT
Pinapple Banana Drink Mix
Vanilla Powder Drink Mix
Blueberry, Cranberry, Pomegrante Mix
Chocolate Powder Drink
Cappuccino Drink Mix
Orange Drink
Peach Mango
Pina Colada
Wildberry Yogurt
Pink Lemonade (temporarily out of stock)
Liquid Vanilla Almond Yogurt Drink $34.00-8 box /ind 4.25 ea.
Liquid Mango Drink $34-8/box ind $4.25
Liquid Straw/Ban $29.50-6/Box Ind $5.00 ea
Liquid Van Drink
*6 in a Box $29.50
Liquid Choc Drink *6 in a Box $29.50
Liquid Cappuccino Drink *6 in a Box $29.50/Ind.$5.00
PreMade Choc Pudding *6 in a Box $29.50
PreMade Vanilla Pudding *6 in a Box $29.50
PreMade Caramel Pudding *6 in a Box $29.50
Raspberry Chocolaty Bar $4.25 each *RR
Butterscotch Pudding
Dark Chocolate Pudding
Chocolate Pudding
Vanilla Pudding
Banana Pudding
Raspberry Jelly - (Jello)***
Fine Herb & Cheese Omelette
Pancake Mix
Chocolate Chip Pancake Mix
Crispy Cereal
Cereal Flakes *R
Maple Oatmeal
Apple Oatmeal
Raspberry Mousse
Potato Puree
Plain Rotini
Chicken Noodle Soup
Chicken Soup
Mushroom Soup
Leek Soup
Tomato & Basil Soup
Broccoli & Cheese Soup
Chicken Patty
Macaroni and Cheese R*
Chicken w/Dijonnaise Sauce 3/Box-30.00
Beef Stroganoff 3/Box-30.00
Chicken a la king
Vegetable Chili *R ***
South West Cheese Puffs *R
Dill Pickle Zippers *R
White Cheddar Ridges *R *
Soy Crisps - Garlic & Fine Herbs
Soy Crisps - BBQ
Soy Crisps - Salt and Vinegar
Soy Nut- BBQ (Now non-restricted!)
Sweet & Spicy Trail Mix *R
Apple & Cinnamon Soy Puffs *R
Chocolate Coated Soy Puffs *R
Peanut Butter Soy Puffs *R
Carmel Crunch Bar *R
Peanut Butter Crunch Bar *R
Chocolate & Mint Bar *R
Raspberry & Chocolate Bar *R
Vanilla Peanut Bars *R
Caramel Nut Bar *R
Cranberry & Pomegranate Bar *R
Lemon Poppy Seed Protein Bar *R
Chocolatey Caramel Flavored Mug Cake
Total Products from column 1
Beth Rocchio, MD
Box
$28*
Each $4*
0
Amount
$
$
$
$
$
$
$
-
$
-
$
-
$
$
$
$
$
-
$
-
$
$
$
$
$
$
$
$
$
$
$
$
-
$
$
-
$
$
$
$
$
$
$
$
$
$
$
-
$
$
$
$
$
$
$
$
$
$
$
$
-
$
$
$
$
$
$
$
-
$
$
$
$
$
-
$
$
-
$
$
0 $
-
Box
$28*
PRODUCT
Total products from column 2
0
Amount
$
$
$
$
$
$
$
-
$
-
$
-
$
$
$
$
$
$
$
-
$
-
$
0 $
$
Box
$29.50
IDEAL PROTEIN COMPLETE PRODUCT **PHASE 3 and 4 only**
Chocolate Complete Drink Mix
Strawberry Complete Drink Mix
Vanilla Complete Drink Mix
TOTAL IP Complete Products from column 2
0
TOTAL FOOD PRODUCT COST
Supplements (taxable)
QTY.
Amount
$
$
$
$
-
$
-
$
$
$
$
$
$
$
$
$
before tax
-
$
$
$
$
$
$
$
$
$
Tax
-
$
$
$
$
$
$
$
$
$
Recipe Book Phase 1 and 2 ($40) + Tax
Recipe Book Phase 3 and 4 ($45) + Tax
$
$
before tax
-
$
$
Tax
-
$
$
-
Because It's Your Life Book ($15) + Tax
Shaker ($6) + Tax
IP Water Bottle ($3) +Tax
$
$
$
$
-
$
$
$
$
-
$
$
$
$
-
Multi-Vita (60 caps) ($28) **Required - Tax
Cal-Mag (120 caps) ($24) ** Required - Tax
Potassium ($12) **Required - Tax
Omega Plus ($35) **Required - Tax
Natura Enzymes ($14) - Tax
Natura Anti-Oxy ($22) - Tax
Flora Health ($15) - Tax
Senna (7) - Tax
TOTAL Supplements
Books/Other (taxable)
0
QTY.
TOTAL Books/Other
0
Amount
Amount
Weekly Fee (cannot be waived)
ORDER TOTAL
$15.00
$15.00
TOTAL Walden Farms *SEE TAB 2 TO ENTER ORDER*
Total with Walden Farms :
*price unless otherwise noted in item name
*R Restricted Foods
*RR Restricted (One per week as restricted)
**RS Required Supplements
*** no more than 3 total per week
$15.00
See worsheet tab 3 for
health descriptions on
optional supplements.
Please EMAIL or FAX in 24hrs before your next visit or a $5 fee will be
applied.
Contact Information
email: [email protected]
Revised:3/1/2016
Each $4*
Cookie Dough Swirl Bar *R
Cookies & Cream Bar *R
Peanut Butter & Chocolate Bar *R
Vanilla Crispy Squares *R
Double Chocolate Brownies *R
Chocolatey Coconut Bar *R
Lemon Wafers*R $29.50/box /ind $4.25
Orange Wafers*R $29.50/box /ind $4.25
Strawberry Wafers*R $29.50/box/ ind $4.25
Triple Chocolate Wafers*R $29.50/box
Mangosteen Water Enhancer($7.00)
Tangerine Water Enhancer($7.00)
Ideal Potassium Salt ($4) **RS
Classsic Balsamic Dressing ($5.00)
Honey & Dijon Dressing ($5.00)
Italian Dressing ($5.00)
Sea Salt ($3.00)
Maple Flavored Syrup ($5.00)
Phone: 401-886-9669 Fax: 401-886-9779
SALE!
SALE!
SALE!
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